Foundation Program Sites
Participating Hospitals

The following hospitals are at various stages of participation in the Smooth Transitions™ QI Program.  Some have only received initial presentations. Others have gone on to implement several of the program’s recommendations, including: forming a Perinatal Transfer Committee, adopting transfer protocols, meeting regularly with community-based midwives to identify areas for improvement, and participating in both qualitative and quantitative data collection.  A number have expressed interest in interdisciplinary confidential incident reviews.

  • Evergreen Health Medical Center – Kirkland
  • Harrison Medical Center – Silverdale
  • Jefferson Healthcare – Port Townsend
  • Kittitas Valley HealthCare – Ellensburg
  • Legacy Salmon Creek Medical Center – Vancouver
  • Multicare Auburn Medical Center – Auburn
  • Multicare Deaconness Hospital – Spokane
  • Northwest Hospital – Seattle
  • Overlake Medical Center – Bellevue
  • PeaceHealth St. Joseph Medical Center – Bellingham
  • Providence Regional Medical Center – Everett
  • Providence Sacred Heart Medical Center – Spokane
  • Providence St. Peter Hospital – Olympia
  • Samaritan Healthcare – Moses Lake
  • University of Washington Medical Center – Seattle
  • Valley Medical Center – Renton
  • Virginia Mason Memorial Hospital – Yakima
  • WhidbeyHealth Medical Center – Coupeville

“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. Providers complained about the lack of advance communication, midwives complained about the negative attitudes encountered, and the end result was an unpleasant, and occasionally unsafe birthing experience.  With the help and direction of the Smooth Transitions team, we have gotten our providers, nurses, and administrators together with most of the midwives in central Washington and 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 accepts transfers from planned community-based births and wants to improve the experience for all involved.”  Roger Rowles MD, Former Medical Director of Perinatal Services, Virginia Mason Memorial Hospital, Yakima, WA