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Delaware Perinatal Quality Collaborative

PROJECT ORIGIN

The Delaware Perinatal Quality Collaborative (DPQC) was initially established in 2011 as a subcommittee of the Delaware Healthy Mother and Infant Consortium (DHMIC).  In 2019 the DPQC was memorialized in state code as a freestanding organization. The DPQC is now constituted as an independent public instrumentality.  All seven birthing institutions in Delaware are members of the DPQC. The Collaborative is comprised of voting members appointed by member organizations.  Each member organization has one representative.

PROJECT OBJECTIVE AND GOALS

The primary goal of the DPQC is to foster collaboration to improve the quality of care for mothers and babies in Delaware.  The objectives are for the DPQC members identify health care processes that need to be improved, and then to use the best available methods to make changes as quickly as possible.

PROJECT STRATEGIES AND OUTCOMES

The DPQC’s quality improvement (QI) initiatives are multidisciplinary, systems-focused, data-driven methods of understanding and improving the efficiency, effectiveness and reliability of health processes and care outcomes.

QI initiatives are utilized to reduce quality gaps for groups of patients. Quality gaps are defined by the Agency for Healthcare Research and Quality 2004 as differences between health care processes or outcomes observed in practice and those potentially obtainable based on current evidence-based knowledge.

Achievements of the DPQC to date include the establishment of a maternal transport protocol, Neonatal Abstinence Syndrome (NAS) standards of care for mothers and babies, reductions in deliveries before 39 weeks when it is not medically indicated, and most recently, quality improvement efforts are under way due to a new federal grant to address obstetrical hemorrhaging, which is the major cause of maternal mortality.

The DPQC has contributed to important improvements in health care and outcomes for our mothers and babies including:

  • Reductions in deliveries before 39 weeks of pregnancy without a medical reason;
  • improved management of obstetrical hemorrhage; and
  • reductions in severe pregnancy complications.

PROJECT NEXT STEPS

The DPQC’s seeks to create a culture of collaboration across the six birthing hospitals in Delaware. DPQC realizes this culture of collaboration through cooperation and transparency across the perinatal health providers and specialties that include obstetrics, maternal-fetal medicine, neonatology, pediatrics, and stakeholders engaged in improving maternal and infant health (i.e., public health) care by bringing together the specific expertise of physicians, epidemiologists, nurses, nurse-midwives, quality improvement experts and all other practitioners involved in perinatal health outcomes. For more information about DPQC, contact us.