Perinatal Center 2017-09-21T15:08:56+00:00

Perinatal Center

A Perinatal Center must be capable of providing the highest level of care for high risk women and neonates in the Network and must have an administrative dedicated staff charged with the responsibility of implementing the Department of Public Health’s Regionalized Perinatal Program.

The University of Illinois Clinical and Administrative Perinatal Centers are located within the University of Illinois Hospital & Health Sciences System, which brings together academia, clinical research and advanced clinical services in one location. All of the major health care professions including medicine, nursing, dentistry, pharmacy, allied health and public health are located in one place. The University of Illinois Hospital & Health Sciences System and ambulatory clinics are equipped with the latest technology and are staffed with well educated personnel. As a result of this rich mix of expertise and advanced technology, the University of Illinois Hospital & Health Sciences System is able to provide sophisticated sub-specialty care 24/7 and is an ideal site for the referral of high risk pregnancies and high risk neonates.

The University of Illinois at Chicago has been an active participant in the development, implementation and ongoing administration of the Regionalized Perinatal Program in Illinois. From the inception of perinatal regionalization, the University of Illinois has a continuous record of active involvement in improving the outcomes for women and children by providing progressive care and improving care within its Network of Hospitals through the provision of exemplary professional education, program implementation and quality monitoring.

Role of the University of Illinois in the State of Illinois Regionalized Perinatal Program

Illinois Department of Public Health Perinatal Program

The Illinois Department of Public Health’s (IDPH) Perinatal Program is a comprehensive statewide system of services created to provide the best opportunity for optimal care throughout pregnancy, early infancy, and to improve the health outcomes of women and infants in Illinois. These services are especially targeted to pregnant women with high risk conditions and newborns requiring neonatal intensive care. This regionalized program is a multi-tiered structure, lead by IDPH. IDPH has an advisory committee (Perinatal Advisory Committee, PAC) that makes recommendations in matters pertaining to perinatal health care. In addition there are ten regions throughout the State each administered by an administrative perinatal center.

UIC Administrative Perinatal Center

The University of Illinois at Chicago Medical Center has been an active participant in the development, implementation and ongoing administration of the Regionalized Perinatal Program in Illinois.  From the inception of Perinatal regionalization, the University of Illinois has a continuous record of active involvement in improving the outcomes  for women and children by providing and improving care within its network of hospitals through the provision of exemplary professional educational programs and the implementation of quality monitoring.

Clinical and Administrative Responsibilities of Regional Perinatal Centers

Clinical Responsibilities:

The Regionalized Perinatal Healthcare Code 640 requires the Administrative Perinatal Center be part of a university or university affiliated hospital. These clinical sites must be capable of providing the highest level of care within the region for high-risk maternal and neonatal patients and must participate in a thorough re-designation process every three years to verify that they have the required specialized personal and services available 24 hours a day.

Administrative Responsibilities:

Besides providing expert clinical services, the Perinatal Center must have dedicated staff responsible for providing leadership, oversite and education for its Region of Network Hospitals. Specifically, IDPH requires Administrative Regional Perinatal Centers to be responsible for:

·        Designing and implementing IDPH’s Quality Improvement (CQI) Program
·        Collecting and analyzing data.
·        Conducting quarterly perinatal morbidity and mortality reviews with Network Hospitals.
·        Conducting Site Reviews at Network Hospitals to evaluate perinatal services and outcomes.
·        Providing educational programs for physicians and nurses to ensure optimal perinatal care
·        Monitoring the maternal and neonatal transport system

The Administrative Perinatal Centers are also required to participate in the re-designation process every 3 years to validate fulfillment of their responsibilities.  The University of Illinois at Chicago is one of the ten Regional Perinatal Centers in Illinois, the other Centers include: University of Chicago, Stroger Hospital of Cook County, Northwestern Memorial Hospital, LoyolaUniversity Medical Center, Rush University Medical Center, Rockford Memorial Hospital, St. Francis Medical Center of Peoria, St. John’s Hospital of Springfield and the Southern Illinois Perinatal Program.

