AIM Substance Use Disorder Learning Collaborative
In this page you will find:
- Project Overview
- Information on 2022 Learning Collaborative
- 2021 Learning Collaborative Information and Webinars
- Participating Team Information
- Additional Information about the Learning Collaborative and the Alliance for Innovation on Maternal Health (AIM)
The Colorado AIM: Substance Use Disorder (CO AIM: SUD) Learning Collaborative focuses on establishing hospital guidelines and protocols for screening, brief intervention, and referral to treatment (SBIRT) for substance use disorder (SUD) and perinatal mood and anxiety disorders (PMADs) in the perinatal health care setting. The Learning Collaborative is based upon the AIM Obstetric Care for Women with Substance Use Disorder patient safety bundle.
2022 Learning Collaborative Cohort:
CPCQC is currently recruiting teams for our 2022 Learning Collaborative cohort. If you are interested in participating or learning more, please contact us (email@example.com)!
The 2022 Learning Collaborative cohort is open to both hospitals and outpatient obstetric care clinics. The 2021 cohort will continue to participate in the Collaborative to expand on their progress made in 2021, while continuing to learn alongside and mentor our 2022 cohort.
Webinars in 2022 will not be identical but will expand on topics that were covered in 2022, with the addition of new topics suggested by the current Learning Collaborative. We hope that this Learning Collaborative will encourage continued collaboration amongst teams, improvement in perinatal health spaces, and increased knowledge amongst healthcare providers in Colorado.
2021 Learning Collaborative Information and Webinars:
In 2021, the learning collaborative focused on advancing care in L&D units for patients with substance use and mental health disorders at the time of admission for birth. The purpose of the collaborative is to reduce maternal deaths related to suicide and overdose, which are the two leading causes, respectively, of single-cause maternal death in Colorado according to the Colorado Maternal Mortality Prevention Program’s latest report, Maternal Mortality in Colorado, 2014 – 2016.
Fourteen hospitals participated in the Learning Collaborative in 2021. Teams joined monthly coaching calls that covered a key topic in regard to SUD or PMADs. Additionally, three times in 2021, teams participated in half-day Learning Sessions which covered a variety of topics on perinatal SUD or PMADs, as well time for teams to collaborate and share challenges and successes in the Learning Collaborative. The Collaborative follows the Institute for Healthcare Improvement (IHI) Breakthrough Series Model.
Cohort Progress Made, February through September 2021: Percent of Admitted Patients Screened for SUD, Depression, Anxiety, and ACES
2021 Learning Collaborative Webinars
February: Project Kick-Off
- View recording
- View slides
- Documents discussed during the kick-off event:
March: Introduction to QI Science for Perinatal Teams
April: Learning Session #1:
- View slides
May: Applying an Equity Lens to SBIRT in Pregnancy presented by Dr. Tricia Wright
June: Panel of Recovery Advocates with Lived Experiences of SUD During Pregnancy: Improving Patient-Centered Care, facilitated by Rewa Bailey of the Aspen Medical Center
- No recording or slides available to protect the privacy of the lived experience experts.
Learning Session #2:
- Screening for Substance Use & Ethical Use of Toxicology Testing, presented by Dr. Kaylin Klie
- Interpreting Drug Tests: Limitations and Complexities by Dr. Laurie Halmo
- Clinical Considerations for Patients with SUD, presented by Dr. Brandi Ring
July: Trauma-Informed Care with Dr. Helen Coons
August: Breastfeeding and Marijuana, presented by Dr. Erica Wymore
September: Pain Management for Cesarean Delivery, presented by Dr. Cristina Wood
October: Naloxone Training, presented by Summit Stone Health Partners
Learning Session #3:
- No recording available
- View slides
- Tool Fair: Access to resources shared by teams.
- Sustainability Planning by Dr. Leisha Andersen: View slides
November: Perinatal Mental Health, presented by Dr. Sarah Nagle-Yang
- Register for this event, here.
Participating Team Information:
Data must be submitted in REDCap by the last day of each month.
Submit data to REDCap here.
Contact firstname.lastname@example.org with any questions.
Resources for Hospitals:
A database of referral resources compiled by 2021 Learning Collaborative teams. This is a working document that is updated by the Learning Collaborative teams.
Guide to Recommended Screening Tools for OB Teams.
Sample SBIRT scripts.
Language Matters: “Say This, Not That” Brief Guide to Discussing Addiction.
Interested in dispensing naloxone at your organization? The Colorado Naloxone Project is working to help healthcare organizations dispense naloxone. Learn more here!
Clinical Tools and Protocols:
- Sample Clinical Protocols and Workflows (OUD, Toxicology Testing, Pain Management, Universal Screening)
About the CO AIM: SUD Learning Collaborative
Background: Substance Use Disorder and Birth Hospitalization
When a pregnant person is admitted to the hospital for birth, a whirlwind of activity ensues. With everything that happens during this time, patients with substance use disorders (SUD) often go unidentified. When SUD is identified at any point in the pregnancy, delivery, or postpartum, the most common response is for the care team’s attention to turn toward the infant. However, it is equally critical that clinical teams optimize obstetric care for the birthing patient. Ideally, attention will be on the mother-infant dyad.
Hospital labor and delivery teams are in a unique position to ensure that no birth parent with SUD or perinatal mental health disorders falls under the radar or is left untreated.
About the Learning Collaborative
This community of practice will guide teams in implementation of best practices for universal screening, brief intervention, and referral to treatment (SBIRT) for substance use and mental health conditions among patients admitted for birth.
Participating teams will implement the Alliance for Innovation on Maternal Health’s (AIM) Obstetric Care for Women with Opioid Use Disorder patient safety bundle, with an emphasis on universal screening at admission for birth, and implementation of clinical pathways to optimize maternal care.
The high rate of co-occurrence of mental, anxiety, and substance use disorders is well documented, and incorporating maternal mental health into this project is a natural fit to address the two leading causes of maternal death in Colorado. Similarly, this project will include all substances, rather than only opioids, where applicable.
There are seemingly infinite ways to address the challenges of maternal mental health and substance use disorders in prenatal care. Hospital teams will be supported in addressing their unique needs.
Key opportunity areas for improvement addressed through this collaborative include:
- Development and implementation of universal screening protocols using validated tools
- Outlining best practices for implementing patient-centered, trauma-informed care
- Conducting staff and provider training in reducing stigma and implicit bias
- Connecting hospital teams with outpatient resources to ensure continuity of care after discharge
About the Alliance for Innovation on Maternal Health:
The Alliance for Innovation on Maternal Health (AIM) is a joint partnership of the American College of Obstetricians and Gynecologists (ACOG) and the Health and Resources Services Administration Maternal-Child Health Bureau (HRSA-MCHB). AIM publishes evidence-based Patient Safety Bundles that frame best practice guidance around hospital:
Do providers and hospital staff have the tools, resources, and education needed to provide optimal care for patients? Do families have access to the information and resources needed to help them understand their diagnosis and participate in their care?
- Recognition & prevention
Are there protocols in place to guide best practices for screening and morbidity prevention, and are hospital systems structured to standardize and simplify adherence to these protocols?
Do providers have the tools and resources, as well as system supports, to respond in the event of a diagnosis or clinical emergency?
- Reporting & systems learning
What systems are in place to assess the success of hospital interventions? Do hospitals have standardized processes to review case data and adapt based on patient outcomes?
- AIM is in the process of integrating “respectful care” to ensure equity and dignity is emphasized throughout all bundles.
Each bundle includes a summary of best practices, along with references for more information. See AIM’s website, SafeHealthCareforEveryWoman.org, to learn more.