Home > Educational Resources > Abstract Catalog > Abstract Details > A Triple Aim Curriculum That Addresses Health Care Inequity: A Resident Driven Patient Centered QI Project That Improves Postpartum Care Utilization for a High Risk Population

« Back to Search

A Triple Aim Curriculum That Addresses Health Care Inequity: A Resident Driven Patient Centered QI Project That Improves Postpartum Care Utilization for a High Risk Population

Purpose: To describe the design and implementation of a resident driven QI initiative which addresses the low percentage of patients returning for a 6-week postpartum visit in a resident obstetrics clinic.

 

Background: The postpartum period or the “fourth trimester of pregnancy” is a critical period for women’s health and well-being.  At our resident clinic (2014-2016), only 21% of patients presented to their 6-week postpartum visits compared to 80-93% in other practices.  As part of a new, mentored experiential approach to QI education, our residents completed a QI project based on an identified clinically relevant patient care issue.

 

Methods: 12 Ob/Gyn residents (single institution) completed the IHI QI Online modules as part of a GME supported Health Systems Science initiative focused on operationalizing a Triple Aim targeted curriculum.  Applying the Model for Improvement, the residents designed and implemented a QI project with the aim of 100% of postpartum patients discharged from the resident service during a 6-month period to receive a 2-week post-discharge check-in call.   The % of discharged patients attending their 6-week postpartum visit was calculated and compared to the % attendance 2014-16. Data analysis: independent t test, P<0.05

 

Results: 6 months after implementation, 97%(37/38) of patients received a 2-week check-in call.   Of those contacted, there was a 45% increase in patients who returned for a 6-week postpartum visit (p<0.01).

 

Discussions: An educational intervention can directly improve patient care.  An experiential approach to QI can facilitate knowledge application and result in improved postpartum care utilization for high risk patients.  

Topics: CREOG & APGO Annual Meeting, 2019, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Residency Director, Residency Coordinator, Systems-Based Practice & Improvement, GME, CME, UME, Quality & Safety, Problem-Based Learning,

General Information


Intended
Audience
Student,Resident,Faculty,Clerkship Director,Clerkship Coordinator,Residency Director,Residency Coordinator,
Competencies
Addressed
Systems-Based Practice & Improvement,
Educational
Continuum
GME,CME,UME,
Educational
Focus
Quality & Safety,Problem-Based Learning,
Clinical Focus

Author Information

Jessica Parson, MD, University of Vermont Medical Center; Katherine Menezes, MD; Stephanie Mann, MD

Additional Materials


Related Abstracts


CONTACT US

2130 Priest Bridge Drive, Suite 7,
Crofton, MD 21114
(P) 410-451-9560 | (F) 410-451-9568

DONATE

Learn more about the programs
supported by your dues and donations.

JOIN US

APGO offers several membership and subscriber options to give you the support and resources you need to be successful.