National Perinatal Information Center
National Perinatal Information Center


PREMIER PERINATAL SAFETY INITIATIVE (PPSI)


American Excess Insurance Exchange, RRG (AEIX) is a hospital owned and controlled excess professional liability company managed by the Premier Insurance Management Services, Inc. (PIMS) a subsidiary of Premier, Inc. In 2008, AEIX began a Perinatal Safety Initiative (PSI) with a subset of 16 of its managed hospitals with the goal of improving patient safety and reducing risk exposure of the perinatal services at the participating hospitals.

NPIC/QAS served as the data partner on the two and half year Premier Perinatal Safety Initiative (PPSI). The project provided participating hospitals with comparative outcome data for the period prior to the initiation of the PPSI (baseline period), and quarterly for the post-training period. Participating hospitals received data for their own hospital as well as aggregate comparative data for a group of participating and non-participating hospitals.

The PPSI encompassed a number of components including the identification of structural differences across the hospitals; analysis and initiation of process improvement activities using care bundles, team simulation, and common language training; surveys of safety culture and patient satisfaction, along with internal and external benchmarking of outcome measures to demonstrate improvements in patient safety.

In 2010, Premier principals, collaborating with the University of Minnesota School of Public Health and Fairview Health Services were awarded an Agency for Healthcare Research and Quality (AHRQ) Grant (3 years) with NPIC/QAS as a subcontractor. The project was able to continue through this funding with additional quality improvements (in particular, simulation drills) and data analysis components. Fourteen of the original 16 hospitals continue to receive reports from NPIC/QAS, which includes aggregate data from a new comparison group of 8 NPIC/QAS member hospitals, recruited by NPIC/QAS


Articles of Interest:

"Reducing Preventable Birth Injuries and Liability Claims through Evidence-Based Care, Enhanced Teamwork", Premier Perinatal Safety Initiative Phase 1 Summary, 2008-2010
(PPSI Member White Paper released May 2014)
   » submitted to Obstetrics and Gynecology, September 2014.

Dignity Health System article on Culture Changes with EED effort
    » View Article

"Birth Injuries, Liability Claims Reduced by Hospitals in National Program"   (Dec 5, 2012)
   » View Press Release

"Safety Initiative Seen Curbing Birth Injuries." ModernHealthcare.com, Dec 4, 2012.
    » View Article

"AHRQ Grant Aims to Reduce Birth Injuries." HealthcareITNews.com, Aug 10, 2010.
    » View Article

"National Safety Effort Targets Perinatal Injuries." American Medical News, June 16, 2008.
    » View Article

"Hospital Staffs Train for Safe Delivery of Babies." USA Today, May 14, 2008.
    » View Article

 
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