Healthy Mom Healthy Baby Tennessee

Tennessee Initiative for Perinatal Quality Care
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The Tennessee Initiative for Perinatal Quality Care (TIPQC) presents Healthy Mom Healthy Baby Tennessee. This podcast is a discussion with medical providers and other industry experts on all aspects of perinatal health. Tennessee Initiative for Perinatal Quality Care (TIPQC) seeks to improve health outcomes for mothers and infants in Tennessee by engaging key stakeholders in a perinatal quality collaborative that will identify opportunities to optimize maternal and infant outcomes and implement data-driven provider- and community-based performance improvement initiatives. Visit www.tipqc.org for more information on our improvement work in Tennessee. No content or comments made in any TIPQC Healthy Mom Healthy Baby Tennessee Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment. TIPQC is funded under a Grant Contract with the State of Tennessee. This podcast is brought to you through a cooperative agreement with the Alliance for Innovation on Maternal Health (AIM). Connect with us: www.tipqc.org www.facebook.com/tipqc1 www.twitter.com/TennesseePQC www.instagram.com/tipqc1 www.youtube.com/channel/UCOZ0gpRWzimImh5XfsQdcvg/

  1. 6H AGO

    EO: 214 Respectful Care Panels with Jane Anna Cummings & Dr. Dianna Puhr

    Key Takeaways Respectful care panels provide invaluable opportunities for healthcare teams to hear directly from patients in a non-clinical setting, bridging the gap between provider intentions and patient experiences. Simple actions like sitting down when speaking with patients, using their names, and making eye contact can dramatically improve how patients perceive their care and feel respected, often requiring no additional time. When recruiting patient and family partners for panels, plan to invite at least twice as many participants as you hope to have attend, as last-minute conflicts with young children and family illnesses are common. Financial stipends for patient participation demonstrate that healthcare organizations value patients' time and opinions, and can be especially important for economically disadvantaged families. Creating comfortable environments for patient panelists through thoughtful seating arrangements, positioning trusted advocates nearby, and using welcoming body language helps facilitate honest, open dialogue. Patient panel members can become ongoing resources for healthcare teams, providing quick feedback on proposed changes and helping ensure patient-centered decision-making beyond the initial panel event. Increasing survey response rates through accessible methods like QR codes on discharge instructions is essential for gathering actionable feedback to improve patient experiences. Quotable Moments "I think the patient family just gives the medical team another look just to sometimes that you just don't think of it. You think you're doing everything that you should be doing, but things slip through the cracks and this panel is able to, you know, kind of point those out." "I feel very strongly that the best way to be patient-centered and to make patient-centered changes is to listen directly to the patients." "Her doctor took the time and she said that when he pulled up the stool and sit down and, and called her by name, which I thought was so funny, called her by name and began to go through the next step with her that that changed how she felt about what was going on." "It is interesting how much things that we as providers consider to be small changes can really make such a huge impact in how the patient perceives their care and how they feel." "The best way to take care of patients and give good patient care is to listen to your patients." I would wholeheartedly agree with inviting at least twice as many patient family partners as you would like to have in attendance because there will always be last minute things that come up in conflicts where they're not able to attend." Show Notes by Barevalue. No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