Quality Improvement Activities:

Monitoring Standards and Outcomes of Perinatal Care: Monitoring standards of perinatal care throughout the Network is a major work component for the Center. The Perinatal Center monitors service and outcome standards through: Hospital site visits, Morbidity and Mortality Reviews, quality improvement projects and the analysis of data reports. ThePerinatalCenter has a data committee which works closely with the University of Illinois School of Public Health to analyze quality improvement data for the purpose of assessing network specific outcomes and implementing solutions directed at quality improvement.

Monitoring the Perinatal Transport System

Monitoring of Patient Transports and Follow-up: The University of Illinois Hospital and other Level III tertiary care facilities in the network accept referrals for transfer (via ambulance) or transport. Perinatal Center Staff monitor the transfer/transport process to ensure compliance with established protocols and quality assurance standards. Additionally, Perinatal Center Staff assist in the provision of patient outcome and discharge information to referring physicians and hospitals.
Important links to governmental and professional organizations:
http://www.idph.state.il.us/ Illinois Department of Public Health
http://www.aap.org/American Academy of Pediatrics
http://www.nann.org/ National Association for Neonatal Nurses
http://www.awhonn.org/awhonn/ Association for Women’s Health Obstetrics and Neonatal Nursing
http://www.cdc.gov/ Center for Disease Control
http://www.nih.gov/ National Institutes of Health
UICCenter for Women’s Health

University of Illinois at Chicago Perinatal Center and its Network

The University of Illinois was designated as an Administrative Perinatal Center in the late 1970’s and is composed of two Level III institutions: the University of Illinois Medical Center (UIC) and Advocate Christ Medical Center.

UIC holds the ultimate responsibility for administration of the Region ( Network) and is assisted by designated staff fromAdvocateChristMedicalCenter. There are 11 hospitals within the University of Illinois Region (Network).

Hospitals in the University of Illinois Perinatal Network:

Level III Hospitals Deliveries 2009Level II+ Hospitals Births
2009
Level II Hospitals Births
2009
University of Illinois
2639
Delnor
1773
Advocate Trinity
1654
Advocate Christ
4064
Provena Mercy
1126
Advocate South Suburban
1520
Advocate Lutheran General
4155
Holy Cross
Holy Cross to suspend OB Services July 2008 – Reopened 2-2010
Advocate Good Samaritan
1815

University of Illinois Region / Network of Hospitals
Clinical Services Available for High Risk Mothers and Neonates
As Level III perinatal facilities, University of Illinois Hospital & Health Sciences System and Advocate Christ Medical Centerprovide comprehensive care for women experiencing complicated, high-risk pregnancies and newborns with special care needs. Both institutions accept referrals and have experienced maternal and neonatal transport teams to transport high risk mothers or babies requiring Level III care.

Clinical Services for Women with High Risk Pregnancies:
University of Illinois at Chicago Department of Obstetrics and Gynecology
The University of Illinois Department of Obstetrics and Gynecology, headed by Mary Stephenson MD, MSc, has a full complement of providers (from Midwives to Sub-specialists) caring for women throughout the life cycle. The Division of Maternal – Fetal Medicine is within the Department of OB and the members of this Division are known for their expertise in prenatal diagnosis and management of conditions, which can have adverse effects on the mother and / or the fetus. Both the Women’s Care Center and the Inpatient units have experienced multidisciplinary teams ready to provide comprehensive care for mothers with high risk pregnancies.  A MFM Sub-specialist is available for phone consultations or transport requests from referring physicians at all times.

Hot Line Number Links for High Risk Obstetric patients

Phone Consultation / Transport call:   312-666-0555, Fax 312-996-9350

To make an appointment call:   312–996-6931

The members of the MFM Division work closely with the faculty in the other OB sub-specialties and clinical sub-specialties to provide individualized care to complex patients.

Clinical Services for High Risk Neonates:
The Department of Pediatrics at the University of Illinois, headed by Benjamin W. Van Voorhees, MD, MPH, is able to provide comprehensive care for neonates and children with complex conditions.
The Division of Neonatology is part of the Department of Pediatrics and has a long history of conducting clinical research in neonatal medicine, which has resulted in the advancement of the care of high risk neonates. The University of Illinois Neonatal Intensive Care is staffed 24 hours a day by an experienced multidisciplinary team that includes neonatologists, neonatal nurse practitioners, registered professional nurses, respiratory therapists, social workers and spiritual care providers. This team of health professionals is ready to care for preterm and high risk neonates with life-threatening conditions requiring medical or surgical interventions. An Attending Neonatologist is on site at all times and is immediately available for consultation or transport of a high risk neonate from a referring provider.

