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What is OB COAP?   

OB COAP is a collaborative quality improvement program helping obstetrical care providers deliver optimum care to the childbearing people and 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 riskgynecological 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 is pleased to announce that Vivienne Souter, MD has been named as the new Medical Director for OB COAP. Dr. Souter has led the research efforts for the collaborative over the last several years and is now expanding her role to provide clinical and QI leadership. Welcome Dr. Souter! 

Just out in the American Journal of Perinatology:

A Simple Approach to Adjust for Case-Mix When Comparing Institutional Cesarean Birth Rates

Howbert JJ, Kauffman E, Sitcov K, Souter V

And in this months Green Journal is an article by a multidisciplinary research team at OB COAP finding that low-risk mothers in labor have fewer interventions and less cesarean deliveries when receiving care from midwives in hospitals compared to obstetricians. Read the article below:

Comparison of Midwifery & Obstetric Care in Low-Risk Hospital Births

Vivienne Souter, MD; Elizabeth Nethery, MSc, MSM; Mary Lou Kopas, MN, CNM, ARNP; Hannah Wurz, MSN, CNM ARNP; Kristin Sitcov, BS; Aaron Caughey, MD, PhD

Obstetrics & Gynecology, vol. 134, No.5, November 2019



OB COAP participants and researchers are continually examining data and working on QI efforts


The OB COAP database currently has over 180,000 records and it is growing every day. Many opportunities exist for being involved in research or in collaborating with us to advance obstetrical improvement efforts. Visit our research and collaborations page to find out more!

Congratulations to the Delivery Decisions Initaitive at Ariadne Labs and Boston College Connell School of Nursing for recieving a Hillman Innovations in Care grant to help nurses use data to understand how their practices influence childbirth outcomes. OB COAP looks forward to work with you on this important effort! See more about the grant: Hillman Innovations in Care Grant

Two abstracts using OB COAP data have been accepted for the SMFM annual meeting in February 2020!  Dr. Rebecca Simon from UWMC will have oral presentation on “Severe Maternal Morbidity in Lower-Risk Pregnancies” and Dr. Kelsey Olerich will present a poster on “Cesarean Birth Rates in Pregestational Diabetic Pregnancies”. Visit the research page for more details.