Innovative Models

The following models were considered by the delegates at the Summit:

Improved outcomes for mother and baby

Novel tools, evidence, and resources:

• The Access and Integration Maternity Care Mapping Study, and State Report Cards: national and state resources showing the effects of midwifery integration on outcomes
• Giving Voice to Mothers, Listening to Mothers-California : new information on how midwifery connects to outcomes
• Strong Start for Mothers and Newborns Evaluation **
• Lancet series on Scaling up Midwifery, improving Maternal Health, and reducing Cesarean Section: all agree that midwifery is the answer.

Reduced costs

Novel tools, evidence, and resources:

• Strong Start for Mothers and Newborns Evaluation
• The Cost of Having a Baby in the United States

Improved patient experience

Novel tools, evidence, and resources:

• The Giving Voice to Mothers study results on the nature of disrespect, abuse, mistreatment or respect, resilience, and effective support in pregnancy and childbirth across communities
• Implicit Bias training modules endorsed by the BMMA and Young Women United leaders
• Overdue: Medicaid and Private Insurance Coverage of Doula Care
• ACOG’s Reduction of Peripartum Racial and Ethnic Disparities Maternal Safety Bundle.
• Continuous Support for Women During Childbirth

Supporting physiology

Novel tools, evidence, and resources:

• Undisturbed Labour and Birth Index: accountability tool for institutions
• Birth Tools: online implementation guide
• Hormonal Physiology of Childbearing: (full report and many related resources for diverse stakeholders including policymakers, infographics, consumer booklet, etc.)
• The Blueprint for Advancing High-Value Maternity Care Through Physiologic Childbearing 
• ACNM Bundle: Intermittent Auscultation
• ACNM Bundle: Promoting Spontaneous Progress in Labor
• ACNM Bundle: Promoting Comfort in Labor
• ACOG and Society for Maternal Fetal Medicine: Obstetric Care Consensus: Safe Prevention of the Primary Cesarean Delivery

New person-centered quality care measures

Novel tools, evidence, and resources:

• Mothers Autonomy in Decision Making (MADM)
• Mothers on Respect (MOR)
• The Mistreatment Index (MIST)
• Birth Place Research Quality Index
• Perceptions of Racism Scale
• Patient-reported outcome measures on patient satisfaction with hospitals

Exemplars of Innovative Models for Service Delivery

• Commonsense Childbirth and the JJ Way
• Roots Community Birth Center
• Breath of My Heart
• Family Health and Birth Center, DC (FQHC)
• Changing Woman Initiative
• Health Connect One
• Oregon Inter-Tribal Breastfeeding Coalition

CBOs that Support Community Health

• New Voices for Reproductive Justice
• Sister Reach
• Sister Song
• Center for Black Womens Wellness
• Mama Sana
• Healthy Start Pittsburgh

Health Professional Education renewal

• Brown University: Midwifery Faculty for Obstetric Residency
• Bastyr University: Implicit Bias Training Curricula and Scholarship programs to increase providers of color
• Black Women's Maternal Health: A Multifaceted Approach to Addressing Persistent and Dire Health Disparities

Tools That Support Effective Collaboration

• State Perinatal Quality Collaboratives
• Best Practice Collaboration Guidelines across Birth Settings,
• Dialogue and Decisions, a novel interprofessional online course for physicians, midwives, nurses, teaching skills in respectful communication, cultural safety and person-centered decision making
• Person-Centered Decision Making Tool: a clear step by step guide for professionals working together to keep the focus on the service user’s context and priorities for care.
• New Risk Management Courses for care across birth places (see Southern Cross Insurance)