2021 KyPQC Virtual Annual Meeting
2021 KyPQC Virtual Annual Meeting
Wednesday, October 20, 2021

The KyPQC Annual Meeting stayed virtual in 2021! We were pleased to host 155 stakeholders from birthing hospitals from all regions of Kentucky.  Top themes included Kentucky's AIM kickoff, maternal safety strategies, medication for opioid use disorder (MOUD), birth equity, eliminating stigma for substance use disorder (SUD), universal screening using evidence-based tools for SUD, evidence-based nutritional guidance, and real stories of recovery.

Keynote Speakers
Audra R. Meadows, MD, MPH, FACOG
Audra R. Meadows, MD, MPH, FACOG

Dr. Audra Meadows is a birth optimizer and health equity champion. She cares for women before, during and after pregnancy to ensure positive pregnancy and birth experiences. As an Obstetrician/Gynecologist and maternal health advocate, Dr. Meadows actively investigates strategies to optimize infant and maternal outcomes and to eliminate racial inequities associated with birth. For more than 15 years, she has been passionate about achieving health equity and creating value in clinical practice.

Dr. Meadows completed her medical education at the University of Texas at San Antonio, her OB/GYN residency training at The Brigham & Women’s Hospital at Harvard Medical School and the Commonwealth Fund Fellowship in Health Equity Leadership at the Harvard School of Public Health. She previously served as Medical Director of the BWH Ambulatory Obstetrics Practice and the City of Boston’s maternal child health programs. This Fall, she joined the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of California at San Diego where she will devote time to prenatal care practice innovation, advocacy, and medical student and resident education.

She is the Founding Director of the Maternal Innovation Collaborative that seeks to innovate and optimize care and experiences of pregnancy. This novel center will seek to innovate clinical strategies to prevent preterm birth and better serve those pregnant and parenting.

Abroad, she co-directs the Perinatal Neonatal Quality Improvement Network of Massachusetts (PNQIN), the state PQC for MA, and serves as faculty and board member for the Institute for Healthcare Improvement’s Better Maternal Outcomes project and the Institute for Perinatal Quality Improvement. In this work, she leads quality improvement projects to promote “teaming” and tools that improve obstetric safety and equity.

She is currently a Robert Woods Johnson Foundation Interdisciplinary Leaders Research Scholar and NIH-funded researcher investigating strategies to prevent maternal morbidity and achieve equity with a particular emphasis on including the voices of those pregnant and parenting in identifying these strategies.

Lisa M. Hollier, MD, Past President of ACOG, Co-Chair of the Texas Mortality Review Committee, Maternal-Fetal Medicine Specialist
Lisa M. Hollier, MD, Past President of ACOG, Co-Chair of the Texas Mortality Review Committee, Maternal-Fetal Medicine Specialist

Dr. Lisa Hollier is a Professor of Obstetrics and Gynecology at Baylor College of Medicine in Houston, Texas.  She received her Doctorate in Medicine from Tulane University School of Medicine and Masters in Public Health from Tulane University School of Public Health and Tropical Medicine. She completed a residency in Ob/Gyn at Baylor University Medical Center and a fellowship in Maternal-Fetal Medicine at UT Southwestern Medical School, both in Dallas. 

Dr. Hollier completed roles as President and Interim CEO of the American College of Obstetricians and Gynecologists, where her initiatives focused on reducing maternal mortality, including updating ACOG’s guidance on pregnancy and heart disease. She has served on numerous committees and in leadership roles for a variety of regional and national organizations, including her recent role as Chief Medical Officer for Texas Children’s Health Plan. Throughout her career, she has been dedicated to ending health inequities and improving women’s health by advancing women’s health policy. 

Lori Devlin, DO, MHA, MS
Lori Devlin, DO, MHA, MS

Lori Devlin, DO, MHA, MS is an Associate Professor of Pediatrics at the University of Louisville School of Medicine. She is a practicing neonatologist with a strong interest in both research and education.  Dr. Devlin has served as a lead investigator for two studies supported by the Advancing Clinical Trials in Neonatal Opioid Withdrawal Syndrome (ACT NOW) Collaborative and has published in the area of NAS/NOWS.  Her other research interests include perinatal infections and exposures and neurodevelopmental outcomes.  She is currently a Multiple-Principal Investigator for the Louisville IDeA States Pediatric Clinical Trials Network (ISPCTN) site.  She has been the Director of the Neonatal Fellowship Program since 2015 and has enjoyed being able to combine education and research locally and through her participation with the ISPCTN - IDeA States Pediatric Clinical Trials Network 

Dena Goffman, MD
Dena Goffman, MD, Vice Chair for Quality and Patient Safety, Columbia University Irving Medical Center

Dena Goffman, MD, graduated from the Albert Einstein College of Medicine and completed her residency in Obstetrics and Gynecology at New York Presbyterian Hospital/Columbia University Medical Center.

