Perinatal Quality Collaboratives: Working Together to Improve Maternal Outcomes
Perinatal Quality Collaboratives (PQCs) serve an important role, providing infrastructure that supports quality improvement efforts addressing obstetric care and outcomes. State-based PQCs partner with hospitals, providers, nurses, patients, public health, and other stakeholders to provide opportunities for collaborative learning, rapid response data, and quality improvement science support to achieve systems-level change.
PQCs have contributed to important changes in healthcare and led to significant improvements in maternal and infant outcomes. For example:
The Illinois Perinatal Quality Collaborative improved timely treatment for women with severe high blood pressure, increasing the percentage of patients treated within 60 minutes from 41% at baseline to 79% in the first year of the project.
The Northern New England Perinatal Quality Improvement Network improved care for women with opioid use disorder, increasing access to the lifesaving medication naloxone (11% to 36%) and breastfeeding counseling (51% to 72%) over a 13-month time period.
The California Maternal Quality Care Collaborative reduced serious pregnancy complications among women with severe bleeding during pregnancy or delivery, decreasing rates by 22.7% at baseline to 18.0% in the last half of the 14-month project.
CDC is currently providing support for 36 state-based PQCs and for the National Network of Perinatal Quality Collaboratives.
- As state maternal mortality review committees (MMRCs) develop clinical recommendations to improve maternal outcomes, PQCs will be a key partner in implementing recommendations more broadly across health facility networks.