Levels of Maternal Care is a strategy to decrease maternal morbidity and mortality by ensuring that mothers are cared for at hospitals with the resources and personnel to manage their unique needs. The model relies on knowing the available levels of maternal care across a region and developing collaborative relationships among hospitals of differing levels of care. This integration of relationships enhances the ability of mothers to access resources to care for specific maternal conditions, and refer mothers with high-risk comorbidities to hospitals equipped with the resources and personnel to manage their unique needs.
The first step to implement this model is to map available maternal care services. The Betsy Lehman Center and PNQIN are collaborating with the Department of Public Health and U.S. Centers for Disease Control and Prevention to implement the Levels of Care Assessment Tool (LOCATe). Massachusetts added a set of additional questions to the LOCATe tool to ensure that the results capture information on disparities in care and opportunities to support equity.
The results of the survey will be used to better understand the systems of care serving pregnant patients, mothers and infants — including how those services respond to the unique needs of a diverse population. PNQIN will offer consultation to participating hospitals to verify the LOCATe findings and support efforts to provide risk-appropriate maternal care.
The PNQIN website has in-depth information about the Levels of Maternal Care model: https://www.mpqcma.org/levels-of-maternal-care
For more information about the LOCATe survey, please contact Natalia.Ciesielska@state.ma.us.