Our Approach

Una Vita’s approach to Creating a Safer Birthplace for Women is differentiated by deeper and more actionable insights into the complexities of building a sustainable culture of perinatal safety. Our mutual challenge is to transform perinatal patient safety at your facility.

Through a completely virtual approach, we will conduct a detailed assessment of the delivery of perinatal care.

Utilizing a virtual platform Una Vita’s Perinatal Gap Analysis (PGA) deploys the industry’s leading experts in Maternal Fetal Medicine, Obstetrics, Nursing, and Organizational leadership to ensure your facility meets professional best practices and external standards.

The Perinatal Gap Analysis enables a robust drill-down supporting a level of granular detail that identifies opportunities for your organization to integrate key processes and meet national metrics.

Una Vita provides a thorough assessment that identifies opportunities and makes recommendations to enhance your Perinatal Safety Culture.

Components of our assessment work may include:

1. Outcomes, Process & Structure Measures

  • Maternal Care Performance Metrics
  • Severe Mortality Morbidity Measures (SMM)
  • Obstetrical Co-Morbidly Review
  • Urgent Maternal Warning Signs
  • Compare Your Hospital Discharge Data with National Best Practices

2. Teamwork & Communication

  • Leadership Structure
  • Open Communication
  • Clinical Coverage
  • SBAR Reports, Huddles, Daily Ongoing Exchange of Information
  • Avoidance of Disruptive Behavior
  • Interdisciplinary Rounds
  • Nursing and Medical Chain of Command
  • Emergency Department Interface
  • Documentation System Templates
  • Obstetrical and Neonatal Quality Review
  • Language Line and Interpreters
  • Peer Review
  • Debriefing Process

3. Policies, Procedures & Deployment

  • Triage Process and Assessments
  • Management of Shoulder Dystocia
  • Perinatal Codes, Criteria and Responses
  • Neonatal Resuscitation: NRP-Golden Hour
  • Use of Oxytocin and Prostaglandin
  • Operative Vaginal Delivery, Cesarean Delivery, VBAC
  • Hemorrhage Policy and Toolkit
  • Management of Preeclampsia and Toolkit
  • Early Detection and Treatment of Sepsis
  • Elective Deliveries

4. Physical Environment & Equipment

  • Logistics of Space, Equipment, Supplies, Drugs, and Maternal and Neonatal Emergency Resuscitation Equipment
  • Equipment for Safe Movement of Large BMI Patients

5. Education, Preparation & Readiness

  • Obstetrical and Neonatal Safety Drills
  • Orientations – Structure and Content
  • Clinical Competencies
  • Interpretation and Documentation of Electronic Fetal Monitor Tracings
  • Role of Perinatal or Neonatal Educators or Clinical Nurse Specialist
  • Neonatal Resuscitation Program
  • TeamSTEPPS

6. Diversity, Equity, Inclusion

  • Systems to Document Self-identified Race, Ethnicity, and Primary Language
  • Staff Education and Training on How to Ask Demographic Intake Questions
  • Patients Understanding of why Ethnicity, and Language Data are Being Collected
  • Peripartum Racial and Ethnic Disparities and Their Root Causes
  • Best Practices for Shared Decision Making
  • Community Partnerships on Quality and Safety
  • Health Equity Index
  • HEI Certification