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NNEPQIN Winter Meeting 2017


Regional Program for Women's and Children's Health: Children's Hospital at Dartmouth-Hitchcock (CHaD)

Date and Time

Monday, January 23, 2017
8:45 am to 4:45 pm


Dartmouth-Hitchcock Medical Center
Auditoria E & F
1 Medical Center Dr.
Lebanon, NH

NNEPQIN Winter Meeting
Moving the Needle:
Improving Maternal and Neonatal Outcomes

January 23, 2017
Auditoria E & F

Dartmouth-Hitchcock Medical Center, Lebanon, NH
Broadcasting via Live Stream will be Available


Target Audience:
Obstetricians, Midwives, Pediatricians, Family Physicians, Perinatal Nurses & Other Perinatal Care Providers

Can we trust our Birth Certificate data to help us evaluate clinical care and outcomes?  Join us to explore this challenge and to learn about important strategies to improve maternal and neonatal outcomes, including safely reducing cesarean births.  This conference has important clinical significance for the entire Perinatal Team.  Engage your team to help optimize your outcomes!                                                                                                                             

8:45  Opening Remarks & Summary of the National Perinatal Quality Collaborative Meeting
Timothy J. Fisher MD, MHCDS
OB/GYN Residency Program Director, Dartmouth-Hitchcock Medical Center
Medical Director, NNEPQIN

9:00  Utilizing Birth Certificate Data: Advantages, Pitfalls, & Opportunities for Improvement
          -Discuss how vital statistics data are collected in hospitals
          -Compare birth certificate data to the corresponding medical record review
          -Identify strategies to improve the accuracy of birth certificate data
David J. Laflamme PhD, MPH, NH Maternal & Child Health Epidemiologist, Concord, NH
Martha Leighton MS, RN, CPPS, Patient Safety Officer, Elliot Health System
Paula Wellde MSN, RNC-OB, C-EFM, Perinatal Safety Nurse, Elliot Health System

10:00  Late Preterm Steroids, Neonatal Hypoglycemia & Maternal Aspirin Therapy for Preeclampsia:
Implications for Obstetric & Pediatric Providers
          -Review updates in use of corticosteroids for late preterm infants & aspirin for prevention of preeclampsia
          -Identify implications for Obstetric & Pediatric Providers
Emily Baker MD, Maternal Fetal Medicine, Dartmouth-Hitchcock Medical Center
Charles E. Mercier MD, Neonatal Perinatal Medicine, University of Vermont Children’s Hospital
Erin Morris MD, Maternal Fetal Medicine, University of Vermont Medical Center

11:00  Break

11:15  Taking Action to Promote Physiologic Birth and Safely Reduce Primary Cesarean Sections:
The NNEPQIN/AIM Partnership
           -Review components and participation requirements of the Alliance for Innovation on Maternal Health “Safe Reduction of Primary Cesarean Births: Supporting Intended Vaginal Births” Patient Safety Bundle
Timothy J. Fisher MD, MHCDS

12:00   Lunch


Home Birth to Hospital

Vaginal Breech

Pre-Transport Stabilization of Infants at Risk for Hypoxic-Ischemic Encephalopathy


-Discuss current national and regional trends in home birth
-Review best practice transfer guidelines developed by the Home Birth Summit Task Force

Timothy J. Fisher MD, MHCDS

Autumn Vergo MSN, CNM, APRN, Nurse Midwife
Cheshire Medical Center
Keene, NH


-Review current literature related to breech vaginal delivery
-Outline a strategy to support maternity providers caring for women in labor with breech presenting babies

Janet Perkins MD
OB/GYN, Wentworth Douglass Hospital, Dover, NH

Erin Morris MD
University of VT Medical Center



-Review current best practice strategies for neonates at risk for HIE
-Create a NNEPQIN guideline to standardize pre-transport stabilization

Charles Mercier MD
Neonatologist, University of VT Children’s Hospital

Steve Ringer  MD, PhD
Neonatologist, CHaD

Joseph Vitterito MD
Neonatologist, Maine Medical Center, Portland, ME

2:30   Break

Postpartum Long Acting Reversible Contraception (LARC): 
Background, Clinical Implications and Reimbursement Issues
     Objective: Identify strategies to implement a postpartum LARC program
Regan Theiler MD, PhD, FACOG, Division Director, General Obstetrics & Gynecology, DHMC
Lauren K MacAfee MD, MSc, FACOG, Assistant Professor, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont Medical Center

4:00   Wrap Up and Evaluation


Continuing Education Accreditation
Physicians:This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Dartmouth-Hitchcock Medical Center and the Northern New England Perinatal Quality Improvement Network.  The Dartmouth-Hitchcock Medical Center is accredited by the ACCME to provide continuing medical education for physicians.

The Dartmouth-Hitchcock Medical Center designates this live activity for a maximum of 5.5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: Dartmouth-Hitchcock Nursing Continuing Education Council is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.  This educational activity carries 5.5 contact hours for the entire program.