Perinatal Health Collaborative of LA
(June 1, 2012 – Present)
The Perinatal Health Collaborative of LA (PHC-LA) assembles clinics and practices that share a commitment to make effective changes that will produce advancements in healthcare delivery to improve maternal and infancy care in Los Angeles County. Our goal is to provide participants with evidenced-based best practice standards to facilitate exceptional care to ultimately improve the health outcomes for women and their children. The clinical focuses are gestational diabetes, weight management during and after pregnancy, and breastfeeding initiation and support.
The aims of this project are to increase by at least 10% the percent of women with:
- Total weight gain within BMI-specific recommended guidelines
- Appropriate screening for gestational diabetes
- Increased initiation of exclusive breastfeeding
- Continued exclusive breastfeeding for six months duration
- A BMI ≥25, reduce their weight by at least 10% by six months postpartum
This project is funded by the Community Transformation Grant with the County of Los Angeles Department of Public Health and the Centinela Valley Medical and Community Funds.
Kaiser – Quality Improvement in Perinatal Care to Reduce Disparities
(October 1, 2010 – September 30, 2011)
This project focused on key clinical areas of postpartum care including: follow-up for women with gestational diabetes, breastfeeding, and maternal weight management. With the vast majority of women accessing healthcare during pregnancy, maintaining this connection to the healthcare system in the postpartum period and beyond (i.e. interconception care) would provide benefits to large numbers of women in LA County.
Three organizations from the medically underserved areas in downtown LA, South LA, and East LA participated in this project. Collectively, they provided care to between 1,600 and 1,700 women annually. The aims of this project were to:
- Increase return for six weeks postpartum visit by 20% above baseline;
- Increase postpartum diabetes screening by 25% above baseline by 6-8 weeks postpartum for those who had gestational diabetes, so as to identify and treat those with type 2 diabetes interconceptionally;
- Increase exclusive breastfeeding at 1 week postpartum by 25% above baseline; and 4. Ensure 20% of interconception mothers with BMIs of >25 decrease their weight by 10% over 6 months.
Watts Healthcare Corporation – Babies Natural Start
(September 1, 2010 – August 31, 2011)
Watts Healthcare Corporation received a federal allocation to improve breastfeeding among African American women living in the Watts-Willowbrook neighborhoods. In South Los Angeles, the Watts Healthcare Corporation reports exclusive breastfeeding among 4.9% of clients participating in the Womens Infants and Children (WIC) nutrition education and supplemental food program.
LA Best Babies Network worked in partnership with Watts Healthcare Corporation and the Breastfeeding Taskforce of Greater Los Angeles to apply a quality framework to improve the systems of care to promote and support exclusive breastfeeding. This improvement project required bringing together decision makers, advocates, and staff from the Departments of Obstetric, Pediatrics, WIC, and Information Technology for training about breastfeeding and quality improvement methods. The Network led the quality improvement training, provided the change package, helped establish measures and methods for data collection and reporting, and provided ongoing, onsite coaching for the improvement work.