• Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Aug. 89 p. [290 references]

Does not apply to this measure

This measure is used to assess the percentage of pregnant women who report to have received counseling and education by the 28th week visit.

The priority aim addressed by this measure is to increase the percentage of pregnant women who receive timely prenatal counseling and education.

Prenatal care; counseling and education (breast feeding, vaginal bleeding during pregnancy, childbirth classes)

Total number of questions on returned surveys*

*See the "Numerator Description" field.

Number of "Yes" answers on the survey

The survey questions are:

1. Has your provider or someone from the clinic, community health program, or worksite explained the benefits of breastfeeding? (Yes/No)
2. Has your provider or someone from the clinic, community health program, or worksite told you to report vaginal bleeding during your pregnancy? (Yes/No)
3. Has your provider or someone from the clinic, community health program, or worksite discussed attending or availability of childbirth classes with you? (Yes/No)

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

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Women of childbearing age

Female (only)

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Staying Healthy

Effectiveness
Patient-centeredness

Users of care only

All women who are in the course of prenatal care and who are present for the 28th week visit.

These data can be collected by a patient survey at the 28th week visit. Since that visit uses a glucose tolerance test and there is a waiting time for completion of the test, this survey can be completed during that waiting time. The patient completes the survey by herself.

This may be collected on everybody, or a sample. If a sample is done, it is suggested that the data be collected on specific days (or times) to create a regular pattern for data collection. This pattern will allow for more consistent and regular data collection. The minimum sample size is 20 per month or 60 per quarter, or total population if you have less than 15 prenatal patients at 28^th week visit per month.

The surveys can be collected monthly.

Patients associated with provider

Inclusions
Total number of questions on returned surveys*

*See the "Numerator Inclusions/Exclusions" field.

Exclusions
Unspecified

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

Clinical Condition
Encounter

Time window is a single point in time

Inclusions
Number of "Yes" answers on the survey

The survey questions are:

1. Has your provider or someone from the clinic, community health program, or worksite explained the benefits of breastfeeding? (Yes/No)
2. Has your provider or someone from the clinic, community health program, or worksite told you to report vaginal bleeding during your pregnancy? (Yes/No)
3. Has your provider or someone from the clinic, community health program, or worksite discussed attending or availability of childbirth classes with you? (Yes/No)

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

Patient survey

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of pregnant women who report to have received counseling and education by the 28th week visit.

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.

Committee Members: Dale Akkerman, MD (Work Group Leader) (Park Nicollet Health Services) (OB/GYN); Tamara Johnston, MD (Northwest Family Physicians) (Family Medicine); Katie Klingberg, MD (Northpoint Health and Wellness) (Family Medicine); Kari Rabie, MD (Southside Community Health Services) (Family Medicine); Jennifer Schriever, MD (Sioux Valley Hospitals and Health System) (Family Medicine); Carol Stark, MD (Family HealthServices Minnesota) (Family Medicine); Peter Van Eerden, MD (Sioux Valley Hospitals and Health System) (Maternal-Fetal Medicine); Georgeanne Croft, CNM (HealthPartners Medical Group) (Nurse Midwifery); Amy Knox, CNM (Park Nicollet Health Services) (Nurse Midwifery); John A. Jefferies, MD (Mayo Clinic) (OB/GYN); Joan Kreider, MD (HealthPartners Medical Group) (OB/GYN); John Vickers, MD (HealthPartners Medical Group) (OB/GYN); Corinne Esch, RN, CDS (HealthPartners Medical Group) (OB/GYN Nursing); Nancy Jaeckels (Institute for Clinical Systems Improvement) (Implementation Advisor); Linda Setterlund, MA (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2003 Jul

2008 Aug

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Aug. 87 p.

• Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Aug. 89 p. [290 references]

This NQMC summary was completed by ECRI on March 29, 2004. This summary was updated by ECRI Institute on November 11, 2004, October 18, 2005, December 26, 2007, and again on October 20, 2008.

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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