- Email: [email protected]
Defining Severe Maternal Morbidity
Bulletin Board
Defining Severe Maternal Morbidity SUMMER HUNT
T Photo © monkeybusinessimages / thinkstockphotos.com
The U.S. Centers for Disease Control and Prevention (CDC) has issued new definitions and statistics surrounding severe maternal morbidity, which affects more than 50,000 women in the United States each year—a number that is steadily increasing. To define severe maternal morbidity, the CDC uses delivery hospitalization data and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9CM) diagnosis and procedure codes that indicate a potentially life-threatening maternal condition or complication, and the source of data for national severe maternal morbidity estimates is the Nationwide Inpatient Sample (NIS). Blood transfusion was the most common indicator of severe maternal morbidity during the most recent 2-year period (2010 to 2011), followed by disseminated intravascular coagulation, heart
http://nwh.awhonn.org
failure during a procedure or surgery, hysterectomy and operations on the heart or pericardium. For more information, visit www.cdc.gov/ reproductivehealth/MaternalInfantHealth/ SevereMaternalMorbidity.html.
Health Disparities and Inequalities The CDC Health Disparities and Inequalities Report—United States 2013 addresses gaps in health between segments of the population that prevent people from leading longer, happier, healthier lives. Social, economic and environmental disadvantages have been found to be interrelated with poor health status, disease risk factors and limited access to health care. The report is broken down by social determinants of health, environmental hazards, health care access and preventive services, behavioral risk
© 2014, AWHONN
169
Bulletin Board
Improving Preeclampsia Outcomes Following extensive research and peer review and consensus from subject matter experts, the California Maternal Quality Care Collaborative (CMQCC) has developed Improving Health Care Response to Preeclampsia: A California Toolkit to Transform Maternity Care in order to identify best practices for early recognition, diagnosis, treatment and management of preeclampsia. Health care providers can utilize this new resource, develop hospital-specific methods for timely recognition and response to hypertensive disorders during the prenatal, birth and postpartum period. Included in the toolkit are the following: 1. Care guidelines in checklist, flowchart or table chart formats. 2. Compendium of 18 “best practice” articles. 3. Slide set for professional education. 4. Educational patient information. Download the full toolkit for free at www.cmqcc. org/preeclampsia_toolkit.
factors and health outcomes of mortality and morbidity. The second in a series of reports that address health disparities, the 2013 CDC Health Disparities and Inequalities Report includes updated data featured in the 2011 report as well as 10 new topics. View the full report at www.cdc. gov/mmwr/pdf/other/su6203.pdf.
Patient Education Materials Assessment Tool The Agency for Healthcare Research and Quality (AHRQ) has created a Patient Education
Materials Assessment Tool (PEMAT) to help professionals identify educational materials that communicate effectively with people of varying levels of health literacy. Separate tools are available for print and audiovisual materials. Using a seven-step method, health care professionals determine two different scores for the materials—one for understandability and one for action ability—which are then interpreted on a percentage scale in order to select the most efficient resources. Access the PEMAT at www. ahrq.gov/pemat.
Summer Hunt is an administrative assistant at AWHONN in Washington, DC. DOI: 10.1111/1751-486X.12114
170
Nursing for Women’s Health
DATE
LOCATION
EVENT
June 14 to 18, 2014
Orlando, FL
AWHONN Annual Convention. Visit www.awhonnconvention.org
August 4 to 8, 2014
San Antonio, TX
Summer Institutes on Quality Improvement. Visit www.regonline.com/Builder/site/tab1.aspx?EventID=1276592
Get your next meeting or educational session listed in Nursing for Women’s Health by emailing your information to [email protected] and putting “Save These Dates” in the subject line. Announcements are included on a space-available basis. Please send announcements at least 6 months before you wish to have them published.
Volume 18
Issue 2
Photo © didi / thinkstockphotos.com
Save These Dates!
infographic detailing problems and solutions at www.iom.edu/Reports/2012/ Accelerating-Progress-in-ObesityPrevention/Infographic.aspx.