Dr. Goffman went on to complete a fellowship in Maternal Fetal Medicine with additional training in Critical Care Medicine at Albert Einstein College of Medicine/Montefiore Medical Center.

Dr. Goffman is currently the Chief of Obstetrics, Professor and Vice Chair for Quality and Patient Safety in Obstetrics and Gynecology at Sloane Hospital for Women at New York-Presbyterian Hospital and Columbia University Medical Center and the Associate Chief Quality Officer for Obstetrics for the NewYork Presbyterian health system. She has a strong interest in improving patient safety and quality in obstetrics and decreasing severe maternal morbidity and mortality. Much of her work focuses on the use of simulation, team training and implementation of evidence based guidelines to achieve this goal.

Dr. Goffman has been an active member of the New York State-Department of Health and The American Congress of Obstetricians and Gynecologists District II Safe Motherhood Initiative, as a Maternal Mortality Reviewer, a member of the Critical Care Sub-Committee, co-chair of the Hypertensive Disease and Pregnancy Sub-Committee and frequent lecturer. She acted as a steering committee member for the NYS SMI endeavor, as well as Co-chair of the Obstetric Hemorrhage group for this state-wide program.

Additionally, she is active nationally and internationally in Obstetric Simulation serving as former Co-chair of the OB-GYN Special Interest Group for the Society for Simulation in Healthcare and immediate past chair for the ACOG Simulation Working Group. She serves as faculty for many of the prominent national OB simulation opportunities including the ACOG ACM Obstetric Emergency Simulation Course, SMFM Critical Care Obstetric Simulation course at the Annual Pregnancy Meeting and the Banner/SMFM Annual Course in Phoenix.

Dr. Goffman has a particular interest in Obstetric Hemorrhage, one of the leading causes of preventable maternal morbidity and mortality. She served as a Co-chair of the Obstetric Hemorrhage group for the New York State Safe Motherhood Initiative and currently serves on the OB hemorrhage Clinical Advisory Work Group for the NYS Department of Health. She was a core member of the AIM Obstetric Hemorrhage work group, is actively involved in current revisions and co-authored the recent Postpartum Hemorrhage ACOG Practice Bulletin. She serves on the NYS Maternal Mortality Review Board.

Haywood Brown, MD, FACOG
Haywood Brown, MD, FACOG

Dr. Haywood Brown received his undergraduate degree from North Carolina Agricultural and Technical (A&T) State University in Greensboro and his Medical Degree from Wake Forest University School of Medicine in Winston-Salem, North Carolina.  He completed his residency in Obstetrics and Gynecology at the University of Tennessee Center for Health Sciences in Knoxville, Tennessee, followed by subspecialty fellowship training in Maternal and Fetal Medicine at Emory University School of Medicine/Grady Memorial Hospital in Atlanta, Georgia. 

Dr. Brown has a distinguished career as an academic leader in education, clinical care and research for more than three decades.  Dr. Brown served as Professor and Chair of the Department of Obstetrics and Gynecology at Duke University Medical Center in Durham, North Carolina from 2002-2016; a position that he held for nearly 14 years. Most notable during his tenure as Chair Dr. Brown established a Global Women’s Health Program as a component of the Duke Global Health Institute. 

Dr. Brown has served in numerous local and national leadership positions including the American College of Obstetricians and Gynecologists.   In 2017-2018, Dr. Brown served as the 68th President of the American College of Obstetricians and Gynecologists.  

In addition, Dr. Brown has previously held leadership positions as Chair of Council on Resident Education in Obstetrics and Gynecology (CREOG), the Board of Directors for the Society for Maternal Fetal Medicine and Past President of SMFM.  He is past President of the American Gynecological Obstetrical Society (AGOS).  He has also served as a Director of the American Board of Obstetrics and Gynecology. Dr. Brown leadership extends further and includes the NIH DC Initiative on Infant Mortality and the HSRA Perinatal and Patient Safety Collaboration as well as the FDA Advisory Council.  

Dr. Brown is especially committed to the care of women at high risk for adverse pregnancy outcome, particularly those marginalized and the impact on racial and economic disparity in maternal and infant morbidity and mortality. His ACOG Presidency focused on disparity and women health equity. 

In July 2018, Dr. Brown was named the Vice President for Institutional Equity at the University of South Florida, and the Associate Dean in the Morsani College of Medicine at the University of South Florida in Tampa, Florida where is serves as Professor of Obstetrics and Gynecology. In April 2021, Dr. Brown was appointed the Senior Vice President of Academic and Faculty Affairs of USF Health and Vice Dean for Faculty Affairs for the Morsani College of Medicine. 

