Sunday, October 6, 2024
10/6/2024
New York State Perinatal Quality Collaborative (NYSPQC) Project Abstract Summary Funding Opportunity #CDC-RFA-DP22-2207 Health Research, Inc. (HRI)/New York State Department of Health (NYSDOH) is applying for Component A of CDC-RFA-DP22-2207. The NYSPQC is a statewide learning collaborative led by NYSDOH with a mission to improve outcomes for pregnant, birthing, and postpartum people and infants in NYS. This is achieved by empowering birthing facilities to implement evidence-based guidelines for quality care in clinical practice with a focus on reducing disparities. NYSPQC’s work includes prenatal and postpartum providers, community-based organizations, patient advocates, and other integral linkages to perinatal care. NYSPQC facilitates collaborative learning among facilities and stakeholders to disseminate successful interventions, policies, and practice changes. Projects are guided by multidisciplinary, diverse advisory groups. The 2019 NYS infant mortality (IM) rate was 4.3 deaths/1,000 live births. While this rate compares favorably with the 2019 US rate of 5.6/1,000, disparities exist. In NYS, the 2017-2019 average IM rate (per 1,000 live births) was highest for Black non-Hispanic infants (8.8), followed by Hispanics (4.3), White non-Hispanics (3.4) and Asian non-Hispanics (2.8). Infant mortality was higher among those with Medicaid (4.9) and self-pay (12.7) than births covered by private insurance (3.3). Infants were twice as likely to die in the neonatal (0-27 days) period (2.9) than post-neonatal (28-364 days) (1.5), and Black non-Hispanic infants (5.9) were three times as likely to die in the neonatal period than White infants (2.2).1 Receipt of Component A will increase NYSPQC’s capacity to conduct population-level quality improvement (QI) initiatives while ensuring an equitable distribution of benefits. Capacity needs include: 1) improving family/patient/community engagement; and 2) addressing health equity. The award will increase NYSPQC’s capacity to expand its equity work to infants through the implementation of a Neonatal Intensive Care Unit (NICU) Equity Project (NEP). NEP will engage birthing facilities with a NICU, representing 86% of NYS’ annual births. The strategies of the NEP will focus on: building and strengthening capacity to improve the quality of perinatal care; engaging facilities statewide to improve perinatal outcomes; supporting facilities to implement QI initiatives; building and strengthening data systems to improve the identification of disparities; engaging patients/family/community; and conducting outreach and dissemination of QI results. Short-term outcomes are to: increase implementation of QI initiatives in facilities statewide with an emphasis on those serving disproportionately impacted populations; increasing implementation of QI initiatives to reduce disparities; and increasing patient/family/community engagement in planning and implementing QI initiatives. Intermediate outcomes are to: improve care practices equitably; and improve clinical-community linkages. The long-term outcome of the NEP, to be achieved over 24 months, is to equitably improve population-level perinatal health outcomes, as evidenced by: a) a 10% increase from baseline in family centered care scores on a Family Reported Experience of Care Measure survey developed for the NEP; and b) a 20% increase in breastfeeding/human milk feeding at discharge from the birth hospitalization; with c) a 5% reduction in race/ethnicity disparities of a and b from baseline with the addition of language for a.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
