Phase II Update
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 ALL Teams that are planning on participating in Phase II must complete a team roster form and return it to me as soon as possible.
The final version of the data collection form in both PDF and Word versions and the final version of the data dictionary have been posted to the SIVB Extranet (please contact me if you do not have access to the Extranet).
Remember, all teams will start data collection for Phase II on March 1st. New hospitals joining the SIVB initiative for Phase II will complete 2 months of baseline data as well as start data collection on March 1st.
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| Elective Deliveries Identified as a Core Quality Measure |
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 The U.S. Department of Health and Human Services (HHS) announced a core set of quality measures for states to use in shaping their Medicaid programs. Among the 26 measures identified, HHS included a voluntary measure related to elective deliveries. Incorporation of this measure in the adult Medicaid core set of health quality measures provides a crucial opportunity to ensure that evidence-based practice extends to a population already at high risk of prematurity, low birth weight, and other adverse birth outcomes. AWHONN, in collaboration with ACOG, AAP, the Association of Maternal and Child Health Programs, the March of Dimes, and the National Partnership for Women and Families, advocated for inclusion of the elective delivery measure in the core set. In a letter to Secretary Sebelius, AWHONN said, "adopting this measure will not only lead to improved care for both pregnant women and their infants, but also has the potential to reduce unnecessary Medicaid costs as the final weeks of pregnancy are a very important period of fetal lung development and brain growth." For a complete list of quality measures, visit the Federal Register's website.
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| Article in press: American Journal of Obstetrics & Gynecology |
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 TITLE: Timing of delivery and pregnancy outcomes among laboring nulliparous women.
OBJECTIVE: The objective of the study was to compare pregnancy outcomes by completed week of gestation after 39 weeks with outcomes at 39 weeks.
CONCLUSION: Risks of maternal morbidity and cesarean delivery but not neonatal morbidity increased significantly beyond 39 weeks.
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...from Jim deVente
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The Oracle is again silent this week...there is an art to the building of suspense!
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Contact
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Keith M Cochran
PQCNC Debrouillard
Keith_Cochran@unc.edu
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