THE MATERNAL MORTALITY RATE IN THE U.S. IS NEARLY

3xH I G H E R

THAN IN ANY OTHER DEVELOPED COUNTRY

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We created the Women’s Health Activist Movement Global (WHAMglobal) to rally support for women's unmet health needs. Fortuitously, our timing allowed us to ride the wave of activism following the 2016 presidential election. However, we wanted to move beyond marching.

For 25 years, the Jewish Healthcare Foundation, WHAMglobal’s parent organization, has united a region around women’s heart health and breast cancer awareness; HPV vaccinations; post-partum depression; violence against women; and a satisfying, supported aging for older women. In 2016, WHAMglobal sought a Big Idea, a focus for its energy and activism. We challenged local organizations to pitch their top idea for improving women’s health, and formally engaged the broader community to select a problem around which to unite. The winner: improving birth outcomes for vulnerable women, including immigrants and refugees.

WHAMglobal found its direction: to lower the high maternal mortality rate in the U.S., which is three times higher than in any other peer nation. And, while other countries around the world are reducing maternal mortality, and making significant reductions in infant mortality, our rates continue to climb.

WHAMglobal aims to identify the root causes of maternal and infant mortality; study high-quality maternal care models from around the world; champion policy, practice and payment reforms; and form a strong network of women’s health advocates.

On October 8, we hosted a Maternal Health Leaders Symposium at the Westin Convention Center in Downtown Pittsburgh. Nearly 130 local, national, and international leaders gathered to identify cutting-edge research and evidence-based programs that address the causes and conditions related to maternal and infant mortality, and identify action strategies.

This report provides an overview of the day, including panel takeaways, and action steps identified by the multidisciplinary groups of experts and attendees.

Karen Wolk Feinstein, PhD Debra L. Caplan, MPA

KAREN WOLK FEINSTEIN, PhDF o u n d e r o f W H A M g l o b a l ,P r e s i d e n t & C E O ,J e w i s h H e a l t h c a r e F o u n d a t i o n

DEBRA L . CAPLAN, MPAC h a i r o f W H A M g l o b a l B o a r dV i c e C h a i r , J e w i s h H e a l t h c a r e F o u n d a t i o n B o a r d

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A G E N D A8:30-8:45am WELCOME Karen Wolk Feinstein, PhD, Founder of WHAMglobal; President and CEO of Jewish Healthcare Foundation

8:45-10:00am SESSION 1: Research to Action: Addressing Maternal Mortality Moderator: Jeannette South-Paul, MD, Andrew W. Mathieson UPMC Professor and Chair, Department of Family Medicine, University of Pittsburgh School of Medicine Ginger Breedlove, PhD, CNM, APRN, FACNM, President and Founder, March for Moms, Inc. Renee Montagne, Special Correspondent and Host, NPR Morning Edition Yoel Sadovsky, MD, Executive Director, Magee-Womens Research Institute

10:00-10:15am BREAK

10:15-11:30am INTRODUCTORY REMARKS Debra Caplan, MPA, Chair of WHAMglobal Board; Vice Chair of Jewish Healthcare Foundation Board

SESSION 2: Addressing Infant Mortality Through Evidence-Based Interventions Moderator: Susan Dentzer, President and CEO, Network for Excellence in Health Innovation (NEHI) Ryan Adcock, MPA, Executive Director, Cradle Cincinnati Rachel Berger, MD, MPH, Chief, Child Advocacy Center Child Protection Team, Pittsburgh Child Advocacy Center, UPMC Children’s Hospital of Pittsburgh Tausi Suedi, MPH, Cofounder, CEO, Senior Technical Advisor, Childbirth Survival International

11:30-11:45am BREAK

11:45-12:15pm LUNCH

12:15-1:45pm SESSION 3: All About the Bundle: Transforming Maternity Care Through Innovative Payment Reform Moderator: David Kelley, MD, MPA, Chief Medical Officer, Office of Medical Assistance Programs, Pennsylvania Department of Human Services John B. Bulger, DO, MBA, Chief Medical Officer, Geisinger Health Plan Robert Edwards, MD, Chair and Professor of Obstetrics, Gynecology & Reproductive Services, University of Pittsburgh School of Medicine, UPMC Eric Lantzman, MD, OB/GYN, Allegheny Women’s Health, Co-Director of Division of Family Planning and Ryan Program, Allegheny Health Network Jessica Schwartz, MHA, Episodes Strategy Manager, TennCare John Sullivan, MD, Senior VP and Chief Medical Officer, St. Clair Hospital

1:45-2:10pm BREAK

2:10-3:20pm SESSION 4: National and Global Best Practices for Improving Quality of Maternity Care Utilizing a Patient-Centered Approach Moderator: Jennifer Moore, PhD, RN, Executive Director, Institute for Medicaid Innovation Liz DeMaere, BN, RN, LCCE, President, Lamaze International Christine Morton, PhD, Research Sociologist, California Maternal Quality Care Collaborative Saraswathi Vedam, RM, FACNM, MSN, Sci D(hc) Associate Professor, University of British Columbia

2 0 1 8 M A T E R N A L H E A LT H L E A D E R S S Y M P O S I U M # W H A M g l o b a l # M a t e r n a l H e a l t hW o m e n ' s H e a l t h A c t i v i s t M o v e m e n t G l o b a l | w w w . w h a m g l o b a l . o r g

2 0 1 8 M A T E R N A L H E A LT H L E A D E R S S Y M P O S I U M # W H A M g l o b a l # M a t e r n a l H e a l t hW o m e n ' s H e a l t h A c t i v i s t M o v e m e n t G l o b a l | w w w . w h a m g l o b a l . o r g 5

3:30-4:45pm BREAKOUT SESSIONS: What’s Next and Where Do We Go From Here? 1. Workforce and Practice: How do we develop and support a workforce that can

accomplish the ideal vision of maternity care? Facilitated by: Joanne Conroy, MD, Chief Executive Officer and President, Dartmouth-Hitchcock and Dartmouth-Hitchcock Health Elisabeth Erekson, MD, MPH, Interim Chair, Department of Obstetrics and Gynecology, Dartmouth-Hitchcock

2. Delivery and Practice Design: How do we begin to identify what services are available and how people access them? How do we ensure people who are eligible for services receive them? Facilitated by: Stacy Beck, MD, Assistant Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, Maternal Fetal Medicine, University of Pittsburgh, UPMC Magee-Womens Hospital Hyagriv N. Simhan, MD, MS, Executive Vice Chair, Obstetrical Services Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal Fetal Medicine University of Pittsburgh School of Medicine Director, Patient Care Delivery Innovation and Technology, UPMC

3. Patient Engagement: Optimizing Communication, Education, and Media Campaigns: How do we make the most of patient education and deepen people’s understanding of their rights and potential warning signs? Facilitated by: Naima Black, CLC, North Philadelphia Breastfeeding & Community Doula Program, Maternity Care Coalition Stephanie Glover, MPA, Senior Health Policy Analyst, National Partnership for Women & Families Tamar Krishnamurti, PhD, Assistant Professor General Internal Medicine, University of Pittsburgh School of Medicine

4:45pm-5:00pm CLOSING REMARKS AND REFLECTIONS Karen Wolk Feinstein, PhD

“Each time a woman stands up for herself,without knowing it possibly, without claiming it,

she stands up for all women.” ― Maya Angelou

PREMATURE DELIVERY & LOW BIRTH WEIGHT ARE

CONSISTENTLY ASSOCIATED WITH POVERTY WHICH EFFECTS

O V E R

20%OF U.S. CHILDREN

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W H Y W E G A T H E R E DDespite its economic, technological, and clinical prowess, the United States is the most dangerous place to give birth in the developed world, and among the most dangerous in which to raise a newborn. The maternal mortality rate in the U.S. is nearly three times higher than in any similar country (approximately 26 deaths per 100,000 live births, according to a 2015 study in The Lancet; see below). And, while other countries around the world are reducing maternal mortality, the rate in the U.S. keeps climbing. Many of those deaths—60%, according to the Centers for Disease Control and Prevention (CDC)—are preventable. Annually, another 50,000 mothers suffer severe complications or life-threatening injuries while giving birth , according to the CDC. Babies are also in peril , with the U.S. ranking 33rd in infant mortality (5.9 deaths per 1,000 live births) among countries studied by the Organisation for Economic Co-operation and Development.

D i s p a r i t i e s i n P e n n s y l v a n i a a n d A l l e g h e n y C o u n t yP e n n s y l v a n i a c u r r e n t l y r a n k s 1 7 t h i n t e r m s o f t h e l o w e s t m a t e r n a l m o r t a l i t y r a t e s i n t h e U . S . , a n d 2 6 t h f o r i n f a n t m o r t a l i t y . I n A l l e g h e n y C o u n t y , t h e r e i s a m a t e r n a l m o r t a l i t y r a t e o f 3 4 p e r 1 0 0 , 0 0 0 l i v e b i r t h s . A s i s t r u e w i t h n a t i o n a l t r e n d s , t h e r a t e o f b l a c k w o m e n d y i n g i n A l l e g h e n y C o u n t y i s 3 . 7 t i m e s h i g h e r t h a n w h i t e w o m e n ( 8 7 . 6 p e r 1 0 0 , 0 0 0 f o r b l a c k w o m e n c o m p a r e d t o 2 3 . 9 f o r w h i t e w o m e n ) . T h e d i s p a r i t i e s i n a c c e s s i n g m a t e r n a l a n d c h i l d h e a l t h c a r e i n P i t t s b u r g h a r e a l a r m i n g . I n a 2 0 1 6 r e p o r t , t h e P e n n s y l v a n i a D e p a r t m e n t o f H e a l t h r e p o r t e d t h a t b l a c k w o m e n i n P i t t s b u r g h w e r e m o r e l i k e l y t o :

- Exper ience low birth weight (13.7% compared to 9 .4% reported on a l l races) ;

- Not access prenata l care in the f i rst t r imester (14.2% compared to 12% reported on a l l races) ;

- Give b i r th under the age of 18 (3.7% compared to 1 .6% reported on a l l races) ;

- Smoke dur ing pregnancy (14.3% compared to 11.7% reported on a l l races) , and;

- Not breastfeed (37.8% compared to 23.7% reported on a l l races) .

