2022 Annual Report


Greetings from Our Leaders

“The past year has been very exciting for TIPQC.  The continued and amazing improvements in the care of pregnant persons and babies in Tennessee received a big boost when TIPQC received grant funding from the Centers for Disease Control and Prevention (CDC).  This funding enables us to expand the resources we can offer local hospitals to support QI work.  We also welcome the push that comes from the CDC and the National Network of Perinatal Quality Collaboratives to learn from other states and model national best practices in perinatal care. With continued patient and family engagement and community partners, TIPQC is able to ensure what is implemented supports not only state but also local improvement.  Our partners and communities are the key to making this work even more meaningfully and sustainably!”

Susan Guttentag, MD, TIPQC PI & Chairman of the Oversight Committee

“It has been an amazing adventure and privilege to watch TIPQC grow these last 15 years, and to see the hospital teams share and support each other, all while improving the care for our birthing people and babies. None of this would have been possible without the hard work of the local hospital teams, the state leadership, and the support of our partners. Kudos on an amazing 15 years….and here’s to many more improvements!”

Brenda Barker, MEd, MBA, TIPQC Executive Director

“In 2022, TIPQC saw the conclusion of the Severe Maternal Hypertension project. The unwavering engagement from and collaborative efforts of the 15 participating birthing facilities contributed to significant improvement across the state.  Over 5,000 birthing persons with acute-onset of severe hypertension were successfully treated in a timely manner.  The project has also vastly increased awareness and the use of hypertension protocols.  We are confident that as participating hospitals continue their efforts in sustainment, there will be continued success and further improvement.  And with the start of the Promotion of Safe Vaginal Deliveries Project, it is clear hospital teams are eager to continue quality improvement work across the state.”

Danielle Tate, MD, MBA, TIPQC Maternal Medical Director

TIPQC’s Optimal Cord Clamping project saw significant engagement from hospitals around our state. Half of the birthing hospitals and ~70% of all babies born in Tennessee received the benefits of this project, making it one of the largest projects in TIPQC history. We were able to track consistent improvement and most hospitals reached the targeted goal. We also developed the first phase of Tennessee’s Tiniest Babies project and are ready to launch a severe intraventricular hemorrhage reduction project for the state’s Level 3 and 4 NICUs. This will help reduce one of the most serious complications encountered in the NICU. The excitement around these projects is palpable!

Scott Guthrie, MD, TIPQC Infant Medical Director

TIPQC’s growth would not be possible without the participation of our nursing colleagues. Nurses are at the bedside and perfectly positioned to not only identify areas for improvement but also to suggest potential solutions to improve processes and outcomes. A recent article published in the Journal of Pediatric Nursing concludes that the rate of nurse burnout is decreased when nurses are more involved in quality improvement efforts and feel that their contribution to these projects is valued.

Patti Scott, DNP, APRN, NNP-BC, C-NPT, TIPQC Infant Quality Improvement Specialist

“Congratulations and thank you to all of the teams for their hard work this year. I am always amazed at how many perinatal nurses and providers are willing to roll up their sleeves and work hard to improve the lives of the people we serve,and with the determination you all have to make Tennessee a safe place to have and raise a baby. Henry Ford once said ‘Quality means doing it right when no one is looking.’ This exemplifies your commitment to TIPQC, your birthing facility, and the families in Tennessee.”

Bonnie J. Miller, MSN, RN, TIPQC Maternal Quality Improvement Specialist

“This year TIPQC continues to make strides toward our mission for improvement for all Tennessee families. With an eye for equity, we disaggregate data by race and ethnicity on all projects, allowing us to have a special focus on marginalized populations.”

Rolanda Lister, MD, TIPQC Health Equity Officer

Ralph Alvarado, MD, FACP

Commissioner of the Tennessee Department of Health

Tobi Amosun, MD, FAAP

Assistant Commissioner of the Tennessee Department of Health, Division of Family Health and Wellness

Oversight Committee

The Oversight Committee is critical to the work of TIPQC.  Special thanks and much gratitude for your contribution to improved care for mothers and infants in Tennessee.  

