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PA PQC Learning Session - Shared screen with speaker view
p01242
47:33
Nick Obiri, Division Chief of Neonatology, Reading Hospital Tower Health
novakc4
47:38
Christine Novak CCBH Pre/post Natal Care Manager
Mario DeMarco
47:39
Mario DeMarco, Family Physician, University of Pennsylvania
Sharon Silks
47:44
Sharon Silks, Intensive Care Nursery, Penn Medicine
Krista Flaherty
47:49
Krista Flaherty, LCSW Allegheny Health Network
Maryann Mattes
48:04
Maryann Mattes, RN, Clinical Informatics Specialist OB/NICU/Peds, Main Line Health
Nicholas DeGregorio, MD - UPMC for You
48:20
Nick DeGregorio, Sr. Medical Director UPMC Health Plan
Williette’s iPhone
48:21
Good Morning, Williette Walker, RN from the NICU at The Hospital of University of Pennsylvania
dastalfom
48:41
Mary Beth Dastalfo, BSN, RN - Clinical Leader New Beginnings, Wayne Memorial Hospital
carolyn b
48:53
Carolyn Byrnes, PADOH, Senior Advisor
Brigid Kelly Administrative Assistant
48:59
Brigid Kelly, MSW Administrative Assistant Pettaway Pursuit Foundation in Lansdowne, PA
iPad
48:59
Erica Bolden, RN, ICN, Penn Medicine
hcecil
49:05
Heather Cecil, PhD
Jen Sullivan
49:06
Jen Sullivan, Nurse Manager for OB at Evangelical Community Hospital, Lewisburg
Brittney Bogar
49:11
Brittney Bogar, RN, Quality Improvement Advisor, Penn State Health M.S. Hershey Medical Center
dastalfom
49:21
Kara Poremba, RN Practice Manager of Women's Health, Wayne Memorial Hospital
Jennifer Young / UPMC Hamot
49:23
Jenn Young, MSN, UPMC Hamot, Erie PA, Clinician OB Triage, Patient Safety
Lakshmi Reddy
49:37
Good morning, Lakshmi Reddy, Medical Director with Gateway Health
hcecil
49:39
BJJS - statistician
Kerin Kohler
50:48
Good morning everyone. Kerin Kohler, Women's Health Social Worker, Reading Hospital.
leonardka2
53:17
Kimberly Leonard CRNP-Regional Director of Magee Women's Health Service Line of UPMC Northern Pod
Deb Knittle
54:07
Deb Knittle Geisinger Bloomsburg L&D Team Coordinator
Tracy Chandler
54:30
Tracy Chandler
Daryl Stoner
54:42
Daryl Stoner, MD, Ob Einstein Medical Center Montgomery
Tracy Chandler
54:49
Tracy Chandler- -Main Line Health
rrodriguez
55:45
Hello,
RLCUNNIFFE
56:11
Rachel Cunniffe, Geisinger Wyoming Valley, Nursing Professional Development Specialist, Obstetrics
rrodriguez
56:35
Renni Rodriguez BSN, RN Quality Management Coordinator for Guthrie Healthcare systems.
Meg Bragers
56:50
Meghan Bragers, MSW, LCSW, Women's Health Social Worker at Penn State Health in Hershey, PA
Elissa Concini- Geisinger
01:00:25
That increase is awesome! Sometimes it is hard to see the big picture, and this overview is very helpful!
Robert Ferguson
01:07:30
Virtual packet: https://www.whamglobal.org/june-29th-2021-learning-collaborative
Robert Ferguson
01:08:44
PA DDAP funding opportunity for pregnancy support services re: SUD (due July 13 by 12pm) https://www.ddap.pa.gov/DDAPFunding/Pages/Funding-Opportunities.aspx
Robert Ferguson
01:10:49
Social media toolkit re: increase in WIC benefits for fruits and vegetables through September 2021 https://drive.google.com/drive/folders/1xFvdaJmTkbfF8sKr_pZXyS3EyX5oGp4J
Joseph Gobern
01:29:18
I do not think NTSV "not for medical reasons" is a fair representation of that metric. But the data representing the disparity is still important.
