Smooth Transitions Participating Facility Annual Audit

Smooth Transitions is interested in hearing from hospitals participating in the program. Have your transfer experiences from community midwives improved? Are your relationships with community midwives more respectful and collegial? We want your feedback. Please take 5-10' to answer these questions. Your responses will inform and guide the program going forward. Thank you!

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* 1. For what year are you completing the audit?

2022

2023

2024

2025

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* 2. What is the name of your facility?

Evergreen

Overlake

PeaceHealth St. Joseph's

Providence Regional Medical Center, Everett

Skagit Valley Hospital

Cascade Valley Hospital

UW-Montlake

UW-Valley

UW-Northwest

Yakima Valley Memorial Hospital

Kittitas Valley Hospital

Samaritan, Moses Lake

Providence St. Peter's, Olmpia

St. Michael's Medical Center, Silverdale

Legacy Salmon Creek

PeaceHealth Southwest

The Vancouver Clinic

Jefferson

Mulicare St. Elizabeth's

Multicare Auburn

Swedish First Hill

Swedish Issaquah

Other (please specify)

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* 3. In your best estimation, how many intrapartum, immediate postpartum, and neonatal transfers from community midwives does your facility receive annually?


Intrapartum	Intrapartum menu
Immediate Postpartum	Immediate Postpartum menu
Neonatal	Neonatal menu

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* 4. In your opinion, how has Smooth Transitions affected:

	Significantly improved	Moderately improved	Minimally improved	No change	Worsened this aspect of community midwife transfers
The transfer process for the pregnant person	The transfer process for the pregnant person Significantly improved	The transfer process for the pregnant person Moderately improved	The transfer process for the pregnant person Minimally improved	The transfer process for the pregnant person No change	The transfer process for the pregnant person Worsened this aspect of community midwife transfers
The transfer process for the newborn	The transfer process for the newborn Significantly improved	The transfer process for the newborn Moderately improved	The transfer process for the newborn Minimally improved	The transfer process for the newborn No change	The transfer process for the newborn Worsened this aspect of community midwife transfers
The initial communication between the community midwife and receiving provider	The initial communication between the community midwife and receiving provider Significantly improved	The initial communication between the community midwife and receiving provider Moderately improved	The initial communication between the community midwife and receiving provider Minimally improved	The initial communication between the community midwife and receiving provider No change	The initial communication between the community midwife and receiving provider Worsened this aspect of community midwife transfers
The initial communication between the community midwife and the charge nurse	The initial communication between the community midwife and the charge nurse Significantly improved	The initial communication between the community midwife and the charge nurse Moderately improved	The initial communication between the community midwife and the charge nurse Minimally improved	The initial communication between the community midwife and the charge nurse No change	The initial communication between the community midwife and the charge nurse Worsened this aspect of community midwife transfers
Patient satisfaction	Patient satisfaction Significantly improved	Patient satisfaction Moderately improved	Patient satisfaction Minimally improved	Patient satisfaction No change	Patient satisfaction Worsened this aspect of community midwife transfers
Patient safety	Patient safety Significantly improved	Patient safety Moderately improved	Patient safety Minimally improved	Patient safety No change	Patient safety Worsened this aspect of community midwife transfers
Receiving provider satifaction with community midwife transfers	Receiving provider satifaction with community midwife transfers Significantly improved	Receiving provider satifaction with community midwife transfers Moderately improved	Receiving provider satifaction with community midwife transfers Minimally improved	Receiving provider satifaction with community midwife transfers No change	Receiving provider satifaction with community midwife transfers Worsened this aspect of community midwife transfers
Nursing satifaction with community midwife transfers	Nursing satifaction with community midwife transfers Significantly improved	Nursing satifaction with community midwife transfers Moderately improved	Nursing satifaction with community midwife transfers Minimally improved	Nursing satifaction with community midwife transfers No change	Nursing satifaction with community midwife transfers Worsened this aspect of community midwife transfers
The communication between the discharging provider and the community midwife	The communication between the discharging provider and the community midwife Significantly improved	The communication between the discharging provider and the community midwife Moderately improved	The communication between the discharging provider and the community midwife Minimally improved	The communication between the discharging provider and the community midwife No change	The communication between the discharging provider and the community midwife Worsened this aspect of community midwife transfers

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* 5. Does your facility have working transfer protocols with community midwives?

Yes

Don't know

If yes, are these protocols updated periodically? Please describe this.

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* 6. Does your facility have a Perinatal Transfer Committee that meets with the local community midwives?

Yes

Don't know

If yes, how often?

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* 7. Does your facility collect statistics on community birth transfers?

Yes

If yes, are they shared at the Perinatal Transfer Committee meetings?

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* 8. Do receiving providers and nurses at your hospital fill out Smooth Transitions surveys?

Yes

Don't know

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* 9. What are the barriers (if any) to survey participation by receiving providers or nurses?

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* 10. Does your facility ever invite community midwives to participate in educational or training opportunities?

Yes

If yes, please describe.

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* 11. Has your facility developed resources or tools to better support community midwife transfers?

Yes

If yes, please describe.

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* 12. What are the most significant challenges when working collaboratively with your local community midwives? Please select all that apply.

Transfer patients not prepared for the hospital culture and likely interventions

Community midwives not communicating with facility/staff prior to a transfer

Community midwives not providing patient records in a timely manner

Coordinating discharge and/or patient follow-up care

Community midwives not providing accurate verbal report when initiating a transfer

Community midwives waiting too long to transfer

Community midwives not accompanying patient to facility when transferring

Community midwives practicing outside of hospital community standard

Community midwives' clients who refuse care/treatment after transfer

Other (please specify)

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* 13. In reference to the previous question (#10), what has the facility done to correct these abovementioned challenges?

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* 14. What are the greatest successes when working collaboratively with your local community midwives? Please select all that apply.

Facility receives a "heads up" prior to a transfer so we can prepare

Transfers happen earlier, when there are more options and it's less serious

Improved communication between community midwives and facility providers/staff

More accurate verbal report when initiating a transfer

Patient records received in a timely manner

Better coordination of discharge and/or patient follow up

Community midwives accompanying their patients to the facilty during a transfer

Provider to provider "warm handoff" where questions can be answered and more case details shared

"Team Birth" huddles that are happening with the community midwife included

Higher patient satisfaction

Improved patient safety

Transfer patients better prepared for the hospital culture and likely interventions

Shared empathy between both groups- a better understanding of what both provider types do

Other (please specify)

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* 15. Would your facility be willing to share your protocols, resources, tools, and "lessons learned" with other facilities or organizations interested in participating in Smooth Transitions?

Yes

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* 16. Please describe any additional assistance needed from the Smooth Transitions QI Program.

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* 17. Reporter Information

Name *

Facility

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *