Maternal Health: Models and Tools
American Hospital Association – Better Health for Mothers and Babies
The American Hospital Association (AHA) has taken on the goal of eliminating maternal mortality and reducing severe morbidity through our Better Health for Mothers and Babies initiative. As part of the initiative, the AHA has developed various resources to help meet the goal of eliminating maternal mortality and reducing severe morbidity.
Action Plan – Promoting Better Health for Mothers and Babies: Taking Action, Saving Lives
Better Health for Mothers & Babies: Improving Maternal Health Outcomes Infographic
Checklist – Promoting Better Health for Mothers and Babies
Discussion Guide – Promoting Better Health for Mothers and Babies Across the Continuum of Care: A Discussion and Action Guide for Key Stakeholders
Better Maternal Outcomes: An IHI Rapid Improvement Network
Five-Year Maternal Mortality Ratio: 2013-2017 Map
Alliance for Innovation on Maternal Health (AIM)
The American Hospital Association is partnering with AIM to support hospitals by translating the evidence into implementation steps. The work assesses the most important areas to focus on in implementing leading practices in reducing maternal morbidity. The easy-to-use tools are a way identify and close gaps that might exist.
California Maternal Quality Care Collaborative (CMQCC) - Toolkits
CMQCC provides evidence-based toolkits which have been utilized in numerous hospitals of all sizes to achieve significant results. The site also provides information on the CMQCC benchmarking tool which hundreds of hospitals are utilizing to measure their improvement in a collaborative community.
Centers for Disease Control and Prevention (CDC)
CDC Levels of Care Assessment Tool
Morbidity and Mortality Weekly Report May 10, 2019 - Vital Signs: Pregnancy-Related Deaths, United States, 2011–2015, and Strategies for Prevention, 13 States, 2013–2017
Pregnancy Mortality Surveillance System
Vital Signs: Pregnancy-related Deaths, May 2019
Centers for Medicare and Medicaid Services (CMS)
Maternal Opioid Misuse (MOM) Model – Addresses fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system surrounding this vulnerable population. By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing, and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants.
Maternal Opioid Misuse (MOM) Model
District of Columbia Primary Care Association Report
The District of Columbia Primary Care Association (DCPDC)’s membership includes 15 community health centers and other community-based organizations, with nearly 60 health care delivery sites that serve approximately 1 out of 3 District residents. This report shines a light on unmet reproductive and maternal health needs of low-income women living in the District of Columbia, and provides policymakers and providers with a Roadmap for Action containing a clear set of 12 actionable and costed initiatives that can be pursued to improve the health and well-being of women and their families.
Human-Centered Solutions to Improve Reproductive and Maternal Health Outcomes in Washington, D.C. report
Health Research & Educational Trust (HRET)
HRET is the not-for-profit research and education affiliate of the AHA. HRET’s mission is to transform health care through research and education. HRET’s applied research seeks to create new knowledge, tools and assistance in improving the delivery of health care by providers and practitioners within the communities they serve.
HRET Obstetrical Harm Change Package 2016 - This change package is intended for hospitals participating in the Hospital Engagement Network (HEN) 2.0 project led by the Centers for Medicare & Medicaid Services (CMS) Partnership for Patients (PFP); it is meant to be a tool to help you make patient care safer and improve care transitions. This change package is a summary of themes from the successful practices of high-performing health organizations across the country. It was developed through clinical practice sharing, organization site visits and subject matter expert contributions. This change package includes a menu of strategies, change concepts and specific actionable items that any hospital can choose to implement based on need and to begin testing for purposes of improving patient quality of life and care. This change package is intended to be complementary to literature reviews and other evidence based tools and resources.
Health Resources and Services Administration (HRSA)
The Health Resources and Services Administration expects to award up to $9 million over four years to develop a sustainable network approach to coordinate maternal and obstetrics care in rural regions. The pilot program also aims to increase access to preconception, pregnancy, labor and delivery, and postpartum services; develop sustainable financing models for maternal and obstetrics care; and improve maternal and neonatal outcomes. The applicant organization must be part of an established network that includes at least three separately owned entities, at least one of which is in a HRSA-designated rural area. Applications are due by May 24. For more information, see the HRSA notice.
Press Release: Notice of Funding Opportunity for Rural Maternity and Obstetrics Management Strategies
Institute for Diversity and Health Equity
4 Ways Health Care Organizations Can Utilize the Implicit Association Test (IAT)
March of Dimes Implicit Bias Training
The American Hospital Association recognizes the value of the March of Dimes implicit bias training program and the potential benefits of its use by health care providers across the country to better identify and remedy implicit bias in maternity care.
Maternal Mortality Review Committees (MMRC)
Maternal Mortality Review Committees have been implemented at the state level and in hospitals as an important mortality and morbidity reduction strategy, tool and resources for maternal providers and clinicians.
2017 Report from MMRCs: A View into Their Critical Role
2018 Report from Nine Maternal Mortality Review Committees
Minnesota Hospital Association Resources
Knowing what to do is essential. The American Hospital Association is encouraging hospitals to take advantage of the learnings of the tools and evidence based practices, which have shown success in California through CMQCC and in Minnesota through the Minnesota Hospital Association.
MHA Neonatal Abstinence Syndrome (NAS) Toolkit