Understanding the Affordable Care Act Consumer Reports has developed the Health Law Helper to address confusion surrounding the Affordable Care Act (ACA). This free interactive tool— which is available across multiple platforms including tablet and mobile— offers personalized guidance to help consumers understand the ACA and take advantage of options at www. healthcare.gov in order to get covered. Users answer a few simple questions and receive customized recommendation and step-by-step guidance
regarding their health care options, which can then be printed or emailed. Access the Health Law Helper at www. halthlawhelper.org; there is also a Spanish language version available at www.aseguratusalud.org.
Primary Cesarean Rates by State A new report from the CDC describes state-specific trends from 2006 to 2012 based singleton births to residents that implement the 2003 birth certificate revision by January 1 of each year. The primary delivery rate for the 38 states, District of Columbia and New York City that were using the revised certificate by January 1, 2012, was 21.5 percent. View the full report at www.cdc.gov/nchs/ data/nvsr/nvsr63/nvsr63_01.pdf.
Protection From Infectious Diseases
Photo © Fuse / thinkstockphotos.com
Obesity Prevention Released by the Institute of Medicine, Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation identifies difficulties in treating obesity and recommendations for prevention, including a series of five goals that address diet; exercise; media messages; roles of health care providers, insurers and employers and focus on schools. Read the report online for free at www.iom.edu/Reports/2012/ Accelerating-Progress-in-ObesityPrevention.aspx and find a useful
April | May 2014
Released by Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF), Outbreaks: Protecting Americans From Infectious Diseases examines the nation’s inability to prevent and control infectious disease outbreaks. A number of factors come into play, most notably outdated systems and limited resources, putting Americans in risky yet preventable situations. Outbreaks issues recommendations to address the problem, including strengthening fundamental capabilities and increasing the number of Americans receiving vaccinations. Some key highlights are as follows: 1. Only one-quarter of states vaccinated at least half of their population against the seasonal flu. 2. Two-thirds of states decreased funding for public health from Fiscal year 2011 to 2012 to 2012 to 2013.
Medicaid program—one in five Americans living with HIV/AIDS do not know they are infected. 4. Only two states and Washington, DC vaccinated at least 90 percent of preschoolers against the whooping cough. The full report is available at healthy americans.org/assets/files/TFAH2013 OutbreaksRpt13.pdf.
3. One-third of states do not cover HIV screening under their
Nursing for Women’s Health
171
Bulletin Board
Clinical Research Network
ent Principles of Adolesc order Treatment: Dis Use nce sta Sub Guide A Research-Based
Teen Substance Abuse Treatment The National Institute on Drug Abuse (NIDA) has released Principles of Adolescent Substance Use Disorder Treatment: A Research Based Guide, a new resource to help parents, health care providers and substance abuse treatment specialists identify and interact with struggling and at-risk teens. Highlights include frequently asked questions, evidence-based approaches for treatment and the roles of family members and medical professionals. Adolescent drug use and treatment methods vary from those appropriate for adults, and teens are less likely to seek out help or recognize that they need it. Access the publication at www.drugabuse.gov/publications/ principles-adolescent-substance-use-disordertreatment-research-based-guide.
172
Nursing for Women’s Health
The Patient-Centered Outcomes Research Institute (PCORI) recently approved $93.5 million to build PCORnet, the National PatientCentered Clinical Research Network. This secure national resource will be composed of 29 clinical research data networks and will reduce the time and effort needed to launch new studies and focus research on questions and outcomes especially useful to patients and those who care for them. By finding the most effective ways of detecting, treating and preventing disease, researchers will be able to better determine what does and doesn’t work in clinical practice. PCORnet aims to connect researchers and patients, clinicians and other end-users to advance the shift in clinical research from investigatordriven to patient-centered studies. For more information visit www.pcori.org/fundingopportunities/pcornet-national-patientcentered-clinical-research-network/.
Care Coordination Guide From ANA A new guide from the American Nurses Association highlights nurses’ role in advancing care coordination. Care Coordination: The Game Changer—How Nursing is Revolutionizing Quality Care offers comprehensive insights, case studies and strategies to advance nursing’s role in care coordination and health care transformation that can be utilized in both the classroom and professional practice settings. For more information, visit nursesbooks.org/MainMenu/Quality/Care-Coordination-The-GameChanger.aspx.
