Quality Improvement Toolkits

The following toolkits provide resources for implementing evidence-based quality improvement strategies in hospitals, birth centers, or clinician practices, or in the broader health care system. Are you aware of a toolkit not listed here? Contact us!

Toolkits for Achieving Specific NQF-endorsed Measures

Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age – developed by the California Maternal Quality Care Collaborative and the March of Dimes

Is It Worth It? – developed by the National Institute for Child Health and Human Development

Implementing The Joint Commission perinatal core measure on exclusive breast milk feeding – developed by the United States Breastfeeding Committee

Other Maternity Care Quality Improvement Toolkits

Improving Health Care Response to Obstetric Hemorrhage – developed by the California Maternal Quality Care Collaborative

VBAC project and documents – developed by the Northern New England Perinatal Quality Improvement Network.

Eliminating preventable perinatal harm to childbearing women and newborns – developed by MHA Keystone: OB. Available by request from Morgan Martin, Project Coordinator (mmartin@mha.org).

Mother-baby Dyad Care Implementation Toolkit – developed by the Provincial Council for Maternal-Child Health (Ontario)

Pathways to success: Focus on normal birth and reducing Caesarean section rates - developed by the UK National Health Service (NHS). Available by request from the NHS.

Curricula for simulated Obstetric emergency Response Drills & Safety (CORDS) – offered by the STORC OB Safety Initiative of the Oregon Health and Science University, this toolkit assists with assessing and improving teamwork and implementing emergency drills.

Improving Safety in Maternity Services: A Toolkit for Teams - developed by the Kings Fund (UK) in collaboration with RCOG, RCM, and others, the toolkit provides resources for assessing and improving teamwork, communication, training, guidelines, and staffing.

Patient- and Family-Centered Care Self-Assessment Tools for Maternity Care - These assessment inventories, available for a nominal fee from the Institute for Patient- and Family-Centered Care, were developed to help birth settings and professional practices/clinics operationalize patient- and family-centered care. They are designed for use with an interdisciplinary team that includes women and families.

Maternity Care Payment Toolkit – Developed by Catalyst for Payment Reform, this toolkit helps employers and other purchasers use their purchasing power to align incentives with evidence-based, high-quality maternity care.

Other Neonatal Care Quality Improvement Toolkits

Caring for the Late Preterm Infant – developed by the Oklahoma Infant Alliance

The most updated editions of the following are available from the California Perinatal Quality Care Collaborative:

  • Antenatal Corticosteroid Therapy
  • Improving Initial Lung Function: Surfactant and Other Means
  • Postnatal Steroid Administration
  • Nutritional Support of the Very Low Birth Weight Infant
  • Early Onset Group B Streptococcus Prevention
  • Severe Hyperbilirubinemia Prevention (SHP)
  • Perinatal HIV Prevention
  • Delivery Room Management of the VLBW Infant
  • Neonatal Hospital Acquired Infection Prevention
  • Care and Management of the Late Preterm Infant

Other Breastfeeding Toolkits

Achieving Baby-Friendly Designation – developed by Baby-Friendly USA

Patient Safety Toolkits that Have Been Applied to Maternity Care

Briefs and Huddles - Teamwork tools and resources to implement briefings to establish a plan of care with a patient and huddles for problem-solving and updating the plan, developed by the U.S. Department of Defense Patient Safety Program.

Disclosure Toolkit and Disclosure Culture Assessment Tool – by the Institute for Healthcare Improvement assist health care organizations to develop a culture that supports respect, communications, and communication after an adverse event.

MITSS Clinician Support Toolkit - tools and resources for health care institutions to improve clinician support for apology and disclosure following adverse events, compiled by Medically Induced Trauma Support Services.

Patient- and Family-Centered Care Toolkits that Can Be Applied to Maternity Care

Advancing the Practice of Patient- and Family-Centered Care: How to Get Started (PDF) – a toolkit for hospitals from the Institute for Patient- and Family- Centered Care

Advancing the Practice of Patient- and Family-Centered Care in Primary Care and Other Ambulatory Settings (PDF) – a companion toolkit for ambulatory settings.

Changing Hospital “Visiting” Policies and Practices: Supporting Family Presence and Participation (PDF) - provides guidance and a policy template for supporting unlimited access to family members, including children, during a hospital stay, developed by the Institute for Patient- and Family-Centered Care.

Strategies for Leadership: Patient and Family Centered Care - distributed by the American Hospital Association to all hospital CEOs, this toolkit includes a video, resource guide, and hospital self-assessment tool.

Partnering with Patients and Families to Enhance Safety and Quality (PDF) - includes tools and recommendations for involving patients and families on advisory boards, committees, and task forces and applying patient- and family-centered concepts to Rapid Response Teams, developed by the Institute for Patient- and Family-Centered Care.

Patient-centered Care Improvement Guide (PDF) – tools and resources for organizing the delivery of care around the needs of the patient, produced by Planetree.

CAHPS Improvement Guide - tools to help health care organizations improve the patient experience, as measured by the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surveys, developed by the Agency for Healthcare Research and Quality.

Consumer Outreach and Engagement Toolkits that Can Be Applied to Maternity Care

How to Produce Effective Consumer Reports – a toolkit for public reporting on quality from the Agency for Healthcare Research and Quality.

Communicating with Consumers About Quality Health Care – customizable toolkit for employers to help employees access appropriate,  high-quality care, produced by the American Institutes for Research in collaboration with the California Healthcare Foundation and the National Business Group on Health.

Advocacy Decision Tree – developed by the Connecticut Health Policy Project, this toolkit helps consumer advocates navigate the legislative, administrative, budget, and regulatory systems to improve health policy.

Social Media in the States: Tools for Instant Access to Emerging Issues – useful resources for connecting with the growing population of online seekers of health information, developed by the Maternal Child Health Library at Georgetown University.