Hot Line Number Links for High Risk Neonates:

Phone consultation or Neonatal transport call: 312-996-4150 Fax 312-996-2328

NETWORK NURSING CLINICAL LEADERSHIP MEETINGS

SCHEDULE FOR 2013

 

MONTH/DATE

 

TIME

 

LOCATION

Thursday, February 281:00 PMUICCOMRB 2175

909 S. Wolcott St.

Thursday, May 161:00 PMTrinity

2320 E 93rd St.

Chicago, IL 60617

Room: Solarium

Thursday, September 121:00 PMDelnor

Medical Office Building 351

Lower Level 4

Friday, December 61:00 PMLutheran

10th Floor Special Functions

Dining Room

NETWORK MANAGERS MEETINGS

Note New Meeting Locations

2013

MONTH/DATE 

TIME

 

LOCATION

Thursday, January 101:00pm -3pmRoom 6175

COMRB

909 S. Wolcott

Thursday, April 181:00pm -3pmRoom 6175

COMRB

909 S. Wolcott

Thursday, July 111:00pm -3pmRoom 6175

COMRB

909 S. Wolcott

TBAAll DAYAnnual Educational Conference

UNIVERSITY OF ILLINOIS

MORBIDITY AND MORTALITY REVIEWS

2013

 

REVIEW DATE

 

MONTH TO BE REVIEWED 

TIME

 

PLACE

Thursday, January 31November 20127:30amRoom 4123
Thursday, February 28December 20127:30amRoom 4123
Thursday, March 28January 20137:30amRoom 4123
Thursday, April 25February7:30amRoom 4123
Thursday, May 30March7:30amRoom 4123
Thursday, June 27April7:30amRoom 4123
Thursday, July 25May7:30amRoom 4123
Thursday, August 29June7:30amRoom 4123
Thursday, September 26July7:30amRoom 4123
Thursday, October  31August7:30amRoom 4123
 

Thursday, November 14*

September7:30amRoom 4123
 

Thursday, December 12*

October7:30amRoom 4123

These meetings will be held on the last Thursday of each month.  Please note that the meetings which would fall on a holiday weekend have been moved to the 3rd Thursday and are indicated by (*)

Neonatal Resuscitation Instructor’s and Provider’s Courses:

The Perinatal Center established a goal in 1989 that an individual trained in neonatal resuscitation should be present at every delivery. To facilitate achievement of this goal, the University of Illinois sponsored and coordinated the first American Heart Association/American Academy of Pediatrics course on neonatal resuscitation held in Illinois during February of 1989. All network hospitals in Illinois sent individuals to this course to be trained as regional trainers. These trainers initiated resuscitation courses in their regions in order to prepare instructors at each of the hospitals in their Networks. Then the hospital-based instructors assumed responsibility for teaching resuscitation techniques to their peers. The UIC Perinatal Center continues to offer Hospital-Based Instructor courses and continues to participate in training courses when Network hospitals request assistance. The center also co-ordinates the resuscitation courses for new obstetric and pediatric residents.

Course Description

The Neonatal Resuscitation Program is an educational program that introduces the concepts and basic skills of neonatal resuscitation. This eight hour course has been designed to teach an evidence-based approach to resuscitation of the newborn. The causes, prevention, and management of mild to severe neonatal asphyxia are carefully explained so that health professionals may develop optimal knowledge and skill in resuscitation. All program components reflect the AAP/AHA guidelines’ increased emphasis on evidence-based treatment recommendations, as well as the new International Liaison Committee on Resuscitation (ILCOR) evidence-based consensus on science.
A comprehensive instructional textbook, which includes an interactive multi-media DVD-ROM, forms the basic educational component of the program and is included in the registration fee.

