OB COAP is a collaborative quality improvement program helping obstetrical care providers deliver optimum care to the childbearing people and the babies they take care of.
Following a long-standing successful model of clinician-led, data-driven quality improvement established under the Foundation for Health Care Quality, OB COAP utilizes clinical data from the medical record to evaluate the care given to pregnant persons during labor, delivery and the postpartum period as the basis for exploring actionable and sustainable improvements.
OB COAP is open to any site delivering babies. Current participants include hospitals of all sizes and neonatal/maternal level of care in urban, suburban and rural locations, as well as community births planned in home or birth centers. The data collected allows for analysis of provider-specific decisions during labor, delivery and postpartum; the impact of factors such as patient risk, gynecological history, clinician type and environment on outcomes; and balancing measures that evaluate both the intended and unintended effects of changes in practice.
The Foundation for Health Care Quality is a non-profit organization and participation in OB COAP is protected as a Certified Quality Improvement Program, making this a safe and neutral place for members to work on ensuring they maintain the highest quality of care for everyone they care for.
The Foundation for Health Care Quality and OB COAP stand against all forms of Anti-Black Racism. We are committed to address health inequities by taking active, anti-racist actions within our organization and in the services we provide. Immediate actions being taken by OB COAP include:
We stand with you as we move forward in changing the course of our society, and we welcome your input on additional actions you think we should be taking.
OB COAP Research & Collaborations
We are very pleased to announce the publication of a groundbreaking study from OB COAP! “Effects of the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) Trial on Elective Induction and Obstetric Outcomes in Term Nulliparous Patients” will publish in the August 2023 issue of Obstetrics & Gynecology. Because of its significance to the profession, it will be accompanied by an editorial and be featured as an Obstetrics & Gynecology journal club article along with a set of questions to facilitate discussion of the manuscript.
The article Effects of the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) Trial on Elective Induction and Obstetric Outcomes in Term Nulliparous Patients and editorial Lost in Translation? Evaluating the Generalizability of Randomized Controlled Trial Findings to Broad Clinical Practice can be accessed here, and the entire issue will publish on July 20 at 2 PM PT. You can find the journal club articles here.
CONGRATULATIONS TO ALL OF OUR MEMBERS – THIS GROUNDBREAKING WORK WOULD NOT BE POSSIBLE WITHOUT THE INCREDIBLE COMMITMENT TO CLINICAL DATA COLLECTION AND QUALITY IMPROVEMENT DEMONSTRATED BY ALL OF YOU. THANK YOU SO MUCH!
Visit our research and collaborations page to find out more about being involved in OB COAP research to advance obstetrical improvement efforts.
Since 2018, the FHCQ has been working with midwifery leaders to build a comprehensive data repository that will enable ALL community-based midwives in Washington state and beyond, to collect their data alongside hospital data for the purpose of both quality improvement and research.
OB COAP participants and researchers are continually examining data and working on QI efforts