You are here
Increasing Prenatal Referrals for Home Care Maternal and Child Health Nursing Services in Sullivan County
Over the past few years, as prenatal health care providers have shifted from private practices to large corporations, Sullivan County Public Health Services’ (SCPHS’s) prenatal referrals have dwindled almost to nothing. Empirical data show that home visiting, especially when done by nurses, improves perinatal outcomes, and that high-risk pregnancies are best treated by a range of collaborative services. SCPHS has historically been the sole provider of home-based maternal and child health (MCH) nursing services in the county. This quality improvement (QI) initiative’s purpose was to focus on the problem of increasing collaboration between prenatal providers and SCPHS to improve perinatal outcomes. The QI team was formed from MCH home care nurses, a supervisor from the Healthy Families of Sullivan program, a supervising public health nurse (SPHN), and the assistant director of the Perinatal Network.
Aim statement: Between December 1, 2012 and July 31, 2013, SCPHS will increase the number of referrals received from prenatal health care providers for nursing home care from 1 to at least 50. The committee engaged in three Plan-Do-Study-Act (PDSA) cycles, first using QI tools such as process mapping and a fishbone diagram to study the problem and to identify root causes. The strategies used for improvement were reaching out to providers, developing and distributing service brochures, and performing phone outreach to Women, Infants, and Children Program (WIC) referrals. The team obtained 24 nursing referrals from the phone outreach and 2 referrals from obstetricians/gynecologists (OB/GYNs). Members of the team enjoyed learning about the QI process and plan to continue the initiative after the grant period ends.
Kennedy, L. Public Health Quality Improvement Exchange. Increasing Prenatal Referrals for Home Care Maternal and Child Health Nursing Services in Sullivan County . Wed, 03/08/2017 - 12:47. Available at https://www.phqix.org/content/increasing-prenatal-referrals-home-care-maternal-and-child-health-nursing-services-sullivan. Accessed March 3, 2024.