Target Audience

Physicians, Nurses, Residents, EMT and Respiratory Therapist who work with Perinatal patients

Successful Completion

Successful completion of this course requires a passing score on written evaluation for each lesson as well as successful completion of each skills station and a megacode. Upon successful completion, participants are eligible to receive a course completion card. This verification of participation is not issued on the day of the course. Instructors will distribute course completion cards after the course roster is received and approved by the AAP life support staff.
Completion of the program does not imply that an individual has the competence to perform neonatal resuscitation. Each hospital is responsible for determining the level of competence and qualifications required for someone to assume clinical responsibility for neonatal resuscitation.

Course Dates

Price

Outpatient Perinatal Education Program (OPEP):

A self-study continuing education program developed by a multidisciplinary team of authors at the University of Virginia describing care of the high risk mother, fetus, and infant, designed for providers of outpatient obstetric and neonatal care. It has been used by thousands of participants in Virginia, North Carolina, South Carolina, Illinois and Missouri.

Course Description:

The program is designed to be a practical self-study guide to perinatal care, using accepted national standards. It includes:
• 19 self-instructional modules housed in 3 books, which describe the care of high risk mothers and babies. Each book includes a glossary and index.
• 6 skill units to be read by participants and then practiced at sessions organized by local or regional coordinators
• 2 videotapes, approved for CEU credit for nurses as adjuncts to the written material.

Target Audience

The program was designed for physicians and nurses delivering outpatient services, yet it has proven to be valuable for inpatient staff as well. The targeted audience is physicians, nurses in offices, clinics, home care companies, and public health departments, and allied health professionals in these settings. The program is multidisciplinary in focus, since patient needs are usually met by a team of providers with roles that may change depending upon the patient care setting.

Successful Completion:

Each module of study is awarded separate units of credit. The number of credits awarded to each participant depends upon how many modules are completed.

Physicians
The University of Virginia (UVA) School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The UVA School of Medicine designates this educational activity for a maximum of 28 category 1 credits towards the AMA Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.
? Book One designated for up to 18 credits
? Book Two designated for up to 6 credits
? Book Three designated for up to 5 credits
Non-Physicians who wish CME Credit (e.g.nurse practitioners, respiratory therapists, certified nurse midwives, physician assistants, and others)

  • UVA School of Medicine awards 0.1 CEU per contact hour (50 minutes of study) to each non-physician participant who successfully completes this educational activity. The CEU (Continuing Education Unit) is a nationally recognized unit of measure for continuing education and training activities that meet specific educational planning requirements. The UVA School of Medicine maintains a permanent record of participants who have been awarded CEUs.For Nurses (includes RN, LPN, NP, CNM)
    • Approved for up to 43 contact hours by the Virginia Nurses Association (VNA) which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation.
    ? Book One designated for up to 23.5 credits
    ? Book Two designated for up to 12 credits
    ? Book Three designated for up to 9 credits

Course Dates

Ongoing

Price

S.T.A.B.L.E. Neonatal Transport Education Program

S.T.A.B.L.E. is the most widely distributed and implemented neonatal education program to focus exclusively on the post-resuscitation/pre-transport stabilization care of sick infants.

Course Description

The S.T.A.B.L.E. course is designed for staff charged with stabilizing infants prior to transport. Based on a mnemonic to optimize learning, retention and recall of information, S.T.A.B.L.E. stands for the six assessment and care modules in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support. A seventh module, Quality Improvement stresses the professional responsibility of improving and evaluating care provided to sick infants. It facilitates the development of skills needed to prevent, detect and manage hypoglycemia, hypothermia, hypoxia, hypoventilation, hypotension and sepsis in the neonate and to provide emotional support to parents.

Target Audience

Physicians: Pediatric, ER, family practice, and obstetric physicians including residents
Nurses: RNs working in L&D, postpartum, nursery, emergency departments, Nurse midwives Licensed practical nurses, Nursing assistants

Others:

Respiratory therapists, pre-hospital providers, Emergency Medical Technicians and Paramedics

Successful Completion

Course Dates

Price

Neonatal Skills Day

The Neonatal Clinical Skills Workshop is designed to provide an opportunity to review basic nursing skills used in the L&D and Nursery settings.

