WHAMglobal understands the value of gathering networks of advocates to transform maternity 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.

WHAMglobal is developing the Pennsylvania Maternity Coalition and Action Network (MOMsCAN) for Healthy Pregnancies to lower maternal and perinatal mortality rates in Pennsylvania. The overall aim is to redesign pregnancy protocols and the systems of care surrounding pregnant women to create new and enhanced comprehensive care delivery and payment models. MOMsCAN will use advocacy, research, training, quality improvement, technical assistance, and innovative payment models.

These priorities are informed by expert consultation, current legislation, and legislation that has been successful in other states:

  • Require the Physical Health Managed Care Organizations (MCOs) to have 50% of their pregnant members seen in the community by a doula and to have a doula employed by every high-volume OB practice

  • Reimburse doula services through commercial health plans

  • Create bundled payment models for maternity care in Medicaid and commercial health plans

  • Support the establishment of Maternal Mortality Review Committee at the Pennsylvania Department of Health [Signed by Governor Wolf on May 9, 2018]

  • Create a county-focused Maternal Mortality Review Committee with the Allegheny County Department of Health and Human Services to track the rates and identify where services, practices, or policies could have prevented the death or perinatal failure

  • Count maternal deaths within one year from the pregnancy (instead of the current method in Pennsylvania, which counts deaths within 42 days of the pregnancy)

  • Secure funding for quality improvement and research work from the Department of Health’s Federal Title V MCH block grant

Pennsylvania Coalition and Action Network for Healthy Pregnancies (MOMsCAN)

WHAMglobal is seeking partnerships to develop the Pennsylvania Coalition and Action Network (MOMsCAN) for Healthy Pregnancies to lower maternal, perinatal and infant mortality rates in Pennsylvania. The overall aim is to redesign pregnancy protocols and the systems of care surrounding pregnant women to create new and enhanced comprehensive care delivery and payment models. MOMsCAN will use advocacy, research, training, quality improvement, technical assistance, and payment models to: 

  1. Convene obstetricians and gynecologists, doulas, midwifes, birth centers, primary care providers, pediatricians, behavioral health professionals, community outreach workers, payers, researchers, advocates, and policy makers to identify a common vision and goal
  2. Raise awareness of the major issues that contribute to high rates of maternal mortality in Pennsylvania
  3. Develop a policy agenda
  4. Partner with local and state government and payers to help community agencies, healthcare organizations, and maternity care teams apply best practices for perinatal care, including doula service
  5. Identify, implement, and disseminate best practices and doula models to improve the quality of maternity care and health outcomes

momscan

The MOMsCAN coalition will build a network of multi-disciplinary maternity care teams, payers, and advocates across the State to:

  • create a roadmap of existing maternity care services,
  • identify existing regional and national best practices for improving health outcomes and experience of care for the mother and her baby,
  • assess the regional gaps in services and best practices,
  • build a coalition to influence state and national policy,
  • develop a plan of action, and;
  • improve the capacity for regions to act on improvements.

Once MOMsCAN identifies regional gaps in best practices and services, training, technical assistance, and quality improvement methods will be offered to implement the best practices for perinatal care, including doula services.

MOMsCAN will also organize a statewide advocacy campaign by developing a policy agenda, releasing a “call to action” white paper about the problem, coordinating advocacy efforts to advance the policy agenda, and analyzing policy developments.

MOMsCAN will also partner with local researchers to create a local data center to monitor maternal mortality and perinatal failure rates, understand the root causes, and target interventions to drive improvements.

MOMsCAN quality improvement method will be modeled after the California Maternal Quality Care Collaborative (CMQCC). CMQCC has seen maternal mortality decline by 55% between 2006 and 2013, while the national maternal mortality rate continued to rise.


For more information on MOMsCAN and to find out how to get involved, contact info@whamglobal.org.