ABSTRACT
Advancing the quality and safety of maternity care should be data-driven. Defining a standard set of clinical data elements, across electronic health record platforms and facilities, could accelerate performance measurement, benchmarking, and identification of better practices. In 2014, the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists launched the Maternal Quality Improvement Program, a data-driven national clinical registry for maternity care. Having an agreed-on set of discrete data elements related to labor and delivery will set the stage for analysis of this care. Through the use of clinical performance measures and data quality metrics, the Maternal Quality Improvement Program will provide an opportunity for health care providers to better understand the overall quality and safety of the maternity care provided within their institution.
Subject(s)
Maternal Health Services/standards , Midwifery/organization & administration , Obstetrics and Gynecology Department, Hospital/organization & administration , Prenatal Care/standards , Registries , Female , Humans , Pregnancy , Pregnancy Outcome , Quality Improvement , United StatesABSTRACT
Effective care coordination across the women's health continuum is critically important. Unlike obstetric care, which tends to be more episodic and limited to pregnant and postpartum women, women receive health care, whether around pregnancy or for nonobstetric issues, in a variety of care settings by members of multiple health disciplines. Having access to standardized clinical data is imperative to providing optimal patient care. The reVITALize Gynecology Data Definitions Initiative leads a national multidisciplinary movement to offer standard gynecologic data definitions for use in written and verbal clinical communication, electronic health record data capture, quality improvement, and clinical research.
Subject(s)
Data Collection , Interdisciplinary Communication , Women's Health Services , Women's Health/standards , Critical Pathways/standards , Data Collection/methods , Data Collection/standards , Electronic Health Records/organization & administration , Electronic Health Records/standards , Empirical Research , Female , Humans , Pregnancy , Quality Improvement , United States , Women's Health Services/organization & administration , Women's Health Services/standardsSubject(s)
Anaphylaxis/chemically induced , Cervical Ripening/drug effects , Cesarean Section/statistics & numerical data , Isosorbide Dinitrate/analogs & derivatives , Labor, Induced , Misoprostol/adverse effects , Nitric Oxide Donors/pharmacology , Oxytocics , Pregnancy, Prolonged/drug therapy , Female , Humans , PregnancyABSTRACT
Precision in language has become critically important with the evolution of the electronic medical record and proliferation of measurement in vital statistics and health care. Taking the opportunity to standardize clinical definitions is a fundamental step in building a robust national data infrastructure that is useful and useable for clinicians and patients. The reVITALize Initiative leads and coordinates a national multidisciplinary movement to standardize obstetric data definitions for written and verbal clinical communication, electronic health record data capture, vital statistics and public health surveillance, measurement, quality improvement, reporting, and research.