T h e A l l e g h e n y C o u n t y H e a l t h D e p a r t m e n t c o n d u c t e d a C o m m u n i t y H e a l t h A s s e s s m e n t i n 2 0 1 5 a n d f o u n d t h a t a s a w h o l e , 8 8 . 7 % o f p r e g n a n t w o m e n i n A l l e g h e n y C o u n t y r e c e i v e d f i r s t t r i m e s t e r p r e n a t a l c a r e . H o w e v e r , p o r t i o n s o f t h e c o u n t y h a d s i g n i f i c a n t l y l o w e r p r o p o r t i o n s , w i t h t w o m u n i c i p a l i t i e s h a v i n g o n l y 6 6 . 7 % o f w o m e n r e c e i v i n g f i r s t t r i m e s t e r c a r e .

S o u r c e : T h e L a n c e t

C r e d i t : R o b W e y c h e r tP r o P u b l i c a

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Addressing Maternal Mortality: Fro m Re s e a rc h t o A c t i o n

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P i c t u r e d f r o m L t o R : J e a n n e t t e S o u t h - P a u l , M D ; Yo e l S a d o v s k y , M D ; G i n g e r B r e e d l o v e , P h D , C N M , A P R N , F A C N M ; a n d R e n e e M o n t a g n e

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J e a n n e t t e S o u t h - P a u l , M D , c h a i r o f t h e d e p a r t m e n t o f f a m i l y m e d i c i n e a t t h e U n i v e r s i t y o f P i t t s b u r g h S c h o o l o f M e d i c i n e , m o d e r a t e d a p a n e l o n t r a n s l a t i n g r e s e a r c h i n t o a c t i o n t o l o w e r m a t e r n a l m o r t a l i t y t h a t f e a t u r e d G i n g e r B r e e d l o v e , P h D , C N M , A P R N , FA C N M , p r i n c i p a l c o n s u l t a n t f o r G r o w M i d w i v e s , p a s t p r e s i d e n t o f t h e A m e r i c a n C o l l e g e o f N u r s e - M i d w i v e s , a n d f o u n d e r o f M a r c h f o r M o m s ; R e n e e M o n t a g n e , a s p e c i a l c o r r e s p o n d e n t a n d h o s t f o r N P R n e w s w h o s p e a r h e a d e d t h e N P R / P r o P u b l i c a i n v e s t i g a t i v e s e r i e s o n m a t e r n a l m o r t a l i t y c a l l e d “ Lo s t M o t h e r s ; ” a n d Yo e l S a d o v s k y , M D , e x e c u t i v e d i r e c t o r o f t h e M a g e e - Wo m e n s Re s e a r c h I n s t i t u t e ( M W R I ) , w h i c h i s t h e l a r g e s t r e s e a r c h i n s t i t u t e i n t h e U . S . d e v o t e d e x c l u s i v e l y t o w o m e n ’ s h e a l t h .

P A N E L T A K E A W A Y S

• M a t e r n a l m o r t a l i t y i s n o t j u s t a b o u t s t a t i s t i c s . E a c h i n d i v i d u a l c a s e i s a t r a g e d y , a n d t e l l i n g t h e s t o r i e s o f t h e s e w o m e n a n d t h e i r f a m i l i e s i s c r u c i a l . • T h e r e a r e i s s u e s a r o u n d d a t a c o l l e c t i o n a t t r i b u t e d t o a l a c k o f u n i f o r m d e f i n i t i o n s a n d d e a t h c e r t i f i c a t e s w i t h o u t m a t e r n a l - r e l a t e d d e a t h c h e c k b oxe s .

• T h e r e i s a g r o w i n g n e e d t o r e d u c e s e v e r e m a t e r n a l m o r b i d i t i e s b y i d e n t i f y i n g h i g h - r i s k m o t h e r s b e f o r e p r e g n a n c y . C o - m o r b i d i t i e s a r e o n t h e r i s e d u e t o r e a s o n s i n c l u d i n g , b u t n o t l i m i t e d t o :

- U n d e r l y i n g m e d i c a l p r o b l e m s (c a r d i o v a s c u l a r d i s e a s e , o b e s i t y , h y p e r t e n s i o n , d i a b e t e s , i n f e c t i o n s , s e p s i s ) ;

- A c c e s s i b i l i t y t o c a r e , e s p e c i a l l y i n r u r a l a r e a s a n d ;- I n c r e a s i n g a g e o f m o t h e r s g i v i n g b i r t h , u n p l a n n e d p r e g n a n c i e s , a n d

w o m e n h a v i n g m u l t i p l e C - s e c t i o n s .

• Pe n n s y l v a n i a e s t a b l i s h e d a M a t e r n a l M o r t a l i t y Re v i e w C o m m i t t e e , Pe n n s y l v a n i a 2 0 1 8 - A c t 2 4 , w h i c h h a s t h e p o t e n t i a l t o m a ke a n i m p a c t . T h i s i s a s t e p i n t h e r i g h t d i r e c t i o n a n d t h e r e i s a n o p p o r t u n i t y t o l e a r n f r o m s t a t e s l i ke C a l i f o r n i a , a n d i m p l e m e n t b e s t p r a c t i c e .

• Te a m - b a s e d c a r e i s c r u c i a l t o h i g h - q u a l i t y , e q u i t a b l e c a r e . T h e r e i s a n e e d t o m a i n s t r e a m t h e r o l e s o f m i d w i v e s , d o u l a s , a n d c o m m u n i t y h e a l t h w o r ke r s i n m a t e r n a l a n d i n f a n t c a r e .

• I m p l i c i t b i a s a n d r a c i s m a r e e m b e d d e d i n m a t e r n a l h e a l t h c a r e . R a i s i n g c o n s u m e r a w a r e n e s s a n d p r o v i d i n g a v e n u e s f o r t r a i n i n g w i t h o p e n d i a l o g u e w i t h c a r e g i v e r s a r e n e c e s s a r y s t e p s t o b e g i n t o a d d r e s s d i s p a r i t i e s i n c a r e .

" T h e U n i t e d S t a t e s h a s 3 5 , 0 0 0 O b s t e t r i c i a n s a n d 1 0 , 0 0 0 M i d w i v e s .

T h e U n i t e d K i n g d o m h a s 3 6 , 0 0 0 M i d w i v e s a n d 1 , 5 0 0 O b s t e t r i c i a n s "

- G i n g e r B r e e d l o v e , P h D , C N M , A P R N , FA C N M

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Dr. Jeannette E. South-Paul is the Andrew W. Mathieson UPMC Professor and Chair of the Department of Family Medicine at the University of Pittsburgh School of Medicine and UPMC. Dr. South-Paul is responsible for the educational, research and clinical activities of the undergraduate and graduate medical education, faculty practice, and community arms of 3 family medicine residencies and seven ambulatory clinical sites in Allegheny County (Pittsburgh), Pennsylvania, as well as provides the academic leadership for 5 additional UPMC Family Medicine residencies in Mercer, Blair, Lycoming, and Lancaster counties. She is a practicing family physician who includes maternity care, as well as an academician with specific research interests in the areas of cultural competence, maternity care, and health disparities in the community. Dr. South-Paul has served in

leadership positions in the Society of Teachers of Family Medicine (STFM), the American Academy of Family Physicians (AAFP), the Association of American Medical Colleges (AAMC), and the Association of Departments of Family Medicine (ADFM) to include President of the Uniformed Services of American Family Physicians (USAFP) and President of the STFM. Dr. South-Paul earned her B.S. degree from the University of Pennsylvania, her M.D. at the University of Pittsburgh School of Medicine and was elected to the Institute of Medicine (now National Academy of Medicine) in 2011. In, 2012, Dr. South-Paul received the Dr. Wangari Maathai Humanitarian Award from Workforce Development Global Alliance (WDGA), a Pittsburgh-based organization that helps disadvantaged youth in the United States and Africa. In 2013, Dr. South-Paul received the University of Pittsburgh 225th Anniversary Chancellor’s Medallion. In 2015, Dr. South-Paul was elected to the Gold Humanism Honor Society through the Arnold P. Gold Foundation. Also, in 2015 Dr. South-Paul received the Chapel of Four Chaplains’ Legion of Honor Award. In February 2018, Dr. South-Paul received the Allegheny County Medical Society Richard E. Deitrick Humanity in Medicine Award.

Jeannette South-Paul, MD Andrew W. Mathieson UPMC Professor & Chair, Department of Family Medicine, University of Pittsburgh School of Medicine

Dr. Breedlove is a past president of the American College of Nurse-Midwives serving from 2013-2016. In the fall of 2017 Dr. Breedlove formed a consulting company, Grow Midwives, LLC. The aim is to build and facilitate relationships and educate Physicians, Hospitals, and Midwives about best practices in collaborative experiences, so that a variety of care models, in a variety of settings, can be easily adopted by both established Hospitals and independent healthcare providers in the United States. Prior to consulting she was on faculty, combined 17 years, as Professor at Shenandoah University (six years) and program founder of the Graduate Program Midwifery Specialty Track at University of Kansas School of Nursing (ten years). She co-founded the first free-standing birthing center in Kansas in 1979 and established first Midwife service in Greater Kansas City in 1994 as a collaboration with Maternal Fetal Medicine and Neonatologist colleagues.

She is recipient of first Irving B. Harris national book award, The Community Based Doula: Supporting families before, during and after childbirth. In the fall of 2016 she co-founded and serves as President of the March for Moms with Dr. Neel Shah, a growing, multi-stakeholder coalition of over 40 partners sharing like-minded urgency to improve the wellbeing of mothers in the US. March for Moms aim is to convene national stakeholders together to speak with a common voice, urging policymakers and other American leaders to help ensure mothers get the support and care they deserve. Work includes organizing two national public demonstration rallies’ in Washington, DC with a third rally scheduled for May 11, 2019. This fall Dr. Breedlove is launching a book for first-time parents navigating the first six weeks of pregnancy titled, Nobody Told Me About That!

Ginger Breedlove, PhD, CNM, APRN, FACNM President and Founder, March for Moms, Inc.S

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As a world-renowned researcher in fetal development, Dr. Sadovsky studies molecular and cellular approaches to decipher mechanisms underlying placental development, differentiation, and response to injury. Yoel Sadovsky received his MD degree from the Hebrew University in 1986, followed by OBGYN residency at Washington University and maternal-fetal medicine and postdoctoral research fellowships at UCSF. He then returned to Washington University and served as Director, Division of Maternal-Fetal Medicine and Ultrasound between 1999-2007. In 2007, he assumed Directorship of Magee-Womens Research Institute at the University of Pittsburgh. In 2014, he was appointed Associate Dean, Women’s Health Research and Reproductive Sciences, and in 2015 he was honored by the University as a Distinguished Professor in Obstetrics and Gynecology and Reproductive Sciences. Dr. Sadovsky seeks to decipher placental function and adaptation to injury, focusing on trophoblast-specific long- and microRNAs and their communication among the fetal, placental, and maternal compartments. Dr. Sadovsky has served as a member of the NICHD Advisory Council and currently serves on the NICHD Board of Scientific Directors and the March of Dimes Scientific Advisory Council. He also serves as an Editor for the journal Placenta. In 2004, he received the Society for Gynecologic Investigation’s President’s Achievement Award, and recently served as President of the Society for Reproductive Investigation (2016-17). Dr. Sadovsky is an elected member of the US National Academy of Medicine (2013), the Association of American Physicians (2014) and an elected fellow of the Royal College of OBGYN (2017, ad eundem). Dr. Sadovsky was awarded the 2013 Cozzarelli Prize in Biomedical Science from the US National Academy of Sciences.

Yoel Sadovsky, MD Executive Director, Magee-Womens Research Institute

Renee Montagne, one of the best-known names in public radio, is a Special Correspondent and Host for NPR News. Montagne's most recent assignment has been a yearlong collaboration with ProPublica reporter Nina Martin, investigating the alarming rate of maternal mortality in the U.S., as compared to other developed countries. The series, called "Lost Mothers," has won every major award in American journalism, including a Peabody award, a George Polk Award, Harvard's Goldsmith Prize for Investigative Journalism. The series was also named a finalist for a Pulitzer Prize. From 2004 to 2016, Montagne co-hosted NPR's Morning Edition, the most widely heard radio news program in the United States. She also co-hosted All Things Considered with Robert Siegel for two years. After leaving All Things Considered, Montagne traveled to South Africa in early 1990, arriving to report there on the day Nelson Mandela was released from prison. Four years later, she and a small team of NPR reporters were awarded an Alfred I. duPont-Columbia Silver Baton for their coverage of the country's historic elections that elevated Mandela to the Presidency. Since 9/11, Montagne has made ten extended reporting trips to Afghanistan. She has traveled to every major city, from Kabul to Kandahar, to peaceful villages, and to places where conflict raged. She has profiled Afghanistan's presidents and power brokers, but focused on the stories of Afghans at the heart of that complex country: school girls, farmers, mullahs, poll workers, soldiers, midwives, and warlords. Her coverage has been honored by the Overseas Press Club, and, for stories on Afghan women in particular, by the Gracie Awards. One of her most cherished honors dates to her days as a freelance reporter in the '80s, when Montagne was awarded "First Place in Radio" by the National Association of Black Journalists for a series on African American musicians marching to the wars of the 20th century. Montagne graduated Phi Beta Kappa from the University of California, Berkeley. Her career includes teaching broadcast writing at New York University's Graduate Department of Journalism (now the Carter Institute).

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P i c t u r e d f r o m L t o R : S u s a n D e n t z e r ; R a c h e l B e r g e r , M D , M P H ; Ta u s i S u e d i , M P H ; a n d R y a n A d c o c k

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T h e s e c o n d p a n e l a d d r e s s e d i n f a n t m o r t a l i t y t h r o u g h e v i d e n c e - b a s e d i n t e r v e n t i o n s a n d f e a t u r e d R y a n A d c o c k , e x e c u t i v e d i r e c t o r o f C r a d l e C i n c i n -n a t i ; R a c h e l B e r g e r , M D , M P H , c h i e f o f t h e C h i l d A d v o c a c y C e n t e r a t U P M C C h i l d r e n ’ s H o s p i t a l o f P i t t s b u r g h ; a n d Ta u s i S u e d i , M P H , c o - f o u n d e r a n d C E O o f C h i l d b i r t h S u r v i v a l I n t e r n a t i o n a l a n d a n a d j u n c t p r o f e s s o r o f G l o b a l H e a l t h a t To w s o n U n i v e r s i t y . N e t w o r k f o r E x c e l l e n c e i n H e a l t h I n n o v a t i o n P r e s i d e n t a n d C E O S u s a n D e n t z e r m o d e r a t e d t h e d i s c u s s i o n .

P A N E L T A K E A W A Y S

• T h e r e a r e d i f f e r e n t d r i v e r s f o r i n f a n t m o r t a l i t y i n t h e U n i t e d S t a t e s a n d g l o b a l l y . I n t h e U . S . , S u d d e n I n f a n t D e a t h S y n d r o m e , p r e t e r m b i r t h a n d l o w b i r t h r a t e , p r e g n a n c y c o m p l i c a t i o n s , a n d a c c i d e n t s a r e p r e v a l e n t c a u s e s . G l o b a l l y , n e o n a t a l i s s u e s s u c h a s i n f e c t i o n s , i n c l u d i n g l o w e r - r e s p i r a t o r y i n f e c t i o n s , a n d d i a r r h e a l d i s e a s e s a r e l e a d i n g c a u s e s o f i n f a n t d e a t h .

• A w a y t o a d d r e s s e q u i t y i n s e r v i c e s i s t o d e s i g n f o r a n d w i t h i n p u t f r o m c o n s u m e r s a n d p r o v i d e r s . W h e n d e v e l o p i n g c a m p a i g n s , c o l l a b o r a t i o n w i t h t h e t a r g e t a u d i e n c e i s i m p o r t a n t f o r s u c c e s s . Lo w - c o s t a n d l o w - t e c h i n t e r v e n t i o n s a r e e f f e c t i v e w h e n i m p l e m e n t e d a t t h e c o m m u n i t y l e v e l .

• T h e r e a r e s t r o n g c o r r e l a t i o n s b e t w e e n m a t e r n a l a n d i n f a n t h e a l t h , e s p e c i a l l y w h e n i t c o m e s t o a c c e s s t o h e a l t h s e r v i c e s , e n v i r o n m e n t , a n d s o c i o e c o n o m i c s t a t u s .

• I n v e s t i n g i n o n e - o n - o n e s u p p o r t s f o r m o m s w i l l p a y i n d i v i d e n d s f o r s u c c e s s f u l m o t h e r - c h i l d d y a d s . W h e n m o m s h a v e a n a d v o c a t e i n t h e r o o m , t h e c o n v e r s a t i o n i s t r a n s f o r m e d . T h e y n o l o n g e r f e e l s h a m e d o r j u d g e d a b o u t h o w t h e y a r e c a r i n g f o r t h e i r b a b y o r t h e s u p p o r t s t h e y n e e d . W i t h o u t t h e s e s u p p o r t s , i t ’ s a q u i e t , h i d d e n c r i s i s i n w h i c h w o m e n a r e d y i n g i n t h e d e l i v e r y r o o m a n d i n f a n t l o s s i s p r i v a t e . T h e r e i s a n e e d t o r e s p e c t f u l l y b r i n g t h e s e v o i c e s f o r w a r d .

" a d o c t o r a t e d e g r e e . . . a n d . . . l i v e d e x p e r i e n c e ?

t h o u g h t f u l d a t a . . . a n d . . . c o m m u n i t y v o i c e ?

t e a c h i n g . . . a n d . . . l e a r n i n g ?

m y l i f e . . . a n d . . . y o u r s ? "

- R y a n A d c o c k , E x e c u t i v e D i r e c t o r o f C r a d l e C i n c i n n a t i

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W h a t w o u l d h a p p e n i f w e g a v e e q u a l v a l u e t o . . .

Susan Dentzer is the President and Chief Executive Officer of the NEHI, the Network for Excellence in Health Innovation, a nonprofit, nonpartisan organization composed of more than 100 stakeholder organizations from across all key sectors of health and health care. NEHI’s mission is to advance innovations that improve health, enhance the quality of health care, and achieve greater value for the money spent. With offices in Washington, DC, and Boston, Massachusetts, NEHI conducts independent, objective research and thought leadership to accelerate these innovations and bring about changes within health care and public policy. One of the nation's most respected health and health policy thought leaders and journalists, and a frequent speaker and commentator on television and radio, including NPR, Dentzer previously served as senior policy adviser to the Robert Wood Johnson Foundation. Prior to that, she was editor-in-chief of the journal Health Affairs, and

from 1998 to 2008, she served as the on-air Health Correspondent for the PBS NewsHour. Dentzer is an elected member of the National Academy of Medicine and the Council on Foreign Relations. She is a member of the Board of Directors of the International Rescue Committee, a leading humanitarian organization; a member of the board of directors of Research! America, which works to advance research to improve health; and a member of the board of directors of the Public Health Institute. She is a fellow of the National Academy of Social Insurance and the Hasting Center, an institution dedicated to bioethics and the public interest. She previously served as a public member of the American Board of Medical Specialties. She serves on multiple advisory boards, including those of the Duke-Margolis Center; the Philip R. Lee Institute for Health Policy Studies at the University of California-San Francisco; and the March of Dimes public policy advisory group. A graduate of Dartmouth, Dentzer formerly chaired the Dartmouth Board of Trustees, and is a member of the Board of Advisors of Dartmouth Medical School. She and her husband, Charles Alston, have three grown children.

Susan Dentzer President & CEO, Network for Excellence in Health Innovation (NEHI)

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Ryan Adcock is the Executive Director of Cradle Cincinnati. Cradle Cincinnati was formed in 2013 as collaboration between health and civic leaders working to reduce infant mortality in Hamilton County, Ohio. Since launching, Cradle Cincinnati’s partners have reduced infant deaths by 15%, maternal smoking by 19% and sleep-related infant deaths by 25%. Prior to this role, Ryan spent seven years as the Director of Legislative Affairs for Mayor Mark Mallory where he served as the city's chief liaison to the federal government and the State of Ohio. He has a Master’s in Public Administration from Northern Kentucky University.

Ryan Adcock, MPA Executive Director, Cradle Cincinnati

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Rachel Berger, MD, MPH is Professor Pediatrics and Clinical and Translational Medicine at the University of Pittsburgh, chief of the division of Child Advocacy at UPMC Children’s Hospital of Pittsburgh and the director of child abuse research at the Safar Center for Resuscitation Research at the University of Pittsburgh. She received her undergraduate degree in Biochemistry at Harvard University and attended medical school at Columbia University. She completed her pediatric internship and residency and a fellowship in general academic pediatrics at UPMC Children’s Hospital of Pittsburgh and a Master’s in Public Health at the University of Pittsburgh School of Public Health. She served on the Task Force for Child Protection in Pennsylvania and as the research lead for the National Commission to Eliminate Child Abuse and Neglect Fatalities (CECANF). Her clinical research focuses on improving identification and evaluation of suspected physical abuse and decreasing unsafe sleep. She has received funding from multiple sources including National Institutes of Health, the Patient-Centered Outcomes Research Institute (PCORI), The Beckwith Institute and the Hillman Foundation.

Rachel Berger, MD, MPH Chief, Child Advocacy Center Child Protection Team, Pittsburgh Child Advocacy Center

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Cofounder, CEO, Senior Technical Advisor at CSI | Adjunct Professor of Global Health at Towson University. Passionate advocate with over a decadelong public track record to improve and strengthen quality of health services and information provided and delivered to women, newborns, children, adolescents/youth, and the elderly in marginalized communities. Improving maternal and child health through strategic partnerships, health policy, health systems strengthening, capacity building, grassroots implementation, use of modern technology, and intentionally engaging with local communities. Additionally supporting in-country teams, advocating for improved quality, access and delivery of health services and information especially in underserved rural and urban areas. Finally, engaging with multiple stakeholders to implement sustainable and culturally acceptable community-driven programs that will benefit women, their families, and communities. Areas of Expertise: Maternal, Newborn and Child Health; Reproductive Health; Family Planning; Community Development; Adolescent Reproductive Health; Health Systems; and Global Health.

Tausi Suedi, MPH Childbirth Survival International

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D u r i n g l u n c h , a t t e n d e e s e n g a g e d w i t h l e a d e r s w h o a r e t r a n s f o r m i n g m a t e r n i t y c a r e t h r o u g h i n n o v a t i v e p a y m e n t r e f o r m s . D a v i d K e l l e y , M D , M PA , C M O o f t h e O f f i c e o f M e d i c a l A s s i s t a n c e P r o g r a m s a t t h e P e n n s y l v a n i a D e p a r t m e n t o f H u m a n S e r v i c e s , m o d e r a t e d a p a n e l t h a t i n c l u d e d J o h n B u l g e r , D O , M B A , C M O o f G e i s i n g e r H e a l t h P l a n ; R o b e r t E d w a r d s , M D , c h a i r a n d p r o f e s s o r o f o b s t e t r i c s , g y n e c o l o g y a n d r e p r o d u c t i v e s e r v i c e s a t U P M C ; E r i c L a n t z m a n , M D , O B / G Y N , C o - d i r e c t o r o f t h e D i v i s i o n o f Fa m i l y P l a n n i n g a n d R y a n P r o g r a m a t A l l e g h e n y H e a l t h N e t w o r k ; J e s s i c a S c h w a r t z , M H A , E p i s o d e s S t r a t e g y M a n a g e r a t Te n n C a r e ; a n d J o h n S u l l i v a n , M D , S e n i o r V P a n d C M O a t S t . C l a i r H o s p i t a l .

P A N E L T A K E A W A Y S

• A p p r o p r i a t e c a r e a n d r e i m b u r s e m e n t d e s i g n s h o u l d b e d e t e r m i n e d b y a

c o n s e n s u s - b a s e d p r o c e s s a n d i n c l u d e a m u l t i - d i s c i p l i n a r y t e a m a n d p a t i e n t s .

• Te a m s n e e d t o b e t h o u g h t f u l l y b u i l t , e m p o w e r e d , a n d e n c o u r a g e d b y b u i l t - i n

p r o c e s s e s a n d t h e e l e c t r o n i c h e a l t h r e c o r d . I t n e e d s t o b e e a s y t o d o t h e r i g h t t h i n g .

• P r i c e e s t a b l i s h m e n t i s i m p o r t a n t b e c a u s e i t c r e a t e s a s o c i o l o g y a r o u n d w h a t

h a p p e n s . I t e s t a b l i s h e s a s h a r e d g o a l a n d c o m m o n p u r p o s e , a n d c r e a t e s a s o c i a l a n d

o r g a n i z a t i o n a l n o r m .

S e s s i o n T h r e e

All About the Bundle:

Tr a n s f o r m i n g M a t e r n i t y C a re T h ro u g h I n n o v a t i v e P a y m e n t Re f o r m

P i c t u r e d f r o m L t o R : D a v i d K e l l e y , M D , M P A ; J e s s i c a S c h w a r t z , M H A ; J o h n B u l g e r , D O , M B A ; R o b e r t E d w a r d s , M D ; J o h n S u l l i v a n , M D ; a n d

E r i c L a n t z m a n , M D

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L e s s o n s L e a r n e d

P R I N C I P L E S F O R R E I M B U R S E M E N T R E D E S I G N

• M u s t s h o w b e n e f i t t o p a t i e n t s , p r o v i d e r s , h o s p i t a l s , p a y e r s , a n d p u r c h a s e r s

• N o e x p e c t a t i o n o f m o r e r e i m b u r s e m e n t ( b o n u s ) f o r s i m p l y d o i n g “ t h e r i g h t t h i n g ”

• P a y m e n t o n l y f o r a c c e p t a b l e o u t c o m e s ( e . g . , n o t p a y i n g p e r u n i t o f w o r k p e r f o r m e d )

• Tr e a t m e n t o f c o m p l i c a t i o n s w i t h o u t c h a r g e

G E I S I N G E R P R O V E N C A R E

G e i s i n g e r P r o v e n c a r e d e l i v e r s s u b s t a n t i a l l y i m p r o v e d q u a l i t y a n d v a l u e f o r a d e f i n e d s e t o f h e a l t h c a r e s e r v i c e s t o p a t i e n t s , f a m i l i e s , r e f e r r i n g p h y s i c i a n s , a n d p a y e r s .

G e i s i n g e r p r o g r a m s :• D o c u m e n t a p p r o p r i a t e n e s s o f c a r e

• E s t a b l i s h e v i d e n c e o r c o n s e n s u s - b a s e d b e s t p r a c t i c e s

• Re l i a b l y d e l i v e r t h e s e b y r e d e s i g n o f c o m p l e x c l i n i c a l s y s t e m s e m b e d d e d i n t o e v e r y d a y p a t i e n t f l o w

• A c t i v a t e p a t i e n t s a n d f a m i l i e s , e n g a g i n g t h e m i n t h e c a r e p r o c e s s e s

• P r o v i d e a p a c k a g e d p r i c e f o r t h e e p i s o d e o f c a r e

• Tr a n s f e r r i s k f o r f i n a n c i a l e f f e c t s o f p r e v e n t a b l e c o m p l i c a t i o n s t o c l i n i c a l e n t i t i e s

Dr. David Kelley is the Chief Medical Officer for the Pennsylvania Department of Human Services’ Office of Medical Assistance Programs. He oversees the clinical and quality aspects of the Medical Assistance Programs that provide health benefits to over 2.5 million recipients. The Office includes oversight of eight managed care organizations and the Access fee-for-service program. In the past ten years the Office has participated in a multi-payer medical home collaborative, initiated three pay for performance programs, developed a multi-state application for the Medicaid electronic health record incentive program, established nonpayment policies for readmissions and preventable serious adverse events in hospitals, developed telemedicine payment policies, implemented a pharmacy preferred drug management program, and expanded the HealthChoices mandatory physical health managed care program statewide. Prior to joining the Department, Dr. Kelley

worked for Aetna Health Inc. as the medical director responsible for utilization and quality management in Pennsylvania, served as Assistant Professor and Director of Clinical Quality Improvement at Penn State University’s College of Medicine, and clinically practiced at a FQHC, private practice, and a community-based team approach to diabetes care in a Medicaid hospital clinic. Dr. Kelley received his BS degree at Elizabethtown College, completed medical school at the University of Pittsburgh, completed his residency training at Baylor College of Medicine in Houston, obtained his MPA at Penn State University, and is board certified in Internal Medicine and Geriatrics.

David Kelley, MD, MPA Chief Medical Officer, Office of Medical Assistance Programs, Pennsylvania Department of Human Services

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John Bulger is the chief medical officer for Geisinger Health Plan. He’s responsible for working with Geisinger and community providers to improve the quality of medical care for the patients and members we serve. Before joining Geisinger Health Plan in 2015, Bulger held a number of positions at Geisinger, most recently serving as chief quality officer, a position he held since 2011. Bulger earned his bachelor of science degree from Juniata College in Huntingdon, Pennsylvania and his doctor of osteopathic medicine degree from Philadelphia College of Osteopathic Medicine in Philadelphia, Pennsylvania. He also holds a master of business administration from the Pennsylvania State University in State College, Pennsylvania

John B. Bulger, DO, MBA Chief Medical Officer, Geisinger Health Plan

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Jessica is the Episodes Strategy Manager for the state of Tennessee’s Medicaid program called TennCare. She previously worked at Children’s Hospital Colorado, where she created and implemented the organization’s patient safety/culture of safety program that won the American Hospital Association McKesson Quest for Quality Award. She has developed skills in health policy, change management, process improvement, high reliability theory, and leadership development. She has a Master’s degree in Healthcare Administration from Trinity University in San Antonio, TX.

Jessica Schwartz, MHA Episodes Strategy Manager, TennCare

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John T. Sullivan, MD, MBA, serves as the Senior Vice President and Chief Medical Officer for St. Clair Hospital in Pittsburgh. He most recently served as an Associate Chief Medical Officer at Northwestern Memorial Hospital and Professor of Anesthesiology at the Northwestern Feinberg School of Medicine. Dr. Sullivan is a Past President for the Society for Obstetric Anesthesiology and Perinatology. He has published research and lectures internationally on strategies to reduce cesarean delivery rates, and optimizing outcomes in obstetric hemorrhage through pharmacologic interventions and blood management. He also serves as a Commander in the Medical Corps of the United States Naval Reserve.

John Sullivan, MD Senior VP and Chief Medical Officer, St. Clair Hospital

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Dr. Edwards is Professor and Milton Lawrence McCall Chair of Obstetrics, Gynecology and Reproductive Sciences at Magee-Womens Hospital of UPMC, ranked among the nation’s top 10 hospitals for women’s health by U.S. News & World Report, and UPMC. He is also co-leader of the Breast and Ovarian Cancer Program at the University of Pittsburgh Cancer Institute. Board-certified in obstetrics and gynecology, as well as gynecologic oncology, Dr. Edwards is a leading researcher whose interests include cervical and ovarian malignancies. Dr. Edwards has author or co-authored over 330 of articles on clinical and translational research, including several publications looking at ovarian cancer, cervical cancer immunotherapy and more recently health care reform.

Robert Edwards, MD Chair and Professor of Obstetrics, Gynecology & Reproductive Services, University of Pittsburgh School of Medicine, UPMC

Dr. Eric Lantzman is the Director of the Division of Family Planning and Director of the Ryan Program at Allegheny Health Network. Dr. Lantzman is also an Obstetrician/Gynecologist staff physician dedicated to working with women facing high-risk pregnancies and lack of access to prenatal care. Dr. Lantzman, formerly of Mt. Lebanon, returned to the Pittsburgh area in 2015 after spending six years based in Anchorage, Alaska, where he cared for the Alaska Native population in the remote areas of the state’s bush communities of Kodiak Island, Nome, Barrow and Dillingham. The isolated bush regions of the state, where the majority of Alaska Native families live, are not connected to the road system and villages are accessible only by small planes. In Anchorage, Dr. Lantzman served as Chief Medical Informatics Officer of the Women’s Health Department and an OB/GYN staff physician for Southcentral Foundation, a health system serving low-income Alaska Native families in areas with a high rate of drug and alcohol abuse. Dr. Lantzman received his medical degree from the University of Pittsburgh School of Medicine and he completed his residency in Obstetrics and Gynecology at Kaiser Permanente, San Francisco, Calif. He is board-certified by the American Board of Obstetrics and Gynecology. His professional affiliations also include the American College of Obstetricians and Gynecologists and Association of Reproductive Health Professionals.

Eric Lantzman, MD OB/GYN, Allegheny Women’s Health, Co-Director of Division of Family Planning and Ryan Program, Allegheny Health Network

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2 12 0 1 8 M A T E R N A L H E A LT H L E A D E R S S Y M P O S I U M # W H A M g l o b a l # M a t e r n a l H e a l t h

W o m e n ' s H e a l t h A c t i v i s t M o v e m e n t G l o b a l | w w w . w h a m g l o b a l . o r g

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S e s s i o n Fo u r

National and Global Best Practices f o r I m p ro v i n g Q u a l i t y o f M a t e r n i t y C a reU t i l i z i n g a P a t i e n t - C e n t e re d A p p ro a c h

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P i c t u r e d f r o m L t o R : C h r i s t i n e M o r t o n , P h D ; J e n n i f e r M o o r e , P h D , R N ; L i z D e M a e r e , B N , R N , L C C E ; a n d S a r a s w a t h i Ve d a m , R M , F A C N M , M S N , S c i D ( h c )

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RT h e f i n a l p a n e l f o c u s e d o n n a t i o n a l a n d g l o b a l b e s t p r a c t i c e s i n u s i n g a p a t i e n t - c e n t e r e d a p p r o a c h t o l o w e r m a t e r n a l m o r t a l i t y . L a m a z e I n t e r n a t i o n a l P r e s i d e n t L i z D e M a e r e ; C h r i s t i n e M o r t o n , P h D , a r e s e a r c h s o c i o l o g i s t a t t h e C a l i f o r n i a M a t e r n a l Q u a l i t y C a r e C o l l a b o r a t i v e ; a n d S a r a s w a t h i Ve d a m , R M , FA C N M , M S N , S c i D ( h c ) , a n a s s o c i a t e p r o f e s s o r a t t h e U n i v e r s i t y o f B r i t i s h C o l u m b i a , j o i n e d t h e c o n v e r s a t i o n t h a t w a s m o d e r a t e d b y J e n n i f e r M o o r e , P h D , R N , e x e c u t i v e d i r e c t o r o f t h e I n s t i t u t e f o r M e d i c a i d I n n o v a t i o n a n d a r e s e a r c h p r o f e s s o r a t t h e U n i v e r s i t y o f M i c h i g a n ’ s M e d i c a l S c h o o l .

P A N E L T A K E A W A Y S

• T h e c a l l t o a c t i o n h a s n e v e r b e e n s t r o n g e r t o t r a n s f o r m m a t e r n i t y c a r e i n t h e U . S . , b u t t h e q u e s t i o n i s w h e t h e r w e w i l l a n s w e r t h a t c a l l t o a c t i o n .

• C o u n t r i e s w i t h l o w m a t e r n a l m o r t a l i t y h a v e k e y c o m p o n e n t s :

- T h e y v a l u e a n d e m p h a s i z e w o m e n - c e n t e r e d c a r e . Wo m e n a r e i n f o r m e d a n d s u p p o r t e d i n m a k i n g t h e i r o w n d e c i s i o n s b a s e d o n v a l u e s , b e l i e f s , p r e f e r e n c e s . T h e r e i s a n e e d t o s t o p t a k i n g p o w e r a w a y f r o m w o m e n . Wo m e n d o n ’ t n e e d t o b e e m p o w e r e d , t h e y n e e d t o b e l i s t e n e d t o a n d g i v e n a u t o n o m y .

- P r e g n a n c y i s c o n s i d e r e d a n o r m a l e v e n t , n o t a d i s e a s e n e e d i n g a s u i t e o f i n t e r v e n t i o n s .

- T h e y m a x i m i z e m i d w i v e s .

- T h e y o f f e r c o n t i n u o u s a c c e s s f o r w o m e n ’ s h e a l t h c a r e c o v e r a g e n e e d s .

• Wo m e n ’ s h e a l t h o u t c o m e s a r e a b o u t h o w o t h e r s p e r c e i v e w o m e n a n d n o t h o w w o m e n s e l f - i d e n t i f y . T h e r e i s o f t e n h i g h s t r e s s r e l a t e d t o f e a r o f v i o l e n c e .

• W h e n s u r v e y e d , o v e r 9 0 +% o f w o m e n i n N o r t h A m e r i c a w a n t t o l e a d d e c i s i o n s , w i t h 5 0 % w a n t i n g i n p u t f r o m p r o v i d e r s . I n t h e c u r r e n t s y s t e m , p r o v i d e r s a r e t h e o n e s m a k i n g d e c i s i o n s .

- B l a c k w o m e n a r e t w i c e a s l i k e l y t o h a v e c o e r c e d a n d /o r n o n - c o n s e n t e d c a r e .

