Commission on Perinatal Care and Prevention of Infant Mortality public meetings in 2020

Commission on Perinatal Care and Prevention of Infant Mortality

The Louisiana Commission on Perinatal Care and Prevention of Infant Mortality is meeting to review and approve previous meeting notes, receive a Medicaid update, and hear regular updates from authorized projects including the Louisiana Perinatal Quality Collaborative, Pregnancy Associated Mortality Surveillance, Fetal Infant Mortality Review, an Opioid Pilot project, and The Gift. The agenda also includes legislative updates on the Healthy Moms/Healthy Babies Advisory Group and free-standing birthing facilities, as well as subcommittee reports and a March of Dimes update on Better Birth Outcomes.

• Medicaid update
• Louisiana Perinatal Quality Collaborative (LaPQC) update
• Pregnancy Associated Mortality Surveillance (PAMR) update
• Fetal Infant Mortality Review (FIMR) update
• Opioid Pilot project – NOWS update

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission approved the September 2020 meeting notes. Members received updates on Medicaid reimbursement changes for screenings and donor milk, as well as progress reports on perinatal quality and mortality surveillance projects.

• Approved September 2020 meeting notes (unanimous)

Commission on Perinatal Care and Prevention of Infant Mortality

The Louisiana Commission on Perinatal Care and Prevention of Infant Mortality will meet via Zoom to review and vote on authorized projects, including the Louisiana Perinatal Quality Collaborative (LaPQC), and receive updates on fetal/infant mortality review, opioid pilot, and legislative matters.

• Vote on Louisiana Perinatal Quality Collaborative (LaPQC) item
• Report on Fetal Infant Mortality Review (FIMR) and Perinatal Periods of Risk (PPOR)
• Update on Opioid Pilot project – NOWS
• Legislative updates
• Update from March of Dimes – Better Birth Outcomes

The Commission approved the meeting notes from July and August 2020 and voted to approve the La Perinatal Quality Collaborative (LaPQC) Birth Ready Designation. Members discussed fetal infant mortality review options and requested additional data for further consideration.

• Approved July 2020 and August 2020 meeting notes
• Approved LaPQC Birth Ready Designation

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission discussed updates to maternity levels of care and the Louisiana Birth Ready Designation process. No formal votes were taken during the meeting, as members requested further documentation for future review.

• Tabled vote on LaPQC Louisiana Birth Ready Designation until September meeting
• Requested original document with track changes for the birth ready designation process

Commission on Perinatal Care and Prevention of Infant Mortality

The commission is meeting to review authorized projects and receive legislative updates. The agenda includes discussions on COVID-19's impact on pregnant mothers and infants.

• Report on Pregnancy Associated Mortality Surveillance (PAMR)
• Report on Louisiana Perinatal Quality Collaborative (LaPQC)
• Opioid Pilot project – NOWS
• The Gift project
• Updates from LA Medicaid and March of Dimes – Better Birth Outcomes

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission will utilize teleconference or video conference instead of in-person attendance for the July 16, 2020 meeting. This change is in response to Proclamation Number JBE 2020 – 30 regarding public health emergency measures.

• Meeting format changed from in-person to teleconference/video conference

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission approved meeting notes from March and May 2020 and adopted two new documents to define the scope of its work. Members also deferred discussion on the proposed Birth Ready Designation Program until the next meeting.

• Approved March and May 2020 meeting notes
• Adopted documents defining Commission studies, activities, and agents (unanimous)
• Deferred discussion of Birth Ready Designation Program

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission reviewed a matrix to prioritize action items from two state reports. Members also discussed hospital licensing concerns and prepared for the July meeting.

• Identified specific action items to be incorporated into Commission workflow
• Reviewed letter sent to LDH Health Standards regarding Hospital Licensing Standards Notice of Intent

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission on Perinatal Care and Prevention of Infant Mortality is meeting to discuss legislative updates and project reports. The agenda includes a presentation on the state of the state and the impact of COVID-19 on pregnant mothers and infants.

