Foundation Program Sites

Introduction and CBDR Registration

Introduction and History

FHCQ is a non-profit, neutral entity that houses a suite of programs centered around quality improvement and patient safety, including the OB Care Outcomes Assessment Program (OB COAP) and Smooth Transitions. Since its inception in 2010, OB COAP has included data on community births in Washington – specifically, data submitted by members of the Midwives’ Association of WA State (MAWS). At the time, many licensed midwives in Washington were already voluntarily contributing their data to MANA Stats, a national midwifery data repository.

In 2014, data collection became mandatory for licensed midwives in Washington as a condition for licensure renewal. Recognizing the value of having data on planned home and birth center outcomes captured in the same database as hospital data, but seeking to reduce the data burden on community midwives, MAWS entered into a data-sharing agreement with the MANA Division of Research and FHCQ that allowed MAWS member data to be exported from MANA Stats into OB COAP. There are now over 14,000 community birth records in OB COAP, and the OB COAP Management Committee includes two members of the LM community.

How to register with the FHCQ and set up a CBDR account with Health Catalyst

  1. Email to indicate your interest in participating and to receive the FHCQ/CBDR Introductory Packet which includes the Information Sharing Agreement (ISA) and other resources.
  2. You can sign one ISA for your practice and include all individuals that need access in appendix 4 OR each midwife will sign their own ISA using their name as the “participant” vs the practice or group name. If a midwife leaves a group practice, please understand their data stays with the practice and they would need to do their own ISA if they continued to practice midwifery independently.
  3. Add any additional people whom you want to have access to your database in appendix 4 and provide their email address when you send the signed ISA back. This might include admin folks or others who may be helping with data entry and/or reporting. We can always add people later, but add those you currently know you’ll want. These additional people can also be easily removed at your request (e.g. a student who is there temporarily).
  4. Submit the FHCQ/CBDR Information Sharing Agreement to
  5. Watch for email from Health Catalyst with user information and log-in credentials.
  6. Attend a live and/or video training session with Lara Blair, Clinical Specialty Coordinator at ARMUS by Health Catalyst. You can contact Lara at  See the calendar (make a link to the page) for dates of sessions.
  7. Log into, using a secure browser (Chrome/Safari/Firefox/Microsoft Edge).