Heidi Loomis
01:29:34
NTSV = Nulliparous, Term, Singleton, Vertex
Elissa Concini- Geisinger
01:31:43
I love the idea of adding doulas to the hospital setting.
Elissa Concini- Geisinger
01:33:08
Can you elaborate more on the doula work in the hospital?
Xiomara Franco
01:33:09
CAN YOU PLEASE SHARE YOUR INFO AGAIN
Heather Enright
01:34:27
atanmcgrory@partners.org
Lisa Ann Lehett
01:35:54
race and ethnicity related to newborns , I guess we generally just put mother's race because we know who the mother is and not necessarily who the father is. So what ever the mother self identifies as is generally what we put. But I concede the very valid point that we should still ask the parents what race/ethnicity who should use for their child.
Jennifer Condel
01:37:24
Aswita Tan-McGrory, MBA, MSPH Director The Disparities Solutions Center Massachusetts General Hospital atanmcgrory@partners.org
Elissa Concini- Geisinger
01:39:21
Thank you for sharing!
Donna Martin
01:42:36
Thank you for the excellent presentation. A few years ago we changed the process regarding the completion of the newborn filter paper. We copied the newborn filter paper information and provided it on a letter to the parent to complete the information including race. The parents can complete the race section or not. In the past the nurse would complete the race section. The state has opportunity to be more inclusive in the current listing in the race section.
rrodriguez
01:47:02
how do you determine race if their is no birth certificate in the chart and the mother does not answer what the race is, how do we submit that to CMS
hcecil
01:48:39
Excellent question!!!!
Aswita Tan-McGrory (she/hers)
01:51:42
@joseph gobern, I just looked at the report and Black women at MGH have consistently higher rates of primary Cesarean deliveries, a finding not entirely explainable by differences in other measurable characteristics such as obesity, medical co-morbidities, obstetrical risk factors or labor management practices.
Daryl Stoner
01:53:26
How about socio-economic background? Interesting that we can't measure trust in providers as a metric, and yet we know that has an impact on people's progress in labor. Does telling patients that their demographic does not trust providers enhance trust or deepen distrust?
Joseph Gobern
01:55:59
Dr Tan-McGrory, That is an unfortunate common finding for those of us monitoring and measuring. Thank you again for your leadership and active investigation. I share your passion for the pursuit of health equity.
Elissa Concini- Geisinger
02:17:02
IPLARC PLease
Sharon Register
02:17:21
don't see rooms opening - OUD please
Jacqueline Collins
02:17:24
NAS Breakout
Stefanie Shultz
02:17:32
NAS Please
Valerie Huff
02:17:36
not seeing the room
Amy Noaker
02:17:40
OUD
Adena Brewington-Brown
02:17:42
OUD please
Emily Goyne
02:17:44
Not seeing the rooms option - OUD please
Adena Brewington-Brown
02:17:52
There is no room option
Leah
02:17:52
Maternal SUD/OUD please
Madie Hartman
02:17:53
Momd please
heppek
02:17:56
Maternal SUD/OUD pls
Sam Meske
02:17:56
IPLARC Please
Lisa Pareso
02:18:03
OUD, please
Valerie Huff
02:18:07
MOMD pleasee
Luz Marte
02:18:11
Maternal SUD/OUD please
kamon
02:18:12
Kim Amon & Anita Alloway for NAS. Please
Norma
02:18:18
NAS breakout please
Heidi Loomis
02:18:20
PA AIM please.
Rebekah Sedlock (she/her)
02:18:26
Maternal SUD/OUD please
Heather Enright
02:18:30
AIM for me - don't see option to select
Susan Minio
02:18:34
MOMD please
Ann Santeusanio
02:18:35
Ann Santeusanio for NAS please!
