Transforming maternity care: a high-value proposition: summary of Childbirth Connection 90th Anniversary Symposium

R Rima Jolivet1, Maureen P Corry, Carol Sakala

  • 1Childbirth Connection, New York, New York 10010, USA. Jolivet@childbirthconnection.org

On April 3, 2009, in Washington, DC, close to 250 participants gathered at the invitation of Childbirth Connection, in partnership with the Jacobs Institute of Women's Health, at a symposium entitled Transforming Maternity Care: A High-Value Proposition, to share concrete solutions intended to improve the state of the U.S. maternity care system. This paper summarizes the reports that were presented at the symposium, along with responses to each report prepared by invited panelists, and audience comments that were made throughout the event. Papers presented include five stakeholder workgroup reports that will be published online on the Childbirth Connection website, as well as the "2020 Vision for a High-Quality, High-Value Maternity Care System", and "The Role of Medicaid in Promoting Access to High-Quality, High-Value Maternity Care,"" both of which are published in full in the current issue. Participating in the symposium were consumers and advocates, maternity care clinicians and educators, hospital and health system administrators, measurement and quality experts, liability insurers, and private and public maternity care payors and purchasers, as well as policy makers, legislators, journalists and other stakeholders.

Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...