Perinatal Quality Collaboratives
Perinatal quality collaboratives (PQCs) are state or multistate 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.
Learn about the importance of PQCs pdf icon[PDF – 647 KB], their accomplishments, future, and more.
An Introduction to Perinatal Quality Collaboratives
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.
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) external iconto serve as the coordinating center for the NNPQC. NICHQ coordinates NNPQC activities, including providing support, mentoring, and resources for PQCs. Learn more about the NNPQC.
Developing and Sustaining Perinatal Quality Collaboratives – A Resource Guide for States pdf icon[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 Illinois Perinatal Quality Collaborative (ILPQC) Success Story summarizes ILPQC’s plans, actions, and results in reducing severe pregnancy complications from high blood pressure.
- The Perinatal Quality Collaborative of North Carolina (PQCNC) Success Story pdf icon[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 Storypdf icon 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 icon[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 icon[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 icon[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 icon[PDF – 622 KB] discusses CMQCC’s partnerships, accomplishments, and lessons learned in building a data center, which helped hospitals to reduce severe pregnancy complications.
In partnership with CDC-funded collaboratives, CDC’s Division of Reproductive Health hosted webinars for PQCs to share strategies related to their development as well as specific perinatal quality improvement initiatives. Recordings of previous webinars are archived and available for viewing. New webinars are provided by the National Network of Perinatal Quality Collaborativesexternal icon. To find out about future webinars, join your PQC colleagues on the National Network of Perinatal Quality Collaboratoryexternal icon.
After each CDC Vital Signs report is released, the Office for State, Tribal, Local and Territorial Support hosts a town hall teleconference about the report’s topic. These monthly reports offer recent data and calls to action on important public health topics, and the teleconferences feature lessons learned and success stories from the state, tribal, local, or territorial perspective. The teleconference Safe Sleep for Babies featured Sunah Hwang MD, MPH, who presented on safe sleep quality improvement efforts in neonatal intensive care units in Massachusetts. View the archived presentation slides and listen to the presentation audio.
CDC’s Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues. The presentation 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.
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 videoexternal icon.
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.
- Hospital Quality Improvement Interventions, Statewide Policy Initiatives, and Rates of Cesarean Delivery for Nulliparous, Term, Singleton, Vertex Births in Californiaexternal icon.
- Advances in Maternal Fetal Medicine – Perinatal Quality Collaboratives: Working Together to Improve Maternal Outcomesexternal icon
- Statewide Quality Improvement Initiative to Reduce Early Elective Deliveries and Improve Birth Registry Accuracyexternal icon.
- The National Network of State Perinatal Quality Collaboratives: A Growing Movement to Improve Maternal and Infant Healthexternal icon.
- A Statewide Quality Improvement Initiative to Reduce Non-Medically Indicated Scheduled Deliveriesexternal icon.
- Reduction of Severe Maternal Morbidity from Hemorrhage Using a State Perinatal Quality Collaborativeexternal icon.
- 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 Levelsexternal icon.
- A Statewide Progestogen Promotion Program in Ohioexternal icon.
- Using a State Birth Registry as a Quality Improvement Toolexternal icon.
- State-Based Perinatal Quality Collaboratives: Pursuing Improvements in Perinatal Health Outcomes for All Mothers and Newbornsexternal icon.
- Perinatal Quality Collaboratives: Improving Care for Mothers and Infantsexternal icon.