RESUMO
This article describes the development of our collaborative practice, discusses the barriers and challenges presented by the current health care environment, and identifies factors that would encourage the initiation and strengthening of a successful collaborative model in similar settings. Successful collaborative practice is more than just a practice model, or a set of items that, once checked off, will guarantee success. It is a process that is inextricably linked to the focus and dedication of all our clinicians to provide the best care possible for women.
Assuntos
Hospitais Comunitários/organização & administração , Relações Interprofissionais , Serviços de Saúde Materna/organização & administração , Tocologia/organização & administração , Obstetrícia/organização & administração , Comportamento Cooperativo , Feminino , História do Século XX , História do Século XXI , Hospitais Comunitários/normas , Humanos , Masculino , Serviços de Saúde Materna/história , Serviços de Saúde Materna/normas , Tocologia/história , Tocologia/normas , Modelos Organizacionais , Obstetrícia/história , Obstetrícia/normas , Avaliação de Processos e Resultados em Cuidados de Saúde , Assistência Centrada no Paciente , Relações Médico-Enfermeiro , Gravidez , Fatores de Tempo , Estados UnidosRESUMO
Childbirth Connection hosted a 90th Anniversary national policy symposium, Transforming Maternity Care: A High Value Proposition, on April 3, 2009, in Washington, DC. Over 100 leaders from across the range of stakeholder perspectives were actively engaged in the symposium work to improve the quality and value of U.S. maternity care through broad system improvement. A multi-disciplinary symposium steering committee guided the strategy from its inception and contributed to every phase of the project. The "Blueprint for Action: Steps Toward a High Quality, High Value Maternity Care System", issued by the Transforming Maternity Care Symposium Steering Committee, answers the fundamental question, "Who needs to do what, to, for, and with whom to improve the quality of maternity care over the next five years?" Five stakeholder workgroups collaborated to propose actionable strategies in 11 critical focus areas for moving expeditiously toward the realization of the long term "2020 Vision for a High Quality, High Value Maternity Care System", also published in this issue. Following the symposium these workgroup reports and recommendations were synthesized into the current blueprint. For each critical focus area, the "Blueprint for Action" presents a brief problem statement, a set of system goals for improvement in that area, and major recommendations with proposed action steps to achieve them. This process created a clear sightline to action that if enacted could improve the structure, process, experiences of care, and outcomes of the maternity care system in ways that when anchored in the culture can indeed transform maternity care.
