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The Partnership for Patients is a public-private partnership that will help improve the quality, safety, and affordability of health care for all Americans. It brings together leaders of major hospitals, employers, physicians, nurses, and patient advocates along with state and federal governments in a shared effort to make hospital care safer, more reliable, and less costly.

Through the Partnership for Patients, the Centers for Medicare and Medicaid Services (CMS) contracted with 26 state and national organizations to create hospital engagement networks (HENs) to promote the use of strategies that foster a culture of safety and offer opportunities for hospitals to participate in projects to reduce adverse events, as well as prevent complications and readmissions. HCIF is a subcontractor to the Hospital & Healthsystem Association of Pennsylvania, which is one of the hospital engagement networks.

CMS selected Obstetric Adverse Events as one of its 11 top priorities under the Partnership for Patients program. CMS estimates that 30% of adverse obstetrical events are preventable. They have challenged organizations across the U.S. to reduce these events by 50% by December 2014.

The goals, strategies and measures for this collaborative were developed by an OB Advisory Panel representing 18 Pennsylvania hospitals and health systems including obstetricians, nurse midwives, anesthesiologists, a neonatologist, OB nurse leaders, nursing executives, patient safety experts, a public health advisor, and a patient/family representative. The panel was instrumental in establishing the scope of the collaborative, which includes:

- Reduction of early elective deliveries (non-medically indicated deliveries 37<=39 weeks gestation);
- Safe administration of oxytocin;
- Prompt treatment and recognition of OB hemorrhage;
- Timely and safe management of the pre-eclamptic mother(New for 2014!).

The collaborative launched in May 2012 and will continue through December 2014. Collaborative members participate in a webinar series featuring local and national experts, conferences, and networking calls in which hospitals share their experiences and best practices. Collaborative teams collect and submit monthly data on a standardized set of measures. They trend and benchmark those results and use them to guide improvement. To date we have a total of 37 hospitals participating in the collaborative.

For more information on the OB Adverse Events Collaborative, contact Claudette Fonshell, RN, BSN, Clinical Project Manager, at cfonshell@hcifonline.org or at 215.575.3747.