Online Program

A community approach to implementing evidence-based prenatal care

Tuesday, November 5, 2013

Colleen Senterfitt, CNM, MSN, Centering Healthcare Institute, Boston, MA
Deborah Allen, ScD, Boston Public Health Commission, Boston, MA
Beth Monahan Beth Monahan, CNM, MPH, Boston Medical Center, Boston, MA
CenteringPregnancy brings women out of the exam room and into a unique group setting for the highest quality prenatal care while becoming part of a supportive community. The CenteringPregnancy model is evidence-based, and consistently demonstrates better outcomes than those achieved in individual care. Centering is efficient, cost-effective, and reimbursable by both private and public insurers. The Centering Healthcare Institute is helping to improve the health of communities one group at a time. There has been a targeted effort to develop a large scale Centering presence in the Boston area to demonstrate the impact of transforming care across a range of prenatal care settings. A 2007 Yale RCT documented through Centering a 33% reduction in preterm births across overall and a 41% reduction for African American women. In the greater Boston area, babies born to Black mothers are 40 - 60% more likely to be born preterm than the Boston average and two to three times the rate for White mothers. Centering has been adopted in a variety of healthcare settings in the Boston area including community health centers and hospital and private clinics. There are eight approved Centering sites and twenty implementing sites. Boston Department of Public Health has boldly adopted CenteringPregnancy in all eight of their Healthy Start sponsored clinical sites. This presentation will focus on the strategic plan for working locally to implement this innovative model and will include aggregate demographic and outcome data from the approved sites.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describe a community focused approach for implementation of Centering group care. Discuss Centering outcome data focused on better care and better health. Identify challenges to spreading an innovative model in an identified target area.

Keyword(s): Maternal and Child Health, Community Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Certified Nurse Midwife with more than 25 years experience in women's health care. I have a high level of expertise in Centering having been involved with Centering Healthcare since 2001 as a faculty member and COO since Jan 2009. I have also been involved in several clinical care start ups and community collaborations throughout my career.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Centering Healthcare Institute Maternal health Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.