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Birth Equity Resources

Toolkit

I. Introduction

II. National Guidance ACOG/SMFM

a. ACOG Committee Opinions/Statements

b. SMFM Guidance

ACOG/SMFM et al. JOINT STATEMENT – Obstetrics and Gynecology: Collective Action Addressing Racism

IV. Initiative Resources

V. Social Determinants of Health (SDoH) & Linkage to Resources

a. Social Determinants of Health Resource Mapping to assist linking patients to needed local resources and services

b. Social Determinants of Health Screening Tools

c. Social Determinants of Health Folders: Patient and Provider Resources for SDoH Patients Who Screen Positiove

i. Resources to help providers and staff understand Social Determinants of Health

ii. Patients handouts on SDoH resources (to be launched for patients who screen positive)

    d. Incorporating discussion of social determinants of health for maternal morbidity reviews

    VI. Optimizing Race/Ethnicity Medical Record & Stratifying Quality Data

    NEW ILPQC Disparity Data Guide

    a. Improve patient-reported race/ethnicity data collection for EMR

    b. Resources to stratify hospital maternal health quality data by race, ethnicity, and insurance status

    VII. Sharing Respectful Care Practices on L&D & Using PREM Survey

    a. Sharing expected respectful care practices with providers, nurses, staff, and patients

    b. Patient Reported Experience Measure (PREM) patient survey

    c. Respectful Care Resources

    Resources for Active Listening

    Resources for Shared Decision Making

    Other Respectful Care Resources

    • FREE ACOG Respectful Care eModules
    • FREE AWHONN Respectful Maternity Care Toolkit – contact info@ilpqc.org for access
    • Doula Engagement Strategies
      • CMQCC Webinar: Integrating Midwives, Doulas, and Community-based Birth Care
      • CMQCC Toolkit to support vaginal birth and reduce primary cesareans, INDEX pp 80-107

    VIII. Engage Patients and/or Community Members to Provide Input on QI Efforts

    a. Involving patients and/or community members to provide input or engage with QI work

    b. Respectful Care Breakfast Strategy

        IX. Standardizing Postpartum Safety Education and Scheduling Early Postpartum Follow Up  

        a. Standardizing early postpartum follow up visit to two-weeks  

        b. Improving communication with patients and healthcare providers by providing postpartum safety patient education materials and support for early postpartum follow up

          X. Educating Providers, Nurses, and Other Staff on the Importance of Implicit Bias / Respectful Care Training

          a. Addressing implicit bias to educate and engage providers, nurses, and staff

          1. E-modules on implicit bias and respectful care:

          b. Grand Rounds Slide Set (available for grand rounds, OB providers meeting, Townhalls and other small group presentations and discussions)

          • Grand Rounds Slide Set and Speakers Bureau 

          c. Using National Guidance to Address Provider Buy-in

          1. ACOG/SMFM Committee Opinions/Statements

          d. Facilitating Feedback and Discussion:

          • (In)equity Inbox – Example of a strategy to provide opportunity for anonymous feedback of workplace and patient interactions to improve equity (example from Massachusetts General Hospital OB Department)

          e. Other Resources:

          1. Institute for Perinatal Quality Collaborative SPEAK UP Training – ILPQC will sponsor one QI team member per hospital to attend ILPQC hosted SPEAK UP train the trainer session
          1. CDC Hear Her Messaging Campaign: Provider Resources
          2. Harvard Project Implicit Association Test- Implicit bias self-assessment for providers, nurses and staff
          3. Resource for providers to review and share with patients to promote understanding and communication – Protecting your birth: a guide for black mothers. New York Times, 2020. (Also, includes guidance for healthcare providers)
          4. New England Journal of Medicine: Standing Up against Gender Bias and Harassment— A Matter of Professional Ethics (Mello & Jagsi, April 2020)

          f. Addressing diversity within health care hiring

          **Key Resource
          The following material is an example only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: Websites and URLs are subject to change.

          Webinars

          Recordings/Slides

          • December 16, 2024: Birth Equity Sustainability Webinar 
          • September 16, 2024: Birth Equity Sustainability Webinar
          • June 17, 2024: Introduction to Birth Equity Initiative Sustainability Plan
          • April 15, 2024: Expanding Patient Access to Home Visiting Resources
          • March 18, 2024: Expanding Patient Access to Community-Based Doulas
          • February 19, 2024: Holding Respectful Care Breakfasts – Lessons Learned
          • January 22, 2024: Patient Partners on BE QI Teams – how to make it happen!
          • December 11, 2023: Sustainable Equity Strategies to Promote Postpartum Safety
          • September 18, 2023: REDCap PREM Data Dashboard Review
          • Birth Equity 2023 QI Summer Series Slides
          • August 21, 2023: Meaningful Connections for SDoH Linkages
          • July 17, 2023: The Importance of Patient Voices – Engaging Patient Partners on QI Teams
          • June 5, 2023: Key Takeaways from F2F and Next Steps for Getting to Green on Key Strategies
          • April 17, 2023: Using PREM Survey Data Feedback to Improve Respectful Care
          • March 20, 2023: Strategies to Increase PREM Survey Completion
          • February 20, 2023: Achievable Patient/Community Engagement Strategies
          • December 19, 2022: Actionable Respectful Care Strategies and PREM Survey Implementation 
          • September 19, 2022: Postpartum Safety Patient Education
          • August 15th, 2022: Implementing postpartum early schedule two-weeks 
          • August 2nd, 2022: BE QI Topic Call for PREM and RCP
          • July 18th, 2022: BE Review of Key Strategies & Team Sharing
          • April 18th, 2022: Engaging patients and community in QI / Birth Equity work
          • February 21st, 2022: Implementing a comprehensive implicit bias training for provider/nurse education
          • January 31st, 2022: Recap of topics covered so far…SDoH Screening Tool and Respectful Care & PREM
          • December 20th, 2021: Implementing Respectful Care Practices and PREM 
          • November 15th, 2021: Universal Social Determinants of Health Screening and mapping resources
          • September 20th, 2021: Review maternal health quality data stratified by race, ethnicity, and Medicaid status  
          • August 16th, 2021: Optimizing race / ethnicity data collection for OB patients 
          • June 21st, 2021: Birth Equity Statewide Launch Call
          • July 30th, 2021: Birth Equity Data Discussion Webinar 

          Clinical Quick Start Resources