Judy
02:19:03
I would like to join maternal SUD but unable to enter room
Sam Meske
02:19:21
It's not there for many of us Steve
Manny Peregrino
02:19:35
NAS Please
juliegreenfield
02:19:35
Didn’t get a pop up and would like to join OPUD
St. Luke's
02:20:26
Maternal OUD please
Gail Herrine
02:20:29
momd please
Robert Ferguson
03:19:59
https://static1.squarespace.com/static/5e8f4e2a4eaf8154a7c9c939/t/5f8893c7c0207b1930f52e4b/1602786254066/opqc_nas_parent_guide_092914.pdf
Robert Ferguson
03:25:08
https://nastoolkit.org/
Robert Ferguson
03:26:01
https://cha.com/wp-content/uploads/2019/01/SHOUT-GUIDELINE-inpatient-buprenorphine-4-18-18.pdf
Liz Huyett
03:27:39
Does your organization complete a Urine UDS in addition to the 4Ps questions?
Liz Huyett
03:28:13
How do you bill for that test?
Liz Huyett
03:29:13
Thank you
Kerin Kohler
03:29:58
Payment for toxicology screening in pregnancy is frequently denied by insurances in Pennsylvania. Including MCOs.
Kerin Kohler
03:30:31
This is for standardized toxicology at initial OB appt.
Beth Ann Pyle
03:39:14
Where are you housing moms post discharge for ESC? Are your babies admitted to the NICU once mom is discharged or do they stay in your newborn nursery? This is a barrier we have not worked through yet.
Dennis Hand (he/him)
03:39:45
Dr Herrine - Why 3 days of observation for buprenorphine-exposed vs. 5 days for methadone-exposed neonates?
Liz Huyett
03:41:24
@Beth Ann Pyle - Reading Hospital partnered with the pediatric inpatient floor to support the Eat Sleep Console Program after a mother is delivered.
Lisa Ann Lehett
03:42:38
excellent thank you DR Herrine
Kerin Kohler
03:42:44
At Reading Hospital, we moved to ESC in March 2020. Babies are admitted to the pediatric unit when mom is discharged unless there is a medical reason requiring NICU admission. Parents are encouraged to stay with baby throughout stay. We ask for 20 our of 24 hours/day.
juliegreenfield
03:42:51
At Redeemer Health, we have 2 designated PP rooms close to the NICU.
juliegreenfield
03:43:29
We have been practicing ESC for almost 1 yr.
Susan Utterback
03:43:48
At Abington, we do ESC. For patients who do not require NICU care, we transfer to peds for care
Susan Utterback
03:44:14
We have also been doing ESC for close to 2 years.
Susan Utterback
03:44:39
Parent/designated caregiver can stay on peds
Liz Huyett
03:45:03
This seemed to only come about when we switched to a point of care testing method that we are aware of at this time. It crosses Medicaid and commercial payers in denying coverage of the testing.
Elizabeth Dierking
03:59:37
I'm just wondering (as we move closer to legalizing marijuana in this state and already have legal medical marijuana), how do you address marijuana use in pregnancy in patients with medical marijuana cards? Is there any follow up with those women after their hospital stay? What about if they don't have a medical marijuana card?
Elissa Concini- Geisinger
04:00:01
Wondering the same thing Elizabeth!
