ACOG Past Projects

Maternal Influenza Review Program

The American College of Obstetricians and Gynecologists (ACOG) Immunization Department piloted a program in four states using a retrospective review of pregnant women hospitalized with influenza during the 2012-2013 influenza season. This review utilizes the Fetal and Infant Mortality Review (FIMR) methodology developed by the National Fetal and Infant Mortality Review (NFIMR) program, a partnership between the American College of Obstetricians and Gynecologists (ACOG) and the Maternal and Child Health Bureau (MCHB). ACOG is working in collaboration with the Association of State and Territorial Health Officers (ASTHO), the Centers for Disease Control and Prevention (CDC), and NFIMR. Qualified state health department staff will carry out the protocol of the project in each state. The pilot project is being conducted in Colorado, Minnesota, New York, and Rhode Island. 

The pilot program identified potentially preventable issues and barriers (e.g.  system failures, vaccine hesitancy, patient concerns around vaccine safety, etc) that contribute to morbidity and mortality in pregnant women caused by seasonal influenza. At the conclusion of the pilot project a summary report will make recommendations (e.g.  systems changes) to prevent future hospitalizations of pregnant women due to influenza.

The protocol for the project is based on the following five pillars:

  1. Case Identification
  2. Data Abstraction
  3. Maternal Interview
  4. Case Review and Community Action Teams
  5. Summary of Findings & Recommendations for Systems Improvement

The goal of the project was for these reviews to lead to improved general health for childbearing women and their infants and development of local and national policies and program service systems to increase influenza vaccination coverage among pregnant women. This ACOG pilot project provides a model that can be replicated and a strategy that NFIMR can offer to any state that wishes to review maternal hospitalizations for influenza and potential strategies to increase influenza vaccination coverage for pregnant women.

For more information on the project and ways your state can replicate this project review the Maternal Influenza Review Program, A Tool Kit for State and Local Health Departments, 2016.

Please visit the FIMR/HIV website for more information.

Additional Information and References:

  1. Centers for Disease Control and Prevention (CDC). Influenza vaccination coverage among pregnant women: 2011-12 influenza season, United States. MMWR Morb Mortal Wkly Rep 2012; 61:758.
  2. Håberg SE, Trogstad L, Gunnes N, et al. Risk of fetal death after pandemic influenza virus infection or vaccination. N Engl J Med 2013; 368:333.
  3. Omer SB, Goodman D, Steinhoff MC, et al. Maternal influenza immunization and reduced likelihood of prematurity and small for gestational age births: a retrospective cohort study. PLoS Med 2011; 8:e1000441.
  4. http://www.cdc.gov/pertussis/pregnant/mom/get-vaccinated.html

This project is made possible by cooperative agreement number 1U38OT000161 from the Centers for Disease Control and Prevention (CDC) and the Association of State and Territorial Health Officials (ASTHO).  Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or ASTHO.

 

District XI Quality Improvement Project

From 2012-2015 ACOG National Collaborated with ACOG District XI (Texas) to complete quality improvement projects in 15 ob-gyn practices to increase adult immunization rates.

ACOG’s District XI was selected through a Center for Disease Control and Prevention (CDC) grant funded to ACOG to participate in a project to help practices increase their immunization rates and build partnerships with the state health department’s immunization program. This project built on the success of a similar grant funded project in District V (Indiana, Kentucky, Ohio, and Michigan), the results of which can viewed by clicking here.

This was a three-year project concluding August 2015.

All selected sites received free onsite training, education materials, and on-going assistance for specific vaccine-related issues from ACOG and the Texas Department of State Health Services.

Topics included:

  • Coding (reimbursement)
  • Ordering immunizations (Private and VFC)
  • Storage and handling
  • Giving Vaccines (consent/refusal/VAERS)
  • Immunization schedule for vaccines
  • Resources in your state

Requirements to Participate:

  • Ob-gyn must be an ACOG member
  • Provide a point person for all communications
  • Agree to complete a brief pretest at beginning of participation and post-test (3 months later) survey regarding vaccinations.
  • Sign an agreement with ACOG to participate in the program.
  • Participate in 45-60 minute on-site training for practice site

This project is supported by Cooperative Agreement 5U66IP000667 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.

 

Updated 7/6/16

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