History of the Indiana Perinatal Quality Improvement Collaborative (IPQIC)

In October 2010, the Indiana State Department of Health’s (ISDH) Division of Maternal and Child Health (MCH) initiated the Hospital Levels of Care Task Force. Its goal was to ensure that high risk mothers deliver at the hospitals that could provide the most appropriate care. Because Indiana has not had a formal process for designating levels of care available at the state’s 90 birthing hospitals, the Task Force was asked to 1) assess current level of care definitions; 2) create standards definitions and guidelines for each hospital level of obstetric and newborn care; 3) make recommendations to ISDH and professional organizations on policy needed to improve quality perinatal care and what the next steps should be. The Task Force adopted principles to guide its work:

  • Achieve the best outcomes for mothers and babies;
  • Comply but not exceed American Academy of Pediatrics (AAP) and American Congress of Obstetricians and Gynecologists (ACOG) national standards;
  • All standards must be grounded in solid evidence;
  • Produce a visionary document.

In 2012, The Task Force finalized its recommendations that incorporated AAP and ACOG Guidelines for Perinatal Care that were published in September 2012. A gap analysis survey was conducted with all Indiana hospitals with obstetric and newborn services to support a self-assessment of their current status compared to the national guidelines. Forty-three percent (43%) of the obstetric units and 32% of the newborn units met the revised guidelines for their self-declared level of care.

Based on the results of the survey and the work of the Task Force, Dr. Gregory Larkin, Commissioner of Health, charged the MCH Director to build on the work that began with the Levels of Care Task Force (2011-2012). The Indiana Perinatal Quality Improvement Collaborative (IPQIC) began its official work in 2013. The vision of IPQIC is:

  • All perinatal care providers and all hospitals have an important role to play in assuring all babies born in Indiana have the best start in life.
  • All babies in Indiana will be born when the time is right for both the mother and the baby.
  • Through a collaborative effort, all women of childbearing age will receive risk appropriate health care before, during and after pregnancy.

After the election of Governor Mike Pence in 2012 and the appointment of Dr. William VanNess as Indiana Health Commissioner, a renewed emphasis on the issue of infant mortality occurred. Having been briefed by MCH staff and having reviewed the most current perinatal data, Commissioner VanNess quickly identified reduction in infant mortality rates as the top priority for the Health Department for the next four years.

While there was a change in leadership from Dr. VanNess to Dr. Jerome Adams in 2014, the commitment to reducing infant mortality and morbidity remains unchanged. The current IPQIC infrastructure was developed and stakeholders from all perspectives and from all corners of the state were solicited to participate in this significant effort to address the issues of infant mortality and morbidity. The completed work and ongoing activities of IPQIC are designed to complement the continuing efforts of the ISDH to address both infant mortality and morbidity in Indiana. Emerging issues often result in additional committees and workgroups. Well over 200 individuals remain committed to supporting the efforts of ISDH in promoting quality outcomes for Indiana mothers and their babies.

Breastfeeding and Safe Sleep

Indiana Perinatal Quality Improvement Collaborative (IPQIC) Governing Council  

IPQIC Quality Improvement

IPQIC Perinatal Substance Use

IPQIC Finance Committee

IPQIC Data Committee

IPQIC Systems Implementation

IPQIC Education Committee

IPQIC Hospital Resources