NNEPQIN is working closely with the state health departments in New Hampshire, Vermont, and Maine to develop a regularly updated hospital-level report presenting aggregate measures drawn from birth certificate and hospital discharge datasets. Sharing a common data set will enable NNEPQIN to track outcomes over time for QI projects.
NNEPQIN is collaborating with the state health departments in NH, VT and Maine and supporting their efforts to join the Alliance for Innovation on Maternal Health (AIM) program led by ACOG under the auspices of the Council for Patient Safety in Women’s Health Care.
Confidential Review & Improvement Board (CRIB)
CRIB provides independent and confidential case review of unanticipated perinatal outcomes for member healthcare providers.
- Contact Victoria Flanagan for more information at 603-653-6896 or Victoria.A.Flanagan@hitchcock.org
VT/NH VBAC Project Mission
Our goal was to increase the availability and safety of VBAC for patients and providers across NH and VT. Due to the lack of clear national standards, negative press coverage, and excessive medical malpractice awards, the choice of VBAC has been taken away from many women and their physicians. In 2003, we polled providers in NH and VT, and found that 98% wanted to offer VBAC as an option to their patients. It is our strong belief that the decision to have a VBAC is very personal. Only a woman and her family, with input from her obstetric provider, can make this choice.
In addition, we feel that VBAC can be safely performed in community hospitals without excessive use of resources when patients are stratified by their risk. Low risk VBAC candidates are at the same risk for an adverse obstetric event as a woman undergoing her first labor. This does not require extensive modifications of routine care processes. Following TJC guidelines for the provision of obstetrical care is adequate. Please refer to the VBAC Guidelines below.
VBAC Guidelines: NNEPQIN-VBAC-Guideline-June-2019