P a n e l i s t s ' T a k e a w a y T w e e t s

" E v e r y w o m a n d e s e r v e s # s a f e , # r e s p e c t f u l c a r e "

" B r o a d e r r e a c h t o d i v e r s e p o p u l a t i o n s . W e n e e d t o # s u p p o r t e a c h o t h e r f o r c a r e w e p r o v i d e t o m o m s a n d f a m i l i e s . "

" # M i s t r e a t m e n t # M y B o d y M y B i r t h # U n d e r t r e a t m e n t "

Dr. Jennifer E. Moore serves as the founding executive director of the Institute for Medicaid Innovation. An experienced critical care and emergency department nurse, she brings her clinical expertise and focus on improving access to quality care for priority populations. She combines her love of research, policy, and clinical practice in women’s and maternal child health by maintaining an active appointment as a research professor at the University of Michigan’s Medical School in the Department of Obstetrics & Gynecology. Dr. Moore comes to the Institute for Medicaid Innovation from the U.S. Department of Health and Human Services (HHS), Agency for Healthcare Research and Quality (AHRQ) where she was appointed as the Patient-Centered Outcomes Research (PCOR) Fellow before assuming her role leading the Office of Women’s Health & Gender Research. There she represented AHRQ on national women’s and maternal child health initiatives, including the development of maternal health quality measures, spearheading efforts to develop a maternity Consumer Assessment of Healthcare Providers and Systems (CAHPS), and leading the $46 million national perinatal quality and safety initiative. Additionally, she managed a $113 million portfolio of PCOR grants and maintained a rigorous program of research on maternal child health outcomes, economic analysis, and racial/ethnic disparities utilizing the Healthcare Cost and Utilization Project (HCUP) dataset. Dr. Moore’s research funded by the National Institute of Health led to the development of the “Evidence Informed Decision Making through Engagement Model” that emphasizes the critical role of patients and shared, informed decision making when implementing evidence-based practices into health care. Most notably, while at HHS, she was appointed by HHS to serve on the Secretary’s Advisory Committee on Infant Mortality, the Secretary’s Advisory Committee on Chronic Fatigue Syndrome, and the HHS Federal Workgroup on Maternal Health.

Jennifer Moore, PhD, RN Executive Director, Institute for Medicaid Innovation

With over 30 years of experience as a registered nurse, manager, facilitator, coach, consultant, leader, and educator in the perinatal healthcare field, Liz DeMaere brings her collective professional, practical, and personal experiences to help teams build capabilities, cultivate leadership, and develop sustainability and ownership of patient solutions. Liz DeMaere completed her Nursing diploma in 1986 and completed her Bachelor of Nursing degree at the University of Lethbridge (Hons.) in 2006. For over twenty years, Liz practiced nursing in the labour and delivery unit where she learned to care for, observe, and coach parents through the most significant experiences of their lives. Her passion for promoting safe birth began in 1992 when she began teaching childbirth classes. In 1998 Liz became a Lamaze Certified Childbirth Educator and she is very proud to be the current President of Lamaze International. Liz worked for the Society of Obstetricians and Gynecologists of Canada (SOGC) and Salus Global for 10 years, as the Manager of Program Delivery for the MOREOB Program where she was responsible for a team that delivered the program to over 300 obstetrical units across Canada and the USA. Currently, she works at the Chinook Primary Care Network as the Senior Advisor, Clinical and Quality Improvement Lead.

Liz DeMaere, BN, RN, LCCE President, Lamaze International

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Christine H. Morton, PhD is a medical sociologist with expertise in maternal mortality and morbidity, women's reproductive and maternal health experiences and maternal quality improvement. Since 2008, she has managed CMQCC's state funded project on California Pregnancy-Associated Maternal Review (CA-PAMR), overseeing data collection, committee matters and conducting qualitative analysis on improvement opportunities identified from case reviews. She served as co-chair of the CMQCC Cardiovascular Disease in Pregnancy and Postpartum Taskforce, coordinating the development of a Maternal Quality Toolkit on this leading cause of maternal death in California. She also collaborates on research projects that support CMQCC’s goals and mission, including an interview study of women's experiences with severe maternal morbidity and collaborative research with Dr. Jochen Profit on racial/ethnic disparities in Neonatal Intensive Care. Dr. Morton is co-chair of the National Partnership Maternal Safety workgroup on Patient, Family and Staff Support after a

Severe Maternal Event. She recently served a four-year term on the Board of Directors of Lamaze International.

Christine Morton, PhD Research Sociologist, California Maternal Quality Care Collaborative

Saraswathi Vedam is Lead Investigator of the Birth Place Lab and professor of midwifery at University of British Columbia. Her scholarly work includes Changing Childbirth in BC, a provincial, community-based participatory study of women’s experiences of maternity care, the Access and Integration Maternity Care Mapping Study on the impact of integration of midwives on outcomes, and the Giving Voice to Mothers Study that explores equity and access to high quality care among marginalized communities in the US. She developed three new person-centred quality measures: the Mothers’ Autonomy in Decision Making (MADM) scale and the Mothers on Respect (MORi) index. She is currently PI of a 5-year CIHR-funded national research project to evaluate respectful maternity care across Canada. Professor Vedam has been active in setting international policy on place of birth, midwifery education and regulation, and interprofessional collaboration. She

convened 3 national Home Birth Summits, and chaired the 5th International Normal Labour and Birth Research conference.

Saraswathi Vedam, RM, FACNM, MSN, Sci D(hc) Associate Professor, University of British Columbia

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B r e a k o u t S e s s i o n O n e

H o w d o w e d e v e l o p a n d s u p p o r t a w o r k f o r c e t h a t c a n a c c o m p l i s h t h e i d e a l v i s i o n o f m a t e r n i t y c a r e?

W o r k f o r c e a n d P r a c t i c e :

J o a n n e C o n r o y , M D , p r e s i d e n t a n d C E O o f D a r t m o u t h - H i t c h c o c k a n d D a r t m o u t h - H i t c h c o c k H e a l t h , a n d E l i s a b e t h E r e k s o n , M D , M P H , i n t e r i m c h a i r o f D a r t m o u t h - H i t c h c o c k ’ s d e p a r t m e n t o f o b s t e t r i c s a n d g y n e c o l o g y , l e d a b r e a k o u t f o c u s e d o n c r e a t i n g a t e a m - b a s e d w o r k f o r c e a n d e x a m i n i n g s c o p e o f p r a c t i c e . T h e g r o u p d i s c u s s e d t h e v a r i a b l e s a n d b a r r i e r s t o w o r k f o r c e s u p p l y a n d d i s c u s s e d p o t e n t i a l n e x t s t e p s f o r i m p r o v i n g w o r k f o r c e a n d p r a c t i c e .

• M o d e l o f c a r e d e p e n d s o n s i t e . O b s t e t r i c i a n l e d c a r e v s . m i d w i f e a n d d o u l a l e d c a r e

• N u m b e r o f d e l i v e r i e s a n d t h e n e e d f o r v a r i a b l e c a r e t e a m s i z e .

• S t a n d a r d s a n d e x p e c t a t i o n s o f w o r k f o r c e .

• Le v e l s o f c a r e a n d s c o p e o f p r a c t i c e : - S t a t e - b y - s t a t e i n t e r p r e t a t i o n s - M i d w i v e s a n d d o u l a s v i s i b i l i t y- S t r o n g l o b b y i n g g r o u p s w h o a r e a g a i n s t s c o p e o f p r a c t i c e e x p a n s i o n- P r o v i d e r - i n c l u s i v e l a n g u a g e . ( P r o v i d e r s h o u l d n o t j u s t m e a n

o b s t e t r i c i a n s , b u t o t h e r m a t e r n i t y c a r e p r o v i d e r s a s w e l l . )

V A R I A B L E S T O W O R K F O R C E S U P P LY

• I n s t i t u t i o n a l c u l t u r e a n d s c o p e o f p r a c t i c e

• K n o w l e d g e o f r o l e s ( m i d w i f e v s . d o u l a )

• V i c a r i o u s l i a b i l i t y

• P r i v i l e g e s f o r n o n - M D p r o v i d e r s

• P a y m e n t a n d r e i m b u r s e m e n t d i f f e r e n c e s

B A R R I E R S T O W O R K F O R C E S U P P LY• D e c r e a s e d n u m b e r o f h e a l t h c a r e w o r k e r s

• A c c e s s t o t r a i n i n g

• P h y s i c i a n c o m p e n s a t i o n

• L a c k o f d i v e r s i t y i n h e a l t h c a r e r o l e s

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• C r e a t e a p i p e l i n e f o r t r a i n i n g a n d e d u c a t i o n e a r l y !- E d u c a t e a b o u t w o m e n ’ s b o d i e s- S t a r t e d u c a t i n g c h i l d r e n e a r l y a b o u t t r a i n i n g , a n d p r e p a r e t h e m f o r t h e

w o r k f o r c e b y s h o w i n g m i d w i f e r y a n d d o u l a c a r e a s a c a r e e r- D e v e l o p i n t e r n s h i p p r o g r a m s t o s h o w c a s e p o s s i b i l i t i e s

• O f f e r a p p r e n t i c e s h i p p r o g r a m s a n d c l e a r c a r e e r l a d d e r s . M o d e l e x i s t i n g , s u c c e s s f u l p r o g r a m s .

• E n g a g e m i d - c a r e e r p r o f e s s i o n a l s w h o c h a n g e j o b s . - D i v e r s i f y t e a m s w i t h d i f f e r e n t l e v e l s o f c r e d e n t i a l s

• E d u c a t e a b o u t b i r t h c e n t e r s , c e r t i f i e d m i d w i v e s , a n d a c u t e c a r e o p t i o n s .

• M a k e c u l t u r a l c o m p e t e n c y t r a i n i n g m a n d a t o r y f o r a l l h e a l t h s y s t e m w o r k e r s , a n d m a k e i t a r e q u i r e m e n t f o r p a y m e n t .

W H A T C A N W E D O ?W H A T A R E S O M E N E X T S T E P S T O

A D D R E S S W O R K F O R C E C H A L L E N G E S ?

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P i c t u r e d : J o a n n e C o n r o y , M D a n d E l i s a b e t h E r e k s o n , M D , M P H

Joanne M. Conroy, MD, serves as CEO and President of Dartmouth-Hitchcock and Dartmouth-Hitchcock Health, the largest private employer in the state of New Hampshire. Dartmouth-Hitchcock is a nonprofit academic health system that includes: Dartmouth-Hitchcock Medical Center, which is the system’s 429-bed flagship teaching hospital; the Dartmouth-Hitchcock Clinic; the Norris Cotton Cancer Center; the Children’s Hospital at Dartmouth-Hitchcock; four affiliate hospitals; the Visiting Nurse and Hospice for New Hampshire and Vermont; and 24 ambulatory care clinics. Dartmouth-Hitchcock is New Hampshire’s only academic health system and only Level 1 trauma center and is the largest provider of health care in the state and the second largest in Vermont. Prior to arriving at Dartmouth-Hitchcock, Dr. Conroy served as CEO of Lahey Hospital and Medical Center, a large, integrated delivery system. From 2008 to 2014, she served as Chief Health Care Officer of the Association of American Medical Colleges (AAMC), focusing on the interface between the health care delivery system and academic medicine, paying particular attention to how health care in academic settings can manage the challenge of health care reform and the operational implications of the Affordable Care Act. Dr. Conroy represented the interests of approximately 350 teaching hospitals and health systems, including 40 Veterans Affairs medical centers, through the AAMC Council of Teaching Hospitals and Health Systems. From 2001 to 2008, she served as Executive Vice President of Atlantic Health, Chief Operating Officer/President of Morristown Memorial Hospital, a 695-bed flagship teaching hospital. From 1986 to 2001, Dr. Conroy served many roles at the Medical University of South Carolina, including Vice President for Medical Affairs, Chair of Anesthesiology and Senior Associate Dean of the College of Medicine.

Joanne Conroy, MD Chief Executive Officer and President, Dartmouth-Hitchcock and Dartmouth-Hitchcock Health

Dr. Erekson has been with Dartmouth-Hitchcock since 2013. She is the interim chair of the department of Obstetrics and Gynecology at D-H, and is an associate professor with joint appointments in the department of Obstetrics and Gynecology and The Dartmouth Institute for Health Policy & Clinical Practice. She received her medical degree from the University of Illinois and her master’s in public health from Brown University. Dr. Erekson is a practicing board-certified surgeon in the sub-specialty of female pelvic medicine and reconstructive surgery and the specialty of obstetrics and gynecology. She is a former Dartmouth CTSA SYNERGY career development scholar. Her current research projects include claims-data linkage analyses of population-based cohort studies to explore health care utilization of older women as well as treatment seeking behavior and needs. She serves a voting member of the National Quality Forum’s (NQF) Standing Surgical Committee for the endorsement of national quality metrics in surgical care. She also serves as an American Urogynecologic Society (AUGS) committee chair, quality council member, and national advisor of the Quality Improvement and Outcomes Research Network facilitating the collection of data on variation in practice patterns and outcomes for the surgical treatment of pelvic organ prolapse and urinary incontinence across 9 different health systems in the United States and Canadian. In 2017, she won the American College of Surgeons-American Urogynecologic Society’s joint scholarship to the Brandeis University Leadership Program in Health Policy and Management. Dartmouth-Hitchcock provides obstetric care to the women of Northern New England. In the state of New Hampshire, nearly 40% of the 11,000 annual deliveries are attended by a Dartmouth-Hitchcock provider at 5 separate hospitals across the state. The Dartmouth-Hitchcock practices have modeled integrative and collaborative midwifery practices to be able to deliver optimal care for women in a rural setting.

Elisabeth Erekson, MD, MPH Interim Chair, Department of Obstetrics and Gynecology, Dartmouth-Hitchcock

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D e l i v e r y a n d P r a c t i c e D e s i g n

B r e a k o u t S e s s i o n Tw o

How do we begin to identify what services are available and how people access them? How do we ensure people who are eligible receive them?

S t a c y B e c k , M D , a s s i s t a n t p r o f e s s o r o f m a t e r n a l - f e t a l m e d i c i n e a t t h e U n i v e r s i t y o f P i t t s b u r g h , a n d H y a g r i v S i m h a n , M D , M S , d i v i s i o n c h i e f o f m a t e r n a l - f e t a l m e d i c i n e a n d m e d i c a l d i r e c t o r o f o b s t e t r i c a l s e r v i c e s a t U P M C M a g e e - Wo m e n s H o s p i t a l , f a c i l i t a t e d a b r e a k o u t o n r e d e s i g n i n g p r a c t i c e s a n d p r o c e d u r e s t o s u p p o r t h i g h - q u a l i t y , c o o r d i n a t e d m a t e r n a l c a r e .

• N e e d f o r i n c r e a s e d s u p p o r t s f o r w o m e n p r e c o n c e p t i o n - P r e c o n c e p t i o n i s t h e b e s t t i m e t o i d e n t i f y a n d a d d r e s s s o c i a l r i s k s

l i k e h o u s i n g , f o o d i n s e c u r i t y , e t c . - A c c e s s i n g w o m e n d u r i n g t h e p r e c o n c e p t i o n p h a s e i s a l s o c r i t i c a l

f o r p r e g n a n c y p l a n n i n g

• L a c k o f s u p p o r t f o r w o m e n p o s t p a r t u m ( d u r i n g t h e “ f o u r t h t r i m e s t e r ” )- Fo r m a n y w o m e n , p r e g n a n c y i s t h e q u a l i f y i n g c o n d i t i o n t h a t m a d e

t h e m e l i g i b l e f o r i n s u r a n c e . H o w c a n t h e s y s t e m b e r e s t r u c t u r e d s o w o m e n d o n ’ t l o s e i n s u r a n c e c o v e r a g e a f t e r d e l i v e r y ?

• C a l l f o r i n c r e a s e d p u b l i c a w a r e n e s s o f t h e a v a i l a b i l i t y a n d b e n e f i t o f m i d w i v e s

- M a n y p e o p l e a s s u m e m i d w i v e s a r e o n l y f o r h o m e b i r t h s . H o w c a n w e e d u c a t e a l l w o m e n a b o u t t h e d i f f e r e n c e s b e t w e e n m i d w i v e s a n d o b s t e t r i c i a n s s o t h e y c a n m a k e a n e d u c a t e d d e c i s i o n f o r t h e i r p r e g n a n c y ?

• I m p o r t a n t t o s t r a t i f y p a t i e n t s b a s e d o n r i s k , a n d a s s i g n p r o v i d e r s b a s e d o n r i s k l e v e l

- Lo w - r i s k w o m e n s e e M i d w i v e s , m e d i u m - r i s k w o m e n s e e O B s , a n d h i g h - r i s k w o m e n s e e M a t e r n a l Fe t a l M e d i c i n e s p e c i a l i s t s

B R E A K O U T S E S S I O N T A K E A W A Y S

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Dr. Beck is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of Pittsburgh School of Medicine. She is a Maternal Fetal Medicine Specialist at UPMC Magee-Womens Hospital with a strong interest in maternal morbidity and mortality, addiction in pregnancy, as well as quality improvement. She is currently involved in research projects looking at opioid use in pregnancy, as well as projects looking at predicting and managing postpartum hemorrhage. She was recently invited to sit on the newly formed Pennsylvania Maternal Mortality Review Committee and is involved with a group trying to help develop a statewide perinatal quality collaborative, both of which are statewide efforts to analyze and reduce maternal and infant mortality. Dr. Beck also serves as a trustee of Jewish Healthcare Foundation and sits on the WHAMglobal Advisory Board.

Stacy Beck, MD Assistant Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, Maternal Fetal Medicine, University of Pittsburgh, UPMC Magee-Womens Hospital

Dr. Simhan is an experienced clinical and translational perinatal researcher, with focus on preterm birth. Dr. Simhan completed his undergraduate studies and medical school at Boston University. Following completion of internship and residency in Obstetrics & Gynecology at the University of Pennsylvania, Dr. Simhan completed fellowship training in Maternal-Fetal Medicine and Reproductive Infectious Diseases and Immunology. He also received a Master of Science in Clinical Research from the University of Pittsburgh. He is active in establishing and implementing obstetrical patient safety and health care quality efforts, including obstetrical crisis medical emergency teams and labor induction process improvement. These efforts have been acknowledged through receipt of the Fine Award for Health Care Quality Improvement from the Pittsburgh Regional Health Initiative and the Hospital Association of Pennsylvania, Achievement Award for Health Care Quality Improvement/Patient Safety.

Hyagriv N. Simhan, MD, MS Executive Vice Chair, Obstetrical Services Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal Fetal Medicine University of Pittsburgh School of Medicine Director, Patient Care Delivery Innovation and Technology, UPMC

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B r e a k o u t S e s s i o n T h r e e

Optimizing Communication and EducationP a t i e n t E n g a g e m e n t

N a i m a B l a c k , c o o r d i n a t o r f o r t h e M a t e r n i t y C a r e C o a l i t i o n ’ s N o r t h P h i l a d e l p h i a B r e a s t f e e d i n g a n d C o m m u n i t y D o u l a P r o g r a m ; S t e p h a n i e G l o v e r , s e n i o r h e a l t h p o l i c y a n a l y s t a t t h e N a t i o n a l P a r t n e r s h i p f o r Wo m e n & Fa m i l i e s ; a n d Ta m a r K r i s h n a m u r t i , P h D , a s s i s t a n t p r o f e s s o r a t t h e U n i v e r s i t y o f P i t t s b u r g h S c h o o l o f M e d i c i n e , l e d a b r e a k o u t o n o p t i m i z i n g m a t e r n a l a n d i n f a n t h e a l t h c o m m u n i c a t i o n a n d e d u c a t i o n . T h e y i d e n t i f i e d a r e a s o f i m p r o v e m e n t , a n d p o l i c i e s t h a t w o u l d h e l p f a c i l i t a t e b e t t e r r e l a t i o n s h i p s b e t w e e n c a r e p r o v i d e r s a n d w o m e n , a n d i m p r o v e p r o v i d e r s u n d e r s t a n d i n g o f w o m e n ' s n e e d s .

