Posted: February 22nd, 2022
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Using the attached references, .
1. Cite one program that Intermountain Healthcare has implemented that can improve their quality of care. Using the lens of 2021, how has this quality of care improvement expanded, changed, or become standardized in other healthcare organizations. Give examples to illustrate.
2. In the Women and Newborns division of IHC, obstetrics was dealing with one of the highest birth rates in the nation. In developing clinical protocols, they focused on two areas:
– NICU (newborn intensive care unit)
– Elective inductions (promotion of labor)
The two were tied since elective inductions had risen over 10% between 1991 and 2002. This trend seemed due to both patient and physician pressure for convenience, physician preference, and reimbursement.
The American College of Obstetrics and Gynecology (ACOG) suggested two criteria for determining the appropriateness of labor induction – gestational age and Bishop’s score (a group of measurements that indicated labor readiness). When the gestational age of a delivered baby was less than 39 weeks, there was a sharp increase in NICU admissions. Electively-induced patients with unfavorable Bishop’s scores spent longer in labor, with risk to the patient and cost to the hospital, and were 2-2.5 times more likely to need a Caesarian section.
IHC developed a strategy and program to address this issue, with a clinical protocol and accompanying education. Comment on one of the constituencies – the physician, the nurses, the patient – and how the protocol and education would target them to lower the elective induction rate.
Use other resources as well.
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