Source: The News-Enterprise
Kentucky is one step closer to becoming an Alliance for Innovation on Maternal Health state and Hardin Memorial Hospital Obstetric Nurse Educator Kim Scarborough is at the forefront of that effort.
AIM is a national data-driven maternal safety and quality improvement initiative based on implementation approaches proven to improve maternal safety and outcomes in the U.S.
The goal is to eliminate preventable maternal mortality and morbidity across the United States.
At an association meeting in June, Dr. Connie White, deputy commissioner for clinical affairs in the Kentucky Department for Public Health, reached out and was interested in meeting with key stakeholders at the conclusion of one of the lectures.
Scarborough, who serves as president of the Kentucky Perinatal Association, said White discussed formation of the Kentucky Perinatal Quality Collaborative.
The collaborative was launched in October and is one step in the direction of Kentucky becoming an AIM state.
Scarborough said the launch brought together health care professionals and other stakeholders dedicated to decreasing the maternal mortality rate, decreasing rates of neonatal abstinence syndrome and improving maternal and infant health outcomes in the state during the opioid crisis and other health issues.
The goal is to from a multidisciplinary team approach to promote safe maternal care across the country, she said.
“Kentucky wants to be a part of that and wants to be able to say that we’re doing the things that we need to do to provide and implement evidence-based maternal care and that we are providing that best care here,” Scarborough said.
That’s all part of becoming an AIM state.
“You had to be able to form a plan on how to effectively communicate your care bundles, and care bundles are basically plans on how to take care of a patient,” she added.
One of the ways to help disseminate the information is to share it through the Kentucky Perinatal Association, which provides lectures through the year across the state.
“I heard a quote the other day, ‘The song sounds much sweeter when we all sing from the same hymnal,’ and I thought … that to me is really what this is kind of about,” Scarborough said.
Teams within hospitals also are being developed to help disseminate information to staff. The hosptial’s KyPQC committee members are Scarborough; Vickie Schmidt, director of BirthPlace; Audrey Diller, nurse manager of BirthPlace; Dr. Jason Goodman, chief of obstetrics; Dr. Kristopher Beickman, obstetrician; Dr. Bridgett Hempel, neonatologist; Dr. Chukwuma Nnorom, neonatologist; Cara Dawson, NICU RN; and Kathy Caldwell, Labor RN.
“It will be a large task but it is one that is very much needed, and I think it is real exciting to think about the fact we can get to the point of creating a care bundle for this very vulnerable population of moms and babies that could have direct link to reducing our maternal mortality rates here in Kentucky,” she said.
Premature birth and its complications are the largest contributors to infant death in this country and globally.
According to the Centers for Disease Control and Prevention, perinatal quality collaboratives can reduce pre-term births, reduce severe pregnancy complications associated with high blood pressure and hemorrhage, improve identification of and care for infants with neonatal abstinence syndrome, reduce racial/ethnic and geographic disparities, and reduce cesarean births among low-risk pregnant women.
Scarborough said Kentucky joins several states that have an established perinatal quality collaborative.
“I’m excited to see where it goes. I’m glad to be a part of this steering committee,” Scarborough said. “It would be overwhelming if one hospital took it on. But having all these key people from all across the state involved then I think it will be much more effective.”