[ Neo Home | New | Clinical | Computers | Jobs | Diversions | Links ]

Title The medical database as a tool for improving maternal/infant continuity of care
Author(s) Miller LP, Greenspan B, Dowd JS
Source J Med Syst, Vol. 23, No. 3, Pages 219-225
Publication Date June 1999
Abstract Analysis of the Sinai Health System's integrated medical database revealed a serious discontinuity of care, frequently observed in underserved communities, for mothers who delivered at the hospital but failed to return on a timely basis for postpartum visits for themselves and newborn visits for their babies. Since the Sinai Health System (SHS) is a fully integrated health system including community-based primary care, a process improvement project to improve rates of return was initiated. Prior to hospital discharge, a staff member visited each new mother and baby to schedule clinic follow-up appointments. Appointment compliance was monitored using the SHS integrated medical database. Results after the first year showed marked improvement. Eighty percent of mothers returned for postpartum care within 4 months of delivery compared to 46 at baseline. Eighty eight percent of newborns were seen in the clinics within the four month timeframe compared to a baseline of 59%. The integrated medical database not only allowed for identification of this problem but was an essential tool at each point in the intervention.


Return to Citation Index Page

This page was last modified on 03-11-2001.
Citation database was last rebuilt on 02-18-2012.
Neonatology on the Web / webmaster@neonatology.org