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Advisory council urged to replace Elmar after researchers find data unusable for quality improvement
Summary
Speakers at the Medical Board of California Midwifery Advisory Council meeting said the current licensed‑midwife annual reporting tool (Elmar/LMAR) produces data that researchers judged not usable for quality improvement or research and recommended adopting an alternative registry designed for community births.
Rosanna Davis, president of the California Association of Licensed Midwives, told the Midwifery Advisory Council that researchers commissioned by CALM concluded the state's Elmar tool "was not usable for quality improvement and or research." She said CALM is exploring options instead of overhauling the current system.
The comment followed a longer presentation at the meeting that reviewed the Elmar (licensed midwife annual report) and its statutory purpose. The advisory council's chair, Madelyn Weisner, summarized staff and researcher findings and said the Elmar as currently implemented fails to produce verifiable, research‑grade data and risks…
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