Using a State Birth Registry as a Quality Improvement Tool

Carole Lannon; Heather C. Kaplan; Kelly Friar; Sandra Fuller; Susan Ford; Beth White; John Besl; John Paulson; Michael Marcotte; Michael Krew; Jennifer Bailit; Jay Iams

doi:10.1055/s-0037-1600898

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2017; 34(10): 0958-0965
DOI: 10.1055/s-0037-1600898

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Using a State Birth Registry as a Quality Improvement Tool

Carole Lannon

¹James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio

,

Heather C. Kaplan

¹James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio

,

Kelly Friar

²Ohio Public Health Partnership, Columbus, Ohio

,

Sandra Fuller

¹James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio

,

Susan Ford

³Rainbow Babies & Children's Hospital, Cleveland, Ohio

,

Beth White

⁴Ohio Perinatal Quality Collaborative, Toledo, Ohio

,

John Besl

¹James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio

,

John Paulson

⁵Ohio Department of Health, Center for Vital and Health Statistics, Columbus, Ohio

,

Michael Marcotte

⁶Quality and Safety for Women's Services – TriHealth, Good Samaritan Hospital, Cincinnati, Ohio

,

Michael Krew

⁷Aultman Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Aultman Hospital, Canton, Ohio

,

Jennifer Bailit

⁸Obstetric Lead, Ohio Perinatal Quality Collaborative, Metro Health Medical Center, Cleveland, Ohio

,

Jay Iams

⁹Ohio Perinatal Quality Collaborative, Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio

› Institutsangaben

Abstract

Background Birth registry data are universally collected, generating large administrative datasets. However, these data are typically not used for quality improvement (QI) initiatives in perinatal medicine because the quality and timeliness of the information is uncertain.

Objective We sought to identify and address causes of inaccuracy in recording birth registry information so that birth registry data could support statewide obstetrical quality initiatives in Ohio.

Study Design The Ohio Perinatal Quality Collaborative and the Ohio Department of Health Vital Statistics used QI techniques in 15 medium-sized maternity hospitals to identify and remove systemic sources of inaccuracy in birth registry data. The primary outcome was the rate of scheduled deliveries without medical indication between 37^0/7 and 38^6/7 weeks at participating hospitals from birth registry data.

Results Inaccurate birth registry data most commonly resulted from limited communication between clinical and medical record staff. The rate of scheduled births between 37^0/7 and 38^6/7 weeks' gestation without a documented medical indication as recorded in the birth registry declined by 35%.

Conclusion A QI initiative aimed at increasing the accuracy of birth registry information demonstrated the utility of these data for surveillance of perinatal outcomes and has led to ongoing efforts to support birth registrars in submitting accurate data.

Keywords

birth registry data - quality improvement - perinatal outcomes - population health

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Referenzen

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