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TWO WIDELY USED QUALITY MEASURES FOR OBSTETRIC CARE NOT ASSOCIATED WITH SEVERE COMPLICATIONS IN MOTHERS AND BABIES

INTRO: Each year in the United States about 60 thousand women and one out of every ten low-risk babies experience severe complications during and after childbirth. There are existing quality measures used to assess these complication rates in order to help hospitals provide better care. A new study evaluated two of these measures to determine if they were associated with severe complications in both mothers and their babies. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-R0LL
Margaret holding her baby, cu of baby

AUDIO
VO
NEW MOM MARGARET STEVENS IS HOLDING HER FIRST CHILD, JOHN RANDALL O’KEEFE.

AUDIO
SOT/FULL Super@:04 Margaret Stevens – New Mother Runs:08
“When we got through the labor and delivery and there were no complications it was just a huge feeling of relief.”

VIDEO
B-ROLL
Margaret and her baby

AUDIO
vo
HOWEVER, NOT ALL DELIVERIES ARE THAT SMOOTH.

AUDIO
SOT/FULL Super@:15 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:08
“There’s significant variation in how well hospitals perform in the care they deliver to women during their delivery hospitalization.”

VIDEO
B-ROLL
Dr. Howell walking in hospital, talking with colleague
Graphic over video, various shots of hospital nursery, cu of babies hand

AUDIO
VO
DR. ELIZABETH HOWELL FROM THE ICAHN SCHOOL OF MEDICINE AT MT. SINAI AND CO-AUTHORS EXAMINED TWO WIDELY USED QUALITY MEASURES, ELECTIVE DELIVERIES PERFORMED PRIOR TO 39 WEEKS OF GESTATION AND CESAREAN DELIVERIES IN LOW-RISK WOMEN, LOOKING TO SEE WHETHER THESE WERE ASSOCIATED WITH SEVERE COMPLICATIONS IN MOTHERS AND THEIR BABIES. THEY EXAMINED 116 THOUSAND DELIVERIES THAT TOOK PLACE AT 41 NEW YORK CITY HOSPITALS DURING 2010.

AUDIO
SOT/FULL Super@:47 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:10
“Hospitals that performed well on these quality measures didn’t necessarily have low rates of severe complications in moms or babies.”

VIDEO
B-ROLL
Graphic over video

AUDIO
VO
SEVERE COMPLICATIONS FOR MOTHERS INCLUDE, KIDNEY FAILURE, RESPIRATORY FAILURE, AND THE NEED FOR BLOOD TRANSFUSIONS. FOR BABIES, NERVE DAMAGE, HYPOXIA OR NOT HAVING ENOUGH OXYGEN, SHOCK AND INFECTION.

AUDIO
SOT/FULL Super@1:08 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:09
“About one in every 42 women had one of these severe maternal complications. One in about 13 babies had a complication.”

(Video covering middle of bite: mother walking with baby)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:21 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:20
“Some hospitals had rates that were three to four times higher than other hospitals. The current measures are not sufficient, they’re good but we need more, and unless we measure the right things we don’t know where to improve. We want a robust set of quality measures that capture the outcomes that are important to women.”

(Video covering middle of bite: Dr. Howell looking at chart, nurse attending to a baby)

VIDEO
B-ROLL
Margaret and her baby

AUDIO
VO
ALTHOUGH MARGARET IS TIRED, SHE IS ENJOYING BEING A MOM.

AUDIO
SOT/FULL Super@1:44 Margaret Stevens – New Mother Runs:11
“I’ve only had two hours of sleep, so motherhood has been sleepy but filled with an indescribable feeling of joy and relief.”

(Video covering 2nd half of bite: Margaret and her baby)

VIDEO
B-ROLL
Margaret and her baby on the bed

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: ON AVERAGE, A HOSPITAL WITH HIGHER COMPLICATIONS IN MOTHERS ALSO HAD HIGHER COMPLICATIONS IN BABIES.

