NYSPQC Projects
Current Projects:
- NYSPQC Respectful Care & Safe Reduction of Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Project assists birthing facilities in improving perinatal outcomes and patient experience of care during the birth hospitalization, while focusing on safely reducing NTSV cesarean births.
- NYSPQC Neonatal Intensive Care Unit (NICU) Family-Centered Care Project assists NICUs in improving outcomes for infants and the experience of care for their families by focusing on family-centered care.
If you are interested in participating in one of our current projects or work groups, as a provider, patient advocate, participating birthing facility, or other stakeholder, please e-mail NYSPQC@health.ny.gov.
Past Projects:
Obstetrics
NYSPQC Opioid Use Disorder (OUD) in Pregnancy & Neonatal Abstinence Syndrome (NAS) Project
Opioid Use Disorder in Pregnancy
NYSPQC Resources
- Patient Education – Your Pregnancy & Substance Use: Four Ways to Get and Stay Healthier
- Provider Education – Perinatal Substance Use: Five Ways You Can Improve Care During Pregnancy & Beyond
- Naloxone Educational Brochure
Other Resources
- ACOG District II: OUD in Pregnancy Resources | ACOG
- NYS Authorized Syringe Exchange Programs Site Locations & Hours of Operations (PDF)
- NYSDOH Drug User Health Hub Contacts (for Referrals)
- NYSDOH AIDS Institute Recommendations for Improving Language and Establishing Stigma-Free, Supporting, Service Delivery Environments (PDF)
Neonatal Abstinence Syndrome
Resources
- NYSPQC Patient Resource – Neonatal Abstinence Syndrome: What You Need to Know (0722)
- NYSPQC Patient Resource – Newborn Care Journal (0723)
- Provider Education - Opioids & Neonatal Abstinence Syndrome: Language Matters
- Provider Education - How to Care for a Baby with Neonatal Abstinence Syndrome
COVID-19 Vaccination During the Perinatal Period
COVID-19 Vaccination During the Perinatal Period
Resources
- Pregnancy and COVID-19, New York State Department of Health Website
- Novel Coronavirus Website, New York State Department of Health
- COVID-19 Resources, New York State Department of Health
- New York State Department of Health Patient Education Brochure - Protect Yourself, Your Family, and Your Baby: Get the COVID-19 Vaccine! (publication number)
- New York State Department of Health Poster - Protect Yourself, Your Family, Your Baby: Get the COVID-19 Vaccine! (publication number)
NYSPQC Obstetric Hemorrhage Project
- Overview (PDF)
- This project ran from 2017 to 2021.
- The NYSPQC Obstetric Hemorrhage Project focused on reducing maternal morbidity and mortality statewide by translating evidence-based guidelines into clinical practice to improve the assessment, identification, and management of obstetric hemorrhage.
- The project was conducted in collaboration with the American College of Obstetricians and Gynecologists District II, Healthcare Association of NYS and Greater New York Hospital Association, with support from the National Institute for Children's Health Quality.
NYSPQC Antenatal Corticosteroid Treatment (ACT) Project
- This project ran from 2015 to 2016.
- The NYSPQC/March of Dimes (MOD) Antenatal Corticosteroid Treatment (ACT) Project enabled participating hospital teams to improve their practices that all mothers of infants born between 23 0/7 and 34 0/7 weeks' gestation receive appropriate ACT to reduce morbidity and mortality.
NYSPQC Maternal Hemorrhage & Hypertension Initiative
- This project ran from 2014 to 2015.
- In April 2014, the NYSPQC Obstetrical Improvement Project expanded beyond scheduled deliveries to include the focus areas of maternal hemorrhage and hypertension. The maternal hemorrhage and hypertension portion of the project strived to advance improvements in identifying and treating maternal hemorrhage and preeclampsia, eclampsia, and severe hypertension. This was achieved by applying evidence-based interventions to improve capability within NYS birthing hospitals for ongoing quality improvement activities. The NYSPQC provided education on, and highlighted effective strategies for, integrating patient safety practices associated with early identification of maternal hemorrhage, preeclampsia, eclampsia, and severe hypertension into existing infrastructure for care delivery.
NYSPQC Obstetrical Improvement Project
- This project ran from 2010 to 2014.
- The NYSPQC Obstetrical Improvement Project sought to reduce scheduled deliveries without a medical indication between 36 0/7 and 38 6/7 weeks gestation. By project close, participating Regional Perinatal Centers reported a 97% decrease in scheduled deliveries without a medical indication during the specified gestation period, including a 96% decrease in inductions and a 98% decrease in cesarean sections. Additionally, primary cesarean sections decreased by 97% and documentation of maternal education on the risks and benefits of preterm scheduled delivery increased by 124%
- NYSPQC Obstetrical Improvement Project Toolkit Cover Letter
- NYSPQC Obstetrical Improvement Project Toolkit
Neonatal
NYS Opioid Use Disorder in Pregnancy (OUD) & Neonatal Abstinence Syndrome (NAS) Project
Opioid Use Disorder in Pregnancy
NYSPQC Resources
- Patient Education – Your Pregnancy & Substance Use: Four Ways to Get and Stay Healthier
- Provider Education – Perinatal Substance Use: Five Ways You Can Improve Care During Pregnancy & Beyond
- Naloxone Educational Brochure
Other Resources
Webinar Resources
Neonatal Abstinence Syndrome
Resources
- NYSPQC Patient Resource – Neonatal Abstinence Syndrome: What You Need to Know (0722)
- NYSPQC Patient Resource – Newborn Care Journal (0723)
- Provider Education - Opioids & Neonatal Abstinence Syndrome: Language Matters
- Provider Education - How to Care for a Baby with Neonatal Abstinence Syndrome
NYSPQC Enteral Nutrition Improvement Project
- Overview (PDF)
- This project ran from 2010 to 2020.
- The Enteral Nutrition Improvement Project reduced statewide the percentage of newborns of <31 weeks' gestational age who were discharged from the NICU at weights below the tenth percentile for post menstrual age.
Publications
- Stevens, T. P., Shields, E., Campbell, D., Combs, A., Horgan, M., La Gamma, E. F., ... & Kacica, M. (2016). Variation in enteral feeding practices and growth outcomes among very premature infants: a report from the New York State Perinatal Quality Collaborative. American journal of perinatology, 2(01), 009-019.
- Stevens, T. P., Shields, E., Campbell, D., Combs, A., Horgan, M., La Gamma, E. F., ... & Kacica, M. (2018). Statewide initiative to reduce postnatal growth restriction among infants< 31 weeks of gestation. The Journal of pediatrics, 197, 82-89.
NYPSQC Safe Sleep Project
- Overview (PDF)
- This project ran from 2015 to 2018.
- The NYSPQC Safe Sleep Project aimed to reduce infant sleep-related deaths by improving safe sleep practices. Beginning in August 2017, the project entered sustain mode, and through October 2018, the percent of infants, sleeping or awake-and-unattended in a crib, in a safe sleep environment during the birth hospitalization remained stable at around 90%.
Resources
- Safe Sleep Brochure
- Safe Sleep for Baby Poster
- Anatomical Diagram Teaching Tool
- Follow the ABC's of Safe Sleep Coloring Sheet (0699)
- Safe Sleep For Baby
Videos
NYSPQC Central Line Associated Blood Stream Infection Reduction (CLABSI) Project
- Overview (PDF)
- The project ran from 2013 to 2015.
- The objective of this project was to reduce central line-associated bloodstream infections in NYS NICUs. Among NYSPQC participants, checklist use increased from approximately 80% to 90% in both participating RPCs and Level III affiliates during the project period.