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Mothers and Newborns Affected by Opioids – OB






10x

The increase in pregnancy-associated deaths from opioid poisonings in IL between 2008 and 2017.

100

The number of hospitals participating in the MNO-OB Initaitive.

37.5%

The increase in average percent of women with OUD on MAT between 2018 and 2019.

65%

The percentage of sample deliveries in Illinois screened for Opioid Use Disorder on Labor & Delivery in September 2019.

New Angel’s Story Naloxne Video for Providers and Nurses

Transforming Care to Save Mothers from Overdose Death


Working with hospital-based teams, the Illinois Perinatal Quality Initiative (ILPQC) in 2018 launched a statewide obstetric initiative to implement American College of Obstetricians and Gynecologists and the Alliance for Innovation on Maternal Health guidelines. ILPQC worked with hospital teams to implement system changes such as implementation of screening, treatment algorithms, checklists and local resource mapping, as well as clinical culture change using OB provider education, debriefs of OUD cases to identify missed opportunities to improve care, and regular data review to reduce risk and improve outcomes for every pregnant or postpartum woman with OUD.

Objectives:


  • 1.
    Screen every pregnant patient for OUD with a validated screening tool
  • 2.
    Assess readiness for and starting Medication-Assisted Treatment (MAT) and linking to Recovery Treatment Programs
  • 3.
    Complete an OUD Clinical Care Checklist, which includes providing Naloxone (Narcan) counsling and prescription
  • 4.
    Reduce stigma and bias across the clinical team
  • 5.
    Empower mothers through education to use non-pharmacologic care for their newborns exposed to opioids

MNO – OB Clinical Leadership


  • Barb Parilla
  • Jaye Shyken
  • David Ouyang
  • Ann Borders

Webinars


Upcoming Webinars

MNO-OB Teams Call

The ILPQC MNO-OB teams call meets monthly on the 4th Monday of the month.

Please see the main page of ilpqc.org for all meeting dates and times. 

2023 Sustainability Webinars

2021 Sustainability Webinars

January 11th 2021: MNO-OB Sustainability Call

March 8th 2021: MNO-OB Sustainability Call

June 14th 2021: MNO-OB Sustainability Call

September 13th 2021: MNO-OB Sustainability Call

Toolkit


MNO-OB Sustainability (2021+)

IL MAR-NOW:

Callers can access MAR NOW 24 hours a day, 7 days a week. Care Managers help callers determine their best treatment options and connect them to a provider for an immediate telephone appointment and medication prescription. Care Managers can also facilitate a same- or next-day, in-person appointment. All callers are connected to ongoing treatment with a community provider that best meets their needs.

New Narcan Resources!

Sustainability Information:

LPQC Data System Sustainability Data Forms:

Universal Screening tools

OUD Clinical Care Checklist & Protocols

  1. ILPQC OUD Clinical Care Checklist*
  2. Example Checklist for Providers for Prenatal/Intrapartum/Postpartum Care of Pregnant Women with Substance Use Disorders*
  3. Example Checklist to Optimize Prenatal Care for Women with OUD, Chart Template*
  4. AIM Opioid Use Disorder Chart Checklist *New**
  5. Example Best Practice Recommendations for Prenatal/Intrapartum/Postpartum Care Complicated by Substance Use Disorders*
  6. SMFM Consult Series #56, Hepatitis C in pregnancy—updated guidelines

Additional Checklist Resources to Optimize Care for Women with OUD

Provider/Staff & Patient Education

General Information for Women with OUD

  1. General patient education: Pain medications, opioids and pregnancy
  2. Pregnancy and MAT one-pager
  3. Are you in Treatment or Recovery? Contraception Counseling for Women with OUD,  from OPQC

Increase maternal participation in the care of opioid exposed newborns

  1. NAS booklet  (you are the treatment for your baby)
  2. NAS what you need to know one-pager

MNO-OB Provider Education Campaign

  1. NEW ILPQC MNO-OB eModules for Providers and Nurses
    1. MNO-OB Provider eModule
    2. MNO-OB Nursing eModule
  2. ACOG’s Newest eModule on Obstetric Care of Patients with Opioid Use Disorder– Earn a maximum of 7 AMA PRA Category 1 Credits!
  3. Set up an MNO-OB Grand Rounds / OB Provider Meeting by contacting us at info@ilpqc.org 
  4. SBIRT Simulation Guide– includes 4 case studies with sample screening tools and participant assessments.
  5. Provider Poster (Mom & Baby)
  6. Provider Poster (Provider & Woman)
  7. Narcan- Save a Life Poster
  8. MNO OB Office Flyers
  9. SBIRT eModules
    1. IRETA eModule
    2. ACOG District II SBIRT Training
  10. Reducing Stigma & Bias Resources
    1. Words Matter (filmed at ILPQC 5th Annual Conference- 2018) – eModule for Providers, Nurses, and Staff about OUD as a chronic illness, stigma and bias*
    2. Beyond Labels: Do Your Part to Reduce Stigma (March of Dimes)

Provider/Nursing/Staff Education on OUD

  1. Free Online CME Courses from UIC College of Medicine (For MD, NP, PAs) including MAT Induction and Follow-up; Trauma Informed Care, NAS and More!
  2. SBIRT Implementation eModule (90 min)
  3. Pause Before You Prescribe – ILPQC hand out for all providers / nurses focused on safe prescribing for pregnant women*
  4. Words Matter: How Language Choice Can Reduce Stigma – Provider / Nurse education
  5. CDC  Guideline for Prescribing Opioids for Chronic Pain – hand out for providers/nurses
  6. Provider Training with CDC e-modules: Applying CDC Guidelines for Prescribing Opioids
  7. SMFM Consult Series #56, Hepatitis C in pregnancy—updated guidelines
  8.  

**Key Resource
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