A new paradigm for postpartum care.
Shortened hospital stays have decreased women's access to postpartum nursing care. Providers and payers together must address clinical and cost issues to develop a model of maternity care that covers the postpartum period. A short-stay maternity program was developed in 1989 by Professional Nurse Associates, Inc., in conjunction with Kaiser Permanente. The program includes prenatal preparation of families, a brief hospital stay, postpartum home visits, and postvisit case management. Readmission rates or mothers and newborns in the program have been less than 1%. The program has saved about $1 million a year since 1991, and consumer satisfaction has been measured at 99%.
Williams
L R
LR
Professional Nurse Associates, Inc., Cleveland, OH, USA.
Cooper
M K
MK
D003362:Cost-Benefit Analysis; D005260:Female; D006279:Health Maintenance Organizations; D006699:Home Care Services; D015277:Hotlines; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000517:prevention & control; D008430:Maternal-Child Health Centers / Q000458:organization & administration*; D016294:Models, Nursing; D010359:Patient Readmission / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011181:Postnatal Care / Q000458:organization & administration*; D011247:Pregnancy; D011295:Prenatal Care; D015397:Program Evaluation; D011644:Puerperal Disorders / Q000453:epidemiology / Q000517:prevention & control; D012017:Referral and Consultation; D012307:Risk Factors; D012308:Risk Management / Q000379:methods; D012956:Societies, Nursing; D014481:United States / Q000453:epidemiology