IMPLICIT - An FMEC Collaborative

IMPLICIT :  Interventions to Minimize Preterm and Low birth weight Infants through Continuous Improvement Techniques


 "Preventing prematurity one woman at a time"  

The Interventions to Minimize Preterm and Low birth weight Infants using Continuous quality Improvement Techniques (IMPLICIT) Network- An FMEC Collaborative is a family medicine maternal child health learning collaborative focused on improving care for women, infants, and families through faculty, resident, and student development and quality improvement.  

The Network develops, implements, evaluates, and optimizes new and existing models of care focused on improving birth outcomes and the health of women, infants, and families. Initiatives include:  

  • Development of IMPLICIT Pregnancy model of improving prenatal care by providing education and promoting screening for asymptomatic bacteriuria, bacterial vaginosis screening for women with a history of preterm birth, depression, smoking, and family planning during the first 15 weeks of pregnancy or by woman’s third prenatal visit, third trimester, delivery, and postpartum visit up to fifteen weeks after delivery
  • Development of IMPLICIT interconception care (ICC) model of screening women for smoking, depression, family planning, and multivitamin with folic acid intake during baby’s well child visits 0-24 months
  • Reduction in rapid repeat pregnancies and lengthening interpregnancy intervals
  • Promotion of pregnancy intention screening
  • Promotion of postpartum long acting reversiblecontraception (LARC)
  • Validation of 2 step/PHQ2 depression screening in pregnancy and postpartum
  • Evaluation of postpartum depression screening and interventions

Network Membership:

Learn more about the IMPLICIT Network by reviewing the Network GuideNetwork Expectations, and Network Membership Guide. Joining the Network is not just a membership fee, but a commitment from providers at sites to actively participate in continuous quality improvement to improve the care of women and babies before, during, and after pregnancy. If you are interested in joining the Network, contact implicitinfo@fmec.net

Publications:

In addition, the IMPLICIT Network collaborated with the National March of Dimes to develop the IMPLICIT Interconception Care (ICC) Toolkit. Access the Toolkit by visiting  www.prematurityprevention.org. The Toolkit is free, although you will be prompted to create a username and password. Sites using the Toolkit to implement IMPLICIT ICC are not required to join the IMPLICIT Network.

Additional Resources:

If you are looking for more information regarding preconception health, please visit the National Preconception Health and Health Care Initiative's website:  www.beforeandbeyond.org. The clinical toolkit is
a great resource help providers meet patients' needs and incorporate preconception health into the routine care of women of childbearing age.


To join this project as a current member, login to your member profile and opt in to this Collaborative Project Committee:   Member Login

If you are not an FMEC member would like to join this project, please become an FMEC member here:  Individual Membership 


For more information contact:

Stephen D. Ratcliffe, MD, MSPH:  SDRatcli@LancasterGeneral.org

Jessica Brubach:  Brubachjl2@upmc.edu