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HANYS Recommends to DOH a Flexible Approach to Obstetric Care Improvement

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At a Department of Health (DOH) meeting yesterday on improving obstetric care, HANYS reiterated its commitment to working with DOH and providers to improve obstetric care in New York State and recommended a statewide, voluntary, menu-driven approach to achieve that goal. This approach would recognize the diversity among hospitals and provide hospitals sufficient flexibility to incorporate and further enhance existing initiatives.

HANYS shared with the group its Obstetric Safety and Quality Improvement Web site that connects members with quality improvement programs, initiatives, and resources to assist them in enhancing and expanding their obstetric quality improvement efforts. HANYS emphasized that any statewide initiative must promote the implementation of evidence-based clinical guidelines developed by the American College of Obstetricians and Gynecologists (ACOG).

The DOH meeting brought together a diverse group of experts from the state and across the country to share their experiences and perspectives on how to improve obstetric care. The group discussed a joint proposal by ACOG District II/New York and NewYork-Presbyterian Hospital—Columbia University Medical Center that would reconfigure the current structure for quality oversight of obstetric hospitals in the state. Greater New York Hospital Association also presented on its Perinatal Safety Collaborative.

There were strong recommendations that any statewide initiative must be led by a public-private partnership. A follow-up meeting will be scheduled. HANYS will continue to actively engage in these discussions and promote a statewide, voluntary, menu-driven approach. - Christa Christakis

Published May 2, 2008