MMRP ECHO Perinatal Case Conference Series (CME accredited)

The Maternal Mortality Review Panel (MMRP) ECHO -- Supporting and training primary care clinic members

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The MMRP ECHO series is for Washington State providers. The 9-session CME accredited* program addresses risks of mortality and provides education to improve care for perinatal patients. ECHO presentations are held each month on the third Tuesday. They will include components that guide evaluation of the severity of any identified risk, preparation of a risk mitigation plan, and initiation of a team-based care approach within the care setting. Participants will learn to address causes of maternal mortality as identified in the Maternal Mortality Review Panel report.

 

Who should attend?

  • Any clinician providing primary care to pregnant and parenting individuals - including advance practice clinicians, family medicine physicians, and family medicine residents
  • Staff - including intake coordinator, care coordinator, clinic manager, etc.

Register to attend one session or the full MMRP ECHO series, Next session: 2/21/2023

 

Presenters

Ian Bennett MD, PhD, Departments of Family Medicine and Psychiatry and Behavioral Sciences, University of Washington, will be joined by expert guest panelists from Washington State.

 

Register for our February session:

Reducing Maternal Mortality Due to Eclampsia

 

Complete List of Case Conference Sessions

Upcoming sessions

Reducing Maternal Mortality Due to Eclampsia  |  February 21, 2023

Pre-assignment

More information will be provided before the session for your review.

Goals for participants

At the end of the session participants will be able to:

  • Describe risk factors associated with eclampsia and maternal mortality
  • Learn tools and methods to reduce eclampsia risk as cause of maternal mortality
  • Review the process of iterative quality improvement to implement enhancements to address eclampsia causes of maternal mortality
Reducing Maternal Mortality Due to HELLP Syndrome  |  March 21, 2023

Pre-assignment

More information will be provided before the session for your review.

Goals for participants

At the end of the session participants will be able to:

  • Describe risk factors associated with HELLP syndrome and maternal mortality
  • Learn tools and methods to reduce HELLP syndrome risk as cause of maternal mortality
  • Review the process of iterative quality improvement to implement enhancements to address HELLP syndrome of maternal mortality
Co-morbidities and Maternal Mortality  |  April 18, 2023

Pre-assignment

More information will be provided before the session for your review.

Goals for participants

At the end of the session participants will be able to:

  • Describe the risk factors associated with co-morbidities (e.g., obesity) and maternal mortality
  • Learn tools and methods to reduce the risk of obesity related maternal mortality 
  • Review the process of iterative quality improvement to implement enhancements that improve care to reduce impact of co-morbidities on maternal mortality
Maternal Mortality in Priority Populations - Social Determinants of Health and Other Social Inequities  |  May 16, 2023

Pre-assignment

More information will be provided before the session for your review.

Goals for participants

At the end of the session participants will be able to:

  • Describe the social determinants that impact maternal mortality pregnancy and the year postpartum 
  • Learn tools and methods to address social determinants of health in their perinatal patient population to reduce risk of maternal mortality
  • Review the process of iterative quality improvement to implement enhancements to address social determinant of health in the perinatal population
Quality Improvement Efforts to Reduce the Leading Causes of Maternal Mortality and Morbidity  |  June 20, 2023

Pre-assignment

More information will be provided before the session for your review.

Goals for participants

At the end of the session participants will be able to:

  • Learn QI methods to address contributing factors and identify gaps in causes of maternal mortality
  • QI methods to improve risk assessment to reduce maternal mortality 
  • QI methods to improve care coordination and continuity of care to reduce maternal mortality

 

Past sessions

Reducing Maternal Mortality Due to Pre-eclampsia  | January 17, 2023

Goals for participants

At the end of the session participants will be able to:

Describe risk factors associated with pre-eclampsia and maternal mortality Learn tools and methods to reduce preeclampsia risk as cause of maternal mortality Review the process of iterative quality improvement to implement enhancements to address pre-eclampsia causes of maternal mortality Our expert guest panelist

Our expert guest panelist

Catherine Albright
Catherine Albright MD, MS
Associate Professor, Maternal-Fetal Medicine, University of Washington Medical Center

 

Catherine Albright MD, MS

Dr. Albright is an associate professor in the division of Maternal-Fetal Medicine at the University of Washington.  Her clinical and research interests are related to medical complications of pregnancy, especially cardiac disease and hypertension.  She is the director of the Hypertension in Pregnancy Program and the co-director of the Cardio-Obstetrics Program at UW.  She has served on the Washington State Maternal Mortality Review Panel since 2020 and truly enjoys the multi-disciplinary nature of that work. 

