- Project Overview
- Events/Project Calendar
- Collaborative Documents (General and Pre-Work documents)
- How to Submit Data
- Resources for Hospitals
- 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) at the time of admission for birth. The Learning Collaborative is based upon the AIM Obstetric Care for Women with Opioid Use Disorder patient safety bundle.
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.
Contact us (email@example.com) to learn more or get involved!
For hospital teams: Because implementing the changes in the project will be a team effort, we think it’s valuable to invite your entire L&D team to the events below, in addition to having your 3 hospital champions attend each. We will record all events so teams can watch calls at a later date.
For partners: All Learning Collaborative events are open to the public unless otherwise specified. Feel free to join or share with colleagues! Please note that at least 30 minutes of each Monthly Coaching Call will be dedicated to sharing challenges, successes, and questions of participating hospital teams. Additionally, portions of each Learning Session will be dedicated to group work for participating hospital teams. Only participating hospital teams will take part in these portions of the meetings.
|Description||Date(s) and Registration Links|
|Project Registration (closes 4/2)||If your hospital was not in our pilot program in Fall 2020, please complete this registration form before April 2.|
|February 12, 12:00 – 2:00 pm
|Monthly Coaching Calls||Every third Thursday of the month from 1-2:30 PM Mountain Time
|Learning Session #1
|April 2, 8:00 am – 4:00 pm
|Learning Session #2||June 30, 8:00 am – 12:00 pm
Save the date! Registration coming soon.
|Learning Session #3||Fall 2021, date TBD|
|CPCQC Fall Conference
Teams submit posters/presentations
|September 24, 2021
Please save the date! Registration to come.
|Project Closeout and Celebration||December 16, 1:00 pm – 2:30 pm
Please save the date! Registration to come.
Collaborative Team Resources:
General Collaborative Documents:
– Project Guide
This document provides an overview of the Collaborative, outlines steps for getting started, and contains checklists that walk teams through what needs to be done, when, and how for each project period.
– Change Package
This document lays out the evidence-based change concepts that will help collaborative teams achieve this year’s goals.
– Team Resources Folder
This folder contains a compilation of local, state, and national resources related to screening, treating, and referring perinatal patients for SUD or PMADs.
Participating teams should complete and share these documents with firstname.lastname@example.org by April 2.
Guidance for these documents, including templates, examples, and more, are provided under the Pre-Work Resources subfolder of your Team Resources Folder, as well as in the attachments of your Project Guide!
– Project Charter: provides a rationale + roadmap for the team’s improvement work that can be used to clarify thinking about what needs to be done and why
– Storyboard: tells your team’s story – who you are, current processes and challenges related to SUD, aspirations for the project, and strengths/expertise that you would be willing to share with other teams. This includes instructions on how to make your Process Flow Diagram.
– 30-60-90 Plan: helps your team decide where to start and what you want to accomplish in the first 3 months. Call it the “where should we start” plan.
Data must be submitted in REDCap by the last day of each month. Contact email@example.com with the full name and email address of staff members who need access to REDCap.
– Submit data to REDCap here [LINK].
– Hospital Data Collection Form (required, monthly)
– CO AIM: SUD Patient Data Sheet (optional, quarterly)
Monthly data submissions are due on the last day of each month:
– April 30
– May 31
– June 30
– July 31
– August 31
– September 30
– October 31
– November 30
– December 31
If you are submitting optional patient-level data, complete the form on the last day of each quarter:
– June 30
– September 30
– December 31
– Guide to Recommended Screening Tools for OB Teams (Word document)
– Sample Screening and Brief Intervention Workflow (Powerpoint)
– Language Matters: “Say This, Not That” Brief Guide to Discussing Addiction
Referral to Treatment:
– CPCQC Referral Resource Mapping Tool
Clinical Tools and Protocols
- Sample Clinical Protocols and Workflows (OUD, Toxicology Testing, Pain Management, Universal Screening)
Additional Information about the Learning Collaborative and the Alliance for Innovation on Maternal Health (AIM)
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 CO AIM: SUD 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.