Lead author Avery Plough, senior author Dr. Neel Shah, and an exceptional team of co-authors recently published their findings on the Relationship Between Labor and Delivery Unit Management Practices and Maternal Outcomes in Obstetrics & Gynecology (also known as the Green Journal). As described in this press release, the results of interviewing 118 nurse and physician managers at 53 hospitals around the United States about the management of labor and delivery floors are complex. Their study is the first to link management of unit culture, nursing, and patient flow to maternal health outcomes, including cesarean deliveries.
The Rx Foundation supported this work with a grant to Ariadne Labs at the Harvard T.H. Chan School of Public Health.
“ICoHN is a collaborative learning system to support existing and new communities of practice. With an overarching goal of improving health and healthcare service, this network has three aims: (1) to discover and explore the meaning and application of the idea of service coproduction in diverse sectors of the health system, (2) to pilot these emerging insights in real professional development, healthcare service and community settings, and (3) to share lessons learned to promote “cross-fertilization” and further dissemination of improvements and innovations.”
Community Solutions, an Rx Foundation grant partner, is one organization featured in a recent article in the CT Mirror newspaper. ‘The health care that happens outside the doctors office‘ describes CHW Nadia Lugo’s work to bridge the medical and social service systems for residents of the Northeast Hartford neighborhood who are seen frequently at the ER. The article also details state level efforts to develop a sustainable funding strategy for CHWs, to standardize the role, and better incorporate CHWs into the health system.
The Donaghue Foundation announces its 2017 Greater Value Portfolio grant program that will fund research projects for the purpose of creating new approaches to achieving a higher value healthcare system. The goal of this program is to test new approaches and tools that organizations can readily use to improve the value of the healthcare they provide to their patients and communities. Deadline for the letters of intent is May 1, 2017.
The Rx Foundation and The Donaghue Foundation are co-funding a recipient of the 2016 Greater Value Portfolio grant program.
Rx Foundation grant partner The Human Diagnosis Project (Human Dx) is one of eight semi-finalists in 100&Change, a global competition from the John D. and Catherine T. MacArthur Foundation. The competition will award $100 million to a single group that seeks bold solutions to solving critical problems of our time.
“Human Dx will deliver an open, online system that provides public health and safety net institutions access to specialty medical expertise. Human Dx intends to engage the country’s leading medical boards, societies and academic institutions, and already has support from four of the largest medical organizations including the American Board of Internal Medicine (ABIM), American Board of Medical Specialties (ABMS), the American College of Physicians (ACP) and the American Medical Association (AMA).”
The Rx Foundation has partnered with the Division of Aging at Brigham and Women’s Hospital since 2010 to strengthen care for older adult patients throughout the hospital. This has included adding clinicians with geriatric specialization, and developing co-management approaches for older adult patients receiving care in oncology, orthopedics, and other departments. In September, the Division of Aging hosted their first ever Medical Grand Rounds, with Dr. Kenneth Rockwood of Dalhousie University. Dr. Rockwood is a distinguished expert on the clinical and epidemiological aspects of frailty, dementia, and delirium. The Division of Aging team continues to increase the visibility of, and appreciation for, the value of geriatrics in raising the quality of care for older adults.
Three current grant partners are using Rx Foundation funding to improve women’s health care around pregnancy, childbirth, and postpartum care.
Dr. Neel Shah is leading a project at Ariadne Labs that is investigating the labor floor management competencies that influence wide variation in rates of birth by cesarean section among hospitals in the U.S. Using in-depth interviews, quantitative, and qualitative analysis, they are working to inform the development of new management strategies than can safely reduce avoidable c-sections. Learn more about this work as explored by CNN, The New Yorker, and Consumer Reports.
Dr. Roseanna Means is leading a project at Health Care Without Walls to pilot a program of support for pregnant women in Boston who are homeless and receiving care at Brigham & Women’s Hospital. The Bridges to Moms program leverages personalized care and intensive case management from a HCWW Nurse Practitioner and Community Health Worker in the outpatient setting, across the continuum from pregnancy through the first year, striving to close gaps in services, improve clinic compliance and health outcomes for the moms and babies, and strengthen maternal bonding.
A team based at the Institute for Health Care Improvement (IHI) is leading work to develop and pilot a comprehensive population approach to care for pregnant women, aimed specifically at improving birth outcomes for women and infants in the Medicaid population. IN partnership with the Women-Inspired Neighborhood (WIN) Network in Detroit, MI, they are testing an integrated set of actions: the pregnancy medical home model, peer support (including group prenatal care), pregnancy intention and access to effective contraception, and integrating substance abuse treatment with prenatal care.