• Legislative updates on Free Standing Birthing Centers, Maternal Autopsy, and Maternal Mortality review
• Discussion on Maternity Levels of Care
• Updates on Pregnancy Associated Mortality Surveillance (PAMR) and Louisiana Perinatal Quality Collaborative (LaPQC)
• Review of Opioid Pilot project – NOWS and Fetal Infant Mortality Review (FIMR)
• Reports from NTSV Workgroup, LA Medicaid, and March of Dimes

Commission on Perinatal Care and Prevention of Infant Mortality

The Louisiana Commission on Perinatal Care and Prevention of Infant Mortality is meeting via teleconference on May 21, 2020, because of the COVID-19 public health emergency. The agenda states the commission cannot operate in person due to quorum requirements under state law. No specific items for discussion or decision are listed.

• Meeting conducted via Zoom due to COVID-19 emergency proclamation JBE 2020-30
• Teleconference used in lieu of in-person attendance per La R.S. 42:19

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission discussed updates on COVID-19 impacts on pregnant individuals and reviewed several deferred legislative bills. Members also received progress reports on mortality surveillance, opioid pilot projects, and the Title V Needs Assessment.

• Requested review of Free Standing Birthing Centers rulemaking before Notice of Intent is issued
• Noted maternal autopsy study resolution was deferred and will not be heard this session
• Noted maternal mortality review bill was deferred and will not be heard this session
• Scheduled Fetal Infant Mortality Review discussion for July or September 2020

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission reviewed legislative updates regarding birthing centers, maternal autopsy, and mortality reviews. A small subgroup was formed to use a new tool to prioritize recommendations from recent legislative reports. Most regular reports and presentations were postponed due to the legislative session suspension.

• Approved January and February 2020 meeting notes (unanimous)
• Formed a small subgroup to work through a recommendation inventory tool
• Scheduled next in-person meeting for May 21, 2020

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission on Perinatal Care and Prevention of Infant Mortality will meet to discuss COVID-19, legislative updates, and various health reports. The body will review maternal mortality and maternity levels of care.

• COVID 19-Pregant mothers and infants
• Free Standing Birthing Centers-rulemaking
• Maternal Autopsy and Maternal Mortality review
• HR 294 Report- Addressing Disparities in Maternal and Child Health Outcomes for African Americans
• Opioid Pilot project –NOWS

Commission on Perinatal Care and Prevention of Infant Mortality

The Commission reviewed updates on free-standing birthing facility regulations and potential LDH legislative packages. Members also discussed recent legislative reports regarding maternal and child health disparities.

• Noted LDH is working on rules for licensing free-standing birth centers
• Discussed proposed legislation for maternal autopsy studies, root cause analysis, and Sickle Cell Commission changes
• Received Summit Recommendations Report related to HR 294 / SR 240
• Scheduled next in-person meeting for March 19, 2020
• Set monthly workgroup calls for the third Wednesday of every month

Commission on Perinatal Care and Prevention of Infant Mortality

The Louisiana Commission on Perinatal Care and Prevention of Infant Mortality will meet to review and approve previous meeting notes, hear subcommittee reports on membership and neonatal abstinence syndrome (NAS), and receive legislative updates including the Healthy Moms, Healthy Babies Advisory Report, HR 294 on racial disparity in maternal and child health, and newborn screening reports. Presentations will cover the Louisiana Perinatal Quality Collaborative (LaPQC) and the Louisiana Mental Health Perinatal Partnership, with additional updates on the opioid pilot project, pregnancy-associated mortality surveillance, fetal-infant mortality review, Medicaid, March of Dimes, maternity levels of care, and the NTSV workgroup.

• Review/approval of previous meeting notes
• Subcommittee reports: Membership and NAS
• Legislative updates: HMHB report, HR 294 racial disparity report, newborn screening reports (HCR 34, SCR16)
• Presentation: LaPQC and Louisiana Mental Health Perinatal Partnership
• Updates: Opioid pilot project, PAMR, FIMR, LA Medicaid, March of Dimes, maternity levels of care, NTSV workgroup

The Commission approved previous meeting notes and discussed vacancies for pediatrician and neonatal nurse roles. Members reviewed progress on Neonatal Abstinence Syndrome recommendations and received updates on maternal health reports currently routing for agency approval.

• Unanimously adopted all 2019 and November 2018 meeting notes
• Determined not to open legislation establishing the Commission regarding quorum requirements