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Achieving Consensus Among Stakeholders Using the Nominal Group Technique: A Perinatal Quality Collaborative Approach.

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Area of Science:

  • Public Health
  • Healthcare Quality Improvement
  • Perinatal Health

Background:

  • Strong public health systems improve population health, especially for mothers and infants.
  • The Alabama Perinatal Quality Collaborative (ALPQC) was established to enhance perinatal care.
  • Identifying key quality improvement (QI) initiatives is crucial for vulnerable populations.

Purpose of the Study:

  • To demonstrate how the ALPQC used evidence-based processes to achieve consensus on QI initiatives.
  • To identify and prioritize population-focused QI projects for maternal and infant health.
  • To establish a model for integrating stakeholder input into public health agendas.

Main Methods:

  • A multiphase quantitative and qualitative study engaged 44 stakeholders.
  • Maternal and neonatal QI topics were identified from existing collaborative websites.
  • The Delphi method and nominal group technique (NGT) were used for topic prioritization based on impact, enthusiasm, alignment, and feasibility.

Main Results:

  • 11 of 27 identified topics met inclusion criteria via the Delphi method.
  • Maternal projects received more votes (535) than neonatal projects (313) using NGT.
  • Hypertension in pregnancy and neonatal abstinence syndrome were top-voted topics, though feasibility varied.

Conclusions:

  • The combined Delphi and NGT methods achieved consensus among multidisciplinary stakeholders.
  • The model aligns with state public health priorities for perinatal care.
  • This approach can be replicated in other settings to enhance population QI agendas.