Becker’s Hospital Review, a health system management publication, recently published the results of a study done by Sam Smith, MD and Lynette Philips RN of Medstar as well as a team of PeriGen clinical researchers that highlights the impact of process improvement on obstetric outcomes.
The study examined ten years of data on 78,459 births at Medstar, a health system serving Maryland. Data on cesarean rates, NICU transfers, and the use of fetal resuscitation was examined before and after the introduction of a large-scale process improvement program that included the introduction of PeriGen’s decision support software tools.
- A 54% reduction in the use of cardiopulmonary resuscitation, assisted ventilation, or intubation.
- NICU transfers which had risen steadily prior to the program declined by 52%.
- Cesarean rates stabilized after the introduction of the software despite continuously rising rates of obesity, diabetes and hypertension.
Samuel Smith MD, Lynette Philip RN, Adi Zmiri MD, Emily Hamilton MD, Thomas Garite MD. HIT and clinical synergy: A decade of decreasing NICU admissions & stabilizing cesarean rates, Becker’s Hospital Review, 2016 Dec 20.