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Improving Care for

Tennessee MOMS AND BABIES

The Tennessee Initiative for Perinatal Quality Care (TIPQC) seeks to promote meaningful change, advance health and improve outcomes and the quality of care through pregnancy, delivery, and beyond for all Tennessee families. 

Quality Improvement in Collaboration

Promoting

Change

Since 2008, TIPQC has engaged with birthing hospitals throughout Tennessee in order to improve maternal and infant outcomes. Through collaboration and coordination of high impact quality improvement initiatives, TIPQC works with healthcare providers, nurses, and other clinicians, patients and families, community partners, and public health leaders throughout the state to improve health outcomes for all moms and their infants. Together we can!

84%

Severe maternal hypertension is one of the leading causes of maternal mortality worldwide. Among the second wave of participating hospital teams in TIPQC’s 2020-2021 Severe Maternal Hypertension-Optimizing Obstetrical Care Project, we saw an 84% increase in timely treatment.

96%

Through TIPQC’s Statewide simulation trainings, 96% of hospitals reported moderate to major impacts from simulation in the appropriate assessment of real-life cases.

83%

61,642 infants, or 83% of those in the TIPQC Optimal Cord Clamping project, received optimal cord clamping resulting in improvements in infant blood volume, cardiovascular stability, pulmonary circulation and transition, and neurodevelopmental outcomes.

What We’re

Working On.

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Increasing screening and ensuring referrals

Cardiac Conditions in Obstetric Care

Cardiac conditions are the leading cause of pregnancy-related deaths. Nationally, multidisciplinary maternal mortality review committees have found that women who died from cardiac conditions during pregnancy and postpartum were not diagnosed with a cardiovascular disease prior to death.  These committees also found that more than 80% of all pregnancy-related deaths were preventable, regardless of cause.

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Improving care for ALL

Best for All

Through understanding of need and identifying areas for improvement, hospitals will integrate respectful patient care, integrate standardized conditions and policies affecting health and appropriate referrals, as well as discharge planning into the care plan, thus improving the overall patient experience and health outcomes for mom and baby. 

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Improving care for the most vulnerable

necrotizing enterocolitis

Necrotizing enterocolitis (NEC) remains a significant and devastating condition in neonatal intensive care units (NICUs),
predominantly affecting preterm infants, particularly those with very low birth weight (<1500 grams). It is characterized
by intestinal inflammation, which can progress to necrosis and perforation, leading to high morbidity and mortality
rates. NEC is multifactorial, with associated risk factors which include prematurity, formula feeding, intestinal ischemia,
bacterial colonization, and the immaturity of the infant’s immune system. 

Our

Outcomes.

Since 2008, TIPQC has worked on a variety of projects with Tennessee hospitals to improve outcomes for our moms and babies. While many TIPQC projects formally last two years, we encourage all participating hospitals to continue the initiatives into sustainment. Find more information on previous years’ TIPQC projects here.

  • Better Treatment for Opioid Exposed Newborns

    90% of opioid exposed newborns discharged received a referral to a pediatric development clinic/specialist following Wave 2 of TIPQC’s Opioid Use Disorder in Pregnancy & Opioid Exposed Newborn Project.

  • Newly born baby with delivery room provider.

    Enhancing Newborn Odds through Optimal Cord Clamping Timing

    Through TIPQC’s Optimal Cord Clamping project, almost 62,000 infants had their umbilical cord clamped at 60 seconds of birth, demonstrating a 69% increase.

  • Increases in Sleep Audits for Safety

    TIPQC Safe to Sleep teams saw a 22% increase in safe sleep audits compliant with AAP guidelines from June 2020 – June 2021.

    Get

    Involved.


    TIPQC is actively recruiting devoted health care professionals, community leaders and patient and family partners to further our mission of improving health outcomes for mothers and babies in Tennessee.