Maternal Hypertension Initiative

Hypertensive disorders of pregnancy are a leading case of maternal mortality and morbidity. Hospital teams participating in the Hypertension Initiative, which rolled out to teams in January 2016, are working to reduce severe maternal morbidity in women with severe range hypertension through increased use of appropriate medical management of severe hypertension, debriefs, and discharge education and follow-up with new onset severe maternal hypertension cases through education and evidence-based strategies for integrating patient safety practices associated with early identification and medical management of severe hypertension into existing care delivery infrastructure.
 

Initiative Aim

Aim: Reduce the rate of severe morbidities in women with severe preeclampsia, eclampsia, or preeclampsia superimposed on pre-existing hypertension by 20% over the course of the initiative.

 

Clinical Leadership Team

Dr. Ann Borders
ILPQC Executive Director and Obstetric Lead
Dr. Angelique Rettig
St. John’s Hospital
Carol Burke
Loyola University Medical Center
Dr. Jim Keller
Advocate Trinity Hospital
Maripat Zeschke
University of Illinois at Chicago
 

New Resources

AIM E-Modules: Available through the AIM website, this training includes 5 modules ranging from 5 to 20 minutes long which totals approximately 1 hour. This includes a quiz and certificate which you can ask your staff to submit. View the AIM eModules here.

Education for Providers: The Alliance for Innovation on Maternal Health (AIM) released a short and concise webinar, "Treating Maternal Hypertension", on the importance of treating ALL maternal  hypertension in a timely manner. This webinar was recorded in February 2017 by Drs. James N. Martin, Jr. (Chairman of the ACOG/SMFM Task Force on Maternal Hypertension and Past President of ACOG), Laurence Shields (Dignity Health Care and CMQCC) and Maurice Druzin (Stanford University and CMQCC). The webcast and accompanying slides can be found here.

Maternal Mortality Rate Video and Interview: PBS Newshour recently collaborated with NPR and ProPublica to report on the rise in maternal mortality rate in the United States. You can find a link to the video and interview here.

Data Resources

 

Slide Sets

Illinois Maternal Hypertension Initiative Face-to-Face Collaborative Learning Session – May 18, 2017

Illinois Maternal Hypertension Initiative Face-to-Face Collaborative Learning Session - May 23, 2016
 
Illinois Maternal Hypertension Initiative Kick-off Call - May 2, 2016
 
Illinois Maternal Hypertension Initiative Face-to-Face Collaborative Learning Session - May 23, 2016
 
Illinois Maternal Hypertension OB Teams Calls
 
ILPQC Maternal Hypertension Grand Rounds Slide Set

Other Resources

2016 ACOG-CDC Maternal Mortality and Safety Meeting Slides

ACOG: Sample Order Sets Pocket Guide

 

11 Steps to Getting Started with the Maternal Hypertension Initiative

 

Illinois Maternal Hypertension Initiative Comprehensive Slide Set

Illinois Maternal Hypertension Initiative Comprehensive Slide Set

ACOG DII (New York) Severe Hypertension in Pregnancy Clinical Education Slide Set

ACOG DII (New York) Severe Hypertension in Pregnancy Clinical Education Slide Set

ACOG Hypertension in Pregnancy Executive Summary

ACOG Hypertension in Pregnancy Executive Summary

AIM Bundle Readiness Resources: Checklists

 
Signs to Promote Awareness:
 
M.E.O.W.S Information:
 

AIM Bundle Recognition & Prevention Resources: Early Recognition and Patient Education

Protocols and Draft Order Sets

ACOG DII (New York)
 
California Maternal Quality Care Collaborative
 
ACOG
 
Patient Communication & Education
 
 
 

AIM Bundle Response Resources: Treatment Algorithms

 
Algorithms for Treatment
 

AIM Bundle Reporting/Systems Learning Resources: Drills, Debriefs, & Simulations

Simulation and Drills
ACOG DII (New York) Eclampsia Scenario
 
Briefs, Debriefs, and Huddles
 
 
 
Team Communication

 

 

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