Work with the Regional Health Authority perinatal leads to engage the perinatal leadership within the 5 health authorities in investing in the EPIC process to reduce cesarean delivery rates.
Utilize the Perinatal Services BC (formerly BCPHP) perinatal registry to report on demographic, clinical practice, process and outcome data related to cesarean section.
Disseminate synthesized systematic reviews of practices identified by the teams as being relevant to cesarean section.
Prepare and distribute anonymous data comparing baseline outcome data for each participating health authority.
Assist with the development of materials to support change (posters, cheat sheets, standard orders, documentation forms, procedure manuals) as defined by each health authority.
Create patient education materials.
Provide feedback on selected indicators every three months.
Review process and outcome indicators within and among EPIC teams in health authorities.
Sample consumers (patients) with regard to changes in knowledge, attitudes and preferences for mode of delivery before and after exposure to education materials.
Review strategies and revise as necessary.
ii. Health Authorities
Within each Health Authority, perinatal leads will facilitate collaboration between the research team/Perinatal Services BC (formerly BCPHP) and key maternity care leaders to identify site leaders within hospitals.
Key maternity care leaders will assemble multidisciplinary teams within hospital birthing programs.
Teams will meet to review findings of systematic reviews, identify areas for practice change, develop indicators and benchmarks to monitor change develop critical pathways to implement changes.
Identify barriers to change and incorporate strategies to overcome barriers as part of the critical pathways.
Assist with the recruitment of pregnant and newly mothering women for focus groups for the purpose of exploring how women want to learn about risks and benefits associated with cesarean section. Potential focus group participants will be purposively sampled to seek diversity in terms of age, parity, and ethnicity.
Inform hospital staff of practice changes and provide training as necessary.