  • Brittnea Adcock, DO, Assistant Professor of Neonatology, East Tennessee State University
  • Tobi Adeyeye Amosun, MD, FAAP, Assistant Commissioner of the Tennessee Department of Health, Division Director of Family Health and Wellness
  • Jona Bandyopadhyay, MD, MPH, FACOG, Associate Medical Director, TennCare
  • Kelly Bennett, MD, Professor & Vice Chair, Research Director, Division of Maternal Fetal Medicine, Vanderbilt University Medical Center
  • Joel Bradley, MD, FAAP, Chief Medical Officer, United Healthcare, Community Plan of Tennessee (retired June 2022)
  • John Buchheit, MD, Neonatology, Chairman of the Board, East Tennessee Children’s Hospital (served until March 2022)
  • Mary Catherine Burke, Patient/Parent Representative
  • Tara M. Burnette, MD, Neonatologist, University of Tennessee Medical Center, Knoxville
  • Greg Cannella, MD, TN Medical Director, Government Business Division, Amerigroup
  • Chris Clarke, RN, BSN, Senior Vice President, Clinical Services, Tennessee Hospital Association
  • Lilly Cooper, MSN, RN, NE-BC, Director Nursing Administration, Regional One Health
  • Melissa Davis, DNP, CNM, FNP, FACNM, Vanderbilt School of Nursing
  • W. Michael DeVoe, MD, Professor of Clinical Pediatrics Vanderbilt Pediatrics – Neonatology (retired March 2022)
  • Camielle Fishel, DNP, RNC-OB, Director of Perinatal Services, Baptist Memorial Hospital for Women
  • Cornelia R. Graves, MD, FACOG, Medical Director, Tennessee Maternal Fetal Medicine Director of Perinatal Services, St. Thomas Health Clinical Professor, Vanderbilt University Adjunct Professor, Meharry Medical College Professor, University of Tennessee
  • Susan H. Guttentag, MD, TIPQC PI & Oversight Committee Chair; Julia Carell Stadler Professor of Pediatrics, Vanderbilt School of Medicine Director, Mildred Stahlman Division of Neonatology Monroe Carell Jr. Children’s Hospital at Vanderbilt
  • Brian Hackett, MD, PhD, Professor of Pediatrics, Vanderbilt University Medical Center
  • Jeanne James, MD, FAAP  (retired August 2022) Vice President and Chief Medical Officer, BlueCare Blue Cross Blue Shield of TN
  • Joseph Kipikasa, MD, Vice Chair and Residency Program Director of University of Tennessee Department of Obstetrics and Gynecology, Chattanooga
  • Morgan McDonald, MD, FAAP, FACP, Commissioner, Tennessee Department of Health
  • Melanie H. Morris, Ph.D., APRN, WHNP-BC, CCE, AWHONN Tennessee Section Chair
  • Diana Moses, RN, BSN, MBA, Senior Director of Neonatal & Pediatric Programs, HCA Corporate
  • Jack Owens, MD, MPH, Neonatology Division Director, East Tennessee State University/NICU Medical Director Niswonger Children’s Hospital
  • John O. Schorge, MD, FACS, Professor and Chair, Department of Obstetrics and Gynecology, University of Tennessee Health Sciences Center
  • Anuj Sinha, DO, Neonatology / NICU Medical Director for Children’s Hospital at Erlanger
  • Ajay Talati, MD, Sheldon B. Korones Endowed Professor and Chief – Division of Neonatology Program Director, Neonatal-Perinatal Medicine,  University of Tennessee Health Science Center Medical Director, NICU, Lebonheur Children’s Hospital
  • Kevin Visconti, MD, Maternal-Fetal Medicine, High Risk Obstetrical Consultants
  • Lynlee Wolfe, MD, FACOG, Assistant Professor, Maternal and Fetal Medicine, University of Tennessee Medical Center
  • Victor Wu, MD, MPH, Chief Medical Officer, Division of TennCare
Ex Officio
  • Brenda Barker, MEd, MBA
  • Scott Guthrie, MD
  • Rolanda Lister, MD
  • Anna Morad, MD
  • Danielle Tate, MD, MBA
  • Jessica Young, MD, MPH
Subcommittee Members
  • Marlee Crankshaw, DNP, RN, CNML
  • Mary Kate Brown, M Ed
  • Melanie Ford, RNC
  • Deena Kail, BSN, RN, MBA
Maintenance of Certification (MOC) Committee
  • Tara Burnette, MD
  • Donna Whitney, MD

