Search Results
Displaying 48 records.
Author: U.S. Centers for Medicare & Medicaid Services
Publisher/Producer: Baltimore, MD: U.S. Centers for Medicare & Medicaid Services
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This document identifies 11 maternal and perinatal health measures for voluntary reporting by state Medicaid and Children’s Health Insurance Program (CHIP) agencies. It serves as a tool for the Centers for Medicare & Medicaid Services to evaluate progress and improve health outcomes for pregnant and postpartum individuals and their infants. Major topics include the timeliness of prenatal and postpartum care, the frequency of infants born with low birth weights, well-child visits during the first 30 months of life, and contraceptive care., The document also outlines various data collection methods, such as electronic health records and state vital records, and provides technical updates on measures for low-risk cesarean deliveries.,
Keywords: Maternal health; Perinatal health; Medicaid; Children's Health Insurance Program; Quality assurance; Measures;
Author: Centers for Medicare and Medicaid Services
Publisher/Producer: [Washington, DC: Centers for Medicare and Medicaid Services (CMS)]
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Health equity and access to care
- Promising models of care and best practices
Annotation: The report summarizes proceedings from the public health event that took place in Washington, DC. in June 2019 that focused on improving material health care in rural communities. The "interactive conversation" was hosted by the Centers for Medicare & Medicaid Services in collaboration with other agencies and nonprofit organizations. Included are summaries of forum speeches, panel discussions, and feedback from attendees and key stakeholders. The expert panel discussions focused on the current state of rural maternal healthcare in the United States; the advancement of systems of maternal healthcare in rural America; and the improvement of policies that impact rural maternal health. The objectives of the event were to (1) present an overview of the state of maternal healthcare in rural communities, with a focus on access to maternal health services before, during, and after pregnancy; (2) address disparities in maternal health outcomes and opportunities to achieve health equity; (3) share existing promising practices and areas of opportunity to improve access to maternal health services; and (4) develop priorities and next steps for a plan of action to inform options to reduce disparities and improve access to maternal health services, the quality of care provided, and maternal health outcomes in rural communities.
Keywords: Maternal health; Maternal health services; Rural health; Public health; Access to health care; Interagency cooperation; Service coordination; Meetings; Proceedings;
Author: National Network of Perinatal Quality Collaboratives; National Institute for Children's Health Quality
Publisher/Producer: Boston, MA: National Network of Perinatal Quality Collaboratives
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This white paper presents a framework for state Perinatal Quality Collaboratives to measure how effectively hospitals and other healthcare sites implement quality improvement initiatives. It details the application of the Institute for Healthcare Improvement Assessment Scale for Collaboratives, a five-point linear scale designed to track progress from initial planning to outstanding sustainable results. The document provides guidance on adapting the assessment scale template for specific projects and addresses implementation challenges related to data burden and hospital capacity. Appendices feature case studies and implementation results from state programs in Tennessee, Wisconsin, and Iowa, including examples of visual dashboards and narrative reporting tools
Keywords: Health facilities; Hospitals; Perinatal care; Quality Improvement; Measures;
Author: National Network of Perinatal Quality Collaboratives; National Institute for Children's Health Quality
Publisher/Producer: Boston, MA: National Network of Perinatal Quality Collaboratives
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This white paper presents a flexible measurement framework for state Perinatal Quality Collaboratives to assess and track hospital engagement in quality improvement initiatives aimed at improving health outcomes for mothers and newborns. It details four primary domains for measuring participation: enrollment, meeting attendance, data submission, and the implementation of specific structural or process change. The document provides specific recommendations for using these measures to evaluate outreach efforts, recognize hospital achievements, and satisfy federal reporting requirements from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services,,. Supplemental tables feature a comprehensive list of suggested and notable participation measures, including examples of data use agreements, team role designations, and strategies for sharing data with community partners
Keywords: Hospitals; Quality Improvement; Data collection; Measures;
Author: Chazotte C, Koch A
Publisher/Producer: New York, NY: New York City Department of Health and Mental Hygiene
Postpartum Topic(s):
- Infrastructure development, financing, and expansion of services
- Quality, performance, and outcome indicators
- Clinical consensus, guidelines, protocols
- Chronic health conditions/mortality and morbidity drivers
- Data collection, measurement, analysis
Annotation: This guide provides a framework for integrating severe maternal morbidity (SMM) case review into hospital quality improvement committees. It describes essential components of implementing SMM reviews, including selecting partner facilities, identifying case abstractors, establishing data collection tools, and conducting committee reviews. The document outlines the step-by-step process from case identification through committee decisions and includes information on preventability determinations and addressing social determinants of health. Based on a pilot project conducted with three New York City hospitals between 2017-2020, the guide presents key findings that hemorrhage was the most common cause of SMM and that one-third of reviewed cases had some chance of severity reduction. The guide offers valuable lessons learned, cost considerations, and practical recommendations for hospitals and health departments implementing SMM review programs to improve maternal health outcomes and reduce racial disparities.