Agenda: Day One
Agenda: Day One
Wednesday, October 20, 2021
10:00AM-10:10AM
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Welcome & Introductions
10:00AM-10:10AM
Welcome, Introductions, and Overview by the Lt. Governor
Lt. Governor Jacqueline Coleman
Lt. Governor Jacqueline Coleman
10:10AM-12:00PM
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AIM Kickoff
10:10AM-10:30AM
Alliance for Innovation on Maternal Health (AIM): A National Quality Improvement Commitment
Chelsea Lennox, MPH, Program Manager, AIM
Chelsea Lennox, MPH, Program Manager, AIM
10:30AM-11:15AM
The Massachusetts Birth Equity Journey
Audra R. Meadows, MD, MPH, FACOG
Audra R. Meadows, MD, MPH, FACOG, Perinatal Neonatal Quality Improvement Network of MA (PNQIN)
11:15AM-11:30AM
Supporting Better Outcomes for SUD in Kentucky through QI and AIM in the Perinatal Setting
Monica Clouse, MPH, CPH, Program Manager, KyPQC
Monica Clouse, MPH, CPH, Program Manager, KyPQC
Mary Beth Allen, PhD, MBA, Healthy Policy Specialist, KyPQC
Mary Beth Allen, PhD, MBA, Healthy Policy Specialist, KyPQC
11:30AM-11:45AM
AIM/ACOG Closing Remarks
Lisa M. Hollier, MD, Past President of ACOG
Lisa M. Hollier, MD, Past President of ACOG, Co-Chair of the Texas Mortality Review Committee, Maternal-Fetal Medicine Specialist
11:45AM-12:00PM
AIM Q&A Session
1:00PM-2:00PM
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Afternoon Plenary
1:00PM-2:00PM
The Here and NOWs of Neonatal Opioid Withdrawal Syndrome: Utilizing science to improve the care of infants with antenatal opioid exposure
Lori Devlin, DO, MHA, MS
Lori Devlin, DO, MHA, MS, Associate Professor of Pediatrics, University of Louisville School of Medicine
2:00PM-2:45PM
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Workshops
2:00PM-2:45PM
FindHelpNowKY.org Locating Near-Real-Time Available Substance Use Disorder Treatment Options
Danita Coulter, Educational Services Assistant Senior, Kentucky Injury Prevention and Research Center (KIPRC)
Danita Coulter, Educational Services Assistant Senior, Kentucky Injury Prevention and Research Center (KIPRC)
 Brandi Murriell, Addiction Recovery Care (ARC) Centers
Brandi Murriell, Addiction Recovery Care (ARC) Centers
2:00PM-2:45PM
Screening, SBIRT and Substance Use in the OB Setting – so what does this all mean?
Marcela Smid, MD, MA, MS, Assistant Professor, Division of Maternal Fetal Medicine, University of Utah Health
Marcela Smid, MD, MA, MS, Assistant Professor, Division of Maternal Fetal Medicine, University of Utah Health
2:00PM-2:45PM
Understanding and Applying Kentucky NAS Reporting Registry Data
Emily Ferrell, MPH, CPH, Epidemiologist, Division of Maternal and Child Health, KDPH
Emily Ferrell, MPH, CPH, Epidemiologist, Division of Maternal and Child Health, KDPH
3:00PM-3:45PM
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Workshops
3:00PM-3:45PM
Pilot Participation in the First KyPQC Quality Improvement Initiatives
Lyndsey Neese, MD, MMM, FACOG
Lyndsey Neese, MD, MMM, FACOG
Cheryl Parker, DNP, CRNA, RNC-OB
Cheryl Parker, DNP, CRNA, RNC-OB
Leann Baker, DNP, APRN, NNP-BC
Leann Baker, DNP, APRN, NNP-BC
3:00PM-3:45PM
Opioid Analgesics Prescribing Practices during the Postpartum Period: A KASPER* Review 2014-2020 (*Kentucky All Schedule Prescription Electronic Reporting)
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH
Adam Berrones, PhD, Epidemiologist, KASPER
Adam Berrones, PhD, Epidemiologist, KASPER
3:00PM-3:45PM
Introducing the Kentucky Breastfeeding Triple Step: Three Baby-Friendly Steps that Can Improve Your Care of Infants with NAS and Their Families
Paula Schreck, MD, IBCLC, FABM, Chief Clinical Strategy, Coffective
Paula Schreck, MD, IBCLC, FABM, Chief Clinical Strategy, Coffective
3:45PM-4:00PM
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Wrap-up and Closing Remarks
3:45PM-4:00PM
Wrap-up and Closing Remarks
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH
Agenda: Day Two
Agenda: Day Two
Thursday, October 21, 2021
9:00AM-9:10AM
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Welcome, Introductions, Overview
9:00AM-9:10AM
Welcome, Introductions, Overview
Steven J. Stack, MD, MBA, FACE, Commissioner
Steven J. Stack, MD, MBA, FACE, Commissioner, Kentucky Department for Public Health (KDPH)