B R E A K O U T S E S S I O N T A K E A W A Y S• A d v o c a t e f o r e x t e n s i v e c o m m u n i t y - b a s e d t r a i n i n g s t o i n c r e a s e p o o l o f c u l t u r a l l y a n d l i n g u i s t i c a l l y - c o n n e c t e d c o m m u n i t y h e a l t h w o r k e r s , d o u l a s , a n d p e e r c o u n s e l o r s

• S u p p o r t t h e r e c r u i t m e n t a n d v o i c e o f m i d w i v e s o f c o l o r

• D e v e l o p a n d p r o m o t e v a r i o u s w o r k s h o p s a n d t r a i n i n g s f o r a l l m e d i c a l s c h o o l s t u d e n t b o d i e s a s c o n t i n u i n g m e d i c a l e d u c a t i o n :

- R a c i s m a n d i m p l i c i t b i a s - Re p r o d u c t i v e J u s t i c e 1 0 1 - Tr a u m a - i n f o r m e d a p p r o a c h e s a n d r e s p o n s i v e b e h a v i o r- M a n d a t o r y o b s e r v a t i o n /e x p e r i e n c e a t b i r t h c e n t e r s /

h o m e b i r t h a n d /o r h o m e l a b o r i n g s i t u a t i o n s f o r a l l O B / G Y N s t u d e n t s

• I n c o r p o r a t e T h e B i r t h p l a c e L a b t o o l s a c r o s s b i r t h i n g h o s p i t a l s

• I n c r e a s e w o m e n ’ s a c c e s s t o a n d r e i m b u r s e m e n t f o r t h e c a r e a n d p r o v i d e r s t h e y w a n t ( m i d w i v e s a n d d o u l a s , f o r e x a m p l e )

- Ta r g e t e d o u t r e a c h , e d u c a t i o n , a n d m e d i a c a m p a i g n s , r e g a r d i n g t h e s e c a r e s e r v i c e s a m o n g l o w - i n c o m e a n d a m o n g A f r i c a n - A m e r i c a n

c o m m u n i t i e s

• C r e a t e f u n d i n g o p p o r t u n i t i e s f o r c o m m u n i t y - p a r t i c i p a t o r y r e s e a r c h a n d m a t e r n a l c a r e e v a l u a t i o n

• M a k e c a r e n a v i g a t o r s a v a i l a b l e f o r a v a r i e t y o f p u r p o s e s : - C o n n e c t w o m e n w i t h w r a p a r o u n d s e r v i c e s t h e y n e e d t o a d d r e s s

n o n - m a t e r n i t y s p e c i f i c i s s u e s l i k e h o u s i n g , a c c e s s t o h e a l t h y f o o d , t r a n s p o r t a t i o n , e t c .

- I d e n t i f y a n d i n t e r p r e t i n f o r m a t i o n a b o u t a v a i l a b l e m a t e r n i t y c a r e p r o v i d e r s a n d s e t t i n g s

- O f f e r s h a r e d d e c i s i o n - m a k i n g t o o l s a n d s h a r e d c a r e p l a n n i n g

• S u p p o r t t h e i n c l u s i o n o f w o m e n i n q u a l i t y c a r e c o l l a b o r a t i v e s , m a t e r n a l m o r t a l i t y r e v i e w c o m m i t t e e s , a n d o t h e r p r o g r a m s a t t h e s y s t e m a n d s t a t e - w i d e l e v e l ( e . g . P a t i e n t a n d Fa m i l y A d v i s o r y C o u n c i l s ( P FA C s ) f o c u s e d o n l y o n i m p r o v i n g m a t e r n i t y c a r e a t p r a c t i c e s a n d i n h o s p i t a l s . )

Naima Black is a full-spectrum doula, a childbirth and reproductive health educator, Certified Lactation Counselor (CLC), and a community activist. She has supported pregnant and parenting women and their families throughout her life, including on the island of Lamu, Kenya where she lived for 21 years. Naima currently coordinates Maternity Care Coalition’s Community Doula & Breastfeeding Program. She created this project 7 years ago to promote and expand childbirth and infant feeding options and support for childbearing families and their communities. Her reputation for approaching health equity as a racial justice issue and as inter-connected to other social and environmental issues is acknowledged and respected. Naima is also a prisoner rights activist and has worked for many years help to expose human rights abuses of the Prison Industrial Complex with a particular focus on the plight of women caught up in the system. She worked for PA Prison Society and American Friends Service Committee where she coordinated the National STOPMAX Campaign to abolish solitary confinement and torture in US prisons. Naima is an internationally renowned Swahili interpreter and taught Swahili at Temple University's Pan African Community Education Program (PASCEP) for seven years. Naima holds a BA in Global Women’s Health & Human Rights from Global College of Long Island University.

Naima Black, CLC Program Coordinator, North Philadelphia Breastfeeding & Community Doula Program, Maternity Care Coalition

Stephanie Glover is the senior health policy analyst at the National Partnership for Women & Families. She directs a federal policy portfolio focused on increasing access to quality, affordable health care for women. Stephanie leads the organization’s strategic advocacy and policy analysis related to private insurance and Medicaid, as well as policies to promote health equity and maternal health. Stephanie also manages several coalitions at the National Partnership including the Coalition for Better Care and Women’s Health Defense Table. Stephanie’s work has traversed the fields of advocacy, research, and politics. Before joining the National Partnership, Stephanie worked on implementation of the Affordable Care Act, Medicaid expansion, and insurance reforms at the National Women’s Law Center. Stephanie also researched and evaluated a federally-funded school-based health program in Texas while at the Child and Family Research Partnership. Prior to that, Stephanie managed fundraising and events at the Women’s Campaign Fund. Stephanie graduated Phi Beta Kappa from Trinity College in Hartford, CT and earned her Masters of Public Affairs from the Lyndon B. Johnson School of Public Affairs at the University of Texas.

Stephanie Glover, MPA Senior Health Policy Analyst, National Partnership for Women & Families

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Tamar Krishnamurti, PhD is an Assistant Professor of Medicine and Clinical and Translational Science at the University of Pittsburgh and is a special faculty member in Engineering and Public Policy at Carnegie Mellon University. She received a Bachelor of Science degree in Biological Anthropology and a Ph.D. in Behavioral Decision Research from CMU. Dr. Krishnamurti uses basic research methods to tackle applied problems, producing tools or interventions that can help individuals make hard decisions. She uses (and develops) methods in the social and decision sciences, working with experts from multiple institutions and disciplines, to examine problems that meet at the intersection of health, risk, technology, and the environment. She conducts research both domestically and internationally with a particular interest in maternal health. Tamar has published peer-reviewed articles in varied journals, including PNAS, JAMA Internal Medicine, Social Science and Medicine, Medical Decision Making, Health Psychology, the Journal of Experimental Social Psychology, and the

Journal of Economic Behavior and Organization. She is dedicated to accessible science and was recognized by the Science of Philanthropy Initiative for her work partnering with philanthropic practitioners for applying basic science to improving social welfare. Tamar’s op-eds have appeared in popular publications, such as the New York Times, The Hill, and Huffington Post. Her research has also received considerable media coverage, including The New York Times, Vanity Fair, The Telegraph, The Independent, U.S. News & World Report, and MSNBC. She is a co-founder of NAIMA Health, LLC. She also provides consulting services on program evaluation and risk communication.

Tamar Krishnamurti, PhD Assistant Professor of Medicine, University of Pittsburgh School of Medicine

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" M y m a i n t a k e a w a y f r o m t o d a y i s t h a t m a t e r n a l a n d i n f a n t m o r t a l i t y c h a l l e n g e s c a n b e t a c k l e d b y j o i n t e f f o r t s a n d c o m m i t m e n t .

I t t a k e s a v i l l a g e t o s u p p o r t a w o m a n t h r o u g h c h i l d b i r t h ."

- A n o n y m o u s P a r t i c i p a n t

J O I N T H E M OV E M E N TSubscribe to our newsletter online: www.whamglobal.org

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The Women’s Health Activist Movement (WHAMglobal) empowers women to advocate for their own health and that of others.

Women are the healthcare decision makers for families and they comprise the majority of the healthcare workforce. They understand what’s needed and bring unique voices that champion safe, compassionate, and equitable care. WHAMglobal advocates have the power to transform and create a healthcare system by women and for everyone that better serves patients, families, and their workforce!

WHAMglobal provides engagement opportunities such as in-person creative community events, online communities and actions, and financial support of groups making a difference in women’s health in their communities.

WHAMglobal is on a mission to identify the root causes of maternal mortality and better understand how to support and care for moms and families through the entirety of their care. The initiative is focused on learning best practices and identifying partners from the Pittsburgh region, other states, and global models of maternity care in order to identify how to advocate and gather networks to lift up the things that are working and change the things that aren’t.

WHAMglobal understands the value of gathering networks of advocates to transform care. It also recognizes the importance of collaboration in order to identify how services are truly delivered. Transformation is impossible without understanding what’s already been done, who are the stakeholders, what are the lessons learned, where there is room for improvement, and how to move forward—together.

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“The way to right wrongs is toturn the light of truth upon them.”

– Ida B. Wells

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