Improving Postpartum Access to Care (IPAC)
24%
The percentage of pregnancy-associated deaths between 2014 and 2016 that occured within 42 days postpartum, before the traditional six-week postpartum visit.
40%
8/10
29%
Schedule early maternal health safety checks to improve postpartum care
The goal of the ILPQC Improving Postpartum Access to Care (IPAC) Initiative is to optimize the health of women by increasing access to early postpartum care within the first two weeks postpartum, to facilitate follow-up as an ongoing process rather than a single 6-week encounter, provide an opportunity for a maternal health safety check, and link women to appropriate services.
The Improving Postpartum Access to Care (IPAC) Initiative was launched with 14 hospital teams in May 2019 to help increase use of this new standard of offering and scheduling universal early postpartum visits for a maternal health safety check within two weeks postpartum, in addition to the traditional six-week visit.
Initiative Aim and Outcome
Objectives:
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1.Increase percentage of women who have a two-week postpartum scheduled with an obstetric provider
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2.Increase percentage of women who receive IPAC-focused postpartum education before discharge delivery
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3.Increase percentage of providers and staff who receive education on optimizing early postpartum care
Webinars
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Upcoming Webinars
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Past Webinars
May 20, 2019: Improving Postpartum Access to Care (IPAC) Initiative Launch Call
June 17, 2019: Getting Started with the IPAC Toolkit and Debrief from Face-to-Face Meeting
REDCap Data Entry Training Call
July 15, 2019: Obtaining OB Provider & Outpatient Site IPAC Buy-in and Engagement
September 16, 2019: Strategies to Launch IPAC Provider and Nurse Education
October 21, 2019: Implement IPAC process flow and system changes to provide patient education prior to hospital discharge
November 18, 2019: Going LIVE with IPAC: Where we are and where we’re going
December 16, 2019: IPAC Billing and Coding Guidance
February 17, 2020: Crossing the Finish Line Round Robin
March 16, 2020: IPAC Crossing the Finish Line Round Robin
April 20, 2020: IPAC COVID-19 & Moving towards Sustainability Round Robin
Additional Resources
Paper IPAC Data Form available here
IPAC Fact Sheet – share this document with administrators, providers, and staff!
10 Steps to Getting Started with the ILPQC IPAC Initiative – available here
IPAC Grand Rounds Slide Deck – updated 9/10/19
IPAC Sustainability Plan – complete and submit by April 27 to be eligible for an award at the 2020 Face-to-Face Meeting
Toolkit
- Initiative Resources
- Tools for implementing universal early postpartum visits scheduled prior to hospital discharge.
- Tools for outpatient providers to optimize early postpartum visit/maternal health safety check.
- Billing/coding strategies for reimbursement of IPAC
- Resources for provider /nurse education
- Resources for patient education regarding IPAC
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Initiative Resources
- 10 Steps to Getting Started with the ILPQC Improving Postpartum Access to Care Initiative
- Improving Postpartum Access to Care Aims and Measures
- Improving Postpartum Access to Care Making Change Happen
- Improving Postpartum Access to Care Data Form
- Improving Postpartum Access to Care Key Drivers Diagram
- Improving Postpartum Access to Care Readiness Survey for QI Teams
- Example Process Flow for Scheduling Early Postpartum Visits
- Plan-Do-Study-Act Worksheet
- 30-60-90 Day Plan Worksheet
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Tools for implementing universal early postpartum visits scheduled prior to hospital discharge.
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Tools for outpatient providers to optimize early postpartum visit/maternal health safety check.
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Billing/coding strategies for reimbursement of IPAC
Coding for Specific Postparutm Services
- Breastfeeding
- Counseling
- Chronic Diseases Involving the Cardiovascular and Renal Systems
- Immunization
- Intimate Partner Violence
- Long-term Follow-up from Pregnancy Complications
- Newborn Care
- Perinatal Depression
- Returning to work after paid leave
- Substance Use: Opioid Use, Alcohol Use, Tobacco Use
- Support Teams for New Mothers
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Resources for provider /nurse education
- AWHONN Post-Birth warning Signs Education Program
- Grand Rounds from St. Anthony Hospital
- Improving Postpartum Access to Care Fact Sheet
- IPAC slide set: risks of postpartum period, benefits of early postpartum visit, components of maternal health safety check
- NPR/ProPublica article: Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner And More Often
- NPR: Many Nurses Lack Knowledge Of Health Risks To Mothers After Childbirth
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Resources for patient education regarding IPAC
- ILPQC Patient IPAC education tear pad
- March of Dimes – Your Postpartum Checkups
- AWHONN Early warning Signs patient hand out
- March of Dimes – How Long Should you Wait Before Getting Pregnant Again? (available in English and Spanish)
- Patient Clinical Summary After a Severe Maternal Event – from AIM
- Breastfeeding Survival Guide First Two Weeks
- Fertility Awareness
- Postpartum Progress – New Mom Checklist for Maternal Mental Health Help
- Depression Self-Care Action Plan
- FPQC patient counseling resource (patient handout)
- Bedsider patient education brochure/poster on family planning options
The following material is an example only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: websites and URLs are subject to change.
Clinical Quick Start Resources
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3. Checklist
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4. Office flyer