Keywords: Maternal morbidity; Prevention; Quality improvement; Case assessment; Data collection;
Author: U.S. Department of Health and Human Services
Publisher/Producer: Washington, D.C.: U.S. Department of Health and Human Services
Postpartum Topic(s):
- Legislation and policy development
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: The report outlines trends in U.S. maternal health, emphasizing that the maternal mortality rate significantly exceeds that of other high-income countries, with persistent disparities affecting populations such as Native Hawaiian and Other Pacific Islander, Black, and American Indian or Alaskan Native women. The key drivers contributing to the maternal health crisis are organized into three domains—Care Delivery, Access to Care, and Social Factors (including wealth, housing, and food insecurity)—which connect directly to the goals of the White House Blueprint for Addressing the Maternal Health Crisis. HHS actions highlighted throughout the report address these drivers and major comorbid conditions contributing to mortality, such as mental health and substance use disorders, cardiovascular conditions, and infections. Finally, the report introduces the HHS Maternal Health Measurement Framework intended to assess progress across the domains of Maternal Health Outcomes, Care Delivery, Access to Care, and Social Factors
Keywords: Maternal health; Maternal mortality; Health equity; Healthcare disparities; Access to health care; Barriers; Trends;
Author: American Hospital Association
Publisher/Producer: Chicago, IL: American Hospital Association
Postpartum Topic(s):
- Promising models of care and best practices
- Quality, performance, and outcome indicators
- Dyadic, culturally congruent, family-centered care
- Community outreach and engagement
- Workforce training and development
- Nonclinical postpartum care
Secondary URL:
https://www.aha.org/system/files/media/file/2023/09/best-practices-for-equitable-maternal-care.pdf
Annotation: This resource outlines best practices for equitable maternal care, addressing the disparities experienced by women of color, particularly given the near 40% increase in maternal mortality since 2020. It identifies both individual-level strategies, such as screening and documenting social needs and practicing empathy, and systemic efforts, including offering implicit bias training, integrating health equity into quality improvement processes, and diversifying the maternal care workforce. The resource features hospitals in action, describing programs like the HoPE Doula Program and the Swedish Doula Services Program, which integrate community-based doulas to provide continuous support, advocacy, and connection to resources for pregnant and postpartum families. Additionally, it details the University of Chicago’s STAMPP-HTN (Systematic Treatment and Management of Postpartum Hypertension) program, a quality improvement bundle utilizing nurse educators and remote blood pressure monitors to improve immediate postpartum care for women with hypertensive disorders, which successfully eliminated follow-up disparities among Black and White women.
Keywords: Maternal health; Postpartum care; Health equity; Health care disparities; Doulas; Hypertension; Community based services; Quality improvement; Resources for professionals;
Author: Scrimshaw SC, Emily P. Backes EP, eds; National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Health and Medicine Division;
Publisher/Producer: Washington, DC: The National Academies Press
Postpartum Topic(s):
- Clinical consensus, guidelines, protocols
- Quality, performance, and outcome indicators
- Chronic health conditions/mortality and morbidity drivers
Annotation: This consensus study report reviews and evaluates maternal and newborn care in the United States; the epidemiology of social and clinical risks in pregnancy and childbirth; research on birth settings; and access to and choice of birth settings in America. Maternal and neonatal interventions and health outcomes are compared across birth settings, including hospitals, birthing centers, and home birth environments.
Keywords: Childbirth; Cesarean section; Pregnancy; Pregnancy outcome; Health facilities; Birthing centers; Hospitals; Maternity hospitals; Home childbirth; Midwifery; Maternal health; Maternal morbidity; Infant care; Risk factors; Statistics; Trends; Measures; Social factors; Access to care; Policy
Author: Centers for Disease Control and Prevention
Publisher/Producer: Atlanta, GA: Centers for Disease Control and Prevention.
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Clinical consensus, guidelines, protocols
Annotation: This web-based tool helps states and other jurisdictions create standardized assessments of levels of maternal and neonatal care. CDC LOCATeSM is based on the most recent guidelines and policy statements issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine.
Keywords: Perinatal care; Reproductive health; Statistical data; High risk pregnancy; Gestational age; Risk appropriate care
Author: Allen C; Alliance for Innovation on Maternal Health
Publisher/Producer: Washington, DC: Alliance for Innovation on Maternal Health
Postpartum Topic(s):
- Health equity and access to care
- Dyadic, culturally congruent, family-centered care
- Quality, performance, and outcome indicators
Secondary URL:
Series link
Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell discuss the concepts of health equity and quality improvement in maternal care. They break down the distinctions between equity and equality, explore the definitions and importance of diversity, inclusion, and respectful care, and discuss how continuous quality improvement leads to positive change. This episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.
Keywords: Maternal health; Health equity; Cultural diversity; Cultural sensitivity; Quality improvement;
Author: Allen C; Alliance for Innovation on Maternal Health
Publisher/Producer: Washington, DC: Alliance for Innovation on Maternal Health
Postpartum Topic(s):
- Data collection, measurement, analysis
- Health equity and access to care
- Quality, performance, and outcome indicators
Secondary URL:
Series link
Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell talk about the critical role that measurement and disaggregated data play in understanding and addressing disparities in maternal care. They discuss the challenges and importance of collecting accurate race and ethnicity data, revealing how it unveils stark disparities in outcomes and care, and explore the systemic biases ingrained in the medical field, such as the historical portrayal of race as a biological risk factor. They discuss how these biases impact care delivery, perpetuating unfounded myths about pain tolerance, skin thickness, and more. This episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.
Keywords: Maternal health; Data; Data collection; Racial factors; ethnic factors; Racism; Implicit bias; Health care disparities; Health equity;
Author: Handler A, Sayah L, Nuyen K; Community Access, Systems Equity, and Education Committee (CASE) of the Illinois Maternal Health Task Force
Postpartum Topic(s):
- Infrastructure development, financing, and expansion of services
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: This report presents recommendations for ensuring high-quality postpartum care during the full 12-month period covered by Illinois' Postpartum Medicaid Extension. It outlines the content of care delineated in the Illinois Medicaid contract for Managed Care Organizations, focusing on requirements for the extended postpartum period. The authors propose a comprehensive Postpartum Performance Measurement Dataset that would require MCOs to report on specific measures for the postpartum population, providing a clearer picture of care delivery through 12 months postpartum. They also recommend expanding the Women's Health section of the HealthChoice Illinois report cards and creating a separate Maternal Health section to help pregnant and postpartum people choose the best health plans. The report emphasizes the importance of monitoring MCOs and provider performance to ensure accountability for delivering high-quality care to postpartum persons, particularly given Illinois' maternal health crisis with rising rates of maternal morbidity and mortality inequities.
