3. Comprehensive team-based care
- Date: Friday, September 20, 2019
- Concurrent Session D
Time: 9:45am 10:30am
- Room: Pier 7
- Style: Presentation (information provided to audience, with opportunity for audience to ask question)
- Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
- Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers
On completion of the session, participants will be able to:
- Define the philosophy of Group Perinatal Care
- Understand the components of the Group Perinatal Care Program at the Mount Sinai Academic Family Health Team.
- Describe differences in clinical outcomes observed between Group Perinatal Care and traditional prenatal care in this setting.
Group prenatal care offers a “one stop” approach to prenatal care and education. Research has shown group prenatal care to be associated with higher levels of patient satisfaction and improved clinical outcomes. A Group Perinatal Care (GPC) program was implemented at the Mount Sinai Academic Family Health Team (MSAFHT) in 2016. In this model, prenatal care and education is provided by an interprofessional team including registered midwives, a prenatal nurse, a registered dietitian, family medicine residents, and family physicians. Our GPC model of care extends into the postpartum period and includes a home visit by a midwife and group sessions at 6-weeks and 6-months postpartum to provide support and education on topics including breastfeeding, immunizations and infant nutrition. This program is the first to integrate registered midwives into an academic family health team involving them both in patient care and resident education. GPC has the opportunity to provide accessible high quality team-based perinatal education to a large number of women.
Evaluation of this novel and interprofessional model of perinatal care within an academic family health team is being conducted to compare clinical outcomes, preparedness for birth and parenting, and care satisfaction in women enrolled in GPC versus those receiving traditional prenatal care (TPNC) at the MSAFHT. This is a cohort study and data was collected using surveys distributed at 6 months postpartum. The study population includes prenatal patients receiving care in the MSAFHT who delivered after October 2016. All women delivered with the same group of family physicians.
- Alison Meikle, Registered Nurse, Mount Sinai Academic Family Health Team
- Susannah Merritt, Registered Midwife, Mount Sinai Academic Family Health Team
- Natalie Morson, Family Physician, Mount Sinai Academic Family Health Team
- Natalie Tregaskiss, Registered Midwife, Mount Sinai Academic Family Health Team
- Sakina Walji, Family Physician, Mount Sinai Academic Family Health Team
- Anne Biringer, Family Physician, Mount Sinai Academic Family Health Team
- Milena Forte, Family Physician, Mount Sinai Academic Family Health Team
- Lauren Rose, Registered Dietitian, Mount Sinai Academic Family Health Team