1.Strong Start for Mothers and Newborns: Reducing Early Elective DeliveriesWebinarNovember 28, 2012

2. Housekeeping & AgendaSpeakers:Erin Smith, CMS Innovation CenterDr. Hal Lawrence, American College of Obstetricians and GynecologistsDr. Scott Berns, March of DimesDr. Kenneth Brown, Womans Hospital (Baton Rouge, LA)Dr. Kathleen Simpson, Mercy Hospital (St. Louis, MO)Vi Naylor and Lynne Hall, Georgia Hospital AssociationDr. Stephen Barlow, SelectHealth (Murray, UT)Questions & Answers2 3. Erin SmithPatient Care Models GroupCMS Innovation Center3 4. Strong Start Initiative:Two Strategies to Improve Birth OutcomesThe Strong Start initiative has two different but related strategies: 1. Reducing Early Elective2. Delivering Enhanced PrenatalDeliveriesCare A test of a nationwide public-A funding opportunity for private partnership and providers, States and other awareness campaign to spreadapplicants to test the the adoption of best practiceseffectiveness of specific enhanced that can reduce the rate of early prenatal care approaches to elective deliveries before 39 reduce pre-term births in women weeks for all populations.covered by Medicaid & CHIP.4 5. Strategy 1:Reducing Early Elective Deliveries 5 6. Strategy 1: Promote Awareness Awareness and Visibility Events 6 regional events Media outreach TV, radio, print, in store audio, search enginemarketing, and waiting room TV. WebMD consumer page6 7. Strategy 1: Spread Best Practice The Strong Start initiative is leveraging theexisting infrastructure of the Partnership forPatients, including the participating HospitalEngagement Networks (HEN), to supporthospitals across the country in their efforts todecrease the number of early elective deliveries. HENs set individual goals related to reducing earlyelective deliveries. Medscape early elective delivery ContinuingMedical Education (CME) opportunity7 8. Strategy 1:Promote Transparency In the FY 2013 Inpatient Prospective PaymentSystem final rule, CMS finalized the addition ofa new measure to the Inpatient QualityReporting (IQR) Program. Elective delivery prior to 39 completed weeks ofgestation (NQF #0469) For payment determinations in FY 2015 8 9. Hal C. Lawrence, MD, FACOGExecutive Vice PresidentAmerican College of Obstetricians andGynecologists9 10. 39 Weeks: A Strong Start for Moms & BabiesHal C. Lawrence, MD, FACOG Executive Vice PresidentAmerican College of Obstetricians and Gynecologists Washington, DC November 28, 2012 11. ACOG The Nations womens health physicians. Providing education and clinical guidance to57,000 ob-gyns and partners in womens health. Dedicated to ensuring the safest possiblepregnancies and births. Committed to Strong Start and eliminating earlyelective inductions. 12. Preterm DeliveriesChange ChangeGestational199020042005 from2010 from age 1990 20050.1 0.04