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Designing Systems to Improve Care for Every Mother, Everywhere @neel_shah

Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

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Page 1: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Designing Systemsto Improve Care for Every Mother, Everywhere

@neel_shah

Page 2: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Capabilit

y

Too Little

Too Much

Time

Page 3: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

United States Cesarean Deliveries, 1970-2010

Page 4: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

# of hospitals with each CD Rate

CD

Rate

7%

70%

x 10

Cesarean Rates by Hospital Across the United States

Page 5: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 6: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 7: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Don’t Know Know

Inadequate

education

Intentionally

err

Unintentionally

err

Misaligned

incentive

System

complexity

Page 8: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Clarity

Baby’s safety

Mom’s safety

Best long term

health for both

Page 9: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Forcing

Functions

Page 10: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Category

FETAL

PROGRESS

Clear Indications Fuzzy Indications

MATERNAL

Page 11: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 12: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Labor and Delivery Planning Board

Team

Preferences

Plan

Next Assessment

Page 13: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 14: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 15: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 16: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 17: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

Page 18: Designing Systems - National Perinatal Associationnationalperinatal.org/resources/Documents/2019 conference present… · An estimated 700 to 900 women in the U.S. died from related

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