Immediate Postpartum LARC
The PA PQC is recruiting a third cohort of PA PQC provider teams to join the PA PQC’s Immediate Postpartum LARC initiative by April 1, 2021.
13% of postpartum women receive most or moderately effective contraception within 3 days (PA Performance Measures).

This includes 2% receiving Long-Acting Reversible Contraception (LARC) within three days of giving birth (see Physical HealthChoices Quality Measures).

LARC (IUDs and contraceptive implants) can be offered immediately postpartum (prior to discharge) as a safe, effective postpartum contraception option. Immediate postpartum LARC (IPLARC) also has the potential to reduce unintended and short-interval pregnancy (ACOG Brief)—an objective of Healthy People 2030. Providing access to immediate postpartum contraceptive options, including IPLARC, is also part of the PA PQC’s maternal mortality and maternal OUD Driver Diagrams.

When providers work to make this option available to patients, they often encounter administrative barriers (e.g., reimbursement) and logistical barriers (e.g., stocking IUDs and implants, training providers, configuring IT and billing systems, and providing patient-centered contraceptive counseling). To problem-solve the administrative barriers, the PA PQC policy group is developing recommendations and educational materials for health plans.

To breakthrough the logistical challenges, the PA PQC worked with four PA PQC birth hospitals between May and September 2020 to increase access to IPLARC. Within five months, all four teams created and implemented the structures and processes to routinely counsel, offer, and provide IPLARC. Five additional PA PQC birth hospitals joined the second cohort of providers in October 2020.

Goals
  • Develop the supporting structure, processes, team roles, and skills to offer contraceptive counseling and access, including IPLARC
  • Increase access to IPLARC among eligible women desiring IPLARC
Get Involved

The PA PQC is aiming to recruit at least 5 additional PA PQC birth hospitals and teams to participate in the third cohort of the IPLARC initiative.

To express interest in joining the PA PQC’s IPLARC initiative, please complete the following baseline readiness survey by April 1, 2021: https://www.surveymonkey.com/r/W6VPQRJ.

Your organization’s PA PQC quality improvement coach will then follow-up with you and your team to identify next steps based on the expectations below.

Key Interventions
Resources

Click here to view a list of educational materials, toolkits, coding guidelines, and other resources.

PA PQC provider teams in the IPLARC initiative are also leveraging the educational materials and training from ACOG’s Postpartum Contraceptive Access Initiative.

Expectations

With guidance from your PA PQC quality improvement coach: