1. Collaborating with obstetric, pediatric and nursing departments Lee Dresang (UW, FM) Cynthie K. Anderson (UW, OB) Emily Beaman (UW, CNM) April 2016 STFM

2. Disclosures Nothing to disclose.

3. Multidisciplinary Collaboration: Centering Pregnancy Program launched in May, 2014 Lead by Dr. Cynthia Anderson, OB/GYN Grant support from March of Dimes -3 years renewed funding Multidisciplinary from conception -OB, Family Medicine, Certified Nurse Midwives -Nursing/Medical Assistants -OB and Family Medicine Residents

5. Multidisciplinary Collaboration: Centering Pregnancy Rotating faculty from three disciplines facilitating sessions: OB, Fam Med, Midwives Family Medicine and OB resident participation in every group Rotating nurse/MA involvement from OB and Family Medicine clinics

6. Centering Pregnancy Site Family Medicine first floor OB/GYN second floor Family Medicine and Midwife clinic (down street) affiliated federally qualified community health centers -- ACHC

7. Barriers to implementing Centering Pregnancy Proprietary – costs money to purchase curriculum Time commitment for faculty, staff and patients New model – change is always hard for some Patient barriers – time, transportation, childcare

8. Barriers to multidisciplinary collaboration Coordination of recruitment Coordination of schedules from different clinics Delivery plans Postpartum follow-up Billing issues

9. Group Care Individual Check In & Vitals

10. Facilitated Group Discussion

11. Activities

12. Local Media and Outreach

13. Multidisciplinary Resident Training Interactive resident Family Medicine resident trainees OB & Family Med residents co-facilitate group sessions interactively Outcomes evaluation planned -Qualitative feedback from trainees Satisfaction with orientation, simulation Satisfaction with model of care Perceived enhancement to training Milestone mapping Added value of collaboration across disciplines -Tracking graduates who provide group prenatal care after graduation from residency

14. Future Continue to grow Centering collaboration Mixed methods outcome evaluation Health systems research across disciplines -Process -Health Outcomes -Cost Effectiveness -Trainee satisfaction, future service provision patterns Look to extend multidisciplinary collaboration in Centering to strengthen collaboration in other aspects of maternal-child health care services

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