Course Description

The workshop currently involves skills stations for participants to gain “hands-on” experience utilizing the following skills, however, additional skills can be added or substituted upon request:

Securing/TapingProceduresTransilluminationX-Ray interpretation
Peripheral IV’s

PCVC’s

Umbilical Lines

ET Tube / CPAP

Nasal Cannula

Chest Tube

NG / OG

OG/NG Placement

Water Seal Set-up

Heimlich Valve

IV insertion

Ventilator Safety

Heelstick

Pneumothorax

Vessels for IV’s

Lines/tubes

Heart

Lungs

GI issues

Target Audience

Physicians, Nurses, Residents, EMT and Respiratory Therapist who work with Perinatal patients

Successful Completion

Course Dates

Price

Basic Fetal Monitoring Course

This workshop focuses on the application of essential fetal heart monitoring knowledge and skill in the nursing practice. They will receive information on the most current National Institute on Child Health and Development (NICHD) terminology that will allow them to provide evidence-based strip interpretation and nursing interventions

.

Course Description

The course will define methods of monitoring, instrumentation, physiology and pathophysiology of the FHR, FHR characteristics. Both lecture and practical strip review will be utilized to assist the learner.

Target Audience

Basic fetal monitoring is a workshop developed for the RN with 0-6 months experience in L&D or Antepartum.

Successful Completion

By the end of the course, the participant will be able to recognize basic FHR patterns and describe appropriate nursing interventions. Continuing Nursing education credit will be awarded

Course Dates

Price

AWHONN’s Intermediate Course (IFMC)

The two-day workshop is offered in a standardized format that can be used as a competency assessment to validate the knowledge and skills of experienced nurses. Participants analyze case scenarios using key physiologic principles.

Course Description

Intermediate FMC is designed to enhance and validate the knowledge and skills of experienced health care professionals. Using the National institutes of Child Health and Human Development (NICHD) terminology, the didactic sessions discusses proper assessment, techniques and interpretation of the fetal heart rate and contraction pattern. The skill sessions offer demonstration, practice, and testing of the following skills: auscultation, performing Leopold’s Maneuvers, placement of an intrauterine pressure catheter and spiral electrode, interpretation of tracings, identification of indicated nursing interventions, communication, and documentation.

Target Audience

This course is designed for registered nurses and physicians with a minimum of six months clinical nursing experience using fetal heart monitoring technology in an antepartum or intrapartum setting. Participants are expected to already have basic knowledge and related skills in the following areas:

• Maternal physiologic changes of pregnancy
• Fetal growth and development
• Methods of fetal monitoring
• Preparation of patient for setup and initiation of external or internal fetal monitoring
• Obtaining and maintaining tracings that document fetal heart rate and uterine contractions
• Interpretation of uterine contraction frequency, duration, and baseline resting tone
• Identification of the baseline fetal heart rate, variability, and deviations
• Indicated clinical interventions
• Communication and documentation standards

Successful Completion

Successful participation and completion of all lectures and skill stations is required to obtain contact hours or CME
At the conclusion of this workshop, participants should be able to:
• Demonstrate the decision-making process necessary for the proper selection and verification of fetal heart monitoring techniques
• Analyze fetal heart rate patterns and their implications for fetal well-being
• Correlate indicated clinical interventions with related maternal-fetal physiology
• Describe the role and responsibility of the professional nurse in the use of FHM in intrapartum care
• Simulate the psychomotor skills used in FHM
• Communicate verbal and written data to verify accountability.
This two day workshop earns 18 contact hours and 15.25 CMEs.

Course Dates

Price
For nurses $145 for in network/ $170 out of network
For physicians $180 for in network / $230 for out of network

AWHONN’s Advanced Fetal Heart Monitoring Principles and Practice Course (AFHMPP)

Advanced Fetal Heart Monitoring Principles and Practices (AFHMPP) is a one-day workshop focusing on the application of advanced fetal heart monitoring knowledge and skills in intrapartum nursing practice (contact hour credit includes independent study in preparation for the workshop).

Course Description

The content presented in this workshop builds on the essential knowledge and skills gained through the FHMPP two-day workshop. The AFHMPP Workshop uses a case study approach focusing on the analysis of complicated FHM patterns/characteristics and related case information. The workshop emphasizes: underlying maternal-fetal physiology, instrumentation, interpretation, intervention, and verbal and written communication skills.

