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Hospital Captive Owners Team Up To Improve Maternal and Infant Health

Baby Boy Feet-SF
July 15, 2019

Ten leading hospitals and Premier Inc., a healthcare improvement company, are working on a perinatal collaborative designed to reach zero preventable maternal and neonatal harm and deaths.

Premier manages the American Excess Insurance Exchange (AEIX) reciprocal risk retention group, a captive professional liability insurance company, and the 10 hospitals taking part in the collaboration are owners of AEIX.

Over the next 2 years, hospitals in Premier's Perinatal Collaborative will design, test, and adopt evidenced-based improvement strategies that can be replicated, standardized, and scaled nationally. The collaborative, which launched in June, is part of Premier's Bundle of Joy campaign that aims to transform the quality, safety, and cost of maternal and infant health.

"Our work with providers to improve care for women and infants remains a key area of focus as we aim to create a healthier delivery system," said Susan DeVore, Premier CEO. "We know firsthand what can be accomplished by acting as a convener to facilitate collaboration, data sharing, and the development of scalable solutions. Our goal is to measurably close the gap between the evidence and what is practiced by testing and adopting new delivery models that elevate the quality, safety, and cost of perinatal care."

Participants will focus on reducing mortality and disparities in care, preventing adverse events, ensuring patients are treated in the correct and most appropriate setting, increasing the delivery of evidence-based care, enhancing patient and family engagement, and improving the overall health of women and newborns.

The undertaking will leverage data and peer-to-peer benchmarks and will enable the sharing and scaling of improvement strategies and solutions.

Hospitals participating in the effort include the following.

    • Baptist Health Lexington, KY

    • Baystate Medical Center, Springfield, MA

    • Franklin Woods Community Hospital, Johnson City, TN

    • MemorialCare Miller Children's & Women's Hospital, Long Beach, CA

    • PeaceHealth Sacred Heart Medical Center at RiverBend, Springfield, OR

    • Presbyterian Hospital, Albuquerque, NM

    • Riverside Regional Medical Center, Newport News, VA

    • Summa Health, Akron, OH

    • Texas Health Harris Methodist Hospital, Fort Worth, TX

    • West Virginia University Medicine—Camden Clark Medical Center, Parkersburg, WV

"This group's unique, combined expertise is critical in providing the leading pathway for managing risk and improving perinatal safety," said Barclay E. Berdan, FACHE, CEO of Texas Health Resources and chairperson of the AEIX Board of Directors. "We are excited to be collaborating with Premier in its mission to improve the health of communities. We will work together to establish a systemwide model of care, including a culture of safety, high reliability, and teamwork that supports sustainable improvements."

Specifically, Premier experts will be paired on-site with participants to establish multidisciplinary, data-driven improvement initiatives to transform perinatal care design. This includes leveraging integrated technology and a comprehensive database that benchmarks against 1.2 million annual births to accomplish the following.

  • Assess, measure, and monitor each participant's culture of safety and its impact on quality and cost, including liability expenses.

  • Analyze population-focused outcomes measures, including in in-patient and outpatient obstetric and neonatal service areas, for maternal/neonatal industry-endorsed safety care processes to identify strengths and opportunities.

  • Provide quarterly results on targeted perinatal services through a proprietary perinatal dashboard.

  • Deliver an annual weighted performance improvement road map with actionable and sustainable best practices.

Findings from the collaborative will be shared and published in January 2020.

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