“TDH is privileged to partner with TIPQC, and excited to provide policy, data, and other support toward improving perinatal quality care in the state, as we continue to facilitate community, academic, private, and public partnerships to facilitate health equity and ameliorate disparities within our communities.”  

Tobi Adeyeye Amosun, MD

“It has been an honor to represent Nurse-Midwifery on the oversight committee.  TIPQC truly strives to include all stakeholders while working to improve maternal and fetal outcomes in our state.” 

Melissa Davis, DNP, CNM, FNP, FACNM

“I am honored to work with TIPQC in our efforts to reduce care variation and improve outcomes for infants born in Tennessee.” 

Jack Owens, MD, MPH

Humbled to be a small part of the passion and powerful work being done on behalf of maternal and infant health in the state of Tennessee.” 

Lilly Cooper MSN, RN, NE-BC

“Looking forward to having more patients and families involved in TIPQC QI projects.” 

Mary Catherine Burke

“As a high-risk obstetrician, I am thankful to TIPQC for all they do for the mothers and babies in Tennessee.  Because of the time and effort TIPCQ puts into the many projects, podcasts and outreach efforts, our state is a safer place to have a family.”    

Lynlee M. Wolfe, MD

“The Tennessee Hospital Association is delighted to support this important work!!

Chris Clarke, RN, BSN


TIPQC Operations Staff

Susan Guttentag, MD
Brenda Barker, M Ed, MBA
Scott Guthrie, MD
Danielle Tate, MD, MBA
Patti Scott, DNP
Rolanda Lister, MD
Bonnie Miller, RN, MSN
Ashley Lerro, RN – (Through August 2022)
Steven Compton, JD
Theresa Scott, MS

State Project Leaders:

Mike DeVoe, MD
Cornelia Graves, MD
Parul Zaveri, MD
Marcelo Rains, MD
TIPQC Staff Retreat July 2022

March of Dimes Report Card


Focus on Health Equity

TIPQC is committed to addressing disparities in care with a focus on Health Equity for ALL.

 This year TIPQC continues to make strides toward our mission for improvement for all Tennessee families. With an eye for equity, we disaggregate data by race and ethnicity on all projects, allowing us to have a special focus on marginalized populations and tailoring our interventions informed by the communities most impacted by health disparities. In addition, TIPQC’s Health Equity Officer, Rolanda Lister, MD, reviews all projects and advises on areas of concern. 

Year in Review

  • The Importance of Parent Engagement

    TIPQC has a long-standing commitment to focus and ground all projects on partnerships with patients, families, and those with lived experience. All learning sessions and the annual meeting featured the experiences and expertise of patients and families. This past year TIPQC launched a Patient and Family Partners Council. Members were recruited per project, with four (4) patients and/or families with lived experience.  All received national training through Momma’s Voices and will incorporate their expertise into the project, including development, monthly huddles, and evaluation.

    Podcasts

    Thank you to all the patients and families who have shared their experiences to help us improve the care for all Tennessee moms & babies!

    Wave 2 Opioid Use Disorder (OUD) and Opioid Exposed Newborn (OEN) Project

    The OUD OEN Project went into sustainment with teams finalizing data collection on January 31, 2022. 

     The Celebration Huddle was on February 15, 2022, with over 50 providers, nurses, physical therapists, family members, and other hospital team members gathering to hear final reports, updates on opioids during delivery, hot topics, and share the hard-won gains in caring for moms and babies affected by opioids. 

    All teams committed to continuing improvement in care throughout 2022, with a sustainment huddle on June 21, 2022. 

    Hospitals were able to show improvements in utilization of a validated screening tool and in NARCAN prescribing as noted in the below graphs:

    Resources

    1. Developed Buprenorphine training for practitioners with Florida PQC.  Two presentations are available with free CME.  Multi-state webinar on January 18, 2022, with over 80 participants from both states.
    2. ABP MOC was received for participating physicians in April 2022.
    3. Annual Meeting OEN OUD Panel spotlighting this project across the state with UTMCK, VUMC, Erlanger & Centennial sharing.
    4. A total of 19 training videos for hospital education with CME at no charge are available. 

    Special thanks to United HealthCare for sponsoring this project.

    Podcasts

    2022 Annual Meeting

    Commissioner Dr. Morgan McDonald brought greetings from the Tennessee Department of Health (TDH) and reflected on our last in-person meeting coinciding with the first case of COVID-19 and the tornados that swept through our state two years ago, calling this an opportunity for healing, connecting, and building on the strong foundation of care and resiliency in Tennessee healthcare. 

    Resources, presentations, and recorded talks are all available on the TIPQC website. 

    Optimal Cord Clamping

    The Optimal Cord Clamping project was developed in the Fall of 2021, with the pilot teams working in January and February.  The state Kick off was at the Annual Meeting in March.  Monthly huddles ensued with Learning Sessions on August 9 and December 13, 2022.   Mid-term QI coaching calls were held with all teams, including discussing outcome and process measures, along with race and ethnicity data.  Twenty-seven (27) hospitals participated in this project.  

    Podcasts

  • Safe to Sleep

    Hospital teams continued to promote safe sleep in the nursery and NICUs during sustainment.  A sustainment huddle was held on July 6, 2022. 

    Thank you to Lamar Advertising for donating 15 billboard spaces in Nashville, Tri-Cities, and the Jackson area to spread the Safe Sleep for Babies message across TN in the first two weeks of May. This is a value of approximately $21,000 with an audience of approximately 700,000.

    Podcast

  • TIPQC Simulation Trainings

    Summer 2022 SIMS trainings were held on June 7-9 with 72 attendees from 27 hospitals across the state at the HCA SIMS Center in Antioch. The meetings started with didactic lectures on “The Importance of Simulation,” “Maternal Physiology & Resuscitation,” and “Neonatal Hypoxic Ischemic Encephalopathy (HIE).”  Simulations followed on shoulder dystocia, Maternal Code, Infant respirator depression & Hypovolemia.  Skill stations included: PPV, LMA (Infant and Maternal), emergency UVC Placement, needle aspiration, cord prolapse, and MamaU utilization for PPLARC and balloon placements. Twenty-two hospitals received MamaUs Simulators for local trainings.

    EMS SIMS was held on June 10, 2022 with nine (9) EMS attending from seven (7) different departments. One of our EMS attendees saved a mom and her baby’s life one week later – to hear the entire story see podcast #64.

    “I appreciate everything TIPQC is doing to educate EMS and others around the state to take care of babies and mothers. Immediately after I attended the training, I used the things I learned on a difficult transport. These things are very under-emphasized in our training. I hope this helps encourage you and your staff to continue in your efforts.”

    Devin Branham, A.A.S., NRP

    “Favorite meeting every year and feel I get the most out of it!”

    “Coming from a small rural hospital I feel we can take things we learned back to use them.”

    “Great learning day!! Loved it!! Thank you!!”

    “The quality of instruction was superior.”

    “The hands-on simulations were fantastic, educators were knowledgeable and answered and discussed questions at length.”

    “We had a wonderful time at the SIMS training! It is always a pleasure to connect with other nurses and providers from our state, and my team enjoyed the opportunity to learn more about training and simulations.” 

    Resources

    Three training videos are available online with free CME for hospital teams to use as well.

    Podcasts

    Severe Maternal Hypertension Project

    Celebrating the Hypertension Project Teams!

    Starting in spring 2021, 15 birthing facilities in Tennessee joined this project to promote the consistent application of diagnostic and treatment bundles and protocols to optimize the outcomes of patients with hypertensive disorders of pregnancy in conjunction with AIM’s Severe Hypertension in Pregnancy Bundle. Participating pilot hospitals had a 56% increase in timely treatment.  The additional 10 statewide hospital teams began the project in March 2021 saw a 78% increase in timely treatment.

    Resources

    1.  Blood Pressure Cuff Kits:  In 2022, TIPQC provided 1,150 Blood Pressure Cuff Kits from the National Preeclampsia Foundation to 18 hospitals requesting these for distribution to high-risk pregnant and postpartum people for remote blood pressure monitoring.  TIPQC has provided a total of 3,209 Blood Pressure Cuff Kits to 27 hospitals since 2020.
    2. Continuation of BabyScripts Pilot in Memphis

    3.  AWHONN’s POSTBIRTH Warning Signs Learning Seats purchased for 46 hospitals, including training for 10 nurses per hospital and discharge training magnets & handouts in 23 languages.  This training has been extended for another year at no additional cost.

    *Provide provider & patient education regarding the dangerous POST-BIRTH warning signs and when to obtain immediate medical attention. The program includes online education on maternal morbidity and mortality and how to deliver consistent messages about warning signs that can signal serious complications. The course also provides a discharge education checklist, and allows each hospital to develop their own protocol.

    Podcasts

  • Maternal Mental Health Resources

    Maternal Mental Health Hotline 1-833-943-5746 (1-833-9-HELP4MOMS)

    Maternal Mental Health continues to be one of the top contributing factors identified in the Maternal Mortality Review.  “Almost half (47%) of all pregnancy-associated, but not related deaths with substance use disorder had a co-occurring mental health diagnosis as a contributing factor to death.”

    In addition, “Mental health was determined as a contributing factor in 21% of all deaths.” (MMR 2021)  Maternal mental health has also been greatly impacted through the COVID epidemic. 

    Resources

    1. Postpartum Support Training through PSI

    TIPQC hosted the PSI Training and Advanced Training August 23-26, 2023 in Franklin with over 150 attendees from 15 states.  Training included two days of Perinatal Mood and Anxiety Disorders, screening, trauma and culturally informed care, support groups, as well as a one day advanced course in Psychotherapy and Psychopharmacology. TIPQC hosted and provided scholarships to all 73 Tennessee participants.

    2. Feature the work of PSI in discharge planning with speaker Dr. Julia Wood in the OUD OEN Wave 2 Project

    3. Mental Health Speaker’s Talk in the Speakers Bureau

    4. Maternal Mental Health talks at Annual Meeting, as well as Provider Mental Health talk

    Maternal mental health “Screening: What Next?” with Dr. Julia Wood on maternal mental health screening and resources

    5. Five podcasts with one being featured nationally through ACOG AIM during National Maternal Mental Health Week.

    Podcasts

    Promotion of Vaginal Delivery (PVD) Project

     Recent data from birthing hospitals across the state show a wide variety of Cesarean Delivery rates ranging from 21% to 45%.  In conjunction with AIM’s Reduction in C-Section Bundle, the PVD project goal is to decrease the NTSV cesarean delivery rates to < 23.6% (Healthy People 2030 Goal) in all participating birthing facilities, as well as addressing and improving the established Labor and Delivery cultures. PVD will also include a special focus on equity for the BIPOC (Black, Indigenous, and People of Color) population, which data shows has greater disparities related to the promotion of safe vaginal delivery. The TIPQC faculty began work in the Spring of 2022 developing the tool kit, data collection tools, and protocol and received IRB approval on September 9, 2022.  Pilot teams began on October 25, 2022, with data training on November 29, 2022.  Statewide kick-off is planned for March 2023.

