Contract Work Plans

• Periodic on-site quality of care visits to each affiliate which include the review of:
  1. Available perinatal data
  2. The affiliate’s internal quality assurance program, policies, & procedures
  3. Care provided by medical, nursing, & other health care practitioners
  4. The appropriateness & timeliness of maternal & newborn referrals and transfers, as well as the outcomes of patients retained at the affiliate hospital who met the criteria for transfer to a higher level of care
  5. Adverse perinatal events & outcomes such as fatalities, morbidity, nosocomial infections, and high-risk procedures
  6. Pathology related to all deaths & significant surgical specimens
  7. The effectiveness of any plans for correcting quality of care problems
• Review & identification of problems: review of data, adverse outcomes, transports and non-transports, and the affiliates internal QA/QI activities
• Solutions/recommendations and their effectiveness
• Outreach and education including identification of needs
• Attending level perinatal consultations
• Development, updating, and implementing affiliation agreements
• Patient transport

Priority #2: SPDS – objectives, activities, responsible staff, timeframes, outcomes and methods of evaluation

• Support and maintenance of RPDS (upstate only)
• For upstate RPCs, provide ongoing TA with maintenance & use of RPDS for appropriate affiliate staff until implementation of full SPDS is achieved
• Assess capability of RPC and affiliates to implement SPDS
• Identify and enroll users/operators
• Provide initial training to RPC/affiliate staff
• Provide comprehensive training to RPC/affiliate staff, including the NICU module
• Provide ongoing training and support to affiliate, including quality of data checks and quarterly user meetings
• Incorporate the use of SPDS & other appropriate data in internal & external QI activities
• Provide appropriate data reports for affiliates & RPFs to identify new & emerging trends and issues

Priority #3: Regional Perinatal Forum – objectives, activities, responsible staff, timeframes, outcomes and methods of evaluation

• If applicable, serve as co-chair of the RPF
• Collaborate with CPPSNs to organize and ensure representation of stakeholders
• Periodic RPF meetings, at least quarterly
• Review analyses of aggregate regional data derived either from the SPDS when available or from other sources
• Identify gaps in services/access to services
• Identify training & education needed by providers & consumers and the resources available to meet those needs
• Develop a Regional Action Plan
• Work with stakeholders to implement the Regional Action Plan
• Evaluate the implementation of the Regional Action Plan
• Communicate regional needs and issues to the State Perinatal Forum (& in NYC, to the City-wide forum) when developed
• Make data/reports available to RPF and members