Keywords: Postpartum care; Pregnant women; Medicaid; Quality Assurance; Measures; State Initiatives; Models; Illinois;
Author: American Hospital Association
Publisher/Producer: Chicago, IL: American Hospital Association
Postpartum Topic(s):
- Workforce training and development
- Quality, performance, and outcome indicators
- Promising models of care and best practices
- Dyadic, culturally congruent, family-centered care
- Community outreach and engagement
- Nonclinical postpartum care
Annotation: This videorecording addresses the significant racial and ethnic inequities in maternal health outcomes, focusing on the high maternal mortality rates in the United States, which disproportionately affect Black and American Indian/Alaska Native communities. Designed for healthcare professionals and system leaders, the event features experts discussing the impact of structural racism, implicit bias, and the necessity of addressing social determinants of health to improve outcomes. Major topics include the CDC's "Hear Her Campaign," which aims to elevate patients’ voices, the importance of system-level coordination and standardizing responses to obstetric emergencies, and the need for increased Medicaid expansion and community partnerships. The recording details two specific programs: the HoPE Doula Program (NYC Health + Hospitals), which integrates community-based doulas to support women facing intersecting socioeconomic issues, and the STAMPP-HTN program (University of Chicago), a quality improvement bundle utilizing nurse educators and remote blood pressure monitoring to improve immediate postpartum care for women with hypertensive disorders and successfully eliminate follow-up disparities.
Keywords: Maternal health; Postpartum care; Health equity; Health care disparities; Doulas; Hypertension; Community based services; Quality improvement; Resources for professionals;
Author: U.S. Office of Disease Prevention and Health Promotion
Publisher/Producer: Rockville, MD: Office of Disease Prevention and Health Promotion
Postpartum Topic(s):
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: This website explains how Cesarian sections can saves lives, but the risk of infection and blood clots argue against C-sections in low-risk pregnancies. The site contains data on Cesarian section births among low-risk pregnant women with no prior births. Charts and tables with data from 2018 to 2021, along with the data methodology and links to evidence-based resources, show that the rates of this kind of C-section are increasing despite efforts to lower the numbers.
Keywords: Cesarean section; Childbirth; Low risk pregnancy
Author: U.S. Department of Health and Human Services
Publisher/Producer: Washington, DC: U.S. Department of Health and Human Services
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Legislation and policy development
- Data collection, measurement, analysis
- Health equity and access to care
Secondary URL:
Summary
Annotation: This action plan lays out specific steps that the U.S. Department of Health and Human Services is taking to address the high maternal mortality rate in the United States. The document targets the following actions: reduce the maternal mortality rate by 50 percent in five years; reduce the low-risk cesarean delivery rate by 25 percent in five years; achieve blood pressure control in 80 percent of women of reproductive age with hypertension. In addition to describing the challenges of maternal mortality and the specific action steps, the report also provides a detailed list of current maternal health programs and initiatives with links for more information.
Keywords: Maternal health; Pregnancy; Pregnancy outcomes; Pregnant women; Pregnancy complications; Perinatal care; Cesarean section; Hypertension; Childbirth; Public policy; Plans;
Author: Centers for Medicare and Medicaid Services
Postpartum Topic(s):
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
- Promising models of care and best practices
- Legislation and policy development
- Clinical consensus, guidelines, protocols
Annotation: This report highlights findings from the Improving Postpartum Care Affinity Group, a quality improvement initiative convened by the Centers for Medicare & Medicaid Services from April 2021 to April 2023. Nine states participated in the affinity group to develop and test interventions addressing the high rates of preventable maternal mortality and morbidity in the United States, with nearly two-thirds of maternal deaths occurring during the postpartum period. The report describes how state teams used data-driven approaches to identify disparities and quality improvement opportunities, select measures to monitor their projects, and evaluate intervention impacts. It presents four main categories of interventions tested by participating states: targeted case management services for high-risk beneficiaries, postpartum cardiac care including blood pressure monitoring and cardiomyopathy protocols, support from doulas and community health workers with home visiting programs, and beneficiary and provider education and support tools. The document includes specific examples from states such as South Carolina's pilot addressing gaps in behavioral health screening, Georgia's work to improve provider use of postpartum visit codes, and Texas's blood pressure cuff distribution program for hypertensive beneficiaries.
Keywords: Postpartum care; Maternal mortality; Maternal morbidity; Prevention; Data analysis; Quality improvement; State initiatives; Models; South Carolina; Georgia; Texas; Oklahoma; Missouri; Wyoming; Kansas; Kentucky;
Author: World Health Organization
Publisher/Producer: Geneva, CH: World Health Organization
Postpartum Topic(s):
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: This knowledge brief from the World Health Organization (WHO) addresses the implementation of maternal and perinatal death surveillance and response (MPDSR) as part of broader quality of care (QoC) efforts for maternal and newborn health. It explains how MPDSR generates quality information on leading causes of maternal and perinatal deaths that can inform prioritization of quality improvement interventions. The brief presents practical considerations for strengthening synergies between MPDSR and QoC structures and processes at national, subnational, and facility levels, with examples from Ethiopia and Nigeria where MPDSR committees and QoC teams have been successfully aligned or integrated. It includes a framework showing how MPDSR cycle components can connect with the Plan-Do-Study-Act approach used in quality improvement, along with options for organizational structures that promote coordination between MPDSR and QoC activities. The document concludes with emerging questions for implementation and learning that can guide future efforts to maximize the impact of these complementary approaches.
Keywords: International health; Maternal health; Maternal mortality; Perinatal mortality; Death; Population surveillance; Quality improvement; Service integration; Coordination;
Author: Maternal Health Learning and Innovation Center
Publisher/Producer: Chapel Hill, NC: Maternal Health Learning and Innovation Center
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Health equity and access to care
- Data collection, measurement, analysis
- Promising models of care and best practices
Annotation: This issue brief highlights Action 1.7 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on improving quality of care for pregnant and postpartum women with or at risk for hypertensive disorders of pregnancy (HDP). The document presents evidence supporting the use of self-measured blood pressure monitoring tools and resources, discussing their effectiveness in reducing maternal morbidity and addressing racial disparities in healthcare access. It examines current data on HDP prevalence and outcomes across different populations, with particular attention to racial, ethnic, and geographic disparities, and outlines specific state-level maternal health innovations and evidence-based strategies being implemented across the United States. The brief includes detailed statistics, implementation examples from states like Arizona, Illinois, and Ohio, and recommendations for strategy development at state and local levels.
