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AABC Members Shine in ACNM Benchmarking

AABC Member Birth Centers Achieve Best Practices Designations in ACNM Benchmarking

by Jennifer Wright, PDR Manager (reprinted from AABC News (July 2020))

 

Forty member birth centers were recognized for their exemplary outcomes in the 2019 ACNM Benchmarking project. Each year, the American College of Nurse-Midwives (ACNM) asks midwifery practices with certified nurse-midwives (CNMs) or certified midwives (CMs) to participate in the ACNM Benchmarking Project. The purpose of this project is to gather and use data to monitor, maintain, and improve the quality of midwifery care.

Best Practices are named based on the data reported by the practice being one of the top three practices in that category. These practices are in categories based on practice volume by number of births per year: low ≤ 50, low moderate 50-199, high moderate 200-499, and high ≥ 500. For some categories, no best practices were identified in a birth volume subcategory because all practices reported 0 or 100% per the variable.

LABOR & BIRTH OUTCOMES

Spontaneous Vaginal Birth Rate

  • Health Foundations Birth Center + Women’s Health Clinic (St. Paul, MN)
  • North Houston Birth Center (Houston, TX)
  • The Birth Center: Holistic Women’s Health Care (Newark, DE)
  • Willow Midwife Center for Birth & Wellness AZ, LLC (Mesa, AZ)

Primary Cesarean Rate

  • North Houston Birth Center (Houston, TX)
  • Willow Midwife Center for Birth & Wellness AZ, LLC (Mesa, AZ)

VBAC Success Rate

  • Beginnings Birth Center (Colorado Springs, CO)
  • Health Foundations Birth Center + Women’s Health Clinic (St. Paul, MN)

Rate of Cesarean Birth Among Nulliparous Women with a Term, Singleton Baby in a Vertex Position (NTSV)

  • Health Foundations Birth Center + Women’s Health Clinic (St. Paul, MN)

Rate of Postpartum Hemorrhage

  • Connecticut Childbirth & Women’s Center (Danbury, CT)
  • The Midwife Center for Birth & Women’s Health (Pittsburgh, PA)

PERINEAL OUTCOMES

Rate of Women with Intact Perineum (perineum is intact or only small laceration(s) not requiring repair)

  • Willow Midwife Center for Birth & Wellness AZ, LLC (Mesa, AZ)

3rd or 4th Degree Laceration Rate

  • New Birth Company (Overland Park, KS)
  • The Midwife Center for Birth & Women’s Health (Pittsburgh, PA)

INFANT OUTCOMES

Preterm Birth Rate (infants from a singleton birth born at less than 37 weeks gestation)

  • Health Foundations Birth Center + Women’s Health Clinic (St. Paul, MN)
  • The Midwife Center for Birth & Women’s Health (Pittsburgh, PA)

BREASTFEEDING OUTCOMES

Rate of Women who Attended 6-week Postpartum Visit

  • Lifecycle WomanCare (Bryn Mawr, PA)

Rate of Women Breastfeeding at 6-week Postpartum Visit

  • Dar a Luz Birth & Health Center (Los Ranchos, NM)
  • Lifecycle WomanCare (Bryn Mawr, PA)
  • Willow® Midwives (Minneapolis, MN)

RESOURCE UTILIZATION OUTCOMES

Rate of Inductions

  • Beginnings Birth Center (Colorado Springs, CO)
  • New Birth Company (Overland Park, KS)

Rate of Epidurals Used for Pain Relief During Labor (not including epidurals placed only for anesthesia for operative delivery)

  • Beginnings Birth Center (Colorado Springs, CO)
  • Brooklyn Birthing Center (Brooklyn, NY)
  • Inanna Birth & Women’s Care (Denton, TX)
  • The Midwife Group Women’s Health and Birth Center (Savannah, GA)

TRIPLE AIM

"Triple Aim" Best Practice designation recognizes practices which meet the Institute for Healthcare Improvement "Triple Aim" of improving the patient experience, reducing cost of care, and improving the health of populations. This is demonstrated by high breastfeeding rates (>81%), low preterm birth (<11.4%) and cesarean rates (<23.9%), and reporting fiscal variables. Of the 262 practices participating in the 2019 ACNM Benchmarking Project, 69 practices were designated Triple Aim Best Practices. Thirty-two are AABC birth centers and 19 are recognized for the second consecutive year (marked with *).

