American College Of Obstetricians And Gynecologists

PREVENTIVE HEALTH AND HEALTH SERVICES - STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION'S HEALTH - FINANCED IN PART BY PREVENTION AND PUBLIC HEALTH FUNDS (PPHF)

CATEGORY C: OBSTETRICIAN-GYNECOLOGISTS AND OTHER WOMEN'S HEALTH CARE PROVIDERS

ALLIANCE FOR INNOVATION ON MATERNAL HEALTH - AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS CHRISTIE ALLEN (202)349-7382 AIM@ACOG.ORG WWW.SAFERBIRTH.ORG NOTICE OF FUNDING OPPORTUNITY, HRSA-23-084, $3 MILLION ANNUALLY PROJECT ABSTRACT THE ALLIANCE FOR INNOVATION ON MATERNAL HEALTH (AIM) TECHNICAL ASSISTANCE (TA) CENTER AT THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) PROVIDES COMPREHENSIVE, HIGH IMPACT, TA TO THE AIM QUALITY IMPROVEMENT INITIATIVE WITHIN THE UNITED STATES (US). AIM PROGRAM ENTITIES IMPLEMENT PATIENT SAFETY BUNDLES (PSBS) AND OTHER BEST PRACTICES THAT MAKE BIRTH SAFER, IMPROVE MATERNAL HEALTH OUTCOMES, AND SAVE LIVES. AIM ENTITIES IMPLEMENT 8 CORE PSBS, OBSTETRIC HEMORRHAGE, SEVERE HYPERTENSION IN PREGNANCY, SAFE REDUCTION OF CESAREAN BIRTH, CARE OF THE PREGNANT AND POSTPARTUM PERSON WITH SUBSTANCE USE DISORDER, CARDIAC CONDITIONS IN OBSTETRIC CARE, SEPSIS IN OBSTETRIC CARE, POSTPARTUM DISCHARGE TRANSITION, AND PERINATAL MENTAL HEALTH CONDITIONS– COLLECTIONS OF EVIDENCE-BASED PRACTICES USED IN A STANDARDIZED MANNER ACROSS SETTINGS OF CARE. EACH CORE BUNDLE HAS ASSOCIATED METRICS RELATED TO STRUCTURE, PROCESS, AND OUTCOME MEASURES WHICH INFORM SUCCESSFUL RAPID-CYCLE IMPLEMENTATION. ENTITIES SUPPORTED BY THE TA CENTER IN IMPLEMENTING AIM PSBS INCLUDE STATE AND JURISDICTION BASED TEAMS, BIRTHING FACILITIES, INDIAN HEALTH SERVICES (IHS) FACILITIES, AND TRIBAL HEALTH ENTITIES WORKING TO REDUCE PREVENTABLE MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY (SMM) IN THE US. THE AIM TA CENTER’S VISION IS THAT EVERY PREGNANT AND POSTPARTUM PERSON RECEIVES SAFE, RESPECTFUL, AND EQUITABLE CARE IN THEIR BIRTHING EXPERIENCE. THE TA CENTER ALSO SEEKS TO PROVIDE RESOURCES AND EDUCATION TO ALLOW PREGNANT AND POSTPARTUM PEOPLE TO RECOGNIZE AND RESPOND TO WARNING SIGNS DURING ALL PERIODS OF CARE. THE AIM TA CENTER PARTNERS WITH A CLINICAL AND COMMUNITY ADVISORY GROUP, 13 KEY ORGANIZATIONS INCLUDING ALIGNED CLINICAL MEMBER ASSOCIATIONS, PUBLIC HE ALTH, QUALITY IMPROVEMENT, AND ADVOCACY ORGANIZATIONS, AS WELL AS PATIENTS AND FAMILIES WITH LIVED EXPERIENCE. THE ADVISORY GROUP ASSISTS THE AIM TA CENTER IN PROVIDING EXPERT TA, FURNISHES SUBJECT MATTER EXPERTS TO SUPPORT RESOURCE DEVELOPMENT, SURFACES EMERGING TOPICS, AND INFORMS AGENDAS AND EVENT PLANS. AIM TA CENTER PROGRAM OBJECTIVES INCLUDE PLANNING AND MONITORING OF AIM WORK NATIONALLY. BY AUGUST 31, 2027, THE TA CENTER WILL: 1) INCREASE THE TECHNICAL ASSISTANCE PROVIDED TO PARTICIPATING AIM STATES FOR IMPLEMENTING AIM PATIENT SAFETY BUNDLES; 2) INCREASE THE NUMBER OF HOSPITALS AND OTHER BIRTHING FACILITY SETTINGS IMPLEMENTING PATIENT SAFETY BUNDLES; 3) INCREASE THE OVERALL NUMBER OF CORE BUNDLES BEING IMPLEMENTED AND/OR SUSTAINED; 4) SUPPORT WIDESPREAD IMPLEMENTATION OF THE CORE PATIENT SAFETY BUNDLES, ALL OF WHICH INCLUDE ELEMENTS FOCUSED ON THE PROVISION OF RESPECTFUL, EQUITABLE, AND SUPPORTIVE CARE; 5) PROVIDE TA TO SUPPORT AIM STATES IN REPORTING KEY MEASURES BY RACE AND ETHNICITY, AT A MINIMUM, TO EVALUATE DISPARITIES. THE TA CENTER ACCOMPLISHES THESE OBJECTIVES THROUGH ROBUST MULTIMODAL LEARNING OPPORTUNITIES, PUBLICLY AVAILABLE RESOURCES, AND CURRICULUM RESPONSIVE TO EMERGING NEEDS. THIS IS FACILITATED BY ONBOARDING TRAININGS TO ORIENT NEW ENTITIES PARTICIPATING IN AIM; NATIONAL COLLABORATIVE-BASED LEARNING OPPORTUNITIES VIA COMMUNITIES OF LEARNING (COL) TO SUPPORT PRIORITY AREAS FOR PSB IMPLEMENTATION; COORDINATING STANDALONE TA WEBINARS ON AIM BUNDLE ELEMENTS; INDIVIDUAL TA PROVIDED BY AIM PROGRAM STAFF; AND IN PERSON PEER TO PEER LEARNING. THE TA CENTER ALSO FREQUENTLY PROVIDES TA TO ENTITY TEAMS RELATED TO DATA NEEDS. AIM ENTITIES ARE SUPPORTED IN REPORTING KEY PSB IMPLEMENTATION MEASURES BY RACE AND ETHNICITY AND IN DATA-DRIVEN QUALITY IMPROVEMENT BY A DATA AND EVALUATION TEAM THAT OFFERS A DATA COL; ACCESS TO A QUALITY IMPROVEMENT DATA VISUALIZATION AIM DATA CENTER; ROBUST WRITTEN AND ELECTRONIC RESOURCES; AND DIRECT DATA COACHING AND OFFIC E HOURS WITH INTERNAL

