Foundation Program Sites


COVID-19 Outbreak Message to our Members and Partners:

Our hearts and thoughts go out to all the medical professionals who are working through personal hardship and risk to care for the people of our state.

Please know that all of our programs continue to operate and provide full, uninterrupted support to you, our members and partners. We know that the attention of many of you is focused on urgent matters related to this healthcare crisis and we will continue to support you in any way we can. One of the ways we are supporting our healthcare community is by hosting the Washington Healthcare Forum COVID-19 Work Groups.

Information on the status of our Annual Meetings and events will be provided as those decisions are made. Should you have questions or concerns, please don’t hesitate to Contact Us directly by phone or email at any time.

Families who choose to give birth at home or in a freestanding birth center deserve the best possible care when the plan changes and they need to access hospital services.

Smooth Transitions™ is a Washington state-based quality improvement program enhancing the safety of these hospital transfers.

We bring together community midwives, hospital providers and staff, and EMS personnel to build a collaborative model of care that puts birthing families at the center.  

We offer presentations throughout Washington state and provide direct support to participating hospitals. We are also available to consult with perinatal collaboratives and organizations in other states interested in replicating this work.

Mission: To address our shared responsibility for improving hospital transfers from planned community-based births to promote greater patient safety and satisfaction.


  • Improve the safety and efficiency of the transfer process through the establishment of system-wide protocols
  • Collect and analyze transfer outcome data for the purpose of quality improvement
  • Build greater collaboration between community-based midwives, EMS, and hospital care team
  • Enhance the patient experience of care when transfers occur

We believe that collaboration within an integrated maternity care system is essential for optimal mother-baby outcomes. All women and families planning a home or birth center birth have a right to respectful, safe, and seamless consultation, referral, transport and transfer of care when necessary. When ongoing inter-professional dialogue and cooperation occur, everyone benefits.”

Best Practice Guidelines: Transfer from Planned Home Birth to Hospital


“Like most hospitals, we have struggled with how best to accommodate patients who have planned an out-of-hospital birth under the care of a midwife but are transferred in during labor or postpartum. With the help of the Smooth Transitions team, we have significantly changed the attitudes and the experience of these transfers. The tools available through the Smooth Transitions™ playbook have guided us along this process, and I strongly recommend this program to any hospital that wants to improve the transfer experience for all involved.” 

Roger Rowles MD, Former Medical Director of Perinatal Services, Virginia Mason Memorial Hospital, Yakima, WA