Step Up Together Action Collaborative: Improving Birth Center to Hospital Transfer Through Interdisciplinary Simulation

clinical breakout

DATE: Sunday, November 10th
TIME: 12:30 pm - 1:30 pm
FACULTY: Amy Romano, MBA, MSN, CNM, FACNM, Jennifer Johnson, MSN, CNM, and Alexa Dougherty, MSN, PHN, CNM

Emergencies occur infrequently in low-risk, community birth. When emergencies do occur, they require fast decision-making, procedural competency, and teamwork. Hospitals, birth centers, and EMS systems face challenges integrating services to enable smooth transfer and need assistance to meet best practice standards related to preparedness for clinical emergencies.

Step Up Together is a cohort-style, virtual learning collaborative for hospital and birth center dyads, to help prepare for, conduct, document, and debrief a full transfer drill that begins in the birth center, travels by EMS, and concludes in the hospital.

Step Up Together is a scalable program that strengthens community birth services by bringing together clinical leaders to learn from one another, implement best practices, and improve commitment to safety and collaboration across care sites. A freely available Drill Implementation Toolkit Library is under development and will provide tools and implementation support to other community birth and hospital leaders interested in conducting emergency preparedness activities in their settings.

Faculty

Amy Romano, MBA, MSN, CNM, FACNM

Amy is a maternity care leader focused on care model innovation, community-integrated care, and quality improvement. With a clinical background as a nurse and midwife, Amy has spent her career working to improve maternity care and has particular expertise in primary prevention of cesarean and preterm birth, and implementation of midwife-led and team-based care models.

A prolific author and speaker on maternity care system reform, Amy has developed nationally recognized quality improvement programs with leading organizations. She founded PMC to be a woman- and worker-led force that will reshape maternity and perinatal care in the United States and improve outcomes, equity, safety, and costs.

Jennifer Johnson, MSN, CNM

Jen is a Certified Nurse Midwife with over 7 years of clinical experience across community and hospital-based settings. She is passionate about improving healthcare equity, patient experience, and access to safe and quality care. This includes working toward greater access to midwives and community birth; interdisciplinary education; antiracism and the reproductive justice framework; and healthcare reform at all levels.

Jen believes that providers across all pathways offer unique and important perspectives to a care team, and that working together effectively must include learning about and honoring each other’s skills and strengths. She has years of experience facilitating teamwork improvement among perinatal professionals in order to better prepare them to meet the needs of their local communities.

Serving as a Clinical Operations Consultant with Primary Maternity Care, Jen has been a lead in the development and scale of PMC’s Step Up Together program. She is also in full-scope clinical practice at Jefferson Health-Abington Hospital and is an Assistant Professor at the Jefferson Midwifery Institute, where she facilitates interprofessional education to improve collaboration among resident physicians and midwives.

Alexa Dougherty, MSN, PHN, CNM

Alexa is a Certified Nurse Midwife and Public Health Nurse with over 10 years of experience in maternal health as a public health professional and clinician. She is a systems-thinker with a passion for improving health outcomes through interdisciplinary collaboration and multi-faceted approaches. Alexa has clinical experience in both birth center and hospital settings and is deeply committed to improving the sustainability and integration of community birth within the larger healthcare system in order to reduce racial inequities, minimize health disparities, and ultimately improve maternal and neonatal outcomes.

Alexa believes the education of clinicians is a critical element to creating and sustaining change. As a Clinical Operations Specialist with Primary Maternity Care, she is a lead in scaling-up the Step Up Together program. She also works clinically at Boston Medical Center, an academic tertiary care and safety net hospital, where she oversees and educates resident physicians and medical students, working to improve interdisciplinary collaboration, support physiologic birth, and sustain integrated midwifery care.

Alexa is also Adjunct Faculty at Georgetown University where she advises midwifery and women’s health nurse practitioner students in their clinical placements and oversees clinical faculty in this role across the country.