    “Promoting vaginal birth is an important step in reducing maternal morbidity and mortality. Cesarean births have steadily increased over the past several decades and can lead to life-threatening bleeding, infection, and future risks of abnormal placentation. Black women are more likely to have cesarean births and are more likely to experience preventable complications from cesarean births. TIPQC has compiled a multimodal evidence-based approach to promote vaginal birth including assessing labor culture, ‘spinning babies’ education and other community-based measures to support a culture of safe vaginal birth for all pregnant people. We are confident that a holistic approach will increase safe vaginal births of the nulliparous term singleton vertex populations.”

    Rolanda Lister, MD, TIPQC Health Equity Officer

    Resources

    1. The Labor Culture Survey with 25 hospitals participating was developed as a tool for hospitals to use to measure culture on their units and identify opportunities to improve. TIPQC offered this resource to Tennessee hospitals as a key part of readiness assessment for the Promotion of Vaginal Deliveries initiative.  A webinar to discuss results and next steps was held on December 5, 2022.

    2. Spinning Babies® Training was held in Nashville on October 17, 2022, with 32 trainees!  More training is scheduled in June 2023 for Memphis, Nashville, Johnson City, & Knoxville. 

    Podcast

    Speakers Bureau

    TIPQC’s Speakers Bureau made a total of 30 Presentations to 531 participants in 2022, consisting of 24 Maternal Presentations to 356 participants and 6 Infant presentations to 175 participants.  Talks were on Safe Sleep, Opioid Use Disorder in Pregnancy, Opioid Exposed Newborns, Maternal Hemorrhage, Management of Acute Maternal Hypertension, Postpartum Mental Health, and Health Equity. All presentations were provided at no cost to hospitals and CME Credits were available. A journal article published this year also shared highlights of this program.

    Educational Training Videos

    In 2022 TIPQC had 767 views of its training videos via YouTube, 229 more views for CME Credit, with an additional 85 views at two hospital education websites.   TIPQC’s lifetime website views of training videos total 2,453.  

    Tennessee’s Tiniest Babies: Intraventricular Hemorrhage Project (In development)

    At the 2022 Annual Meeting, leadership from all 13 of the state’s NICUs decided to embark on a multi-phase project to improve the care of our tiniest babies, called the Tennessee Tiniest Babies ( TTB) bundle.  The first project to be developed was the Intraventricular Hemorrhage (IVH) Project.  This project was developed through the Summer and Fall of 2022 with weekly faculty meetings. With a completed tool kit, protocol, and data collection tools, TIPQC received IRB approval on November 8, 2022.  Five (5) hospital teams piloted this project, with a Kick Off on January 10, 2023, and statewide implementation to begin in March 2023.

    “This project to reduce severe intraventricular hemorrhage (sIVH) at a state level has been a monumental task so far: reviewing the latest literature, discussing potentially better practices, and finally developing a toolkit to reduce sIVH and ultimately improve mortality. We know that this project will help bring us together to see a significant improvement for our premature infants in the state of TN!”

    Marcelo Rains, MD, State Co-Leader

    “It has been such a pleasure to work with the TIPQC team to develop the IVH project which will play such a vital role in improving health outcomes for the tiniest and most vulnerable babies. We are thankful to the hospitals which have agreed to participate as pilot teams and are looking forward to hearing and learning from their experiences. We sincerely hope that many units across the state will be a part of this very exciting project so we can reduce the mortality and morbidity in our extremely preterm infants, ultimately resulting in lowering of the infant mortality rates for our state.”

    Parul Zaveri, MD, State Co-Leader

    Resources

    Synapse – Small Baby Brain Care Course:  TIPQC provided 130 scholarships (10 students at each hospitals) for all 13 of the Level III and IV TN hospitals.  The course consists of online 25 lectures.

