Louisiana Perinatal Quality Collaborative
The Louisiana Perinatal Quality Collaborative (LaPQC) is an initiative of the Louisiana Commission on Perinatal Care and Prevention of Infant Mortality. LaPQC is a voluntary network of perinatal care providers, public health professionals and patient and community advocates who work to advance equity and improve outcomes for women, families, and newborns in Louisiana.
The LaPQC provides support to hospitals for continuous quality improvement on perinatal outcomes. It works to:
- Facilitate collaborative learning opportunities through Learning Sessions and monthly calls
- Identify and share best practices
- Facilitate mentorship between hospitals
- Provide teams with a data portal to allow for real-time evaluation to guide decision-making
- Provide subject-matter experts who are brought on as faculty
- Coordinate a guiding Advisory Committee
- Ensure Louisiana’s work is connected to national initiatives
- Amy Ladley, PhD
State Perinatal Quality Program Manager
- Pooja Mehta, MD, MSHP, FACOG
LaPQC Medical Director
Director of Maternal & Women’s Health Policy LSUHSC Consortium for Health Transformation
- Kerrie Redmond, BSN, RNC-OB
LaPQC Quality Improvement Advisor
- Amy Zapata, MPH
Bureau of Family Health Director
- Lyn Kieltyka, PhD
State Maternal and Child Health Epidemiologist, Bureau of Family Health
- Marci Brewer, MPH
Breastfeeding Program Manager, Bureau of Family Health
About the Reducing Maternal Morbidity Initiative
The Collaborative’s current focus is on improving maternal outcomes through the Reducing Maternal Morbidity Initiative. The goal of the initiative is to achieve a 20% reduction in severe maternal morbidity among pregnant and postpartum women who experience hemorrhage and/or severe hypertension/preeclampsia in LaPQC participating facilities over the course of 12 months, and to narrow the Black-White disparity in this outcome.
The LaPQC’s Reducing Maternal Morbidity Initiative is informed by the Institute for Healthcare Improvement’s evidence-based Breakthrough Series collaborative improvement model.
A total of 31 Louisiana birthing facilities are participating in the Reducing Maternal Morbidity Initiative. Hospitals participating in the initiative:
- Identify a team that consists of a senior sponsor, a day-to-day lead, and a data lead. Teams will need to include a nurse and a physician member, as well as a patient or family advisor (or ensure there is a plan for community advisory). One person can fulfill more than one of these roles on the team.
- Create an internal facility charter that specifies the team’s aim, measures, change ideas, and team composition.
- Complete pre-work activities to prepare for in-person Learning Sessions and monthly calls.
- Designate one physician and one nurse member of the quality team to attend monthly coaching calls.
- Send team representatives to all in-person Learning Sessions (anticipated as 1 statewide meeting and 2 regional meetings).
- Test change ideas using the Model for Improvement and Plan-Do-Study-Act (PDSA) rapid cycles during Action Periods (time between Learning Sessions) using the Change Package as a guide.
- Collect and report data for process and outcome measures using the Collaborative data portal (Extranet).
- Share change ideas, best practices and lessons learned with other teams during and between Learning Sessions.
- Report on team experiences and results during Learning Sessions and monthly calls.
- Prepare to sustain the changes beyond the initiative.