Lead Agency/Contact: New Jersey Department of Health, Division of Family Health Services/
Partners: State of New Jersey (NJ), Office of the Governor; NJ Hospital Association; NJ ACOG; University of Maryland Institute for Perinatal Quality Improvement; NJ Department of Human Services, Division of Medical Assistance and Health Services; NJ Health Care Quality Institute; Catholic HealthCare Partnership of NJ; Hospital Alliance of NJ; and the Fair Share Hospitals Collaborative. Partners also include NJ American College of Nurse Midwives; NJ Medical Society; Association of Women’s Health Obstetric and Neonatal Nurses; American College of Emergency Physicians; Planned Parenthood of NJ; NJ Association of Osteopathic Physicians and Surgeons; NJ Primary Care Association; Partnership for Maternal and Child Health of Northern NJ; Central Hersey Family Health Consortium; and the Southern NJ Perinatal Cooperative
Related Initiatives & Collaboratives: CDC; NJ Health Information Network; NJ Perinatal Quality Collaborative; NJ Health Care Quality Institute: Federally Qualified Health Centers; and Nurture NJ. Commissioner’s Grand Rounds on Implicit Bias in Maternal Health; Title V; Healthy Women, Healthy Families; Maternal Infant and Early Childhood Home Visiting Program; and Medicaid Value-based Payment
MHLIC Coach: Jimmy Dills, MPH, MUD
Outcome Measures: Pregnancy-associated death ratios; Pregnancy-related death rations
SMM rates; Pregnancy-relation death ratios among Black women; SMM among Black women
Goals:
Establish a state-focused Maternal Health Task Force to create and implement a strategic plan that incorporates activities outlined in the state’s most recent State Title V Needs Assessment
- Create NJ Maternal Care Quality Collaborative (NJMCQC)
- Create and disseminate strategic plan with action plans based on indicators
- Active monitoring of indicator progress, with reporting of goals, targets, progress, and achievements
- Edit strategic plan based on progress
Improve the collection, analysis, and application of state-level data on maternal mortality and SMM
- Create maternal data center for real-time data processing and linkage of data
- Recruit NJ birthing hospitals to subscribe to maternal data center
- Maternal Dashboard and NJ Report Card of Hospital Maternity Care: Regression analysis to produce risk-adjusted rates of cesareans and complications, demographic and health differences, and risk-adjusted complication rates (to be published annually in multiple languages)
- Enhance the NJ Maternal Mortality Review Committee (NJMMRC) by improving determination of pregnancy-related cases, more frequent meetings, improving review of data, and production of annual reports, infographics, and slide decks
Promote and execute innovation in maternal health service delivery, such as improving access to maternal care services, identifying and addressing workforce needs, and/or supporting postpartum and interconception care services, among others
- Provide implicit bias training to providers in maternal health
- Design and pilot shared decision-making tool for hospital and birthing centers
- Create policy for four maternal levels of care
- Begin Project ECHO (Extension for Community Healthcare Outcomes), a telementoring program that trains providers in best-practice, disparities, and patient care management, for maternal mortality
- Improve accessibility and interoperability of PRA to connect women to community-based services
- Increase access to contraception, esp. LARCs