Blueprint for Action. Steps Toward a High-Quality, High-Value Maternity Care System

Women s Health Issues (Impact Factor: 1.61). 11/2009; 20(1 Suppl):S18-49. DOI: 10.1016/j.whi.2009.11.007
Source: PubMed


Childbirth Connection hosted a 90th Anniversary national policy symposium, Transforming Maternity Care: A High Value Proposition, on April 3, 2009, in Washington, DC. Over 100 leaders from across the range of stakeholder perspectives were actively engaged in the symposium work to improve the quality and value of U.S. maternity care through broad system improvement. A multi-disciplinary symposium steering committee guided the strategy from its inception and contributed to every phase of the project. The "Blueprint for Action: Steps Toward a High Quality, High Value Maternity Care System", issued by the Transforming Maternity Care Symposium Steering Committee, answers the fundamental question, "Who needs to do what, to, for, and with whom to improve the quality of maternity care over the next five years?" Five stakeholder workgroups collaborated to propose actionable strategies in 11 critical focus areas for moving expeditiously toward the realization of the long term "2020 Vision for a High Quality, High Value Maternity Care System", also published in this issue. Following the symposium these workgroup reports and recommendations were synthesized into the current blueprint. For each critical focus area, the "Blueprint for Action" presents a brief problem statement, a set of system goals for improvement in that area, and major recommendations with proposed action steps to achieve them. This process created a clear sightline to action that if enacted could improve the structure, process, experiences of care, and outcomes of the maternity care system in ways that when anchored in the culture can indeed transform maternity care.

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    • "The first report, ''2020 Vision for a High-Quality, High- Value Maternity Care System,'' identifies values, principles, and attributes of an optimal maternity care system (Carter et al., 2010). The second report, ''Blueprint for Action: Steps Toward a High-Quality , High-Value Maternity Care System,'' charts the path toward the collaborative group's envisioned maternity care system (Angood et al., 2010). "
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    ABSTRACT: Collaborative efforts and coalitions have replaced exclusivity as birth organizations and individuals unite to humanize birth and provide women with transparency of information about maternity care providers and facilities and about access to the midwifery model of care. The Coalition for Improving Maternity Services and the upcoming 2010 "Mega Conference" to jointly celebrate the 50th anniversaries of Lamaze International and the International Childbirth Education Association serve as excellent examples of collaborative efforts to support natural, safe, and healthy birth practices as well as women's choices in childbirth. Childbirth educators are encouraged to learn from and support national coalitions devoted to improving maternity care and to use local resources to develop their own collaborative efforts on behalf of childbearing families.
    Journal of Perinatal Education 01/2010; 19(2):44-7. DOI:10.1624/105812410X496676
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    • "To mark its 90th anniversary in 2008, Childbirth Connection launched the Transforming Maternity Care project. Childbirth Connection brought together more than 100 leaders from across the maternity care field—from delivery systems, providers , and consumers to health plans and purchasers , liability insurers, and quality experts—to develop two direction-setting reports, 2020 Vision for a High-Quality, High-Value Maternity Care System (Carter et al., 2010) and Blueprint for Action: Steps Toward a High-Quality, High-Value Maternity Care System (Angood et al., 2010), the culmination of over 2 years' collaborative multi-stakeholder work. The project started with key informant interviews conducted with health system innovators, clinical experts, and policy leaders to help determine the critical areas of focus for maternity care system improvement (Jolivet, Corry, & Sakala, 2010). "
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    ABSTRACT: To mark the 50th anniversary of Lamaze International, Childbirth Connection celebrates landmark accomplishments in education for childbearing women and families, and takes stock of the changing educational needs and preferences of current childbearing families in looking toward the future. Childbirth Connection's multi-year, multi-stakeholder Transforming Maternity Care initiative resulted in two landmark reports: 2020 Vision for a High-Quality, High-Value Maternity Care System and Blueprint for Action: Steps Toward a High-Quality, High-Value Maternity Care System. Selected recommendations of greatest relevance to the field of childbirth education are discussed, and the new Transforming Maternity Care Partnership is introduced.
    Journal of Perinatal Education 01/2010; 19(3):17-20. DOI:10.1624/105812410X514422
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    ABSTRACT: In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses the mismatch between data commonly collected at the time of birth and the data needed to measure optimal care for physiologic birth. Selections include the importance of documenting duration of skin-to-skin contact after birth, the role of qualitative research in improving care in the second stage of labor, and pitfalls of meta-analyzing data on the safety of planned home birth.
    Journal of Perinatal Education 01/2010; 19(4):52-8. DOI:10.1624/105812410X530938
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