    Podcasts

    QI Bootcamp

    The QI Bootcamp taught by Dupree Hatch, MD, Eva Dye, NNP, and Christa Sala, RRT, on December 2, 2022, was attended by 24 attendees from eight (8) hospitals across the state, as well as TN Department of Health.

    Podcast


    Additional Resources TIPQC Provided throughout 2022

    1. CME:  TIPQC provided 957 CME credit hours to 338 healthcare providers.
    2. MOC:  TIPQC provided Maintenance of Certification through ACOG and American Board of Pediatrics (ABP).  In 2022 six Physicians claimed MSPP Part IV Credit through ACOG and seven Physicians claimed a total of 175 MOC Credits through ABP. 

Connect with Us: Social Media and Podcast


TN Awarded National Grants

TIPQC received the CDC Grant for PQCs

Twenty-seven (27) statewide Perinatal Quality Collaboratives (PQCs) received 5-year grants to improve maternal and infant outcomes with a focus on equity in care.” CDC recognizes the unique and important roles PQCs have in understanding the drivers of adverse pregnancy outcomes and in developing recommendations designed to equitably improve maternal and infant health through quality improvement efforts. This significant expansion of CDC support for PQCs builds capacity to improve the quality of perinatal care for mothers and babies.”

TDH receives HRSA Grant benefiting TIPQC

TDH received the Health Resources & Services Administration (HRSA) State Maternal Health Innovation & Data Capacity Award with a portion being able to expand TIPQC’s AIM Data work & scope.

Across the State, Nation, and World

TIPQC is frequently asked to share the work our teams are doing across Tennessee, nationally, and around the globe. Here’s a quick snapshot…

February – Annual Pediatric Review Conference in Amman, Jordan, Scott Guthrie, MD

April – Tennessee Department of Health Perinatal Advisory Committee(PAC) Meeting, Brenda Barker, MEd, MBA

April – Pediatric Academic Society (PAS) Denver, Colorado, Scott Guthrie, MD, poster presentation

May – Society of Maternal-Fetal Medicine Meeting, San Diego, CA, Danielle Tate, MD, MBA – poster presentation

July – Brenda Barker, MEd, MBA joined Eleni Tsigas for the National Preeclampsia Foundation Walk, Nashville

July – Tennessee Department of Health Perinatal Advisory Committee (PAC) Meeting, Danielle Tate, MD, MBA

September – Alliance for Innovation in Maternal Health (AIM), Brenda Barker, MEd, MBA- Plenary Speaker & Danielle Tate, MD, MBA- poster presentation

September – Michael Warren, MD, MPH, FAAP, Associate Administrator, Maternal and Child Health Bureau, Health Resources and Services Administration. U.S. Department of Health and Human Services

September – National Nurse Practitioner Meeting, Orlando, FL, Scott Guthrie, MD & Patti Scott, DNP, APN, NNP-BC, C-NPT

September- Vermont Oxford Network Annual Meeting, Chicago, IL, Scott Guthrie, MD, Patti Scott, DNP, APN, NNP-BC, C-NPT, Brenda Barker, MEd, MBA along with various TN NICUs

October – Current Problems in Pediatrics – International Congress in Baku, Azerbaijan and Tiny Feet, Big Steps conference in Arusha, Tanzania, Scott Guthrie, MD

October – Tennessee Department of Health Perinatal Advisory Committee (PAC) Meeting, Danielle Tate, MD, MBA

October – Tennessee Maternal Mortality Review Committee Meeting Speaker, Danielle Tate, MD, MBA

October – THA Chief Medical Directors Meeting, Danielle Tate, MD, MBA

December – Center for Disease Control (CDC) State Perinatal Quality Collaborative (PQC) Meeting, Atlanta, GA, Danielle Tate, MD, MBA, Bonnie Miller, RN, MSN, Brenda Barker, MEd, MBA


Article Published/ Poster Presentations


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