Online Program

Growing Best Babies Zones: The Utilization of Quality Improvement in a Community-based Setting

Wednesday, November 4, 2015 : 9:00 a.m. - 9:10 a.m.

Neera Goyal, MD, Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Lindsey Cencula, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Anita Brentley, Every Child Succeeds, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
James Greenberg, MD, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Chellie McLellan, Santa Maria Community Services, Cincinnati, OH
Robert Kahn, MD, MPH, UC Department of Pediatrics, Cincinnati Children's Hospital Medical Center., Cincinnati, OH
In the Price Hill neighborhood in Cincinnati, approximately 40% of residents and 56% of children live in poverty.  The neighborhood preterm birth rate for 2013 was 16%. Price Hill BBZ brings together a team from Cincinnati Children’s Hospital Medical Center with Price Hill residents, community leaders and organizations.  The Price Hill BBZ utilized quality improvement methods for a community-based setting to promote health and wellbeing through engagement and empowerment of local residents.

As part of this approach, we designed and implemented two programs. The first program, Club Mom, is a monthly program targeting pregnant and young mothers. Program goals include shared learning experience and engagement in celebration, education and life course planning.  The second program, Healthy Homes – Block by Block, focuses on developing a cohort of Block Captains to support young families, and promote child and family development. The program seeks the following objectives for each home: 1) a safe infant sleeping environment, 2) adequate reading materials to promote kindergarten readiness, 3) appropriately installed home safety equipment, and 4) connection to a family pediatrician or prenatal care provider. For each program, quality improvement tools are used to facilitate identification, engagement, and tracking of target families, including monthly involvement in program activities. Results to date demonstrate promising outcomes in reaching target families, suggesting that quality improvement methods can be successfully adapted to support community-based initiatives. Future directions include measurement of birth and other health outcomes through neighborhood-level data.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
Describe the utilization of quality improvement tools in a community-based setting Identify the strengths and challenges of employing a place-based multi-sector approach to achieve community transformation and improve birth outcomes. Explain specific steps necessary for testing using plan-do –study–act (PDSA) cycles to facilitate the identification, engagement, and tracking of target families. Analyze the progress of current programs using run charts to track process measures and outcomes

Keyword(s): Infant Mortality, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: James M. Greenberg, MD, is co-director of the Perinatal Institute and director of Neonatology at Cincinnati Children's Hospital Medical Center.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.