Maternal and Child Health Journal

, Volume 9, Issue 3, pp 317–341

A Framework for the Development of MaternalQuality of Care Indicators

  • Lisa M. Korst
  • Kimberly D. Gregory
  • Michael C. Lu
  • Carolina Reyes
  • Calvin J. Hobel
  • Gilberto F. Chavez
Article

DOI: 10.1007/s10995-005-0001-y

Cite this article as:
Korst, L.M., Gregory, K.D., Lu, M.C. et al. Matern Child Health J (2005) 9: 317. doi:10.1007/s10995-005-0001-y

Background: In collaboration with the California Department of Health Maternal and Child Health Branch, the authors formed a Working Group to identify potential clinical indicators that could be used to inform decision making regarding maternal health care quality. Objective: To develop potential indicators for the assessment of maternal health care quality. Materials and Methods: A Working Group was convened to review information from the published literature and expert opinion. Selection of potential indicators was guided by the following goals: 1) To identify key areas for routine aggregate monitoring; 2) To include perspectives of relevant stakeholders in maternal health care services; 3) To include measures that are comprehensive and reflect a balance between maternal and fetal interests; and 4) To develop measures that would be valid, generalizable, mutable, and feasible. Results: Ninety potential indicators were identified. Each underwent a thorough review based on: its definition, objective, and validity; its contribution to innovation; the cost and timeliness of implementation; its feasibility, acceptability, and potential effectiveness; and its compatibility with ethics, values, and social policy. This process yielded 24 final indicators from the following categories: Health Status and Access (e.g., availability of 24 h inpatient anesthesia); Preconception and Interconception Care (e.g., Pap smear use); Antenatal Care (e.g., hospitalization for uncontrolled diabetes or pyelonephritis); Labor and Delivery Care (e.g., chorioamnionitis or obstetrical hemorrhage), and Postpartum Care (e.g., rate of postpartum visits). Conclusions: These potential indicators, representative of the women's health continuum, can serve as a foundation to structure the development of consensus and methods for maternal health care quality assessment.

KEY WORDS:

quality indicators health care maternal health services pregnancy 

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Lisa M. Korst
    • 1
    • 2
    • 3
    • 5
    • 14
  • Kimberly D. Gregory
    • 6
    • 7
    • 8
    • 9
    • 11
  • Michael C. Lu
    • 7
    • 11
  • Carolina Reyes
    • 5
    • 13
  • Calvin J. Hobel
    • 6
    • 7
    • 8
    • 10
  • Gilberto F. Chavez
    • 12
  1. 1.Saban Research Institute of Childrens Hospital Los AngelesLos AngelesUSA
  2. 2.Department of Pediatrics, Keck School of MedicineUniversity of Southern CaliforniaSouthern CaliforniaUSA
  3. 3.Division of Research on Children, Youth, and Families, Keck School of MedicineUniversity of Southern CaliforniaSouthern CaliforniaUSA
  4. 4.Division of Neonatal medicine, Keck School of MedicineUniversity of Southern CaliforniaSouthern CaliforniaUSA
  5. 5.Department of Obstetrics & Gynecology, Keck School of MedicineUniversity of Southern CaliforniaSouthern CaliforniaUSA
  6. 6.Burns and Allen Research Institute of Cedars-Sinai Medical CenterCedars-SinaiUSA
  7. 7.Department of Obstetrics & Gynecology, David Geffen School of MedicineUniversity of Southern CaliforniaSouthern CaliforniaUSA
  8. 8.Division of Maternal Fetal Medicine, David Geffen School of MedicineUniversity of CaliforniaLos AngelesUSA
  9. 9.Division of Women's Health Services Research and Policy, David Geffen School of MedicineUniversity of CaliforniaLos AngelesUSA
  10. 10.Department of Pediatrics, David Geffen School of MedicineUniversity of CaliforniaLos AngelesUSA
  11. 11.Department of Community Health Services, School of Public HealthUniversity of CaliforniaLos AngelesUSA
  12. 12.California Department of Health ServicesCaliforniaUSA
  13. 13.Agency for Healthcare Research and QualityRockvilleUSA
  14. 14.LAC+USC Women's and Children's HospitalLos AngelesUSA

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