Volume 18
Issue 2
Defining Severe Maternal Morbidity SUMMER HUNT
T Photo © monkeybusinessimages / thinkstockphotos.com
The U.S. Centers for Disease Control and Prevention (CDC) has issued new definitions and statistics surrounding severe maternal morbidity, which affects more than 50,000 women in the United States each year—a number that is steadily increasing. To define severe maternal morbidity, the CDC uses delivery hospitalization data and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9CM) diagnosis and procedure codes that indicate a potentially life-threatening maternal condition or complication, and the source of data for national severe maternal morbidity estimates is the Nationwide Inpatient Sample (NIS). Blood transfusion was the most common indicator of severe maternal morbidity during the most recent 2-year period (2010 to 2011), followed by disseminated intravascular coagulation, heart
http://nwh.awhonn.org
failure during a procedure or surgery, hysterectomy and operations on the heart or pericardium. For more information, visit www.cdc.gov/ reproductivehealth/MaternalInfantHealth/ SevereMaternalMorbidity.html.
Health Disparities and Inequalities The CDC Health Disparities and Inequalities Report—United States 2013 addresses gaps in health between segments of the population that prevent people from leading longer, happier, healthier lives. Social, economic and environmental disadvantages have been found to be interrelated with poor health status, disease risk factors and limited access to health care. The report is broken down by social determinants of health, environmental hazards, health care access and preventive services, behavioral risk
© 2014, AWHONN
169
Bulletin Board
Improving Preeclampsia Outcomes Following extensive research and peer review and consensus from subject matter experts, the California Maternal Quality Care Collaborative (CMQCC) has developed Improving Health Care Response to Preeclampsia: A California Toolkit to Transform Maternity Care in order to identify best practices for early recognition, diagnosis, treatment and management of preeclampsia. Health care providers can utilize this new resource, develop hospital-specific methods for timely recognition and response to hypertensive disorders during the prenatal, birth and postpartum period. Included in the toolkit are the following: 1. Care guidelines in checklist, flowchart or table chart formats. 2. Compendium of 18 “best practice” articles. 3. Slide set for professional education. 4. Educational patient information. Download the full toolkit for free at www.cmqcc. org/preeclampsia_toolkit.
factors and health outcomes of mortality and morbidity. The second in a series of reports that address health disparities, the 2013 CDC Health Disparities and Inequalities Report includes updated data featured in the 2011 report as well as 10 new topics. View the full report at www.cdc. gov/mmwr/pdf/other/su6203.pdf.
Patient Education Materials Assessment Tool The Agency for Healthcare Research and Quality (AHRQ) has created a Patient Education
Materials Assessment Tool (PEMAT) to help professionals identify educational materials that communicate effectively with people of varying levels of health literacy. Separate tools are available for print and audiovisual materials. Using a seven-step method, health care professionals determine two different scores for the materials—one for understandability and one for action ability—which are then interpreted on a percentage scale in order to select the most efficient resources. Access the PEMAT at www. ahrq.gov/pemat.
Summer Hunt is an administrative assistant at AWHONN in Washington, DC. DOI: 10.1111/1751-486X.12114
170
Nursing for Women’s Health
DATE
LOCATION
EVENT
June 14 to 18, 2014
Orlando, FL
AWHONN Annual Convention. Visit www.awhonnconvention.org
August 4 to 8, 2014
San Antonio, TX
Summer Institutes on Quality Improvement. Visit www.regonline.com/Builder/site/tab1.aspx?EventID=1276592
Get your next meeting or educational session listed in Nursing for Women’s Health by emailing your information to [email protected] and putting “Save These Dates” in the subject line. Announcements are included on a space-available basis. Please send announcements at least 6 months before you wish to have them published.
Volume 18
Issue 2
Photo © didi / thinkstockphotos.com
Save These Dates!
infographic detailing problems and solutions at www.iom.edu/Reports/2012/ Accelerating-Progress-in-ObesityPrevention/Infographic.aspx.