ENHANCING PARTNERSHIPS WITH OBSTETRIC CARE CLINICIANS TO IMPROVE HEALTH OUTCOMES FOR PREGNANT AND POSTPARTUM PEOPLE AND THEIR INFANTS

NATIONAL F I M R RESOURCE CENTER

NATIONAL ORGANIZATIONS WORKING TO ELIMINATE PRENATAL HIV TRANSMISSION

IMPROVING CLINICAL AND PUBLIC HEALTH OUTCOMES THROUGH NATIONAL PARTNERSHIPS TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS - 2020

MATERNAL AND CHILD HEALTH RESEARCH NETWORK ON PREGNANCY-RELATED CARE

INCREASING ADULT IMMUNIZATION RATES THROUGH OBSTETRICIAN-GYNECOLOGIST

ACOG NATIONAL PARTNERSHIPS TO ADDRESS PRENATAL ALCOHOL AND OTHER SUBSTANCES USE AND FASD - THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) SERVES AS THE NATION’S LEADING GROUP OF PROFESSIONALS PROVIDING HEALTH CARE FOR WOMEN. A NONPROFIT MEMBERSHIP ORGANIZATION; THAT FOCUSES ON WOMEN’S HEALTH CARE ADVOCACY, CLINICAL PRACTICE STANDARDS, AND EDUCATION. THE SERVICES PROVIDED BY ACOG REACH BEYOND OUR 60,000 MEMBERS TO ADDRESS THE PATIENT POPULATION SERVED BY OUR PRACTITIONERS AND THE GENERAL PUBLIC. THE OVERALL PURPOSE OF THE FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION PROGRAM IS TO EDUCATE AND SUPPORT CLINICIANS IN REDUCING PRENATAL ALCOHOL AND OTHER SUBSTANCE USE EXPOSURE AMONG THEIR PATIENTS THROUGH IMPLEMENTING SCREENING AND BRIEF INTERVENTION AND REFERRAL TO TREATMENT. THE OB-GYN MEMBERS OF THE ACOG FASD CHAMPION WORKGROUP WILL SERVE AS AMBASSADORS AND ASSIST IN THE PROGRAM’S EFFORTS BY ENGAGING AND EDUCATING THEIR PEERS REGARDING THE PREVALENCE OF PRENATAL ALCOHOL AND SUBSTANCE USE EXPOSURE, THE EFFECTS SUCH AS FASDS, AND THE EFFECTIVENESS OF ALCOHOL SBIRT. THROUGH INNOVATIVE AND COLLABORATIVE WORK WITH THE CHAMPIONS AND OUR NATIONAL PARTNERS, WE WILL EXPAND, LEVERAGE AND DEVELOP RESOURCES; AND NEEDED SUPPORTS TO IMPROVE SERVICES AND ACCESS TO CARE TO THOSE PEOPLE AT RISK OF PRENATAL ALCOHOL EXPOSURE AND OTHER SUBSTANCE USE. THESE RELATIONSHIPS ARE VITAL TO THE SUCCESS OF ACOG’S PROGRAMMING AND WE WILL CONTINUE TO LEVERAGE THEM TO ENSURE THE SUCCESS OF THIS PROPOSAL. ACOG RECOGNIZES THAT THE HARMS ATTRIBUTABLE TO FASD ARE COMPLEX AND CONVINCED THAT PROMOTING AWARENESS IN TANDEM WITH EVIDENCE-BASED PRACTICES CAN RESULT IN