Robert Ferguson
04:03:00
Motivational Interviewing resources https://www.whamglobal.org/resources#Motivational-Interviewing
amanda mulenga Foundations Pregnancy Support Services
04:06:23
2
Maryann Mattes
04:06:33
2
Sara Whyne
04:06:34
2
Shawndel Laughner
04:06:37
3
Krista Flaherty
04:06:41
3 in office, 2 inpatient
lgost01
04:06:46
2
RLCUNNIFFE
04:06:48
2
Leah
04:06:50
2
Deb Knittle
04:06:51
2
Sue Wehry-Crowell
04:06:51
1
Lisa Murphy
04:06:53
3&2
Bridget Howard
04:06:55
3
Liz Huyett
04:06:55
3
Silipigni, John
04:06:58
2,3
Liz Huyett
04:07:01
1
Jen Sullivan
04:07:01
2
Sharon Silks
04:07:02
2 and 3
Donna Martin
04:07:05
3
Gail Herrine, MD, IBCLC, she,her
04:07:09
2
Adriane Burgess
04:07:11
3
Jen Sullivan
04:07:14
3 coming soon
Lisa Ann Lehett
04:07:16
2,3
Susan Payne
04:07:18
2 & 3
Jennifer Young / UPMC Hamot
04:07:26
2&3
Gail Herrine, MD, IBCLC, she,her
04:07:27
2 and 3
Jacqueline Collins
04:07:30
4
Robert Ferguson
04:10:33
Additional information about SUD screens during pregnancy is available here https://www.whamglobal.org/list-documents/374-validated-sud-screens-in-pregnancy/file
Jim Cook
04:22:01
We screen in Labor and Delivery with the NIDA and f/u positive screens (moderate to high risk) with a maternal urine tox screen and umbilical cord screen. Please comment on this approach - are both of these tests necessary?
Gail Herrine, MD, IBCLC, she,her
04:22:56
I love your gender inclusive language in presentation.
Dennis Hand (he/him)
04:32:20
Dr. Wright - I'm curious for your thoughts about responses when a person declines screening or toxicology testing.
Elizabeth Dierking
04:33:30
That is very helpful!! Thanks!!
Elissa Concini- Geisinger
04:36:25
If you don't require the urine test for those at risk, how can you be sure you have a clear picture of what the fetus was exposed to?
Gina Wiser PADOH
04:36:27
How does the CPS time out work with state mandates to call into childline
Gina Wiser PADOH
04:37:01
(plans of safe care-- goes to childline)
Vivian Petticord
04:37:37
At UPMC if mom meets testing criteria but declines we still test the infant - as we are advocating on their behalf.
Gina Wiser PADOH
04:40:12
My son was born at UPMC and was tested at birth. His birth mom was terrified that they were going to take him from me (just a lot of overall fear). They were great explaining it
Elissa Concini- Geisinger
04:40:20
Thank you for further clarifying Dr. Wright.
Silipigni, John
04:41:52
we are mandated to notify CPS when a baby is affected by both a legal or illegal substance. Many of these notifications are not taken up as CPS cases and do not have CPS involvement even though the notification is required.
Dennis Hand (he/him)
04:42:41
Wonderful presentation, Dr. Wright!
Jim Cook
04:42:45
Great talk and recommendations Dr. Wright! Thanks!!
Jacqueline Collins
04:42:50
Thank you
amanda mulenga Foundations Pregnancy Support Services
04:42:52
Thank you Dr. Wright
Vivian Petticord
04:42:56
great presentation and content!!
Silipigni, John
04:43:02
Great information in your presentation
Robert Ferguson
04:43:28
Please complete the electronic evaluations by Tuesday, July 6: https://www.surveymonkey.com/r/LXNGDDGVirtual packet of materials (including) survey: https://www.whamglobal.org/june-29th-2021-learning-collaborative
Robert Ferguson
04:45:30
Thank you for participating today and for everything you do to care for pregnant and postpartum individuals in PA
Williette’s iPhone
04:45:37
Thank you!
Susan Utterback
04:45:37
Thank you!
Gina Wiser PADOH
04:45:45
Thank you!
Shawndel Laughner
04:45:51
Thank you!
Daryl Stoner
04:45:51
Thank you
Jacqueline Collins
04:45:53
Thank you
Syreeta Gordon
04:45:56
Thank you 👏🏽
Jim Cook
04:45:59
Great Job Robert and All. Thanks!
Amy Noaker
04:46:01
Thank you
Bridget Howard
04:46:01
thank you
ssmeltz
04:46:05
thank you
Brigid Kelly Administrative Assistant
04:46:11
thank you!
Elizabeth Filipovich
04:46:14
thanks everyone, very informative and well run!