Systems Integration

Systems Integration connects community-based birth settings (homes and birth centers) with the broader medical system (hospitals and EMS). This collaborative approach is vital for advancing health equity and expanding access to midwifery services. (By replacing operational silos with trust and shared guidelines, integration creates a seamless safety net that ensures quality, safety, and smooth care coordination for every community.)

Please view the resources below as guiding tools rather than an exhaustive list, as this work is dynamic and continuously evolving.

Step Up Together

Step Up Together™, a program through Primary Maternity Care, is an interdisciplinary, community-led initiative that drives quality, equity, and integration across the perinatal care continuum spanning home births, birth centers, outpatient settings, hospitals, EMS, and transport systems.

Smooth Transitions

Smooth Transitions® provides a step-by-step framework for hospitals, EMS, and community midwives to build trust, co-create transfer guidelines, and improve care coordination:

Alliance for Innovation on Maternal Health (AIM)

“A quality improvement initiative to support best practices that make birth safer, improve maternal health outcomes, and save lives.”