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ACOG urges equity‑focused quality improvement and clinician training
Summary
The American College of Obstetricians and Gynecologists presenters urged equity‑focused hospital quality improvement using CMQCC data and rolling out clinician education (CLEAR/ELEVATE) to address disparities in labor and delivery outcomes, citing local successes on targeted interventions.
Nicole Economo and Kelly McHugh, representing the American College of Obstetricians and Gynecologists' California chapter, described statewide clinician education efforts and hospital‑level quality improvement projects aimed at closing obstetric equity gaps.
Economo described the CLEAR initiative and a forthcoming ELEVATE toolkit for equity, listening and empathy in clinical practice; McHugh outlined how hospitals can use CMQCC data to identify disparities, perform chart reviews and design targeted interventions (for example, identifying and treating anemia to reduce transfusion disparities).
Economo cautioned that evidence for single, universal delivery‑floor interventions is limited and encouraged localized, iterative QI projects that include affected patients and measure transparent outcomes. “The most actual evidence we have is on group prenatal care... which other presenters have talked about,” Economo said, underscoring the combination of prenatal models and facility‑level improvement.