Keywords: Maternal health; Pregnant women; Postpartum women; Maternal morbidity; Hypertension; Prevention; State initiatives; Model programs; Federal initiatives;
Author: Centers for Medicare & Medicaid Services
Publisher/Producer: Baltimore, MD: Centers for Medicare & Medicaid Services
Postpartum Topic(s):
- Health equity and access to care
- Promising models of care and best practices
- Workforce training and development
- Quality, performance, and outcome indicators
- Infrastructure development, financing, and expansion of services
Annotation: This issue brief provides background information on rural healthcare access and focuses attention on the need for national, state, and community-based organizations to collaborate on developing an action plan to improve access to maternal health care and improve outcomes for rural women and their babies. It addresses the challenges that rural women face before, during, and after pregnancy and highlights promising approaches and opportunities to improve maternal health care in rural communities. Six case studies address several factors contributing to problems accessing maternal health care in rural communities, including workforce shortages and access to care challenges associated with social determinants of health. They illustrate efforts to stabilize rural hospital obstetrical services, regionalization and coordination of care, quality improvement initiatives, training and guideline development, provider recruitment and retention strategies, and expansion of care models
Keywords: Maternal health; Rural health; Rural population; Health care access; Health equity; Barriers; Case studies; Statistics;
Author: Centers for Medicaid & Medicare Services
Publisher/Producer: [Washington, DC]: Centers for Medicaid & Medicare Services
Postpartum Topic(s):
- Infrastructure development, financing, and expansion of services
- Quality, performance, and outcome indicators
Annotation: [This issue brief describes efforts to improve postpartum care by states participating in the federal Postpartum Care Action Learning Series and/or the Adult Medicaid Quality Grant Program aimed at maternal and infant health quality improvement. Included are summaries of state programs designed to improve the rate of postpartum visits and the quality of care. Project summaries, results, lessons learned, and next steps are provided for projects that took place in Alabama, Arizona, California, Georgia, Iowa, Louisiana, Michigan, Minnesota, Mississippi, North Carolina, Ohio, Oklahoma, and West Virginia.
Keywords: Maternal health; Maternal health services; Postpartum care; Federal initiatives; State Initiatives; Model programs; Medicaid; Statistics;
Author: Centers for Medicare & Medicaid Services
Publisher/Producer: Baltimore: Centers for Medicare & Medicaid Services
Postpartum Topic(s):
- Infrastructure development, financing, and expansion of services
- Health equity and access to care
- Quality, performance, and outcome indicators
- Promising models of care and best practices
- Dyadic, culturally congruent, family-centered care
- Behavioral/mental health services and substance use
Annotation: This toolkit is designed to support Medicaid and Children's Health Insurance (CHIP) programs in efforts to improve the delivery of postpartum care. Included are strategies to help increase access to postpartum care, improve the quality of care, address disparities, and implement quality improvement measures. The toolkit includes federal requirements, guidance, and state opportunities to promote postpartum screening, referral, and treatment.
Keywords: Postpartum care; Postpartum depression; Federal initiatives; State programs;
Author: O'Connor E, Senger C, Henninger M, Gaynes BN, Coppola E, Soulsby Weyrich M
Publisher/Producer: Rockville, MD: Agency for Healthcare Research and Quality
Postpartum Topic(s):
- Behavioral/mental health services and substance use
- Quality, performance, and outcome indicators
Annotation: This systematic review examines the benefits and harms of primary care-relevant interventions to prevent perinatal depression (i.e., depression during pregnancy and postpartum depression). Sources consulted for the review include MEDLINE, PubMED, PsyINFO, and the Cochrane Central Register of Controlled Trials; references of relevant publications and government web sites were also searched. The review looked at publications published in English between January 1, 2012, and February 6, 2018. The evidence review concluded that counseling interventions can be effective in preventing perinatal depression; a variety of other intervention approaches provided some evidence of effectiveness, but lacked a robust evidence base and need further research.
Keywords: Maternal health; Postpartum depression; Pregnancy; Mental health screening; Women's health; Intervention; Literature reviews; Evidence based medicine;
Author: Clyde M, Cremer S, Emple H, BA; Folake E Koch A, Rivera D, Searing H
Publisher/Producer: New York, NY: New York City Department of Health and Mental Hygiene
Postpartum Topic(s):
- Health equity and access to care
- Promising models of care and best practices
- Quality, performance, and outcome indicators
- Chronic health conditions/mortality and morbidity drivers
Annotation: This toolkit introduces a three-part strategy developed by the New York City Department of Health and Mental Hygiene to address severe maternal morbidity (SMM). Created through the SMM Project (2017-2020) with funding from Merck for Mothers, the toolkit outlines approaches to improve maternal health outcomes and reduce racial disparities in NYC. The document describes three interconnected strategies: improving quality of maternity care at hospitals through standardized SMM case reviews; understanding mothers' experiences with SMM through qualitative research; and mobilizing communities around maternal health through engagement initiatives. The toolkit highlights significant racial disparities in maternal health outcomes, with Black women being eight times more likely to die from pregnancy-related causes and three times more likely to experience SMM than White women. It also explains connections to NYC's Maternity Hospital Quality Improvement Network and Maternal Mortality and Morbidity Review Committee, showing how these initiatives collectively work to embed clinical quality improvement within holistic programs engaging both hospitals and communities.
Keywords: Maternal health; Maternal morbidity; Prevention; Health care disparities; Racial factors; Quality improvement; Qualitative assessment; Case assessment; Research
Author: Allen C; Alliance for Innovation on Maternal Health
Publisher/Producer: Washington, DC: Alliance for Innovation on Maternal Health
Postpartum Topic(s):
- Promising models of care and best practices
- Quality, performance, and outcome indicators
- Infrastructure development, financing, and expansion of services
Secondary URL:
Series link
Annotation: in this podcast episode, host Christie Allen talks with Audra Summers and Ashley Rainey about Indiana's innovative use of the AIM Patient Safety Bundles to drive sustainable change in maternal care. Audra and Ashley share their experiences implementing and maintaining quality improvements across Indiana's 75 delivery facilities. They discuss the importance of collaboration, the integration of safety measures into daily practices, and how sustainability is achieved through data-driven methods and cultural shifts. The episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.
