Press Release

IU Health Arnett Hospital recognized for Higher Quality and Cost-Efficiency in Maternity Care

February 02, 2021

Lafayette, Ind. - Indiana University Health Arnett Hospital] is proud to be recognized by Anthem with a Blue Distinction® Centers+ (BDC+) for Maternity Care designation, as part of the Blue Distinction Specialty Care program.

Racial and ethnic disparities are persistent and widespread across maternal healthcare, primarily driven by socioeconomic status, geographic location and implicit provider bias. Compared to similarly developed countries such as Canada, Germany and Australia, the United States has the highest maternal mortality rate (MMR), at approximately 17.4 deaths per 100,000 live births, with the MMR steadily increasing since 2000[1]. According to the CDC, non-Hispanic Black women are two to three times more likely to die from preventable or treatable pregnancy-related complications compared to white women[2].

To help address these gaps in care and to help ensure the better health of mothers, The Blue Cross Blue Shield Association enhanced its quality evaluation for the Maternity Care program to address key factors driving the United States’ maternal health crisis, such as preventable or treatable pregnancy-related conditions, high utilization of Caesarean sections and racial and ethnic disparities in maternal healthcare.

Overall, cost of care episodes for vaginal and cesarean births at BDC+ facilities are 20% less than those at non-Blue Distinction Centers+ facilities. The rates of Episiotomies were 49% less those at Blue Distinction Centers (BDC and BDC+) than at those at non-Blue Distinction Centers (BDC and BDC+). In 2018, BDC/BDC+ facilities across the country cared for more than 40% of Blue Cross and Blue Shield commercially insured women giving birth.

IU Health Arnett Hospital is proud to be recognized by Anthem for meeting the rigorous Blue Distinction Centers+ quality selection criteria for maternity care set by the Blue Distinction Specialty Care program.

“Healthcare is always changing and growing thanks to research and data review that show us where we can focus to make a higher impact,” explains Selina McNulty, RN BN, manager of Labor and Delivery and Mother Baby at IU Health Arnett Hospital. “We have always had policy and procedures in place to promote the safety of our moms in pregnancy, during their labor, delivery and recovery. Each year we strive to improve our efforts. We have continued to simulate complex emergency scenarios in staff drills that include the bedside labor nurse, physician or midwife, NICU team and Mother Baby nurse. Our robust toolkits for management of things such as postpartum hemorrhage or severe hypertension also help us to quickly recognize signs and symptoms allowing earlier management with improved patient outcomes. We are so proud to have earned this designation as it highlights the great work done at IU Health Arnett by our Maternal Child Health teams. We look forward to the continued pursuit for the best maternal outcomes for all women.”

In 2020, the Blue Distinction Centers for Maternity Care Program was expanded beyond traditional outcome measures to include assessments of internal quality improvement, data collection and dissemination, and internal protocols that better address clinical quality and equity issues in maternity care. New in the evaluation cycle, facilities must collect race-ethnicity data, have a maternal quality improvement program, commence drills and simulations for adverse events and have dedicated protocols and procedures for the management of hypertension and hemorrhage. In addition, they must meet clinical outcome metrics at a higher standard than required previously. Specifically, the rate for low-risk first time cesarean sections (NTSV c-section rate, PC-02) has been aligned with the revised Healthy People 2020 goals. Facilities eligible for the Blue Distinction Centers for Maternity care show statistically significant differences in key clinical outcomes compared to their peers.

Quality is key: only those health care facilities that first meet Blue Distinction’s nationally established, objective quality measures will be considered for designation as a Blue Distinction Center+.

“With programs like Blue Distinction, Anthem Blue Cross and Blue Shield is helping our members make informed decisions about their healthcare,” said Beth Keyser, president of Anthem Blue Cross and Blue Shield in Indiana. “We are committed to providing access to quality care that will lead to better health outcomes for the people we serve. We appreciate the partnership with IU Health Arnett Hospital and the care they provide to Anthem members.”

Since 2006, the Blue Distinction Specialty Care program has helped patients find quality specialty care in the areas of bariatric surgery, cancer care, cardiac care, cellular immunotherapy, fertility care, gene therapy, knee and hip replacement, maternity care, spine surgery, substance use treatment and recovery, and transplants while encouraging healthcare professionals to improve the care they deliver. Research shows that, compared to other providers, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients.

For more information about the program and for a complete listing of the designated providers, visit www.bcbs.com/bluedistinction.

[1] https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm

[2] https://www.cdc.gov/mmwr/volumes/68/wr/mm6835a3.htm?s_cid=mm6835a3_w

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