California Maternal Quality Care Collaborative works to improve care for mothers and newborns


The California Maternal Quality Care Collaborative (CMQCC) released its new Preeclampsia Toolkit on January 16. The toolkit was developed by the CMQCC Preeclampsia Task Force, a multidisciplinary committee of experts, co-chaired by ACOG District IX Fellows Maurice Druzin, MD, and Laurence Shields, MD, and CMQCC Clinical Director Nancy Peterson, RNC, PNNP.

The primary aim of the toolkit is to guide and support obstetric providers and health care organizations in developing processes for timely recognition and an organized response to preeclampsia. A highlight of the toolkit is the identification of triggers, or clinical warning signs, that require immediate evaluation and communication with the provider, whether they occur in the prenatal clinic, in the emergency room, during labor and delivery, or postpartum.

Coinciding with the release of the toolkit, the Centers for Medicare & Medicaid Services-funded Partnership for Patients is spearheading new activities to improve care for preeclampsia and obstetric hemorrhage nationwide. More than 150 California hospitals are involved in one of the Partnership’s Hospital Engagement Networks (HENs), operated by California’s Hospital Quality Institute (HQI), Dignity Health, or Intermountain Healthcare.

CMQCC collaborated with ACOG and the Association of Women’s Health, Obstetric, and Neonatal Nurses to develop quality measures to be used by several of the HENs to evaluate care improvements for preeclampsia and obstetric hemorrhage. CMQCC will work with District IX to develop educational support for the hospitals involved in the HEN operated by HQI. 

CMQCC will also support the data collection and quality improvement activities of these hospitals through its California Maternal Data Center (CMDC). CMDC is a dynamic online tool that provides rapid-cycle data for hospital activities to improve clinical quality across a wide range of areas, including care for preeclampsia, labor management, and identification of non-medically indicated early elective deliveries. 

CMDC uses existing sources of data to calculate dozens of hospital- and physician-level metrics, benchmarking statistics, and drill-down information. The rapid-cycle metrics are presented in an interactive and easy-to-use tool that can be used by clinicians, managers, hospital administrators, and public health professionals. Fifty California hospitals are already participating in CMDC, and more than 30 additional hospitals are poised to join this year.

In addition to providing support for hospital quality improvement, CMDC supports numerous research and collaborative projects, including a US Department of Health and Human Services-funded severe maternal morbidity validation study and a Los Angeles County project testing new models of prenatal care delivery. To learn more about your hospital’s participation in CMDC, please contact Anne Castles at

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998