SUSTAINED CHANGE. SHARING EVIDENCE-BASED INFORMATION INCREASES KNOWLEDGE AND IMPACTS INTERVENTIONS, THUS CHANGING HOW PROVIDERS CARE FOR THEIR PATIENTS. ALTHOUGH MANY OF THE NECESSARY TOOLS ARE NOW IN PLACE TO SUPPORT PROVIDERS IN SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT), THE UNIVERSAL APPLICATION OF THIS TECHNIQUE HAS YET TO BE BROADLY IMPLEMENTED BY OB-GYNS. THE OB-GYN HAS A UNIQUE ROLE IN SCREENING AND INTERVENTION WITH PATIENTS OF REPRODUCTIVE AGE; WOMEN OFTEN UTILIZE THEIR OB-GYN AS THEIR PRIMARY CARE PHYSICIAN INCLUDING BEHAVIORAL AND PSYCHOSOCIAL DISCUSSION WITHIN ROUTINE CARE. THE ANNUAL WELL-WOMAN VISIT PROVIDES A GREAT OPPORTUNITY FOR OB-GYNS TO EVALUATE FOR PRENATAL ALCOHOL OR OTHER SUBSTANCE USE EXPOSURE AND OFFER RESOURCES TO PARENTS AND FAMILIES AFFECTED BY FASDS. IN WORKING TOWARD THAT MISSION, THE ACOG PROGRAM WILL FOCUS ON ACHIEVING THE FOLLOWING OUTCOMES: - DEMONSTRATED COLLABORATION BETWEEN CLINICAL AND PUBLIC HEALTH PARTNERS - INCREASED USE OF EVIDENCE-BASED INFORMATION AND RESOURCES - INCREASED IDENTIFICATION OF MEMBERS’ KNOWLEDGE, CURRENT PRACTICES, AND ORGANIZATIONAL NEEDS - IMPROVED CAPACITY OF STATE AND LOCAL NETWORKS TO REACH AFFECTED POPULATIONS WITH RELEVANT, EVIDENCE-BASED MESSAGING AND SERVICES - INCREASED KNOWLEDGE RELATED TO THE RISKS OF PRENATAL ALCOHOL AND OTHER SUBSTANCE USE - INCREASED INTEGRATION OF EVIDENCE-BASED STRATEGIES INTO CLINICAL PRACTICE AND NON-CLINICAL SETTINGS - INCREASED INCORPORATION OF PRENATAL ALCOHOL AND SUBSTANCE USE CONTENT RELATED TO CLINICAL RECOMMENDATIONS AND ORGANIZATIONAL POLICIES INTO ORGANIZATIONAL RESOURCES, STUDENT CURRICULA, OR CERTIFICATION REQUIREMENTS - INCREASED LINKAGE OF PEOPLE AT RISK OF PRENATAL ALCOHOL AND OTHER SUBSTANCE USE AS WELL AS FAMILIES LIVING WITH FASDS TO LOCAL SERVICES, TREATMENT, SUPPORT GROUPS, PREVENTION PROGRAMS, AND STATEWIDE SERVICES

INCREASING IMMUNIZATION RATES THROUGH OBSTETRICIAN-GYNECOLOGIST PARTNERSHIPS

NATIONAL F I M R RESOURCE CENTER

AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS PARTNERSHIP FOR FASD PREVENTION

CONFERENCE ON NATIVE MATERNAL/CHILD HEALTH: PREVENTION OF BIRTH DEFECTS HEALTH P

THE COLLABORATIVE AMBULATORY RESEARCH NETWORK