- Electronic Health Record (EHR)
- Web-based/EHR predictive algorithms that elicit specific data as but not limited to vital signs (BP, temp, HR, RR and SpO2), lab values, nurses notes and event reports.
- Close monitoring of hemodynamics such as heart rate and blood pressure.
- Ultrasound technology for assessment of retained products, retained placenta or abruption.
Metrics
Topic 1
Severe Maternal Morbidity among Hemorrhage Cases
Outcome Measure Formula
Numerator: Among the denominator, all cases with any non-transfusion SMM code
Denominator: All mothers during their birth admission, excluding extopics and miscarriages, meeting one of the following criteria:
- Presence of an abruption, previa or antepartum hemorrhage diagnosis code
- Presence of transfusion procedure code without a sick cell crisis diagnosis code
- Presence of a postpartum hemorrhage diagnosis code
Metric Recommendations
Direct Impact: All Pregnant Patients
Lives Spared Harm:
\(Lives\ =\ \left(SSM\ Rate_{baseline}-\ SMM\ Rate_{measurement}\ \right)\ x\ Deno\min ator_{baseline}\)
Notes: Since this is a morbidity measure, the lives saved calculation is not applicable.
Data Collection: HDD File (ICD9/ICD10)
Topic 2