Keywords: Maternal health; Perinatal care; Safety; State initiatives; Indiana; Resources for professionals;
Author: Allen C; Alliance for Innovation on Maternal Health
Publisher/Producer: Washington, DC: Alliance for Innovation on Maternal Health
Postpartum Topic(s):
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
- Health equity and access to care
Secondary URL:
Series link
Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell delve into the difficulties of measuring equity and addressing barriers in maternal-child health data. They discuss the challenges of capturing accurate data in a fragmented healthcare system, the limitations of electronic medical records (EMRs) in measuring quality metrics, and the importance of contextualizing data within the broader landscape of social determinants of health. The two share insights from their experiences in quality improvement and offer a candid conversation about the need for continuous quality improvement, sustainability of positive changes, and the potential for data-driven innovation in addressing severe maternal morbidity and mortality rates in the United States. This episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.
Keywords: Maternal and child health research; Health equity; Data; Data collection; Data analysis; Barriers; Quality improvement;
Author: Holman C, Glover A, Fertaly K, Nelson M
Publisher/Producer: Rural Institute for Inclusive Communities, University of Montana
Postpartum Topic(s):
- Clinical consensus, guidelines, protocols
- Quality, performance, and outcome indicators
Annotation: This report presents the results of the Levels of Care Assessment Tool (LOCATe) implemented in Montana in 2021 to assess maternal and neonatal care capabilities in birthing facilities and support strategies to improve risk-appropriate care. LOCATe aligns with guidelines from the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatricsto match hospital capabilities with patient risk. The report summarizes Montana's LOCATe results, with 96% of birthing facilities participating. Key findings include: 80% of facilities assessed at Level I or II for neonatal care; 68% assessed at Level I or lower for maternal care; facilities had discrepancies between self-reported and assessed levels; 44% lacked maternal transport plans; and protocols existed for maternal emergencies but drills were lacking. The report provides five recommendations to improve risk-appropriate care: 1) Develop perinatal regionalization through stakeholder coordination; 2) Cultivate relationships between facilities through education and learning collaboratives; 3) Establish maternal transport plans and agreements; 4) Enhance care through evidence-based practices and statewide safety bundles; 5) Measure impact through data and review committees.
Keywords: Perinatal care; Reproductive health; Statistical data; High risk pregnancy; Gestational age; Risk appropriate care; Rural health; State initiatives; Montana
Maternal levels of care
Author: Joint Commission;
Publisher/Producer: Oakbrook Terrace, IL: Joint Commission
Postpartum Topic(s):
- Workforce training and development
- Clinical consensus, guidelines, protocols
- Quality, performance, and outcome indicators
Annotation: The Joint Commission offers the Maternal Levels of Care Verification program in collaboration with the American College of Obstetricians and Gynecologists (ACOG) to help facilities providing obstetric and maternal-fetal medicine (MFM) care standardize and improve regionalized systems of care, with the ultimate goal of reducing maternal morbidity and mortality. Developed using ACOG’s Levels of Maternal Care Obstetric Care Consensus document, this program provides an objective assessment of a facility's capabilities to verify it has the appropriate resources, equipment, and staff to care for the complexity of its patients, requiring hospitals to submit a detailed process improvement plan. The verification assesses facilities against four standardized levels of care: (1) Level I: Basic Care for low to moderate-risk pregnancies; (2) Level II: Specialty Care for moderate- to high-risk antepartum, intrapartum, and postpartum conditions; (3) Level III: Subspecialty Care for more complex maternal medical conditions, obstetric complications, and fetal conditions; and (4) Level IV: Regional Perinatal Health Care Centers which provide on-site medical and surgical care for the most complex maternal conditions and critically ill pregnant women. The program promotes collaboration among area health care organizations, ensuring hospitals have a plan for assessing risk and referring patients to a higher level of care facility in the event of obstetric emergencies, and is being utilized by several states, including Florida, Georgia, Michigan, Missouri, and Texas, to meet state maternal care designation requirements.
Keywords: Obstetrical care; Perinatal care; Patient safety; Risk assessment; Quality improvement; Standards; Hospital Accreditation;
Author: Viswanathan M, Middleton JC, Stuebe A, Berkman N, Goulding AN, McLaurin-Jiang S, Dotson AB, Coker-Schwimmer M, Baker B, Voisin C, Bann C, Gaynes BN
Publisher/Producer: Rockville, MD: U.S. Agency for Healthcare Research and Quality
Postpartum Topic(s):
- Behavioral/mental health services and substance use
- Quality, performance, and outcome indicators
Annotation: This systematic review assesses the benefits and potential harms of pharmacologic interventions for pregnant, postpartum, and reproductive-age women with a new or preexisting diagnosis of a mental health disorder. Based on data extracted from 164 studies that met the eligibility criteria, the review explores whether the benefits for the mother outweigh the potential risks that pharmacologic interventions pose to the fetus, including the risk of congenital anomalies. The document was prepared by the RTI International--University of Northat Carolina at Chapel Hill Evidence-based Practice Center for the U.S. Agency for Healthcare Research and Quality.
