Perinatal Quality Collaboratives
Perinatal quality collaboratives (PQCs) are state or multi-state networks of teams working to improve the quality of care for mothers and babies. PQC members identify health care processes that need to be improved and use the best available methods to make changes as quickly as possible.
PQCs have contributed to important improvements in health care and outcomes for mothers and babies, including:
- Reductions in deliveries before 39 weeks of pregnancy without a medical reason.
- Reductions in health care–associated bloodstream infections in newborns.
- Reductions in severe pregnancy complications.
Many states currently have active collaboratives, and others are in development. Visit State Perinatal Quality Collaboratives to view a list of state-based PQCs.
CDC is currently providing support for state-based PQCs in Colorado, Delaware, Florida, Georgia, Illinois, Louisiana, Massachusetts, Minnesota, Mississippi, New Jersey, New York, Oregon, and Wisconsin. Funding supports the capabilities of PQCs to improve the quality of perinatal care in their states, including efforts to:
- Reduce preterm births.
- Reduce severe pregnancy complications associated with high blood pressure and hemorrhage.
- Improve identification of and care for infants with neonatal abstinence syndrome.
- Reduce racial/ethnic and geographic disparities.
- Reduce cesarean births among low-risk pregnant women.
National Network of Perinatal Quality Collaboratives
CDC and the March of Dimes launched the National Network of Perinatal Quality Collaboratives (NNPQC) to support state-based PQCs in making measureable improvements in statewide health care and health outcomes for mothers and babies. In 2017, CDC awarded the National Institute for Children’s Health Quality (NICHQ) to serve as the coordinating center for the NNPQC. NICHQ will coordinate NNPQC activities, including providing support, mentoring, and resources for PQCs. Learn more about the NNPQC.
CDC's PQC Resource Guide
Developing and Sustaining Perinatal Quality Collaboratives – A Resource Guide for States [PDF – 566KB]
CDC recognizes the value that PQCs can bring to improving health for mothers and babies and worked with experts to develop a resource guide to help develop and advance the work of state PQCs. Topics in the guide include starting a statewide collaborative, launching initiatives, data and measurement, sustainability, and more. This guide is an online resource that includes links to other useful resources for perinatal quality improvement work.
- The Perinatal Quality Collaborative of North Carolina (PQCNC) Success Story [PDF – 235 KB] outlines PQCNC’s activities, results, and lessons learned in leading a national project to reduce infections in neonatal intensive care units.
- The Perinatal-Neonatal Quality Improvement Network of Massachusetts (PNQIN) Success Story shares PNQIN’s actions, results, and insights related to improving breast milk use in neonatal intensive care units.
- The Illinois Perinatal Quality Collaborative (ILPQC) Success Story [PDF – 171KB] shares ILPQC’s activities, achievements, and insights related to improving the accuracy of birth certificate data, an important source of information about the health of mothers and babies
- The Ohio Perinatal Quality Collaborative (OPQC) Success Story [PDF – 187KB] discusses OPQC’s steps, accomplishments, and lessons learned in improving birth registry data, prematurity outcomes, and the number of babies born full-term.
- The New York State Perinatal Quality Collaborative (NYSPQC) Success Story [PDF – 815KB] outlines NYSPQC’s steps, strategies, and lessons learned in reducing scheduled cesarean sections (C-sections) and labor inductions without a medical need before 39 weeks of pregnancy.
- The California Maternal Quality Care Collaborative (CMQCC) Success Story [PDF – 622 KB] discusses CMQCC’s partnerships, accomplishments, and lessons learned in building a data center, which helped hospitals to reduce severe pregnancy complications.
PQC Webinar Series
In partnership with CDC-funded collaboratives, CDC’s Division of Reproductive Health hosts webinars that allow PQCs to share strategies related to their development as well as specific perinatal quality improvement initiatives. These webinars are available to participants in all states. To receive updates about future webinars, sign up for e-mail updates by entering your information in the box on this page entitled, “Get e-mail updates“. Recordings of previous webinars are archived and available for viewing.
You may receive free continuing education for watching the CDC – Perinatal Quality Collaboratives Webinars. All continuing education is issued online through the CDC/ATSDR Training & Continuing Education Online system.
Learn More About PQCs
Public Health Grand Rounds
CDC’s Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues. The November 2015 session, Public Health Strategies to Prevent Preterm Birth, discusses how collaborative efforts to improve surveillance data, better medical care and prevention, and stronger public health partnerships, can accelerate progress in reducing preterm births and improving outcomes for newborns. View the archived presentation and Beyond the Data video.
CDC Expert Commentary on Medscape: Reducing the C-section Rate
Dr. Wanda Barfield, MD, MPH, Director of CDC’s Division of Reproductive Health, highlights the CDC PQC project in this video about the need to keep the rate of cesarean section going in the right direction. View video.
The following articles discuss CDC-supported perinatal quality improvement activities. You may view the abstracts for these articles using the U.S. National Library of Medicine’s PubMed service.
- Perinatal Quality Collaboratives: Improving Care for Mothers and Infants.
- State-Based Perinatal Quality Collaboratives: Pursuing Improvements in Perinatal Health Outcomes for All Mothers and Newborns.
- Using a State Birth Registry as a Quality Improvement Tool.
- A Statewide Progestogen Promotion Program in Ohio.
- The Hard Work of Improving Outcomes for Mothers and Babies: Obstetric and Perinatal Quality Improvement Initiatives Make a Difference at the Hospital, State, and National Levels.
- Reduction of Severe Maternal Morbidity from Hemorrhage Using a State Perinatal Quality Collaborative.
- A Statewide Quality Improvement Initiative to Reduce Non-Medically Indicated Scheduled Deliveries.
State-based Healthcare-Associated Infection (HAI) Prevention Activities
Learn about states’ progress in reducing HAIs and CDC tools and technical assistance to support state efforts to prevent HAIs
Sign in to the National Network of Perinatal Quality Collaboratives Online Community
The goal of this online community is to provide opportunities for the sharing of best practices and lessons learned in developing value based collaboratives, and above all, to create a national learning network that will support the needs of individual state collaboratives going forward.
- Page last reviewed: January 25, 2018
- Page last updated: January 25, 2018
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