Foundation Program Sites

Perinatal Bundle

The United States has a high maternal mortality rate with high racial disparities. Bundled payment models, one payment for multiple clinical services such as for obstetrics and pediatric care, are being used to address preventable complications and increase coordination of care. Our workgroup met through 2019 and reconvened in 2020 and again in 2021 to develop clinical pathways for prenatal care, labor and delivery, postpartum care, and pediatric care supported by a bundled reimbursement model to improve the care delivery and therefore outcomes. Our fist version was finalized in 2020, pediatric care added in 2021, and the workgroup reconvened to define a pathway to extend maternity care to twelve months through 2021.

Previous Meeting Materials

Date Materials
October 28 Minutes September 28
September 28 Agenda September 28
Minutes August 24
Primary Care HCA Multipayor Model
August 24 Agenda August 24
Minutes June 1
June 1 Agenda June 1
Minutes January 5
January 5 January 5
Minutes October 27
Public Comments
Draft Perinatal
October 27 Agenda October 27
Minutes September 22
Draft Maternity Bundle w/ Peds
September 22 Agenda 09/22/20
Minutes 08/25/20
Draft Maternity Bundle w/ Peds
August 25 Agenda 08/25/20
Minutes 07/28/20
Draft Maternity Bundle w/ Peds
July 28 Agenda 07/28/20
Maternity Bundle Final
Newborn Care Bree Proposal
Perinatal Bundle Review
January 7 Agenda 01/07/20
Minutes 10/10/19
Draft Maternity Bundle
Minutes 01/07/20
October 10 Agenda October 10
Minutes September 12
Draft Maternity Bundle
ACOG Postpartum Care Plan
September 12  Agenda September 12
Minutes August 8
Draft Maternity Bundle
August 8 Agenda August 8
Minutes July 11
Draft Maternity Bundle
July 11 Agenda July 11
Minutes July 9
Draft Maternity Bundle
June 6 Agenda June 6
Minutes May 9
Draft Maternity Bundle
May 9 Agenda May 9
Minutes April 11
Draft Maternity Bundle
Literature Review
ACOG Optimizing Post Partum Care
April 11 Agenda April 11
Draft Minutes March 14
March 14 Agenda March 14
Draft Minutes February 14
HCP LAN Establishing Maternity Episode Payment Models
February 14 Agenda February 14
Minutes January 8
HCP LAN White Paper Maternity Bundle
January 8 Agenda January 8
Presentation Slides
Maternity Bundle Charter and Roster
Bree Process Infographic
HCP-LAN Maternity Clinical Episode Payment Model
AJMC Bundled Payments for Maternity Care
Conflict of Interest Form
OPMA Training Roster

Workgroup Members

Member Title Organization
Carl Olden, MD (Chair) Family Physician  Pacific Crest Family Medicine
Andrew Castrodale, MD Family Physician Coulee Medical Center
Angela Chien, MD Obstetrics and Gynecology Evergreen Health
Neva Gerke, LM President Midwives Association of Washington
Molly Firth, MPH Patient Advocate
Lisa Humes-Schulz, MPA/
Lisa Pepperdine, MD
Director of Strategic Initiatives/ Director of Clinical Services Planned Parenthood of the Great Northwest and Hawaiian Islands
Rita Hsu, MD, FACOG Obstetrics and Gynecology Confluence Health
Dale Reisner, MD Obstetrics and Gynecology Swedish Medical Center
Janine Reisinger, MPH Director, Maternal-Infant Health Initiatives Washington State Hospital Association
Mark Schemmel, MD Obstetrics and Gynecology Spokane Obstetrics and Gynecology, Providence Health and Services
Vivienne Souter, MD Research Director Obstetrics Clinical Outcomes Assessment Program
Judy Zerzan, MD Chief Medical Officer Washington State Health Care Authority