Keywords: Women's health; Maternal health; Mental health; Mental disorders; Pharmacology; Perinatal care; Risk factors; Congenital abnormalities; Comparative analysis; Outcome evaluation; Literature reviews;
Author: Strengthen the Evidence for MCH Programs
Publisher/Producer: Washington, DC: Strengthen the Evidence for MCH Programs
Postpartum Topic(s):
- Promising models of care and best practices
- Infrastructure development, financing, and expansion of services
- Legislation and policy development
- Nonclinical postpartum care
- Quality, performance, and outcome indicators
- Health equity and access to care
Annotation: The database aggregates sample evidence-based/informed strategies that can be used as-is or adapted to develop Evidence-based or informed Strategy Measures (ESMs) for each of the MCH National Performance Measures (NPMs). The strategies are listed by National Performance Measure, from NPM 1-Well Woman VIsit throught NPM 15-Continuous and Adequate Insurance. [Funded by the Maternal and Child Health Bureau]
Keywords: Evidence based medicine; Model programs;
Author: Minnesota Perinatal Quality Collaborative
Publisher/Producer: MN: Minnesota Perinatal Quality Collaborative
Postpartum Topic(s):
- Chronic health conditions/mortality and morbidity drivers
- Data collection, measurement, analysis
- Promising models of care and best practices
- Quality, performance, and outcome indicators
Annotation: This progress report details the Minnesota Perinatal Quality Collaborative's initiative to address hypertension in pregnancy and the postpartum period. It outlines the collaborative's structure, methodology, and quality improvement approach using a hybrid model that incorporates both the Institute for Healthcare Improvement framework and Project ECHO telehealth education. The document presents results from six participating hospitals showing improvements in key metrics, including an increase from 57% to 71% in patients with severe hypertension treated within 60 minutes, and positive trends in discharge education and follow-up care within 3-5 days. The report discusses challenges encountered, including data collection difficulties during the COVID-19 pandemic, and offers recommendations for sustaining improvements, such as continued data reporting and expanding focus to the postpartum period. Charts display performance data with statistical analysis of trends and special cause variations, illustrating the initiative's impact on maternal health outcomes in Minnesota.
Keywords: Hypertension; Perinatal care; Minnesota; State initiatives; Quality improvement; Model programs;
Author: Maternal Mental Health NOW
Publisher/Producer: Los Angeles, CA: Maternal Mental Health NOW
Postpartum Topic(s):
- Behavioral/mental health services and substance use
- Promising models of care and best practices
- Quality, performance, and outcome indicators
Annotation: This guide explains how medical clinics can integrate maternal mental health care into obstetric and/or pediatric settings using best practices based on the integrated perinatal mental health care model. It includes a summary of the innovations that the California-based Maternal Mental Health NOW program made to build capacity to provide maternal mental health screening, connect patients to resources and services, and offer an array of evidence-based treatment options. Suggestions for screening tools, sample scripts, advice on data collection, and other implementation tools are included.
Keywords: Perinatal services; Maternal mental health; Screening; Program development; Service integration; Model programs; California;
Author: Centers for Disease Control and Prevention
Publisher/Producer: Atlanta, GA: Centers for Disease Control and Prevention
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Promising models of care and best practices
- Workforce training and development
- Data collection, measurement, analysis
Annotation: This website explains how Perinatal Quality Collaboratives (PQCs) work to improve the quality of healthcare for mothers and babies. PCQs are networks of perinatal health care providers that include hospitals, clinicians, and public health professionals working to improve pregnancy outcomes through quality improvement initiatives and use of best available evidence-based strategies. The site includes a video introduction to PQCs; a webinar series; a guide to help states developed PQCs, success stories, journal articles, and links to additional resources.
Keywords: Perinatal care; Perinatal services; Maternal health; Infant health; Collaboration; Quality assurance; Model programs; State initiatives; Regional programs;
Author: Centers for Medicare & Medicaid Services
Publisher/Producer: Washington, DC: U.S. Department of Health and Human Services, Medicaid
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Legislation and policy development
- Workforce training and development
- Infrastructure development, financing, and expansion of services
Annotation: This website recommends a series of postpartum visits to ensure the health of mother and baby and provides technical resource tools for improving the quality of care during the postpartum period. Intended to support state Medicaid and CHIP agencies’ efforts to provide quality care, the site provides links to quality improvement (QI) materials that include both documents and videos. The site also describes the "Improving Postpartum Care learning collaborative," launched by the Centers for Medicare & Medicaid Services in 2021 to support state Medicaid and CHIP agencies’ efforts to improve health outcomes among postpartum people. Included are links to associated webinars and to the Postpartum Care Action Learning Series created in 2013-2014.
Keywords: Postpartum care, Puerperium, Postpartum women, Program improvement. Quality assurance;
Author: Espinosa S, Gilburg ML, McDonald M
Publisher/Producer: New York, NY: Milbank Memorial Fund
Postpartum Topic(s):
- Promising models of care and best practices
- Quality, performance, and outcome indicators
- Legislation and policy development
- Community outreach and engagement
- Dyadic, culturally congruent, family-centered care
- Health equity and access to care
- Data collection, measurement, analysis
Annotation: This report summarizes key findings from the U.S. Health and Human Services Department's Postpartum Maternal Health Collaborative Expert Evidence Convening held in April 2024. The document synthesizes insights from four expert panels focused on reducing postpartum mortality, covering mental health and substance use disorder, community and social drivers of health, clinical care, and state-level policy opportunities. The report identifies seven key themes for state policy action, including enabling better care transitions with technology and patient-specific planning, providing resources before screening for social needs, ensuring cross-sector collaboration, incorporating community engagement, supporting quality improvement initiatives, implementing patient-centered care approaches, and investing in data infrastructure. Panel discussions revealed strategies such as implementing non-punitive child welfare policies, reimbursing integrated healthcare and telehealth services, extending postpartum coverage, bundling care incentives, and addressing systems barriers including access limitations, provider competency gaps, and cultural barriers that impact maternal health outcomes.RetryClaude can make mistakes. Please double-check responses.
Keywords: Maternal health; Postpartum care; Mental health; Collaboration; Conference proceedings; Quality improvement; Models; State initiatives; Pennsylvania; Indiana;
Author: Espinosa S, Gilburg ML, McDonald M
Publisher/Producer: New York, NY: Milbank Memorial Fund
Postpartum Topic(s):
- Promising models of care and best practices
- Quality, performance, and outcome indicators
- Data collection, measurement, analysis
- Behavioral/mental health services and substance use
- Chronic health conditions/mortality and morbidity drivers
Annotation: This report summarizes the second meeting of the U.S. Health and Human Services Department's Secretary's Postpartum Maternal Health Collaborative, held January 10, 2025. The document describes how six states (Iowa, New Mexico, Minnesota, Maryland, Massachusetts, and Michigan) implemented evidence-based practices over a 10-month period to reduce postpartum morbidity and mortality. Three states focused on mental health and substance use disorders while three addressed cardiovascular conditions. The report details specific state-level initiatives, including improved screening, care coordination, and follow-up processes, highlighting successful cross-sector collaborations between state health departments, Medicaid agencies, healthcare facilities, and community organizations. Key insights include the importance of standardizing care pathways while tailoring patient engagement strategies, leveraging quality improvement initiatives, and investing in data infrastructure. The document concludes with lessons learned about the benefits of cross-state collaboration and federal technical assistance in implementing facility-level changes that can improve maternal health outcomes.