    26 min

  2. FEB 13

    EO: 213 Communicating the Science of Vaccines to Parents with Dr. Buddy Creech

    Disclosures: Dr. Creech has disclosures of grant funding from NIH, CDC, Moderna, Pfizer and has been a consultant for Merck, Sanofi Paseur, TD. Cowen. Guidepoint Global, GSK, Delbiopharm, Dianthus, AstraZenecka and receives royalties from UpToDate Websites: Philadelphia Children's Hospital Vaccine Education & Resources VUMC Children's Immunization Guide AAP Recommended Books: Anxious Generation: How The Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness, Jonathan Haidt Righteous Mind: Why Good People Are Divided by Politics and Religion, Jonathan Haidt Key Takeaways RSV prevention now includes both maternal vaccination during third trimester and monoclonal antibodies for infants, both showing 60-80% reduction in hospitalizations Hepatitis B vaccine is fundamentally a cancer prevention tool, and the birth dose is recommended at population level to prevent missed cases even when individual risk appears low Cocooning newborns through family immunization for influenza, pertussis, RSV, and measles is critical as community vaccination rates decline Effective vaccine conversations require avoiding shame and blame, expressing intellectual humility, asking "why" to understand concerns, and providing trusted resources rather than just education The future of vaccine development includes improved flu vaccines requiring less frequent administration, alternative delivery methods (intranasal, oral, microneedles), and advanced tools to understand rare adverse events While vaccine-preventable diseases like measles are increasing in pockets of under-vaccinated communities, maintaining high vaccination rates is essential to prevent widespread outbreaks of highly contagious diseases Parents face significant peer pressure around vaccine decisions, and healthcare providers should acknowledge this while modeling respectful dialogue with those who disagree Quotable Moments "What is hepatitis B vaccine? It's a cancer prevention vaccine period. It prevents liver cancer. Why would I not want a cancer preventing vaccine?" "An ounce of prevention is worth a pound of cure rather than knowing how to treat meningitis really effectively. Wouldn't it be great if we could prevent it all together?" "I think we need to recognize that we probably want the same thing, except in extraordinarily weird situations. We both want the health of that child." "I recognize that there is still much to learn about these things, but here's where I land." "Vaccines and your baby's health, that's just more complicated than 140 characters." "Measles is the second most contagious virus on the planet behind smallpox, which is eradicated. So it's the first most...

    32 min

  3. FEB 6

    EO: 212 EMS Skills for Babies with Mary Lee Lemley

    Neonatal Resuscitation Contact Neonatal Outreach for Middle Tennessee Key Takeaways Tennessee has 55 out of 95 counties without OB services, making EMS preparedness for unexpected deliveries critical for saving newborn lives Neonatal Resuscitation Program (NRP) training for EMS has increased from less than 3% to almost 31% statewide through dedicated funding and outreach efforts Newborn resuscitation differs fundamentally from adult resuscitation, requiring ventilation first rather than compressions because babies have never breathed before Proper equipment including small masks, uncuffed tubes, and appropriate supplies must be available on ambulances for effective neonatal care Multiple EMS schools now require NRP certification before graduation, ensuring future EMS professionals are prepared to handle neonatal emergencies Regular simulation drills involving multiple disciplines (dispatch, EMS, ED, OB, pediatrics) are essential for maintaining skills and identifying system gaps The first few minutes of a baby's life are irreplaceable, making immediate, proper resuscitation techniques critical for positive outcomes Families should know their local EMS response times and which nearby hospitals offer OB services for emergency planning Quotable Moments "I think the most important thing that I have learned out of all of those travels is the most important thing in these babies' lives are the first responders, whoever is right there at delivery because we cannot give that time back to those babies." "I said, but can we put a price tag on a baby's life?" "So we have taken the numbers that have NRP from less than 3% in the state to almost 31%. So we're getting there one class at a time." "if you don't use it, you lose it." "And the babies are coming in in so much better shape than what they were before we started doing education." "I said there's really, there's only two, two facts about babies. One, they'll always be babies conceived. And two, no matter how good you are at your job, not all babies survive. But we owe it to them to do the best job we possibly can because that's why we're here." "No mother should have to bury a child." "I said, if you are not a little bit afraid, you scare me to death." "Time is important. We have a, a county on the northern border and they got a call from the county." "I'm hoping it won't be long until we have all the equipment on these trucks that we need" Show Notes by Barevalue. No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

