Mother and baby on couch
Data and Analytics

The KyPQC Data & Analytics Workgroup is dedicated to establishing a data reporting infrastructure that supports the initiatives of the KyPQC Obstetrical and Neonatal Workgroups. The Data & Analytics Workgroup will administer ongoing support for the creation and evaluation of workgroup initiatives by assisting in the development of clear goals, identifying performance measures, and determining the impact of program outcomes relevant to goals.

Data Measures
Overview of data measures
Structure Measures

Includes dates that hospitals implemented specific aspects of an initiative; collected at the start.

Process Measures

Includes denominator and numerator data for initiative specific measures that tracks the hospitals process in improving the quality of care; collected monthly.

Outcome Measures

Includes denominator and numerator data for initiative-specific measures that track the hospitals overall outcome in improving the quality of care; collected quarterly.

State Surveillance Measures

Includes denominator and numerator data for initiative-specific measures that track long-term improvements statewide; collected yearly.

Leadership Team

Maureen Marra, MD, FACOG, currently works as Physician Advisor for Medical Staff Quality within the Baptist Health Louisville Quality and Outcomes Management Department.  Her primary role is reviewing Women and Children’s Health cases to assure quality of care. Her interests include analyzing trends in outcomes data and utilizing evidence-based medicine for policy and procedure development. Dr. Marra previously worked in private practice in Louisville, Kentucky. She is a graduate of the University of Kentucky, College of Medicine, and completed her residency in OB/GYN at the University of Louisville.

Maureen Marra, MD, FACOG

Melanie Moch, CPC oversees the Kentucky Hospital Association (KHA) data program and assists with all the data for all quality improvement initiatives at KHA and the Kentucky Hospital Research and Education Foundation (KHREF). She has be in healthcare for over 20 years in both the inpatient and outpatient settings. Moch graduated from Western Kentucky University with a Bachelor’s of Science Degree. Moch is also a Certified Professional Coder through American Academy of Professional Coders (AAPC). Quality Improvement Areas – Data – Kentucky Quality Counts, KY Statewide Opioid Stewardship (KY SOS), Hospital Quality Improvement Contractor with CMS (HQIC), Readmissions, Community Coalition, Kentucky Perinatal Quality Collaborative and COVID‐19 data reporting.

Melanie Moch, CPC
Data Measures for Obstetrical (OB) Initiatives
Active OB Initiatives
Data Measures
1

The total number of women admitted to L&D each month

2

The total number of women screened for SUD/OUD in L&D each month

3

The total number of women that screened positive each month

4

 The total number of women with a positive screen who received a brief intervention each month

Data Measures for Neonatal Initiatives
Active NEO Initiatives
Data Measures
1

The total number of births discharged each month

2

The total number of exposed infants (asymptomatic & symptomatic) each month

3

 The total number of affected infants (symptomatic) each month

4

The total number of affected and exposed that required (pharma) treatment each month