Keywords: Maternal health; Postpartum care; Collaboration; Conference proceedings; Quality improvement; Models; Standards; Iowa; New Mexico; Minnesota; Maryland; Massachusetts; Michigan
Author: National Committee for Quality Assurance
Publisher/Producer: Washington, DC: National Committee for Quality Assurance
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This web page outlines the HEDIS standardized performance measures for prenatal and postpartum care, supported by the National Committee for Quality Assurance (NCQA). The HEDIS (Healthcare Effectiveness Data and Information Set) standardized measures are used to evaluate and compare the quality of healthcare services provided by health plans in the United States. The measures assess the timely access to prenatal and postpartum care as follows: 1) The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization; 2) The percentage of deliveries in which women had a postpartum visit on or between 7 and 84 days after delivery. The site explains why these specific measures are important and provides year-to-year performance results submitted by commercial HMOs, commercial PPOs, and Medicaid HMOs.
Keywords: Benchmarking; Measures; Performance measurement; Standards; Postpartum care; Prenatal care;
Author: U.S. Centers for Medicare & Medicaid Services
Publisher/Producer: Baltimore, MD: U.S. Centers for Medicare & Medicaid Services
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This chart pack describes state performance on the quality of maternal and perinatal health care for individuals enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). It analyzes eight frequently reported measures for federal fiscal year 2020, including the timeliness of prenatal visits, postpartum care, well-child visits in the first 15 months of life, and the frequency of infants born with low birth weights. Substantial data is provided regarding the provision of most or moderately effective contraception and long-acting reversible contraception for both postpartum women and all women at risk of unintended pregnancy. The document also evaluates geographic variations in reporting across states and examines performance trends from 2018 through 2020 to identify significant changes in health care access and quality.
Keywords: Maternal health; Perinatal health; Perinatal care; Medicaid; Children's Health Insurance Program; Quality assurance; Measures; State initiatives; Comparative analysis; Trends;
Author: National Partnership for Women and Families
Publisher/Producer: Washington, DC: National Partnership for Women and Families
Postpartum Topic(s):
- Health equity and access to care
- Infrastructure development, financing, and expansion of services
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Secondary URL:
https://rtbhealthcare.org/wp-content/uploads/2023/03/Raising-the-Bar-for-Moms-Babies-Guidance-Web-Version.pdf
Annotation: This actionable guide is designed to support health institutions in creating a tailored approach to providing equitable, high-quality care tailored to the needs of individual birthing families. The guide is organized according to four core roles that healthcare provider institutions play (as providers, employers, community partners, and advocates) and provides details about the importance of each role in advancing maternal health. Included are suggestions for decision makers on how to catalog and assess work and a menu of action items decision makers can execute.
Keywords: Maternal health; Health equity; Quality assurance; Professional education;
Author: California Health Care Foundation
Publisher/Producer: Oakland, CA: California Health Care Foundation
Postpartum Topic(s):
- Promising models of care and best practices
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: This report records how, in a pilot program conducted by the Pacific Business Group on Health (PBGH), in partnership with the California Maternal Quality Care Collaborative (CMQCC), three hospitals in the state of California were able to lower the rate of low-risk first-time Cesarian sections by 20% in one year. Subsequently, the California Health Care Foundation (CHCF) funded a state-wide initiative built on the lessons learned to lower the rate of unnecessary Cesarian section births from 26.0% to 22.9 %, between 2015 and 2020. Initiatives to accomplish this goal included collecting and sharing accurate data, providing toolkits to providers, ensuring patient engagement, and supporting policies and payment/purchaser requirements. [Original pilot funded by the Robert Wood Johnson Foundation.]
Keywords: Cesarean section; California; Minority groups; Health equity; State initiatives; California;
Author: Declercq E, Zephyrin L
Publisher/Producer: New York, NY: The Commonwealth Fund
Postpartum Topic(s):
- Chronic health conditions/mortality and morbidity drivers
- Quality, performance, and outcome indicators
- Health equity and access to care
- Dyadic, culturally congruent, family-centered care
- Infrastructure development, financing, and expansion of services
Annotation: This data brief examines severe maternal morbidity in the United States, which affects approximately 50,000-60,000 women annually. It describes the scope and severity of maternal health complications before, during, and after childbirth, highlighting stark racial and socioeconomic disparities. The brief discusses different definitions and measurement approaches for severe maternal morbidity, common indicators and conditions, risk factors, and implications for health care costs and postpartum health. It also provides recommendations for improving maternal health outcomes and measurement, including expanding insurance coverage and adopting more comprehensive, culturally appropriate care models.
Keywords: Maternal death, Maternal morbidity, Maternal mortality, Childbirth; Postpartum care; Data
Author: Clark M
Publisher/Producer: Washington, DC: Center for Children and Families
Postpartum Topic(s):
- Infrastructure development, financing, and expansion of services
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
- Legislation and policy development
Annotation: This report describes state trends in the use of Medicaid funds to improve maternal health, including Medicaid extensions that cover the 12-month postpartum period; the expansion of provider types to include doula care; and coverage of postpartum mental health screening and treatment. Guidance on how states can leverage Medicaid managed care contracts to Improve maternal health outcomes is included, along with a chart comparing the percentage of women who attend timely prenatal and postpartum visits in both expansion and non-expansion states.
