Obstetric Care for Women with Opioid Use Disorder Bundle
TexasAIM Obstetric Care for Women with Opioid and other Substance Use Disorders
From 2017-2020, Texas DSHS worked with the Alliance for Innovation on Maternal Health (AIM) multi-state collaboration to contribute to developing and pilot-testing the Obstetric Care for Women with Opioid Use Disorder (OUD) Patient Safety Bundle, which was released by the American College of Obstetricians and Gynecologists (ACOG) and AIM in 2018. Subsequently, DSHS recruited 10 “early adopter” hospitals with experience or strong interest in providing care to women with opioid use disorder to pilot test implementation of this bundle.
Based on learnings from states that piloted the Obstetric Care for Women with Opioid Use Disorder Patient Safety Bundle, AIM developed and replaced the bundle in October 2021 with the new Care for Pregnant and Postpartum with Substance Use Disorders Bundle (CPPSUD) Due to the complex health and social needs that accompany opioid and other substance use disorders, this bundle differs significantly from the other AIM bundles. The practice concepts in this bundle are rooted in both established and emerging evidence. Therefore, much is still being learned and implementation of these practices during Wave 1 of the initiative requires innovation as well as quality improvement.
Incorporating AIM’s CPPSUD Patient Safety Bundle elements, DSHS launched the Obstetric Care for Women with Opioid and other Substance Use Disorder Innovation and Improvement Learning Collaborative (OSUD IILC) in August 2023 with nine pilot hospitals, including hospitals from the original OUD pilot. This “Wave 1” learning collaborative pilot will continue through 2024 and expand statewide for full implementation thereafter during Wave 2. Community partners will be involved along the way, since this bundle impacts clinical practices as well as care coordination along the continuum of care throughout pregnancy and through the year after.
TexasAIM Obstetric Care for Women with Opioid and Other Substance Use Disorder Innovation and Improvement Learning Collaborative Faculty
The Texas Department of State Health Services TexasAIM Team is grateful for its partnership with the TexasAIM Obstetric Care for Women with Opioid and Other Substance Use Disorder Innovation and Improvement Learning Collaborative Faculty.
Provider Resources:
- Care for Pregnant and Postpartum People with Substance Use Disorder Patient Safety Bundle
- Resources and quick links related to the Care for Pregnant and Postpartum People with Substance Use Disorder Bundle
- TexasAIM Opioid and other Substance Use Disorder Key Driver Diagram (PDF)
- TexasAIM Opioid and other Substance Use Disorder Family of Measures (PDF)
Questions?
Didn’t find what you were looking for? Find more information on the Alliance for Innovation on Maternal Health webpage or by contacting the TexasAIM Team at TexasAIM@dshs.texas.gov.