The New Jersey Hospital Association’s (NJHA) Health Research and Educational Trust of New Jersey is making application for CDC Statewide Perinatal Quality Collaboratives Strategy A aimed at supporting increased distribution of benefits from quality improvement (QI) initiatives, supporting increasing capacity of PQCs to rapidly conduct population-level perinatal QI initiatives that make measurable improvements in perinatal healthcare and outcomes statewide, with a focus on ensuring an equitable distribution of benefits from QI initiatives.
With approximately 9 million residents spread over 7,350 square miles, there are 1,213 residents per square mile, making New Jersey the most densely populated state in the country, far surpassing the national average of 93 residents per square mile. In New Jersey, approximately 30 percent (n=46) of deaths among women during or within one year of the end of pregnancy were pregnancy related. Nearly 70 percent of pregnancy-related deaths occurred during the postpartum period, within one year of the end of pregnancy. Non-Hispanic Black women died from pregnancy-related causes at 7.6 times the rate of non-Hispanic White women. Non-Hispanic Black women accounted for 13.9 percent of all live births from 2014-2016, however they accounted for 41.3 percent of all pregnancy-related deaths during the same period.
This plan creates a framework by which the New Jersey Perinatal Quality Collaborative (NJPQC) will (1) increase implementation of QI initiatives in facilities statewide including those that serve disproportionately impacted populations; (2) increase implementation of QI initiatives to reduce disparities; and (3) improve healthcare practices equitably. The outcomes to be achieved by the end of the first year of this project period, and expanded through the five-year term, include (1) increased implementation of AIM safety bundles in hospitals that serve communities disproportionately impacted by adverse perinatal health; (2) expanded implementation of QI initiatives in facilities that serve communities disproportionately impacted by adverse perinatal health; (3) expanded and strengthened ability of data systems to inform identification and documentation of disparities; (4) expanded network of health systems and hospitals that serve communities disproportionately impacted by adverse perinatal health with fully functioning Patient and Family Advisory Councils; and (5) expanded network of hospitals that serve communities disproportionately impacted by adverse perinatal health that partner with their FQHC to improve perinatal outcomes.
In its fifth year as the New Jersey Perinatal Quality Collaborative, this work is rooted in well-established partnerships among its members that span decades. The interventions involve many teams working together for the period of the project in a way that ensures sustainability. As a state-wide hospital association, NJHA, HRETNJ and its members, form a “community of healthcare” that serves as an incubator for collaboration, coordination and transitions of care, recognizing that it requires the entire continuum of healthcare providers to deliver the best outcomes for N.J. residents.
The NJPQC’s data-driven approach uses structure, process and clinical outcome metrics to assess progress by comparing pre and post intervention data on all relevant measures.