  • Baby + Co. (Nashville, TN)
  • Bay Area Midwifery (Annapolis, MD)
  • Beginnings Birth Center (Colorado Springs, CO)
  • Best Start Birth Center (San Diego, CA)*
  • Birth Center at PCC (Berwyn, IL)
  • Birth Center of Baton Rouge (Baton Rouge, LA)
  • Birth Center of Denver (Denver, CO)
  • BirthCare & Women's Health (Alexandria, VA)*
  • Bloomin’ Babies Birth Center (Grand Junction, CO)
  • Breath of Life Women's Health & Birth Center (Largo, FL)*
  • Connecticut Childbirth & Women’s Center (Danbury, CT)
  • Dar a Luz Birth & Health Center (Los Ranchos, NM)*
  • Flagstaff Birth and Women’s Center (Flagstaff, AZ)*
  • Geneva Woods Midwifery & Birth Center (Anchorage, AK)*
  • Health Foundations Birth Center + Women’s Health Clinic (St. Paul, MN)*
  • Inanna Birth & Women’s Care (Denton, TX)*
  • Lifecycle WomanCare (Bryn Mawr, PA)*
  • Mat-Su Midwifery & Family Health (Wasilla, AK)*
  • Midtown Nurse-Midwives (Sacramento, CA)
  • Minnesota Birth Center (Minneapolis, MN)*
  • Nativiti Family Birth Center (The Woodlands, TX)*
  • North Houston Birth Center (Houston, TX)
  • Sacred Roots Midwifery & Birth Center (Indianapolis, IN)*
  • Santa Rosa Birth Center (Santa Rosa, CA)
  • Special Beginnings Birth and Women’s Center (Arnold, MD)*
  • The Birth Center, A Nursing Corporation (Sacramento, CA)*
  • The Birth Center: Holistic Women’s Health Care (Wilmington, DE)*
  • The Midwife Group Women’s Health & Birth Center (Savannah, GA)*
  • Transitions Women’s Wellness Center (Manistee, MI)
  • Wichita Falls Birth & Wellness Center (Wichita Falls, TX)
  • Willow® Midwives (Minneapolis, MN)*
  • Women's Birth & Wellness Center (Chapel Hill, NC)*

4 CORE

The “4 Core” Best Practice designation has been designed to acknowledge practices achieving nationally established benchmarks for physiologic birth. (Induction of labor <10%, primary cesarean birth rate <15%, episiotomy <2%, exclusive breastfeeding after first 48 hours >75%). These four measures are harmonized with the National Quality Forum (NQF) and Joint Commission perinatal quality measures. Of the 262 practices participating in the 2019 ACNM Benchmarking project, there are 30 practices that achieved all four benchmarks. Thirteen are AABC birth centers. Additionally, three member birth centers have earned this designation for two years in a row (marked with *)

  • Beginnings Birth Center (Colorado Springs, CO)
  • Best Start Birth Center (San Diego, CA)*
  • Inanna Birth & Women’s Care (Denton, TX)
  • Midtown Nurse Midwives (Sacramento, CA)
  • Minnesota Birth Center (Minneapolis, MN) 
  • Nativiti Family Birth Center (The Woodlands, TX)*
  • New Birth Company (Overland Park, KS)
  • New Birth Company (Kansas City, KS)
  • North Houston Birth Center (Houston, TX)
  • The Birth Center, A Nursing Corporation (Sacramento, CA)
  • The Birth Center: Holistic Women’s Health Care (Wilmington, DE)*
  • Transitions Women’s Wellness Center (Manistee, MI)
  • Wichita Falls Birth & Wellness Center (Wichita Falls, TX)

Since 2014, AABC has collaborated with the American College of Nurse-Midwives (ACNM) to bring more data-driven information to birth centers to help moms and babies. For AABC members entering their data in the AABC Perinatal Data Registry™ (PDR), a simple consent form is all that is needed to share their PDR data with the ACNM Benchmarking Project. 

 

 

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