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How are CHIPRA Quality Demonstration States Improving Perinatal Care?
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How are CHIPRA Quality Demonstration States Improving Perinatal Care?

The National Evaluation of the CHIPRA Quality Demonstration Grant Program, Evaluation Highlight No. 12
Published: May 12, 2015
Publisher: Washington, DC: Agency for Healthcare Research and Quality
Health Medicaid and CHIP State Health Policy Research & Evaluation Evaluation Design Policy Analysis

Authors

Ellen Albritton

Dana Petersen

Key Findings

Key Findings:

  • Participation in the CHIPRA quality demonstration was critical to establishing or expanding perinatal quality collaboratives (PQCs) by using funds to support collaboration between Florida and Illinois and engaging key stakeholders in each State with perinatal expertise, such as the March of Dimes and State hospital associations.
  • The PQCs engaged hospitals in data-driven, evidence-based quality improvement projects that improved rates of catheter-associated bloodstream infections, delivery room management in the first hour after birth, and infant nutrition.
  • Florida and Illinois developed tools and resources to provide technical assistance to providers to ensure their compliance with evidence-based perinatal care guidelines and to improve women’s ability to make appropriate decisions about perinatal care.
  • Both States implemented systems-level changes that will continue to enhance the quality of perinatal health care after the CHIPRA quality demonstration concludes. For example, Florida improved the reporting of quality measures, and Illinois added requirements to managed care contracts to improve the transition from one type of perinatal care to another.

This Evaluation Highlight is the 12th in a series that presents descriptive and analytic findings from the Centers for Medicare & Medicaid‒funded national evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program. As part of the CHIPRA quality demonstration, Florida and Illinois pursued projects to improve the quality and outcomes of perinatal care, both in concert with each another and within their respective systems of care. The States saw the CHIPRA quality demonstration as an opportunity to integrate existing perinatal improvement activities into more coordinated statewide strategies. This Highlight describes projects that Florida and Illinois have undertaken as part of the CHIPRA quality demonstration that might provide examples of what other States can do if they are interested in improving the quality of perinatal care.

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