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

40 Weeks of Pregnancy: Every Week Counts — developed by Anthem Blue Cross Blue Shield, MDwise, and Managed Health Services

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

Improving Health Care Response to Preeclampsia — 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

Preterm Labor Assessment Toolkit — developed by March of Dimes

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

Assessment and Care of the Late Preterm Infant — developed by Association of Women’s Health, Obstetric and Neonatal Nurses

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

Transitioning Newborns from NICU to Home — developed by Baylor College of Medicine and partners

Other Breastfeeding Toolkits

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

Making it Work — resources for women, families, and employers to foster breastfeeding and employment, developed by the New York State Department of Health

New Benefits for Breastfeeding Moms — help with Affordable Care Act breastfeeding support, supplies, and counseling benefits, developed by National Women’s Law Center

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

Improving Your Office Testing Process — to assess and improve testing in office settings, developed by Access Community Health Network.

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

Always Events Getting Started Kit — for every patient, every time, developed by the Institute for Healthcare Improvement

Always Events Toolbox — developed by the Picker Institute and grantees

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

YourHealthNet — tools to help consumers understand and find evidence-based health research and systematic review, developed by Centre for Health Communication and Participation.

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

Patient and Public Involvement in Guidelines mdash; developed by the Guidelines International Network Patient and Public Involvement Working Group