Understanding the Affordable Care Act Consumer Reports has developed the Health Law Helper to address confusion surrounding the Affordable Care Act (ACA). This free interactive tool— which is available across multiple platforms including tablet and mobile— offers personalized guidance to help consumers understand the ACA and take advantage of options at www. healthcare.gov in order to get covered. Users answer a few simple questions and receive customized recommendation and step-by-step guidance
regarding their health care options, which can then be printed or emailed. Access the Health Law Helper at www. halthlawhelper.org; there is also a Spanish language version available at www.aseguratusalud.org.
Primary Cesarean Rates by State A new report from the CDC describes state-specific trends from 2006 to 2012 based singleton births to residents that implement the 2003 birth certificate revision by January 1 of each year. The primary delivery rate for the 38 states, District of Columbia and New York City that were using the revised certificate by January 1, 2012, was 21.5 percent. View the full report at www.cdc.gov/nchs/ data/nvsr/nvsr63/nvsr63_01.pdf.
Protection From Infectious Diseases
Photo © Fuse / thinkstockphotos.com
Obesity Prevention Released by the Institute of Medicine, Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation identifies difficulties in treating obesity and recommendations for prevention, including a series of five goals that address diet; exercise; media messages; roles of health care providers, insurers and employers and focus on schools. Read the report online for free at www.iom.edu/Reports/2012/ Accelerating-Progress-in-ObesityPrevention.aspx and find a useful
April | May 2014
Released by Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF), Outbreaks: Protecting Americans From Infectious Diseases examines the nation’s inability to prevent and control infectious disease outbreaks. A number of factors come into play, most notably outdated systems and limited resources, putting Americans in risky yet preventable situations. Outbreaks issues recommendations to address the problem, including strengthening fundamental capabilities and increasing the number of Americans receiving vaccinations. Some key highlights are as follows: 1. Only one-quarter of states vaccinated at least half of their population against the seasonal flu. 2. Two-thirds of states decreased funding for public health from Fiscal year 2011 to 2012 to 2012 to 2013.
Medicaid program—one in five Americans living with HIV/AIDS do not know they are infected. 4. Only two states and Washington, DC vaccinated at least 90 percent of preschoolers against the whooping cough. The full report is available at healthy americans.org/assets/files/TFAH2013 OutbreaksRpt13.pdf.
3. One-third of states do not cover HIV screening under their
Nursing for Women’s Health
171
Bulletin Board
Clinical Research Network
ent Principles of Adolesc order Treatment: Dis Use nce sta Sub Guide A Research-Based
Teen Substance Abuse Treatment The National Institute on Drug Abuse (NIDA) has released Principles of Adolescent Substance Use Disorder Treatment: A Research Based Guide, a new resource to help parents, health care providers and substance abuse treatment specialists identify and interact with struggling and at-risk teens. Highlights include frequently asked questions, evidence-based approaches for treatment and the roles of family members and medical professionals. Adolescent drug use and treatment methods vary from those appropriate for adults, and teens are less likely to seek out help or recognize that they need it. Access the publication at www.drugabuse.gov/publications/ principles-adolescent-substance-use-disordertreatment-research-based-guide.
172
Nursing for Women’s Health
The Patient-Centered Outcomes Research Institute (PCORI) recently approved $93.5 million to build PCORnet, the National PatientCentered Clinical Research Network. This secure national resource will be composed of 29 clinical research data networks and will reduce the time and effort needed to launch new studies and focus research on questions and outcomes especially useful to patients and those who care for them. By finding the most effective ways of detecting, treating and preventing disease, researchers will be able to better determine what does and doesn’t work in clinical practice. PCORnet aims to connect researchers and patients, clinicians and other end-users to advance the shift in clinical research from investigatordriven to patient-centered studies. For more information visit www.pcori.org/fundingopportunities/pcornet-national-patientcentered-clinical-research-network/.
Care Coordination Guide From ANA A new guide from the American Nurses Association highlights nurses’ role in advancing care coordination. Care Coordination: The Game Changer—How Nursing is Revolutionizing Quality Care offers comprehensive insights, case studies and strategies to advance nursing’s role in care coordination and health care transformation that can be utilized in both the classroom and professional practice settings. For more information, visit nursesbooks.org/MainMenu/Quality/Care-Coordination-The-GameChanger.aspx.
Volume 18
Issue 2