№ files_lp_4_process_3_109346
Quality improvement cycle worksheet documenting the planning, implementation, evaluation, and revision of a clinical process for immediate postpartum LARC implant placement in participating hospitals.
Year: 2018
Cycle number: 1
Start date for cycle: 7/1/2018
End date for cycle: 9/30/2018
Project SMART aim: By 12/2019, FPQC participating hospitals will increase the percentage of LARC placement (IUD or implant) in postpartum women desiring LARC contraception from 0% to 50%
Objective of cycle: Compliance with the proposed LARC implant placement process in more than 50% of patients who desire a LARC IUD
Clinical focus: Immediate postpartum LARC insertion
Healthcare setting: Clinic, Labor and Delivery, OB OR, and postpartum units
Healthcare organization referenced: TGH
Stakeholders: Patients, triage and postpartum nursing staff, residents, midwives, attending physicians, supply staff
Process components: Consent obtained, order set used, provider note used, procedure note used, follow-up instruction phrase documented
Information system referenced: EPIC electronic medical record system
Intervention components: Supply kits for LARC insertion, standardized provider and procedure notes, order sets, follow-up instruction template
Measurement approach: Compliance rates with documentation tools, checklist completion, chart review, number of LARC implants placed, qualitative feedback from providers and nurses
Observed implementation issues: Delays in EMR tool availability, initial lack of equipment, incomplete supply kits, inconsistent use of follow-up documentation
Outcome of cycle: 30% compliance with LARC implant placement process
Implementation barriers: Equipment availability delays and limited use of EMR tools by providers
Decision after evaluation: Adapt the change and continue improvements to documentation and provider compliance
Price: 8 / 10 USD
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