Michigan State University
This study works with prenatal and postnatal care providers in 12 Michigan counties to scale up best practices for maternal health equity.
The project recruits prenatal and postnatal care providers in 12 Michigan counties. his project will develop and test a scale-up focused implementation approach for addressing pregnancy-related and -associated morbidity and mortality (PRAMM) disparities. Previous efforts have shown that use of hospital- focused maternal safety bundles are an important part of successful efforts to reduce PRAMM. However, overall quality of obstetric care improved in these efforts without any effect on disparities. Thus, unlike previous efforts, the proposed project will implement quality improvement bundles tha…
Provider Inclusion Criteria: -Be a provider or staff person at agencies offering prenatal and/or postnatal services in Wayne, Oakland, Ingham, Isabella, Macomb, Muskegon, Calhoun, Jackson, Saginaw, Kalamazoo, Barrien, or Washtenaw counties in Michigan. Provider Exclusion Criteria: * None Patient outcomes are assessed through population-level Medicaid data, without direct recruitment. Patient Inclusion criteria: -All pregnant or postpartum (up to 12 months) people receiving Medicaid in Michigan Patient Exclusion criteria: -None
During this phase of the stepped wedge design, agencies offering prenatal and postnatal care will follow their standard procedures
An implementation approach for scaling up bundled equity-focused maternal health safety guidelines in community care settings county-wide, co-developed with partners. It may involve implementation approaches such as training, facilitation, learning collaboratives, coalitions, and other activities.
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