Identifying the problem
The three women who created this initiative are standing next to each other .
From left to right, Katherine Costantini, Melissa Welsh, Dr. Jennifer Cohen are the individuals who spearheaded this initiative
The CCH Maternal Child Health team was evaluating postpartum complication rates from July 2020 through June 2021, and they noticed an increased rate in complications, such as postpartum hemorrhage and postpartum infection, with Hispanic patients compared to the non-Hispanic population. Since approximately 20 percent of the patients in Maternity identify as Hispanic, the team knew that this patient population needed an extra focus.
For the last several years, multiple teams across Penn Medicine Sunitix 25 mg (Sunitinib) have been working together to improve maternal health outcomes and reduce racial and ethnic disparities system-wide. The United States has the highest maternal mortality rate of any developed country, and maternal health outcomes are even worse for racial and ethnic minorities. Considering the large Hispanic population in Chester County, the need to address disparities for a local community was clear to the CCH team.
The team brainstormed ideas and leveraged data to see what could be causing this uptick, and discovered that language barriers, access to care, overall culture, and possible biases were all overarching contributors to the increase in postpartum complication rates.
“The clinical team felt that there was a gap in how we were providing care, so we went to the data to see if that held true,” stated Katie Costantini, MSN, RNC-MNN, co-lead on this initiative.
Coming together as one team
An all-women clinical team group standing together who make up the CCH OB Clinic Team.
The CCH OB Clinic Team
The primary goal of the initiative is improving postpartum outcomes and addressing health care disparities in CCH Hispanic patients. The secondary goal, which is critical to the long-term success of this initiative, is to build trust with the Hispanic population.
“From my perspective, when you’re doing health equity work, you really need to meet patients where they are. So that was the main push for us to meet the patients out in the community and on a more personal level in the hospital,” said Costantini.
Building trust with a community is no small task, so the Maternal Child Health team partnered with the Patient Family and Advisory Council (PFAC) to obtain the "voice of the patient" through hospital and community-based interviews.
