CDC Levels of Care Assessment Tool (CDC LOCATe)
Risk-appropriate care is a strategy developed to improve health outcomes for pregnant women and infants. States may develop coordinated regional systems to help ensure that pregnant women and infants at high risk of complications receive care at a birth facility that is best prepared to meet their health needs. For example, pregnant women with severe heart conditions need care at facilities that have a full range of specialists available to help care for complex medical conditions. Infants born before 32 weeks gestation should be cared for at facilities with specialized health care providers and equipment to care for infants who are born too early or who are critically ill.
Definitions and monitoring of levels of care vary widely among states. To address this issue, CDC developed the CDC Levels of Care Assessment Tool (LOCATe). This web-based tool helps states and other jurisdictions create standardized assessments of levels of maternal and neonatal care. CDC LOCATe is based on the most recent guidelines and policy statements issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine.
CDC worked with states to develop and release a toolkit to support LOCATe implementation. Topics covered in the toolkit include tips for success in preparing and using LOCATe, instructions for assessment, success stories from states that implemented CDC LOCATe, and more. To access the guide, please email DRHinfo@cdc.gov.
CDC LOCATe produces standardized assessments that allow participating states to see levels of care by facility, as well as the distribution of staff and services throughout the state. CDC LOCATe data can be combined with public health surveillance data, including vital records and hospital discharge data.
These data allow for more detailed analyses that support understanding of:
- Maternal and infant health outcomes by level of care.
- The relationship between the volume of services provided by a facility and maternal and infant health outcomes.
CDC LOCATe is designed to be used by public health decision makers. This tool can create opportunities for informed conversations among stakeholders who work in the area of risk-appropriate care. Examples of these stakeholders include state and local public health departments, state perinatal quality collaboratives (PQCs), hospital associations, and health care providers working in maternal and neonatal care. The results from CDC LOCATe are a starting point for discussions about how states can improve health outcomes for women and infants.
As of February 2019, a total of 15 states (California, Colorado, Delaware, Georgia, Illinois, Iowa, the southeast perinatal region of Michigan, Mississippi, New Hampshire, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wyoming) and Puerto Rico are participating in CDC LOCATe.
- Implementing CDC’s Level of Care Assessment Tool (LOCATe): A National Collaboration to Improve Maternal and Child HealthExternal
- Levels of Neonatal CareExternal from the American Academy of Pediatrics
- Levels of Maternal CareExternal from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine
- LoMC Levels of Maternal CareExternal from the American College of Obstetricians and Gynecologists
CDC LOCATe ℠ and CDC Levels of Care Assessment Tool ℠ are service marks of the US Department of Health and Human Services.