INTRO: Each year in the United States about 60 thousand women and one out of every ten low-risk babies experience severe complications during and after childbirth. There are existing quality measures used to assess these complication rates in order to help hospitals provide better care. A new study evaluated two of these measures to determine if they were associated with severe complications in both mothers and their babies. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-R0LL
Margaret holding her baby, cu of baby

AUDIO
VO
NEW MOM MARGARET STEVENS IS HOLDING HER FIRST CHILD, JOHN RANDALL O’KEEFE.

AUDIO
SOT/FULL Super@:04 Margaret Stevens – New Mother Runs:08
“When we got through the labor and delivery and there were no complications it was just a huge feeling of relief.”

VIDEO
B-ROLL
Margaret and her baby

AUDIO
vo
HOWEVER, NOT ALL DELIVERIES ARE THAT SMOOTH.

AUDIO
SOT/FULL Super@:15 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:08
“There’s significant variation in how well hospitals perform in the care they deliver to women during their delivery hospitalization.”

VIDEO
B-ROLL
Dr. Howell walking in hospital, talking with colleague
Graphic over video, various shots of hospital nursery, cu of babies hand

AUDIO
VO
DR. ELIZABETH HOWELL FROM THE ICAHN SCHOOL OF MEDICINE AT MT. SINAI AND CO-AUTHORS EXAMINED TWO WIDELY USED QUALITY MEASURES, ELECTIVE DELIVERIES PERFORMED PRIOR TO 39 WEEKS OF GESTATION AND CESAREAN DELIVERIES IN LOW-RISK WOMEN, LOOKING TO SEE WHETHER THESE WERE ASSOCIATED WITH SEVERE COMPLICATIONS IN MOTHERS AND THEIR BABIES. THEY EXAMINED 116 THOUSAND DELIVERIES THAT TOOK PLACE AT 41 NEW YORK CITY HOSPITALS DURING 2010.

AUDIO
SOT/FULL Super@:47 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:10
“Hospitals that performed well on these quality measures didn’t necessarily have low rates of severe complications in moms or babies.”

VIDEO
B-ROLL
Graphic over video

AUDIO
VO
SEVERE COMPLICATIONS FOR MOTHERS INCLUDE, KIDNEY FAILURE, RESPIRATORY FAILURE, AND THE NEED FOR BLOOD TRANSFUSIONS. FOR BABIES, NERVE DAMAGE, HYPOXIA OR NOT HAVING ENOUGH OXYGEN, SHOCK AND INFECTION.

AUDIO
SOT/FULL Super@1:08 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:09
“About one in every 42 women had one of these severe maternal complications. One in about 13 babies had a complication.”

(Video covering middle of bite: mother walking with baby)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:21 Elizabeth A. Howell, M.D., M.P.P., – Icahn School of Medicine at Mt. Sinai Runs:20
“Some hospitals had rates that were three to four times higher than other hospitals. The current measures are not sufficient, they’re good but we need more, and unless we measure the right things we don’t know where to improve. We want a robust set of quality measures that capture the outcomes that are important to women.”

(Video covering middle of bite: Dr. Howell looking at chart, nurse attending to a baby)

VIDEO
B-ROLL
Margaret and her baby

AUDIO
VO
ALTHOUGH MARGARET IS TIRED, SHE IS ENJOYING BEING A MOM.

AUDIO
SOT/FULL Super@1:44 Margaret Stevens – New Mother Runs:11
“I’ve only had two hours of sleep, so motherhood has been sleepy but filled with an indescribable feeling of joy and relief.”

(Video covering 2nd half of bite: Margaret and her baby)

VIDEO
B-ROLL
Margaret and her baby on the bed

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: ON AVERAGE, A HOSPITAL WITH HIGHER COMPLICATIONS IN MOTHERS ALSO HAD HIGHER COMPLICATIONS IN BABIES.

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