Keywords: Prenatal care; Postpartum care; Medicaid; Financing; Health care reform; Quality improvement; Trends; State legislation; Policy
Author: Hill I, Dubay L, Courtot B, Benatar S, Garrett B, Blavin F, Howell E, Johnston E, Allen E, Thornburgh S, Markell J, Morgan J, Silow-Carroll S, Bitterman J, Rodin D, Odendah R, Paez K, Thompson L, Lucado J, Firminger K, Sinnarajah B, Paquin L, Rouse M
Publisher/Producer: Washington, DC: The Urban Institute
Postpartum Topic(s):
- Promising models of care and best practices
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
Annotation: This report summarizes findings from the Strong Start for Mothers and Newborns Initiative, a U.S. Department of Health and Human Services (HRSA) program that aims to prevent preterm births and improve outcomes for newborns and pregnant women. The five-year program evaluation describes the populations served, the model programs and interventions implemented, and the maternal and infant outcomes for participants covered by Medicaid and the Children’s Health Insurance Program (CHIP) during pregnancy. Outcome measures compare preterm births and cesarean section rates across race, ethnicity, and program models, including birth centers, group prenatal care, maternity care homes, and intensive education and psychosocial support.
Keywords: Prenatal care; Preterm birth; Maternal health; Infant health; Low income groups; Prevention; Mothers; Federal programs; Models; Pregnant women; Newborn infants; Initiatives; Program evaluation;
Author: Lee H, Shea Crowne S, Estarziau M, Kranker K, Michalopoulos C, Warren A, Mijanovich T, Filene JH, Duggan A, and Knox V
Publisher/Producer: Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S.Department of Health and Human Services.
Postpartum Topic(s):
- Quality, performance, and outcome indicators
- Nonclinical postpartum care
- Data collection, measurement, analysis
Annotation: This report presents final implementation and impact results from the Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start)-- a study that was launched in 2012 to test whether evidence-based home visiting provided during pregnancy improves birth outcomes, prenatal health, and health care use in infancy.
Keywords: Prenatal care; Maternal health; Infant health; Home visiting; Studies; Outcome evaluation;
Author: Merck for Mothers
Publisher/Producer: Rahway, NJ: Merck for Mothers
Postpartum Topic(s):
- Data collection, measurement, analysis
- Quality, performance, and outcome indicators
- Health equity and access to care
Annotation: This digital report highlights the maternal mortality crisis in the United States and outlines Merk for Mothers' efforts to address it. The report describes how maternal mortality rates have risen in America since 1990, with Black women 3-4 times more likely to die from pregnancy and childbirth-related causes than white women. It presents statistics showing approximately 60,000 near-deaths annually from pregnancy complications, with roughly two women dying every day, and up to 60% of these deaths being preventable, according to findings from the Centers for Disease Control and Prevention (CDC). The report outlines Merck for Mothers' three-pronged approach to tackling the crisis through better data collection, the promotion of quality care standards, and community-based initiatives. It features partner organizations like Maternity Care Coalition in Philadelphia that provide support to vulnerable pregnant women, and introduces the Safer Childbirth Cities Initiative, a $10 million commitment to support local organizations addressing maternal health disparities across the country.
Keywords: Maternal health; maternal mortality; Statistics; Trends; Perinatal care; Postpartum care; Initiatives;
Author: Oregon Health Authority
Publisher/Producer: Portland, OR: Oregon Health Authority
Postpartum Topic(s):
- Quality, performance, and outcome indicators
Annotation: This document serves as a guide to help Coordinated Care Organizations (CCOs), health systems, quality improvement professionals, and providers improve their approach to increase the percentage of postpartum women who receive a preventive checkup within 21-56 days after giving birth.
Keywords: Maternal health; Postpartum care; Measures; Model programs; State programs; Oregon
Author: Smith H, Peterson N, Lagrew D, Main E
Publisher/Producer: Stanford, CA: California Maternal Quality Care Collaborative
Postpartum Topic(s):
- Clinical consensus, guidelines, protocols
- Quality, performance, and outcome indicators
- Promising models of care and best practices
Secondary URL:
summary
Annotation: This toolkit to support vaginal birth and reduce primary cesarean sections includes evidence-based tools and resources to support pregnant patients who transfer to the hospital from a community birth center and to effectively integrate midwifery care and doula support into the hospital setting. The toolkit serves as a “how to” guide to help educate and motivate maternity clinicians to apply best practices to support vaginal birth. Included are strategies to (1) improve the culture of care, awareness, and education for cesarean reduction; (2) support intended Vaginal Birth; (3) manage labor abnormalities and safely reduce cesarean births; and (4) use data to drive reduction in cesareans. Twenty appendices include checklists, guidelines, partograms, performance measures, and assessment tools for healthcare providers.
Keywords: Pregnant women; Cesarean section; Childbirth; Vaginal birth; Labor; Doulas; Midwives; Prevention; Birthing Centers; Hospitals Quality assurance; Model programs; California
Author: Allen C; Alliance for Innovation on Maternal Health
Publisher/Producer: Washington, DC: Alliance for Innovation on Maternal Health
Postpartum Topic(s):
- Health equity and access to care
- Community outreach and engagement
- Quality, performance, and outcome indicators
Secondary URL:
Series link
Annotation: In this season finale of AIM for Safer Birth 2024 podcast series, host Christie Allen is joined by Dr. Veronica Gillispie-Bell to reflect on key themes from the season, including rural maternity care, collaborative models, and the structural barriers impacting maternal health. They discuss the realities of hospital closures, the importance of integrating community birth centers, and the critical need for sustainability in quality improvement efforts. Dr. Gillispie-Bell shares insights on bridging gaps across disciplines, tackling systemic inequities, and how to keep patients' goals at the center of care. Plus, they dive into the transformative power of data and the lessons that can guide future improvements.
Keywords: Maternal health; Rural health; Collaboration; Model programs; Service integration; Barriers; Health equity; Data;
Author: Management of Pregnancy Work Group
Publisher/Producer: Washington, DC: U.S. Government Printing Office
Postpartum Topic(s):
- Clinical consensus, guidelines, protocols
- Quality, performance, and outcome indicators
Annotation: This clinical practice guideline provides information about the relationships between various care options and health outcomes in the management of pregnancy. Topics include approaches to care of pregnant women in the Department of Veterans Affairs and the Department of Defense; recommendations, including for oral health care during pregnancy; routine pregnancy care; referral indications; emerging topics; and research priorities.
Keywords: Oral health; Pregnant women; Research; Referral; Health care; Treatment outcomes;
