As an RWJF Safety Net Value Champions Fellow, I am being supported to engage providers in reducing overuse in healthcare. I have chosen to reduce unnecessary in-person office visits for post-partum blood pressure checks in mothers who had elevated blood pressures (hypertensive disorder of pregnancy) during their prenatal care or delivery. New guidelines suggest that post-partum BP monitoring is very important. But, is an in-person visit really the best way? The technology exists to perform this service remotely and can reduce stress for new moms. Coming to the office with a newborn requires extra effort, and the cost of transportation can be an added strain. Both moms and providers benefit. For my project I will do a randomized controlled trial, with one group receiving care as usual in the office and the other group using remote, at-home monitoring. We will track adherence to obstetrical guidelines and measure patient satisfaction in both groups.
Dr. Lauren D. Demosthenes is an obstetrician/gynecologist at Prisma Health–Upstate in Greenville, South Carolina. As Medical Director of High Value Care and Innovation in the Department of ObGyn, and Director of the Track of Distinction in High Value Care, Performance Improvement and Population Health at the University of South Carolina School of Medicine Greenville, she is actively involved in both teaching and leading high-value care performance improvement projects. On a national level, she initiated and is co-editor of the American College of ObGyn’s Council on Residency Education in Obstetrics and Gynecology’s curriculum resource, “Cases in High Value Care.” Dr. Demosthenes also began and is editor of the series “Stop that Practice Habit” for OBG Management. As an educator, she has presented several grand rounds on teaching and implementing high-value care in ObGyn and is part of the national Choosing Wisely® Students and Trainees Advocating for Resource Stewardship (STARS) Summit faculty for medical students, which is hosted and directed by Dell Med.