• Institute for Clinical Systems Improvement (ICSI). Management of labor. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Mar. 72 p. [126 references]

Does not apply to this measure

This measure is used to assess the percentage of women who are assessed for risk status on entry to labor and delivery.

The priority aim addressed by this measure is to increase the percentage of women who are assessed for risk status on entry to labor and delivery.

Pregnancy; 20-minute fetal heart rate (FHR) assessment; patient assessment; prenatal risk review; risk in labor assessment

Number of women who present in labor

Number of women with evidence of assessment for risk status on entry to labor and delivery to include:

• 20-minute fetal heart rate (FHR) assessment
• Patient assessment
• Prenatal risk review
• Risk in labor assessment

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Hospitals

Advanced Practice Nurses
Nurses
Physicians

Group Clinical Practices

Unspecified

Female (only)

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Staying Healthy

Effectiveness

Users of care only

All women who present in labor

Any one of several possible data collection methods may be used by the medical group to capture data for this population.

1. Data may be obtained retrospectively by a chart audit (using a minimum sample of 20 charts per month) of all women presenting in labor.
2. Data may be obtained through discharge abstract coding or other data base from the hospital.
3. The hospital may send the medical group a copy of the labor and delivery summary sheet.

The suggested time frame for data collection is monthly.

Patients associated with provider

Inclusions
Number of women who present in labor

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition
Institutionalization
Therapeutic Intervention

Time window brackets index event

Inclusions
Number of women with evidence of assessment for risk status on entry to labor and delivery to include:

• 20-minute fetal heart rate (FHR) assessment
• Patient assessment
• Prenatal risk review
• Risk in labor assessment

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Episode of care

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of women who are assessed for risk status on entry to labor and delivery.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Work Group Members: John Jefferies, MD (Work Group Leader) (Mayo Clinic) (OB/Gyn); Leslie Atwood, MD (Allina Medical Clinic) (Family Medicine); Lori Bates, MD (Mayo Clinic) (Family Medicine); Brendon Cullinan, MD (Hennepin County Medical Center) (Family Medicine); Mark Matthias, MD (Mankato Clinic) (Family Medicine); Amy Knox, CNM (Park Nicollet Health Services) (Nurse Midwife); Cherida McCall, CNM (HealthPartners Medical Group) (Nurse Midwife); Brielle Stoyke, CNM (CentraCare) (Nurse Midwife); Ruth Wingeier, CNM (CentraCare) (Nurse Midwife); Jenny Senti, APRN (Altru Health System) (Nursing); Dale Akkerman, MD (Park Nicollet Health Services) (OB/Gyn); Leslie Pratt, MD (Park Nicollet Health Services) (Perinatal Medicine); Peter VanEerden, MD (Sioux Valley Hospitals) (Perinatal Medicine); Nancy Jaeckels (Institute for Clinical Systems Improvement) (Implementation Advisor); Linda Setterlund, MA, CPHQ (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2002 Oct

2007 Mar

Please note: This measure has been updated. The National Quality Measures Clearinghouse is working to update this summary.

• Institute for Clinical Systems Improvement (ICSI). Management of labor. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Mar. 72 p. [126 references]

This NQMC summary was completed by ECRI on February 25, 2003. The information was verified by the measure developer on December 4, 2003. This NQMC summary was updated by ECRI on January 8, 2004, December 23, 2004, November 21, 2005, and again on May 29, 2007.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

The abstracted ICSI Measures contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Measures are downloaded by an individual, the individual may not distribute copies to third parties.

If the abstracted ICSI Measures are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.

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