Chicago Collaborative for Maternal Health Quality Improvement Collaborative
|Illinois||Clinical||Women/Maternal Health||Primary/Preventative Care||1|
The Chicago Collaborative for Maternal Health (CCMH), led by AllianceChicago and EverThrive Illinois, aims to improve maternal health outcomes in the ambulatory care setting via quality improvement initiatives, community engagement, and policy advocacy. AllianceChicago has developed the CCMH Quality Improvement Collaborative, and has engaged ambulatory care partners, including FQHCs and hospital clinics, to inform and implement quality improvement initiatives for their patient populations. The broader outcome of the CCMH Quality Improvement Collaborative is to improve the capacity of the health centers participating and beyond. The CCMH QI Collaborative structure is informed by the Institute for Healthcare Improvement’s (IHI) “Collaborative Model for Achieving Breakthrough Improvements." The CCMH QI Collaborative seeks to improve healthcare quality and access for high-risk prenatal patients, particularly patients disproportionately impacted by the maternal mortality crisis who are being cared for by the community health centers implementing the QI initiative. The partners implementing the QI initiative care for prenatal patients facing barriers to care in a variety of ways including but not limited to lack of access to childcare, transportation, and insurance.
The first topic identified by stakeholders was coordination of care for medically complex/high-risk patients in the postpartum period, and the intervention we will be testing as a collaborative is utilizing a population health approach to identify, track, and address the care needs of high-risk prenatal patient populations. This is supported by recommendations from the American College of Obstetricians and Gynecologists (ACOG) and evidence-based practice. Ultimately, we hope that through this pilot process and our learnings from it, we will be able to assist additional health centers in developing this approach in a way that aligns with staffing and clinic workflows and potentially be an automated versus manual process. We have identified additional structure and process measures that will use to further evaluate the QI work and have delineated those via a key driver diagram.