9:10AM-10:50AM
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Morning Plenary: Keynote Speakers
9:10AM-9:55AM
Maternal Morbidity, Mortality and Racial Disparities: What Can We Do?
Dena Goffman, MD, Vice Chair for Quality and Patient Safety, Columbia University Irving Medical Center
Dena Goffman, MD, Vice Chair for Quality and Patient Safety, Columbia University Irving Medical Center
9:55AM-10:40AM
Maternal Health Equity in Vulnerable Populations
Haywood Brown, MD, FACOG, Professor Obstetrics and Gynecology, Vice Dean Faculty Affairs, Associate Dean, Diversity, Morsani College of Medicine
Haywood Brown, MD, FACOG, Professor Obstetrics and Gynecology, Vice Dean Faculty Affairs, Associate Dean, Diversity, Morsani College of Medicine
10:40AM-10:50AM
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Morning Plenary: Q&A
Q&A for Morning Plenary
Dena Goffman, MD, Vice Chair for Quality and Patient Safety, Columbia University Irving Medical Center
Dena Goffman, MD, Vice Chair for Quality and Patient Safety, Columbia University Irving Medical Center
Haywood Brown, MD, FACOG, Professor Obstetrics and Gynecology, Vice Dean Faculty Affairs, Associate Dean, Diversity, Morsani College of Medicine
Haywood Brown, MD, FACOG, Professor Obstetrics and Gynecology, Vice Dean Faculty Affairs, Associate Dean, Diversity, Morsani College of Medicine
11:00AM-12:00PM
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Keynote Speaker
11:00AM-12:00PM
Illinois Perinatal Quality Collaborative: Improving Care for Pregnant Persons with OUD through a Statewide Quality Improvement Initiative
Ann Borders, MD, MSc, MPH, Executive Director and Obstetric Lead, Illinois Perinatal Quality Collaborative; Clinical Associate Professor Maternal Fetal Medicine, NorthShore University Health System
Ann Borders, MD, MSc, MPH, Executive Director and Obstetric Lead, Illinois Perinatal Quality Collaborative; Clinical Associate Professor Maternal Fetal Medicine, NorthShore University Health System
12:45PM-2:25PM
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Kentucky Panel Discussion
12:45PM-1:35PM
UK PATHways: Perinatal Assistance and Treatment Home at the University of Kentucky Polk Dalton Clinic
John O’Brien, MD, Medical Director for Labor and Delivery, University of Kentucky
John O’Brien, MD, Medical Director for Labor and Delivery, University of Kentucky
Linda Berry, RN, PATHways and PATHhome Program, University of Kentucky
Linda Berry, RN, PATHways and PATHhome Program, University of Kentucky
Bethany Wilson, Patient Advocate
Bethany Wilson, Patient Advocate
1:35PM-2:25PM
Maternal Opiate and Substance Treatment (MOST) Program: Caring for Pregnancies with Opiate Use Disorder
Jonathan Weeks, MD, Executive Medical Director for Maternal and Fetal Medicine, Director of MOST Program
Jonathan Weeks, MD, Executive Medical Director for Maternal and Fetal Medicine, Director of MOST Program, Norton Women’s and Children’s Hospital
Angela Adams, LCSW Clinical Therapist
Angela Adams, LCSW Clinical Therapist
2:40PM-3:40PM
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Breakout Sessions
2:40PM-3:40PM
Colorado Perinatal Care Quality Collaborative (CPCQC) – Maternal and Infant SUD Initiatives in Colorado
Susan Hwang, MD, MPH, PhD
Susan Hwang, MD, MPH, PhD, Associate Professor of Pediatrics, Director, Perinatal Health Services Research, University of Colorado School of Medicine
Lisa Becker, MD, OB/GYN Hospitalist
Lisa Becker, MD, OB/GYN Hospitalist, Presbyterian St. Luke's Medical Center, Denver CO
2:40PM-3:40PM
Oklahoma Perinatal Quality Improvement Collaborative (OPQIC) – Oklahoma Mothers and Newborns affected by Opioids
Barbara Koop, MS, RNC-ON
Barbara Koop, MS, RNC-ON
Denise Cole, MS, RNC-NIC, Program Managers, OPQIC
Denise Cole, MS, RNC-NIC, Program Managers, OPQIC
2:40PM-3:40PM
Baby Steps: Improving Post-Partum Care One Step at a Time
Judy Theriot, MD Medical Director, Department of Medicaid Services
Judy Theriot, MD Medical Director, Department of Medicaid Services
3:40PM-4:00PM
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Wrap-up and Closing Remarks
3:40PM-4:00PM
Wrap-up and Closing Remarks
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH
Connie White, MD, MS, FACOG, Deputy Commissioner, KDPH