    29 min

  4. JAN 30

    EO: 211 A Tiny Pre-Term Survivor as a Teen - Talking with Laiya and mom Charity

    Website: www.charitylasha.com Contact Charity: admin@charitylasha.com Key Takeaways Miracles require going through difficult processes - wanting a miracle and being willing to endure the challenging journey to achieve it are two different things that require faith and commitment. Parents of NICU babies need support too - while medical teams and loved ones focus on the sick infant, parents often neglect their own emotional and physical wellbeing and need reminders that they will also be okay. Hope can be cultivated through small daily practices - naming a feeding tube "Hope" transformed a medical device into a daily reminder of possibility and positive thinking. Pushing children beyond their comfort zones builds critical skills - introducing children to various activities like music, cooking, and sports develops executive function, dexterity, and self-confidence, especially important for children with developmental challenges. Living in the present moment provides strength during crisis - focusing on "we're still alive right now" rather than catastrophic future possibilities can provide the resilience needed to continue fighting. Statistics don't determine individual outcomes - despite a 7% chance of normal life, faith, determination, and consistent effort can lead to outcomes that defy medical predictions. Reframing negative self-talk matters - changing "I'm a sick kid" to "I'm a kid that gets sick" shifts perspective from identity to temporary circumstance. Quotable Moments "Who am I to stop the opportunity at life? But at the same time, I didn't want to be selfish." - Charity on making the decision to give Leia a chance at life. "I think oftentimes we like to want miracles to happen in our lives, and we're excited to hear about other people experiencing miracles, but we're not always willing to go through the process of what that looks like practically." - Charity on the reality of miracles. "I decided that we had two options. I was either going to leave the hospital with my kid or I was going to leave the hospital with my kid." - Charity on refusing to consider giving up. "The idea of thinking about having a funeral for a 6-year-old was just not an option." - Charity on what drove her determination. "Hope, which is the belief that a positive future is possible. And it's often accompanied by a sense of expectation and desire for an outcome to occur." - Charity defining why she named the feeding tube Hope. "Stay encouraged and stay courageous." - Leia's message to babies in the NICU and their families "I think the one thing I would have wanted to know is that charity, you're going to be okay too." - Charity on what she wishes someone had told her during the NICU stay. "Jesus is not dead. He's alive." - Charity's billboard message. "Strong elephant actually meant that I was going to get through it. And like, I'm very strong and brave 'cause elephants are not scared of anything." - Leia explaining her book illustration. "With practice and consistency and me encouraging her to believe in herself. She then gets things that someone else may have said she would never be able to do." - Charity on her parenting philosophy. Show Notes by Barevalue.

    28 min

  5. JAN 23

    EO: 210 The March of Dimes with Dr. Michael Warren

    Help us improve the health of all moms and babies | March of Dimes Key Takeaways: Perinatal quality collaboratives like TIPQC serve as essential engines for change by building local trust and driving clinic-by-clinic, hospital-by-hospital improvements that create momentum for state and national progress. Data-driven approaches that engage diverse stakeholders can shift harmful narratives and create more effective, compassionate policy solutions, as demonstrated by Tennessee's neonatal abstinence syndrome surveillance system. Maternity care deserts are not naturally occurring phenomena but result from deliberate policy decisions, requiring intentional policy solutions around reimbursement models and workforce development. Clinicians should leverage their expertise in policy and advocacy spaces, starting with addressing frustrations in their own practice settings and recognizing they are the experts policymakers need. The United States faces a maternal and infant health crisis with two women dying daily during pregnancy or postpartum and two babies dying hourly before their first birthday. Low-dose aspirin for preventing preeclampsia is a cost-effective intervention that remains woefully underutilized, with less than half of high-risk women receiving recommendations from providers. Progress is possible even in challenging circumstances, as Tennessee has shown statistically significant improvement in preterm birth rates through focused efforts on interventions like pregnancy smoking cessation. Effective maternal and infant health improvement requires collaboration across multiple sectors including hospitals, clinics, community health centers, Medicaid programs, community-based organizations, and retail pharmacies. Quotable Moments "Every single day we lose two women in this country either during pregnancy or labor and delivery or the year postpartum. And every hour of every day, we lose two babies in this country before their first birthday." "The solution to this crisis can't be driven solely by the federal government or by, by state governments or by a single organization." "What works in one state may not work in another. In fact, what works in Memphis may not work in Knoxville or Nashville." "I promise you, you are far and away the expert in maternal health or infant health in the room. You, you eat, sleep and breathe this every day." "Unlike those naturally occurring deserts where species have adapted over millennia to, to thrive in an, in an environment of scarcity, the deserts we're talking about are the result of deliberate policy decisions and deliberate resource allocations." "Those very basic easy questions should never be the stumbling block to a family meeting their breastfeeding goals." "We were able to show from our data collection that the majority of babies born with withdrawal were born to moms who were using at least one substance prescribed to them by a licensed prescriber in the state of Tennessee." "Start where you are. So if, if there's a, a challenge in the way, for example, your hospital approaches low dose aspirin for reducing the risk of preeclampsia, maybe you work in an outpatient clinical setting and you haven't built in the standardized screening to assess a pregnant woman's risk for preeclampsia." Show Notes by Barevalue. No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a...