 

Reducing Maternal Mortality Due to Hemorrhage  |  December 20, 2022

 

Goals for participants

At the end of the session participants will be able to:

  • Learn sources of hemorrhage causes of maternal mortality (cervical laceration, ectopic pregnancy, uterine rupture)
  • Learn tools and methods to reduce risk of hemorrhage as a cause of maternal mortality
  • Review the process of iterative quality improvement to implement enhancements that address maternal mortality due to hemorrhage in the perinatal population

Our expert guest panelist

Lacey R. Miller, DNP, CNS, APRN, RNC-OB, C-EFM
Perinatal Clinical Nurse Specialist, Legacy Health, Family Birth Center Services
MMRP Lead for Quality and Patient Safety

 

Lacey Rose Miller is a perinatal clinical nurse specialist currently working at a hospital system with six family birth centers in the Portland, Oregon metropolitan area. Her background at the bedside consists of high-acuity and high-volume labor, delivery, obstetric operating room, recovery, and postpartum nursing care. Her graduate education from the University of Washington, afforded her a Doctor of Nursing Practice degree as a perinatal clinical nurse specialist, and a Global Health Graduate Certificate specializing in Women, Children and Adolescents. In her current role, she loves to collaboratively work on practice improvement projects that improve the outcomes of families and newborns, and she loves to support nurses caring for clinically complex patients. She is the current Legislative Coordinator for the Washington State Section of the Association of Women’s Health, Obstetric and Neonatal Nurses. She proudly serves on the Washington State Maternal Mortality Review Panel as their Lead member in Patient Safety and Quality Improvement. Lacey is a mother of two young children. If she finds free time, she’ll want to spend it in her garden, on a bike, or deep in a Pacific Northwest forest.

Stigma and Bias Related to Behavioral Health Conditions and Perinatal Suicide Risk  |  November 22, 2022

Goals for participants

At the end of the session participants will be able to:

  • Learn tools and methods to address and lower stigma and bias related to behavioral health conditions in their perinatal patient population
  • Identify the immediate internal actions and external resources to lower stigma and bias
  • Understand best practices to lower stigma and bias related to behavioral health conditions in perinatal population 

Pre-assignment

If you have an opportunity, please review documents and videos below prior to our case conference session.

Expert Guest Panelist

Charissa Fotinos MD, MSc
Charissa Fotinos MD, MSc, Medicaid and Behavioral Health Medical Director for the Washington State Health Care Authority

 

Dr. Charissa Fotinos joined the Washington State Health Care Authority in October of 2013 as the Deputy Chief Medical Officer in support of the Apple Health/Medicaid programs. In August of 2021, she was named the Acting Medicaid Director, and in June of 2022 she was named the permanent Medicaid Director and Behavioral Health Medical Director. She is actively involved in behavioral health integration efforts with a particular focus on improving the access to and care of persons with substance use and mental health disorders. She is a co-sponsor of the Washington State Opioid Response Plan.

Prior to her current position, Dr. Fotinos was the Chief Medical Officer for Public Health Seattle-King County. 

Dr. Fotinos is board certified in Family and Addiction Medicine. Before joining Seattle-King County, she was a physician-faculty member at the Providence Family Medicine Residency in Seattle, Washington.

She holds a Master of Science degree in evidence-based health care from Oxford University, Kellogg College, in England and is a Clinical Associate Professor at the University of Washington in the Department of Family Medicine.
 

Pregnancy-Associated Deaths Due to Accidental Substance Overdose  |  October 18, 2022

Goals for participants

At the end of the session participants will be able to:

  • Learn tools and methods to address and lower accidental opioid overdose in their perinatal patient population
  • Implement improving screening and initial risk assessments for substance use among patients in the perinatal period 
  • Identify patients in the perinatal period that should have access to and training in the use of Naloxone rescue kit 
  • Describe treatment options for Opioid Use Disorder in the perinatal period

Our expert guest panelist

Nadejda Bespalova MD, Dept of Psychiatry and Behavioral Sciences, University of Washington

 

Pre-assignment

Before the session please review: 

  1. Register and view webinar #2, recorded 9/22/21: Pregnancy-Associated Deaths Due to Accidental Opioid Overdose (CME accredited)
Perinatal Suicide Risk  |  September 20, 2022

Goals for participants:

  • Learn tools and methods to address and lower suicide risk in their perinatal patient population
  • Describe the risk factors associated with death by suicide in pregnancy and the year postpartum
  • Understand best practices for follow-up and expectations for progress after a positive screen
  • Assess the acute risk of self-harm using the Columbia Suicide Severity Rating Scale (CSSRS)

Pre-assignment

Before the session please review:

  1. Register and view Webinar #1, recorded September 15, 2021 (CME accredited) 
  2. Read the MMRP Report

*CME Accreditation

The University of Washington School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Washington School of Medicine designates this live activity for a maximum of 9 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (Each session is 1.0 credit)

Disclosure: The regular presenters and program planners of this case conference have disclosed that they have no relevant financial relationships with commercial interest (s).