Women’s Health Safety & Quality Program In the 2022 CHNA Implementation Plan, Wellstar committed to improving maternal outcomes related to key focus areas each year utilizing a process improvement cycle-based framework. The Women’s Health Safety & Quality Program is a structured initiative aimed at improving the safety, quality, and overall outcomes for our maternal population to ensure that patients receive the best possible care at all seven of our Wellstar birthing facilities. Our team is focused on leading efforts to reduce identified risks of complications during pregnancy and childbirth. Reaching a goal to provide high-quality care is based on implementation of best practices, clinical guidelines, and evidence-based approaches. This includes implementing standardized treatment protocols, nursing and OB provider education, monthly quality audits, and hardwiring for sustainability. Our OB clinical teams attend state-of-the-art simulation training annually to reinforce collaborative teamwork in the clinical setting in response to a maternal event. Achievements: As a member of the Georgia Perinatal Quality Collaborative (GaPQC), Wellstar has successfully implemented components of three Alliance for Innovation on Maternal Health (AIM) patient safety bundles at all birthing facilities addressing the leading known causes of preventable severe maternal morbidity (SMM) and
mortality: Obstetric Hemorrhage, Severe Hypertension in Pregnancy, and Safe Reduction of Primary Cesarean Birth. Recognized for the work being done in the maternal space, Wellstar received two Georgia Hospital Association awards in 2022, and 2023. Currently, through GaPQC, Wellstar Kennestone Hospital and Wellstar Medical College of Georgia partake in the nation’s first cohort implementing a focus on AIM’s Cardiac Conditions in Obstetrical Care patient care bundle, leading to the planned implementation of a system-wide Cardio Obstetrics Program in 2025. SUCCESS STORY: As part of the obstetric hemorrhage bundle focus, the 2023 implementation of a standardized process to measure quantitative blood loss (QBL) in the birthing process ensures appropriate staging and clinical response to care for a patient experiencing an obstetrical hemorrhage. The QBL process is now hardwired with a more than 95% sustained monthly rate of compliance system wide. Community Development
From FY2022 to FY2024, Wellstar Health System has averaged an impressive 0.32% SSM rate from a total of 121 cases of obstetric hemorrhage well below the 1.5% to 2% SMM benchmark set by the American College of Obstetricians & Gynecologists and Society of Maternal Fetal Medicine.
In the 2022 CHNA Implementation Plan, Wellstar committed to increasing corporate social responsibility investments (Figure 23) and to providing positive social value through strategic partnerships and sponsorships in women’s health. Figure 23 | Community Development Investments – Women’s Health Total investments
$100K $80K $60K $40K $20K $0
$ 167,390 in investments across 16 community partner organizations to support women’s health.
$96,000
$44,510
$26,880
FY22
FY23
FY24
45 | RESPONSE TO 2022 CHNA - THREE YEARS LATER
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