In our last issue, we spoke to Dr. Manda Hall, Associate Commissioner for Community Health Improvement at the Texas Department of State Health Services, about TexasAIM, a new initiative focused on reducing maternal mortality and morbidity in Texas. The initiative, which is being implemented by DSHS in partnership with the Alliance for Innovation on Maternal Health (AIM) and the Texas Hospital Association (THA), will help hospitals and clinics in Texas carry out maternal safety projects.
TexasAIM is launching with an Obstetric Hemorrhage Bundle. The initiative will then focus on the Obstetric Care for Women with Opioid Use Disorder Bundle and Severe Hypertension in Pregnancy Bundle.
As of December 2018, 206 birthing hospitals are participating in TexasAIM. That is 92% of all birthing hospitals in Texas.
As of December 2018, 206 (92%) of Texas’ birthing hospitals are participating in TexasAIM. Of those, 167 are designated “TexasAIM Plus” hospitals, and the other 39 are “TexasAIM Basic” hospitals.
Hospital Enrollment
TexasAIM Basic Hospitals: 39
TexasAIM Plus Hospitals: 167
Total TexasAIM Hospitals: 206
TexasAIM Hospital Cohorts
The AIM Plus hospitals are being divided into five cohorts, by geography, with 20-30 hospitals in each cohort. Each hospital will receive in-person learning sessions from DSHS. They will do an intake assessment, implement the QI bundles, and track and share process and outcome data over time. The hospitals in each cohort are also working together as part of learning collaboratives.
Cohort 1: 32 (16% of enrolled hospitals)
91% of participating hospitals are Plus
76% of hospitals in the region are in AIM
Cohort 2: 47 (23% of enrolled hospitals)
89% of participating hospitals are Plus
98% of hospitals in the region are in AIM
Cohort 3: 40 (20% of enrolled hospitals)
65% of participating hospitals are Plus
95% of hospitals in the region are in AIM
Cohort 4: 44 (21% of enrolled hospitals)
84% of participating hospitals are Plus
96% of hospitals in the region are in AIM
Cohort 5: 42 (20% of enrolled hospitals)
79% of participating hospitals are Plus
91% of hospitals in the region are in AIM
Geographic Area
Rural Hospitals: 74% of Rural Texas Hospitals are enrolled in TexasAIM (17 Basic, 28 Plus)
Urban Hospitals: 98% of Urban Texas Hospitals are enrolled in TexasAIM (21 Basic, 139 Plus)
AIM Data Center Portal
Registered Users in Portal: 402
Hospitals Active in Portal: 191 (93% of enrolled hospitals)
Hospitals with Structure Measures Entered: 176 (86% of enrolled hospitals)
Hospitals with Process Measures Entered: 160 (78% of enrolled hospitals)