    43 min

  6. JAN 16

    EO: 209 Vitamin K with Dr. Shannon Walker

    Articles: https://publications.aap.org/pediatrics/article/149/3/e2021056036/184866/Vitamin-K-and-the-Newborn-Infant https://www.healthychildren.org/English/ages-stages/prenatal/delivery-beyond/Pages/Where-We-Stand-Administration-of-Vitamin-K.aspx Key Takeaways Vitamin K deficiency bleeding (VKDB) can occur in three time periods: early (1-2 days), classic (2-7 days), and late (2-12 weeks), with late VKDB being particularly dangerous and often presenting as catastrophic bleeding Injectable vitamin K is superior to oral formulations because babies' immature guts don't absorb it well, there's no FDA-approved oral formulation in the US, and injectable vitamin K provides both immediate protection and stores vitamin K in the liver for months Common myths about vitamin K include confusion with vaccines, concerns about the boxed warning (which applies only to IV formulations, not the newborn IM injection), leukemia risk (thoroughly debunked), and assumptions that it causes jaundice (not with current formulations) Breastfed babies are at highest risk for VKDB because breast milk contains minimal vitamin K regardless of maternal diet or supplementation, while formula-fed babies receive vitamin K supplementation in their formula Healthcare providers should approach each conversation about vitamin K with openness and adequate time, identifying the family's specific concern and providing evidence-based responses while offering strategies to minimize infant discomfort during administration The rate of vitamin K refusal has increased significantly from 2.9% in 2017 to 5.18% recently, mirroring broader trends in medical distrust and requiring healthcare providers to be prepared for these conversations While vitamin K quickly corrects laboratory abnormalities in babies with VKDB, the damage from intracranial hemorrhage or other serious bleeding often results in long-term complications or death, making prevention critical Quotable Moments "Vitamin K is one of your coagulation factors. It was actually discovered by two scientists back in the early 20th century who received the Nobel Prize for medicine for their discovery. And the K is because the word coagulation in German has a K in it." "Babies are born with very low levels of it. Vitamin K doesn't cross the placenta well from mom into babies." "Babies can have early vitamin K deficient bleeding, which is really within the first day or two of life, which is more related to mom being on certain medications" "These babies can have kind of long-term impacts related to their bleeding complications." "I've never seen early, that's the one I've never seen, but I've seen classic and I've...

