PMID- 27502198
OWN - NLM
STAT- MEDLINE
DCOM- 20171214
LR  - 20231013
IS  - 1573-6628 (Electronic)
IS  - 1092-7875 (Print)
IS  - 1092-7875 (Linking)
VI  - 20
IP  - Suppl 1
DP  - 2016 Nov
TI  - The Ohio Gestational Diabetes Postpartum Care Learning Collaborative: Development 
      of a Quality Improvement Initiative to Improve Systems of Care for Women.
PG  - 71-80
AB  - Objectives To improve clinical practice and increase postpartum visit Type 2 
      diabetes mellitus (T2DM) screening rates in women with a history of gestational 
      diabetes mellitus (GDM). Methods We recruited clinical sites with at least half 
      of pregnant patients enrolled in Medicaid to participate in an 18-month quality 
      improvement (QI) project. To support clinical practice changes, we developed 
      provider and patient toolkits with educational and clinical practice resources. 
      Clinical subject-matter experts facilitated a learning network to train sites and 
      promote discussion and learning among sites. Sites submitted data from patient 
      chart reviews monthly for key measures that we used to provide rapid-cycle 
      feedback. Providers were surveyed at completion regarding toolkit usefulness and 
      satisfaction. Results Of fifteen practices recruited, twelve remained actively 
      engaged. We disseminated more than 70 provider and 2345 patient toolkits. 
      Documented delivery of patient education improved for timely GDM prenatal 
      screening, reduction of future T2DM risk, smoking cessation, and family planning. 
      Sites reported toolkits were useful and easy to use. Of women for whom postpartum 
      data were available, 67 % had a documented postpartum visit and 33 % had a 
      postpartum T2DM screen. Lack of information sharing between prenatal and 
      postpartum care providers was are barriers to provision and documentation of 
      care. Conclusions for Practice QI and toolkit resources may improve the quality 
      of prenatal education. However, postpartum care did not reach optimal levels. 
      Future work should focus on strategies to support coordination of care between 
      obstetrical and primary care providers.
FAU - Shellhaas, Cynthia
AU  - Shellhaas C
AUID- ORCID: 0000-0001-9346-7432
AD  - The Ohio Department of Health, 246 N. High Street, Columbus, OH, 43215, USA. 
      cynthia.shellhaas@osumc.edu.
AD  - The Ohio State University College of Medicine, Columbus, OH, USA. 
      cynthia.shellhaas@osumc.edu.
FAU - Conrey, Elizabeth
AU  - Conrey E
AD  - The Ohio Department of Health, 246 N. High Street, Columbus, OH, 43215, USA.
AD  - Centers for Disease Control and Prevention, Atlanta, GA, USA.
FAU - Crane, Dushka
AU  - Crane D
AD  - Ohio Colleges of Medicine Government Resource Center, 150 Pressey Hall, 1070 
      Carmack Road, Columbus, OH, 43210, USA.
FAU - Lorenz, Allison
AU  - Lorenz A
AD  - Ohio Colleges of Medicine Government Resource Center, 150 Pressey Hall, 1070 
      Carmack Road, Columbus, OH, 43210, USA.
FAU - Wapner, Andrew
AU  - Wapner A
AD  - The Ohio Department of Health, 246 N. High Street, Columbus, OH, 43215, USA.
FAU - Oza-Frank, Reena
AU  - Oza-Frank R
AD  - The Ohio State University College of Medicine, Columbus, OH, USA.
AD  - Center for Perinatal Research, Nationwide Children's Hospital, 700 Children's 
      Drive, Columbus, OH, 43205, USA.
FAU - Bouchard, Jo
AU  - Bouchard J
AD  - The Ohio Department of Health, 246 N. High Street, Columbus, OH, 43215, USA.
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Matern Child Health J
JT  - Maternal and child health journal
JID - 9715672
SB  - IM
MH  - Adult
MH  - Diabetes Mellitus, Type 2/*diagnosis
MH  - Diabetes, Gestational/*diagnosis/epidemiology/therapy
MH  - Female
MH  - Humans
MH  - *Mass Screening
MH  - Ohio
MH  - *Patient Compliance
MH  - Postnatal Care/*statistics & numerical data
MH  - Postpartum Period
MH  - Practice Guidelines as Topic
MH  - Pregnancy
MH  - *Quality Improvement
PMC - PMC6697553
MID - NIHMS862950
OTO - NOTNLM
OT  - Gestational diabetes
OT  - Postpartum care
OT  - Quality improvement
COIS- Conflict of Interest The authors declare that they have no conflict of interest. 
      Compliance with Ethical Standards
EDAT- 2016/08/10 06:00
MHDA- 2017/12/15 06:00
PMCR- 2019/08/16
CRDT- 2016/08/10 06:00
PHST- 2016/08/10 06:00 [pubmed]
PHST- 2017/12/15 06:00 [medline]
PHST- 2016/08/10 06:00 [entrez]
PHST- 2019/08/16 00:00 [pmc-release]
AID - 10.1007/s10995-016-2170-2 [pii]
AID - 10.1007/s10995-016-2170-2 [doi]
PST - ppublish
SO  - Matern Child Health J. 2016 Nov;20(Suppl 1):71-80. doi: 
      10.1007/s10995-016-2170-2.