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Reducing Primary Cesareans

Hospital Application Checklist

Below is a list of the items needed to complete the application for the American College of Nurse-Midwives, Healthy Birth Initiative: Reducing Primary Cesareans learning collaborative. All materials should be submitted via the ACNM portal at www.midwife.org/RPC-Applications-Upload (Note: you will have to log in to your ACNM account in order to access this page).


Timeline for Applications to Reducing Primary Cesareans Collaborative – 2018 

Item

Date Due

Application period opens

May 15, 2017

Deadline for applications

July 21, 2017

Interviews to be scheduled for finalists

August 7-15, 2017

Notification to accepted hospital teams

early September 2017

SAVE THE DATE for Mandatory Kickoff meeting in Portland, OR

October 25, 2017

  • Name
    Role
    Email
    Phone Number

    CNM



    Staff Nurse



    OB Physician



    Quality Improvement


Quality Improvement Survey
Completed HBIRPC Quality Improvement Survey (click to link to survey)
Letter of Application (LOA) not more than 3 pages, 11 pt. font  to be uploaded via ACNM portal:  http://midwife.org/RPC-Applications-Upload
Body of letter to include the following:
  • Institution Name and Address
  • Reasons you want to participate in the quality improvement learning collaborative
  • Briefly your hospital’s experience in leading obstetric quality improvement efforts
  • List the topics for recent obstetric quality improvement projects
  • What skills exist in your department to support QI? What support will the team receive from the QI dept?
  • Have you participated in the ACNM Benchmarking program? If so in which years?
  • Describe how your ob department collects or obtains clinical statistics for quality improvement activities.
  • What are the current strengths within the OB department that would support your success in the project?
  • What are the current challenges within the OB department that would need to be addressed in order to change the current culture in the OB department?
  • Fill in the information for the members of your team and cut and paste table into your letter of application:

List of your team members, including their role and contact information:

  • Name

    Role

    email

     phone number

     

    CNM

     

     

     

    Staff Nurse

     

     

     

    OB physician

     

     

     

    Quality Improvement

     

     

Participation Agreement  (click on link to download agreement) signed by appropriate Senior Hospital Leadership (for example, COO, VP for Quality, Chief Clinical or Nursing Officer. Agreement should be uploaded via ACNM portal:  http://midwife.org/RPC-Applications-Upload


Follow this link to upload your application materials (You must have an ACNM Member ID to enter the application portal).


   Sample Documents for Download

Sample Cover Letter Requesting Hospital Leadership Involvement

Sample Letter of Support

Talking Points for Requesting Internal Support at Your Hospital for RPC




 

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