ppt课件-ariskseveritystratificationmodeltopredictneonatal.pptVIP

Medical Management Comprehensive Approach Needed Pregnancy identification and referral Risk stratification Risk-specific interventions Case management NICU Case management Outcomes measurement * Management Programs Should Focuses on maintaining the health of the pregnant woman and decreasing risks through education and high-risk obstetrical nurse case managers Addresses the needs of payers, families and employers Reduces poor birth outcomes and related costs * * Management Components Surveillance and identification - Periodic obstetrical assessments One-on-one case management expertise and ongoing support, Home care in lieu of hospitalization for high risk pregnancies Focus on high cost NICU causes and readmits. Timely Education - book, web based and newsletters . Multiple channels of communication. Access to maternity nurses 24x7 through the call center RN/MD consultation. OB Case Management NICU Care Management Outcomes Reporting Informatics IDENTIFY risk factors that may impact healthy birth outcomes and educate families about behavior changes. OB Homecare Services Case Identification * Implementation Initial Risk Assessment Education e-OB Newsletter BabyLine Reporting Case Management Stratified by Risk Follow-Up Risk Assessment Education ?e –OB Newsletter BabyLine ?Reporting Identification Enrollment OUTCOMES Risk Factors Program Flow * Outcomes Reporting Informatics EXTEND the pregnancy and improve birth weight through specialized maternity case management.. Case Identification OB Case Management OB Homecare Services NICU Care Management * Case Management: Proactive Rather than Catastrophic Level I: Teenage Pregnancy Maternal age 18 Advanced Maternal Age Maternal age 35 Smoking during pregnancy ETOH use during pregnancy Recreational drug use during pregnancy Barriers to obtaining adequate prenatal care Domestic Abuse [urgent notification MD] Level II History of conditions History of Recurrent Pregnancy loss History of Pret