Are perinatal quality collaboratives collaborating enough? How including all birth settings can drive needed improvement in the United States maternity care system

Levine, Audrey; Souter, Vivienne; Sakala, Carol

doi:10.1111/birt.12600

Cited by 3 publications

(5 citation statements)

References 38 publications

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“…Perinatal healthcare delivery systems that serve indigenous communities while incorporating cross-trained, locally based birth workers, have been shown to have a synergistic impact on effecting other areas of community health (Cidro et al, 2015;Duong, 2018;Levine and Sakala, 2022). This inclusive Arctic-based SCM evaluation of Alaska's Perinatal Regional uncovers the beneficial implications of indigenous birth worker involvement in meeting the needs for local birth.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of certified birthing centers have extremely good outcome measures for births, but inappropriate representation of non-hospital births as unsafe (Goer, 2016), and non-western recognized caregiver involvement can present these births as unfavorable. The view of successful access to maternal services provided through the regionalization of Alaska Native maternity care without the inclusion of advantages of cultural settings lacks a holistic look at risk, safety, and equity (Kin et al, 2009;Kozhimannil et al, 2018;Levine et al, 2022), so-called social responsibility principles. Thus, with its biomedical-biased assessments, this one-factor accounting of created values results in a gap in the ASTHO (2015) report.…”

Section: Social Responsibility Within Scm: Maternal Healthcare and Tr...mentioning

confidence: 99%

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Supply Chain Operations in the Arctic

Tsvetkova,

Timoshenko

2023

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This is an enthusiastic book that offers captivating insights into a multiplicity of supply chain management practices across various Arctic regions. It highlights the often-overlooked social implications, making it an important contribution to Arctic research. With its diverse collection of case studies, rigorous research, and thought-provoking content, it will undoubtedly be of great interest to scholars, practitioners, and policymakers."

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Section: Discussionmentioning

confidence: 99%

Section: Social Responsibility Within Scm: Maternal Healthcare and Tr...mentioning

confidence: 99%

Supply Chain Operations in the Arctic

Tsvetkova,

Timoshenko

2023

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“…Midwifery in Washington is an independent profession and relatively well‐integrated into the perinatal care system. 14 , 17 , 18 , 19 Two types of midwives are licensed by the Washington State Department of Health (DOH): direct entry licensed midwives (LMs), most of whom are certified professional midwives (CPMs), and advanced registered nurse practitioner‐midwives (ARNP‐M), which licenses certified nurse‐midwives (CNMs). As of this writing, certified midwives are not yet licensed in Washington; thus, the term midwives in this article refers solely to LMs and CNMs.…”

Section: Origins and Background Of Smooth Transitionsmentioning

confidence: 99%

Smooth Transitions: Enhancing Interprofessional Collaboration when Planned Community Births Transfer to Hospital Care

Hays

Denmark

Levine

et al. 2022

J Midwife Womens Health

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In Washington state, planned community births are attended by direct entry licensed midwives (LMs) and certified nurse‐midwives (CNMs). The most recently published vital statistics data from 2018 reported that 3.6% of the 84,648 births in Washington occurred at home or in freestanding birthing centers. Approximately 16.2% of planned home birth and birth center clients experience intrapartum or early postpartum transfer to the hospital, while 1.8% of their newborns do. The safety of and satisfaction with these types of referrals depends on multisystem processes performed by a variety of health care professionals. Smooth Transitions is a quality improvement (QI) initiative in Washington state that was developed to enhance interprofessional collaboration between community‐based midwives, emergency medical services (EMS), and hospital personnel to improve the quality of hospital transfers from planned community settings. Key interventions to date have included (1) information sharing to dispel misconceptions and provide context regarding community births and midwives; (2) co‐creation of transfer guidelines; (3) regularly held interprofessional meetings to review transfers and build relationships; and (4) ongoing review of qualitative feedback that captures the perspectives of all involved. Responses on questionnaires and audits indicate that Smooth Transitions has had a positive impact on provider, staff, and patient experiences with hospital transfers. Future endeavors will include strengthening quantitative data collection processes to measure safety indicators, expanding relationships with EMS, and building a case review process that is legally protected. By engaging representatives of all stakeholder groups and addressing community‐to‐hospital transfers as a multisystems issue, replication of the Smooth Transitions QI Program nationally could promote increased community midwifery integration by enhancing the referral experience for both patients and caregivers.

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Section: Community Midwife Inclusion In Pqcsmentioning

confidence: 99%

“…PQCs, with their focus on multistakeholder approaches to QI, are a logical place for community midwives, birthing people, and families to be included in work to improve maternal and infant care and outcomes. 17 Their inclusion gives PQC projects broader reach across places of birth, making them more likely to impact all patients' experiences of care. When PQCs include community midwives, collaborative relationships can be built across settings, increasing understanding of respective scopes, practices, and roles leading to improved care during community birth to hospital transfers.…”

Section: Community Midwife Inclusion In Pqcsmentioning

confidence: 99%

Quality Improvement in Community Birth: A Call to Action

Akerson

Taiwo

Denmark

et al. 2022

J Midwife Womens Health

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The number of families choosing birth center and home birth midwifery care in the United States has been rising since 2004 1 and increased significantly during the COVID-19 pandemic. 2,3 There is growing recognition that wellintegrated community midwifery care could be one solution to improving poor outcomes and rising costs in our maternity care system. [4][5][6] At the same time, community birth outcomes are inconsistent, and data are unreliable in most states. [7][8][9][10] Additionally, few practices or organizations have mechanisms for changing midwifery practices and systems based on outcomes and feedback from birthing people. These conditions provide a great opportunity for midwifery organizations and perinatal collaboratives to study existing models, evaluate innovations, and implement community birth quality improvement (QI). Now is the time for our organizations to build data collection and continual QI into the fabric of community midwifery.Like all perinatal care providers, community midwives are highly motivated to provide safe, quality care to birthing families. Unlike hospital-based providers, however, most community midwives are not part of a structured, data-driven, QI program. Although there is extensive guidance for QI in hospitals, little guidance exists for community birth settings, where midwives work in small practices of 1 to 10 providers. This small scale means that community birth practices may have limited resources for QI, and many QI models are not appropriate to their size. Community midwife-specific QI programs in national and state midwifery organizations, birth center organizations, and state or regional perinatal quality collaboratives (PQCs) are needed to bridge current gaps and bring community midwifery into meaningful efforts to continually improve care for birthing families. In this commentary, we share models for QI in community birth to inspire midwifery and perinatal organizations to take action (Figure 1).

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Are perinatal quality collaboratives collaborating enough? How including all birth settings can drive needed improvement in the United States maternity care system

Cited by 3 publications

References 38 publications

Supply Chain Operations in the Arctic

Supply Chain Operations in the Arctic

Smooth Transitions: Enhancing Interprofessional Collaboration when Planned Community Births Transfer to Hospital Care

Quality Improvement in Community Birth: A Call to Action

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