    31 min

  7. JAN 9

    EO: 208 The Naloxone Project

    The Naloxone Project Key Takeaways Discharge prescriptions for naloxone have fill rates of less than 1-2% among highest-risk patients, making direct distribution at hospitals essential for reaching vulnerable populations Overdose and suicide combined are leading causes of maternal mortality, surpassing traditional obstetrical complications like hemorrhage, eclampsia, and sepsis in multiple states Colorado's maternal overdose deaths dropped 60% (from 20 to 8 deaths) in one year after implementing universal naloxone distribution programs in birthing hospitals The postpartum period represents a particularly high-risk time for overdose deaths, and since most women give birth in hospitals, this creates a critical intervention point Universal opt-out distribution models normalize naloxone access and reach mothers who may be struggling silently with substance use disorders Naloxone protects entire households, not just the intended recipient, with studies showing it often saves fathers, children, and even pets from accidental overdoses Tennessee's pilot program will distribute over 20,000 naloxone kits paired with first aid supplies across approximately 10 birthing hospitals starting in early 2026 Empowering healthcare workers with proper education on substance use disorders and harm reduction improves their interactions with at-risk families and makes hospitals more welcoming spaces Quotable Moments "How does a young lady like you become addicted to something like heroin? And she shared a story where she said, funny, it was because of an emergency doctor like you who prescribed me opioids for an ankle sprain." "We're not always offer it along with all of the other medical care, behavioral healthcare, and addiction care that we should be providing. And so we really feel that those things should go hand in hand." "Someone is at such high risk of overdose after they've experienced a non-fatal overdose. We know that that immediate timeframe is very high risk." "I quickly realized that there are people outside of the medical institution who are doing a better job of caring patients than we were within medical institutions." Overdose and suicide were neck and neck leading maternal mortality for our state. And that those causes combined were really more than all of the other quote unquote medical causes that we were seeing." "In 2023, we just got this data, um, maternal overdose death dropped by 60% and they dropped from 20 in 2022 to eight in 2023." "We have an opportunity to give 20002nd chances to families out there. And that's a beautiful, beautiful thing, right? Everyone deserves a second chance." "This should be the standard of care. Okay? I know that we're asking you to be a part of a pilot and sometimes that can be a little scary, but the hope is that we iron this out so that this is truly the standard of care for every new mom, new family." Show Notes by Barevalue. No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient.  Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

    33 min

  8. JAN 2

    EO: 207 RSV Vaccines for Moms and Babies, Part 2

    Quotable Moments "I remember the fear of having this, you know, tiny new baby at home and also sending a bigger kid to daycare and being afraid of my daughter contracting illness." "We tell families that our responsibility is to make recommendations and to provide them with information and answer the questions that they have so that they can make the decisions that are best for them" "It would take something like greater than 10,000 vaccines, administered at one time in order to overwhelm the system." "If someone's trying to make a decision and they're not getting good evidence-based information, then they don't have the tools they need to make the best decision for themselves and their family." "The family is the greatest influence on the health to care decisions that they make." "Parents have the opportunity by considering vaccination to prevent having a child that's sick and miserable and full of snot and struggling to breathe" "The RSV vaccine is safe, effective, and very beneficial for your baby." "Women to know that they're not alone as they navigate this, as they think about how they're going to keep their baby healthy." Show Notes by Barevalue Resources: ACOG: https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasons CDC https://www.cdc.gov/rsv/vaccines/index.html Society for Maternal Fetal Medicine https://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024 https://www.smfm.org/rsv Video: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKz Healthy Children.org https://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspx ACOG: https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int American Academy of Family Physicians a href="https://www.aafp.org/pubs/fpm/issues/2024/0700/maternal-rsv-vaccination.pdf"...

    27 min
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Ratings & Reviews

4.7
out of 5
9 Ratings

About

The Tennessee Initiative for Perinatal Quality Care (TIPQC) presents Healthy Mom Healthy Baby Tennessee. This podcast is a discussion with medical providers and other industry experts on all aspects of perinatal health. Tennessee Initiative for Perinatal Quality Care (TIPQC) seeks to improve health outcomes for mothers and infants in Tennessee by engaging key stakeholders in a perinatal quality collaborative that will identify opportunities to optimize maternal and infant outcomes and implement data-driven provider- and community-based performance improvement initiatives. Visit www.tipqc.org for more information on our improvement work in Tennessee. No content or comments made in any TIPQC Healthy Mom Healthy Baby Tennessee Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment. TIPQC is funded under a Grant Contract with the State of Tennessee. This podcast is brought to you through a cooperative agreement with the Alliance for Innovation on Maternal Health (AIM). Connect with us: www.tipqc.org www.facebook.com/tipqc1 www.twitter.com/TennesseePQC www.instagram.com/tipqc1 www.youtube.com/channel/UCOZ0gpRWzimImh5XfsQdcvg/

Information

  • Creator
    Tennessee Initiative for Perinatal Quality Care
  • Years Active
    2020 - 2026
  • Episodes
    162
  • Rating
    Clean
  • Copyright
    © Copyright 2026 Tennessee Initiative for Perinatal Quality Care
  • Show Website
    Healthy Mom Healthy Baby Tennessee