Importance of Performance Measurement and MCH Epidemiology Leadership to Quality Improvement Initiatives at the National

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FROM THE FIELD

Importance of Performance Measurement and MCH Epidemiology Leadership to Quality Improvement Initiatives at the National, State and Local Levels Kristin M. Rankin1 • Loretta Gavin2 • John W. Moran Jr.3 • Charlan D. Kroelinger4 Catherine J. Vladutiu5 • David A. Goodman4 • William M. Sappenfield6



Published online: 16 July 2016  Springer Science+Business Media New York 2016

Abstract Purpose In recognition of the importance of performance measurement and MCH epidemiology leadership to quality improvement (QI) efforts, a plenary session dedicated to this topic was presented at the 2014 CityMatCH Leadership and MCH Epidemiology Conference. This paper summarizes the session and provides two applications of performance measurement to QI in MCH. Description Performance measures addressing processes of care are ubiquitous in the current health system landscape and the MCH community is increasingly applying QI processes, such as Plan-Do-Study-Act (PDSA) cycles, to

Disclaimer The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Office of Population Affairs, or the Department of Health and Human Services. & Kristin M. Rankin [email protected] 1

Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 Taylor St (m/c 923), Chicago, IL 60612, USA

2

Office of Population Affairs, U.S. Department of Health and Human Services, Rockville, MD, USA

3

Public Health Foundation, Washington, DC, USA

4

Maternal and Child Health Epidemiology Program, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA

5

Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD, USA

6

Department of Community and Family Health, Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA

improve the effectiveness and efficiency of systems impacting MCH populations. QI is maximally effective when well-defined performance measures are used to monitor change. Assessment MCH epidemiologists provide leadership to QI initiatives by identifying population-based outcomes that would benefit from QI, defining and implementing performance measures, assessing and improving data quality and timeliness, reporting variability in measures throughout PDSA cycles, evaluating QI initiative impact, and translating findings to stakeholders. MCH epidemiologists can also ensure that QI initiatives are aligned with MCH priorities at the local, state and federal levels. Two examples of this work, one highlighting use of a contraceptive service performance measure and another describing QI for peripartum hemorrhage prevention, demonstrate MCH epidemiologists’ contributions throughout. Challenges remain in applying QI t