6. 4. Each session has an overall plan
Comfort &
Birth Preparation Safety
Infant
Development
Stress
Reduction
Nutrition & Infant
Feeding
7. 5. Attention is given to the general
content outline; emphasis may vary
“I’m learning that it
doesn’t matter what
we don’t talk about
because we’re
talking about what
matters to the group”
8. 6. There is stability of
group leadership
Continuity of care Trust
Group history
14. 13. There is ongoing evaluation
of outcomes
Anything we want to see improved….benchmarking
Patient experience
Attendance for prenatal care visits
Breastfeeding rates
Birth outcomes – gestational age and
birth weight
96-97% of all women polled state they prefer
receiving their prenatal care in group
15. References:
Ickovics JR, Kershaw TS, Westdahl C et al. Group prenatal care
and perinatal outcomes: a randomized controlled trial.
Obstetrics & Gynecology. 2007; 110(2):330-339.
Cooper LG, LMSW; Gooding JS, BS; Gallagher J, RN, EdM, MPA;
Sternesky L, MPA, Ledsky R, MBA; and Berns SD, MD, MPH.
Impact of a family-centered care initiative on NICU care, staff
and families. Journal of Perinatology 2007; 27: S32-S37
Grol, R., & Grimshaw, J. . From best evidence to best practice:
effective implementation of change in patients’ care. The
Lancet 2003; 362, 1225-1230.
Peterson AA, Berns SD, Gooding JS, et al. Meeting the Needs of
Pregnant Women and Babies in a Disaster: The Role of
Voluntary Nongovernmental Health Organization. Journal of
Emergency Management 2007;5(1):41-46.
16. Words from the Wise*
Success factors in sustaining groups:
1. Dedicated, appropriate space
2. Committed administration support
(including line-items in the budget)
3. Centering coordinator with released
administrative time
4. Commitment to “opt-out”
*Sharon Rising, CNM, MSN,
Executive Director, CHI
17. Centering Healthcare Institute
1. Centering Site Readiness Visit
2. Initial Training
3. Reporting forms
4. Consultation on system re-design
5. Site visit and approval
18. 558 Maple Avenue
Cheshire, CT 06410
203-271-3632
info@centeringhealthcare.org
www.centeringhealthcare.org
19. Success factors in
management & funding
Lancet: From best evidence to best practice:
– Identifies 11 frequently used interventions,
4 directly relevant to Centering Pregnancy:
• Educational strategies
• Multi-professional collaboration
• Patient-mediated interventions
• Combination of interventions
20. Success factors in management
& funding
What do funders want:
• Outcomes
• Visibility/Recognition
• Outcomes
• SMART Objectives
• Outcomes
• Sustainability Plan
21. March of Dimes Involvement
Our goal: in Virginia, to reduce preterm birth rates,
especially among pregnant population
at high risk of preterm birth.
1. Increase the number of sites and providers offering CP.
2. Improving fidelity of CP delivery to the essential elements
of the model.
3. Enrolling more pregnant women in CP.
4. Maintain women’s satisfaction with care.
22. 2008 March of Dimes chapter-funded
Centering Pregnancy® grants – In Blue
WA
MT ME
ND
VT
OR MN
NH
MA
ID WI NY
SD
WY MI RI
CT
IA PA NJ
NV NE
OH
DE
IL IN
UT
CO WV MD
VA
CA KS MO DC
KY
NC
TN
AZ
OK
AR SC
NM
MS AL GA
TX
LA
FL
AK
HI
23. Assessment of
MOD-funded projects
1. Expand National Office and chapter collaboration to
develop, deploy, and evaluate CP training, TA tools, and
models and to disseminate information about CP successes
to stakeholders.
2. Build informal networks of providers at the chapter level,
to engender peer-to-peer learning.
3. Develop MOD website(s) that provide access to extensive
information about ongoing TA and coordination effects;
evaluation findings; and funding opportunities.
4. Advance CP evaluation by standardizing indicators, data
collection tools, and reporting formats.
24. March of Dimes survey of CP providers identified
these top sustainability success factors:
Planning, beginning in the first year
Staff buy-in
Funding – external and internal
Enrollment
Evaluation -- process and outcome
25. March of Dimes funding
• Provide funding for basic and advanced provider
training workshops;
• CP site infrastructure, materials, supplies, and
staff; and
• Provision of coordination and technical assistance,
including assistance with evaluation.
26. Reporting required
for MOD funding
1. Patient demographics.
2. Patient attendance.
3. Date of first session.
4. Patient satisfaction/self-evaluation.
5. Fidelity of CP core elements.
6. Outcome Variables.
27. Long-term commitment
1. Provide support for mature sites for ongoing staff training.
2. Work with grantees to ensure sustainability.
3. Support TA assistance and coordination for CP sites.
4. Support and/or collaborate in research efforts that
examine benefits, cost neutrality, and/or cost effectiveness
of CP, and help to disseminate the findings to diverse
stakeholders.
5. Advocate directly for additional support for CP with other
public and private funders, policymakers, insurance
companies, and others.
28. Virginia Projects
VCU
Family Maternity Center of the Northern Neck
Southern Dominion Health System, Inc.
Johnson Health Services
St. Francis Family Medicine Center
Eastern Virginia Medical School
Riverside Family Practice
Augusta Health Care for Women
Community Memorial Healthcare
Three Rivers Health District
Richmond City Health District
Holston Medical Group
Shenandoah Women’s Healthcare
Southampton Memorial Hospital
Manassas Midwifery
29. March of Dimes
• Funding ($3,000 - $35,000)
• Consultation and TA
• Advanced Training by CHI
• CP Peer to Peer Network
30. Q&A
For questions about the model
or funding opportunities, contact:
Sara Long
Slong@marchofdimes.com
(804) 968-4120
