Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019...
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Designing Systems to Improve Care for Every Mother, Everywhere @neel_shah
Transcript of Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019...
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Designing Systemsto Improve Care for Every Mother, Everywhere
@neel_shah
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Capabilit
y
Too Little
Too Much
Time
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United States Cesarean Deliveries, 1970-2010
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# of hospitals with each CD Rate
CD
Rate
7%
70%
x 10
Cesarean Rates by Hospital Across the United States
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Don’t Know Know
Inadequate
education
Intentionally
err
Unintentionally
err
Misaligned
incentive
System
complexity
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Clarity
Baby’s safety
Mom’s safety
Best long term
health for both
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Forcing
Functions
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Category
FETAL
PROGRESS
Clear Indications Fuzzy Indications
MATERNAL
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Labor and Delivery Planning Board
Team
Preferences
Plan
Next Assessment
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