Target Audience

This course is designed for registered nurses and physicians who successfully complete the Intermediate FHM Course, a comparable fetal heart monitoring workshop, and/or are certified in fetal heart monitoring.

In addition to the knowledge and skills attained from the Intermediate course, participants are also expected to have basic knowledge and related skills in these areas:
• Maternal physiologic changes of pregnancy related to intrapartum complications such as uterine rupture, abruption placentae, placenta previa, and fetal-maternal hemorrhage
• Methods of advanced fetal monitoring such as pulse oximetry and computerized charting
• Identification of complex fetal heart rate monitoring patterns such as confusing patterns, combined patterns, dysrhymias, arrhythmias, and sinusoidal patterns.

Successful Completion

Successful completion of written examinations is required to complete the course and earn continuing education credit. Participants who attend the full workshop and successfully pass the skills and written tests earn 12 contact hours of continuing education credit or 10.0 CME. No partial credit is awarded

.

Course Dates

June 5, 2009 Advocate Good Samaritan Hospital Red Oak Room

October 5, 2009 Advocate Christ Hospital Four Seasons Room

AWHONN’s Instructor Course

This 1-day course focuses on the principles of adult learning and the application of same to the Intermediate Course. Each participant is required to present an assigned segment of the Intermediate Course during the day.

Course Description

The content presented in this workshop builds on the essential knowledge and skills gained through the FHMPP two-day workshop. The AFHMPP Workshop uses a case study approach focusing on the analysis of complicated FHM patterns/characteristics and related case information. The workshop emphasizes: underlying maternal-fetal physiology, instrumentation, interpretation, intervention, and verbal and written communication skills.

Target Audience

This course is designed for registered nurses and physicians who are interested in teaching any of the AWHONN Fetal Heart Rate Monitoring Courses. In addition to the knowledge and skills attained from the Intermediate course, participants are also expected to have basic knowledge and related skills in these areas:
Minimum requirements to participate in this training include:
• Current AWHONN membership
• Successful completion of AWHONN’s Intermediate Course
• Minimum 2 years experience in intrapartum care.
• Current clinical involvement in fetal heart monitoring as a staff nurse, manager, clinical nurse specialist, or educator.
• Current responsibility for the evaluation of clinical skills of others in fetal heart monitoring.
• Ongoing professional development in intrapartum care and fetal heart monitoring.

Successful Completion

Participants who successfully complete the Instructor Course are considered “Instructor Candidates” until evaluated by an instructor trainer or other designated instructor. 8.7 contact hours are awarded upon successful completion of the course

Course Dates

New Educational Resource at UIC….Perinatal Simulation
UNIVERSITY OF ILLINOIS at CHICAGO
INSTITUTE for PERINATAL SIMULATION and RESEARCH

Mission Statement

The University of Illinois at Chicago Institute for Perinatal Simulation and Research is dedicated to education that will improve the care and safety of Perinatal patients with application of national obstetrical and neonatal healthcare standards of care and facilitating interdisciplinary team building relationships. We are dedicated to exploration of how simulation affects the learning process and clinical decision-making of healthcare practitioners at all levels of experience

Objectives

To foster learning by combining auditory, psychomotor, cognitive, and affective skills which may be used in everyday clinical practice
Ability to use simulation to enhance current knowledge of critical obstetric and neonatal emergencies
Provide a safe environment in which to re-enact or practice low frequency, high risk perinatal emergencies

Contact Information

Anna Calix
Perinatal Coordinator
312-996-4390
acalix2@uic.edu

Laura DiGiovanni MD
Associate Professor of Clinical Obstetrics & Gynecology
Director of Obstetrical Ultrasound & Fetal Imaging
Perinatal Center Neonatal Co-Director
312-996-7300
ldigiov@uic.edu

Szilvia Kruss MPH
GIS Data Analyst
312-996-4390
scsizm1@uic.edu

Shirley Scott MS, APN
Perinatal Outreach Educator
312-996-9633
SScott9@uic.edu

Arvind Shukla
Perinatal Center Neonatal Co-Director
Associate Professor of Clinical Pediatrics
312-996-4185
ashukla@uic.edu

Maripat Zeschke RNC-EFM, MSN
Perinatal Network Administrator
312-996-4190
maripat@uic.edu