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2020 Vision for a High-Quality, High-Value Maternity Care System


 

Creating the Transforming Maternity Care "2020 Vision"

Childbirth Connection's Transforming Maternity Care project collaborated with diverse stakeholders from across the health care system to set a path toward a high-performing system, and is now working with stakeholders to implement that "Blueprint for Action."

Childbirth Connection convened a multi-disciplinary, multi-stakeholder Vision Team to guide the stakeholders in developing the Blueprint. The Vision Team collaborated over several months to define maternity care quality and value, and to describe fundamental goals for a system meeting those criteria. With the direction-setting "2020 Vision for a High-Quality, High-Value Maternity Care System" in hand, the diverse stakeholders identified priority actions for moving expeditiously toward the envisioned care.

 

Vision Team members

To benefit from perspectives of diverse experts and essential viewpoints, the Vision Team included expertise in childbirth education, community/public health, consumer and employer advocacy, family medicine, general obstetrics and gynecology, health economics, health policy, health system administration, labor support, maternal-fetal medicine, maternity nursing, nurse-midwifery, and quality and measurement research in health care.

The following individuals worked together to create and issue the "2020 Vision" report:

Martha Cook Carter, CNM, MBA
Chief Executive Officer, FamilyCare Health Center, WomenCare, Inc.

Maureen P. Corry, MPH
Executive Director, Childbirth Connection

Suzanne F. Delbanco, PhD
President, Health Care Division, Arrowsight, Inc

Tina Clark-Samazan Foster, MD, MPH, MS
Associate Professor, Obstetrics and Gynecology and Community and Family Medicine, Dartmouth-Hitchcock Medical Center

Robert Friedland, PhD
Associate Professor, Department of Health Systems Administration, Georgetown University

Robyn Gabel, MSPH
Executive Directive, Illinois Maternal Child Health Coalition

Teresa Gipson, RN, MD
Assistant Professor, Department of Family Medicine, Oregon Health & Science University

R. Rima Jolivet, CNM, MSN, MPH
Associate Director of Programs, Childbirth Connection

Elliott Main, MD
Chair, California Maternal Quality Care Collaborative
Director of Obstetric Quality, Sutter Health
Chief of Obstetrics and Gynecology, California Pacific Medical Center

Carol Sakala, PhD, MSPH
Director of Programs, Childbirth Connection

Penny Simkin, PT, CD
Author, Doula, Childbirth Educator, Birth Counselor
Faculty, Seattle Midwifery School

Kathleen Rice Simpson, PhD, RNC, FAAN
Perinatal Clinical Nurse Specialist, St. John's Mercy Medical Center

 

Vision Team process for developing "2020 Vision"

The Vision Team began its work in April 2008 with an intensive daylong planning conference guided by a facilitator experienced in creative visioning. A report and taped transcripts from the meeting were subsequently refined over several months into the "2020 Vision" statement through a process of group input and discussion, by email and telephone. The team also considered feedback from members of the Transforming Maternity Care Steering Committee and Chairs of the project’s five stakeholder workgroups, serving as peer referees. These individuals are listed on the project's leadership roster (PDF).

Childbirth Connection staff provided Vision Team members with background resources prior to the initial planning meeting to help ensure that the report would be consistent with best available evidence. These included a compendium of systematic reviews about the effectiveness of structural and organizational components of maternity care, complemented by other better quality evidence about those components, identified as such, when systematic reviews were not available. Topics included models for providing maternity care, cadres of professionals who care for childbearing women, and settings where maternity care is provided. A bibliography of these Vision Team resources (PDF) is available here. Vision team members also received a pre-publication copy of the Milbank Report, Evidence-Based Maternity Care: What It Is and What It Can Achieve, which the project Steering Committee had designated as a background document to set forth both present challenges and the considerable opportunities for improvement. Finally, team members received a copy of the "Sicily Statement on Evidence-Based Practice" on the significance of evidence-based practice for contemporary health professionals.

 

Access to "2020 Vision for a High-Quality, High-Value Maternity Care System"

The direction-setting "2020 Vision for a High-Quality, High-Value Health Care System" is published in a special issue of Women's Health Issues devoted to the Transforming Maternity Care project. The issue, which also contains the "Blueprint for Action" and companion documents, is freely available to Internet users.

Childbirth Connection expresses its appreciation to members of the Vision Team for their exceptional contributions to the Transforming Maternity Care project.

 

Story of two women illustrates the "2020 Vision"

How might the principles, values and aims of the "2020 Vision" play out in the experiences of childbearing women? To answer this question, R. Rima Jolivet, the Transforming Maternity Care project director, has written an allegorical comparison of the maternity experiences of two childbearing women. One woman's experience of care has elements that are common in the present system, and another receives care consistent with the "2020 Vision." To better understand implications of the proposed Vision for women, newborns and families, read this allegory illustrating the "2020 Vision." (PDF)
Most recent page update: 3/16/2010


© 2010 Childbirth Connection. All rights reserved.

Childbirth Connection is a national not-for-profit organization founded in 1918 as Maternity Center Association. Our mission is to improve the quality of maternity care through research, education, advocacy and policy. Childbirth Connection promotes safe, effective and satisfying evidence-based maternity care and is a voice for the needs and interests of childbearing families.
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