Skip Navigation

Strengthening the evidence base for maternal and child health programs

New: MCH Best strategies database for sample ESMs

Evidence Tools
MCH Best. NPM 3: Perinatal Regionalization

MCH Best Logo

finger touching the foot of a small newborn in an incubatorContinuing Education of Hospital Providers

MCH Strategy. Develop a continuing medical education (CME) module on transport guidelines of high-risk pregnant women for obstetric and neonatal healthcare providers.

Return to main MCH Best page >>

Overview. Very Low Birth Weight (VLBW) infants born in level III centers leads to improvement in survival rate and reduction in neurological morbidity. Training hospital providers as part of a comprehensive approach has shown to improve delivery in risk-appropriate settings.1

Evidence. Emerging Evidence. There is no evidence description for hospital only interventions. However, research on continuing education has been incorporated into studies that trend positive overall in VLBW deliveries at risk-appropriate settings. In these studies, this strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).

Target Audience. Hospital Providers.

Outcome. VLBW births that occur in risk-appropriate settings and maternal transfer to risk-appropriate setting. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.

Examples from the Field. There are currently 16 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the strategy “Develop a CME module on transport guidelines of high-risk pregnant women for obstetric and neonatal healthcare providers,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of labor and delivery providers who completed CME module for transport guidelines of high-risk pregnant women annually across the state.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of labor and delivery providers who completed CME module for transport guidelines of high-risk pregnant women annually across the state.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of labor and delivery providers who completed CME module annually across the state that report increase in knowledge regarding transport guidelines for high-risk pregnant women.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of labor and delivery providers who completed CME module annually across the state that report increase in knowledge regarding transport guidelines for high-risk pregnant women.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4):

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


Reference:

1Victorian Infant Collaborative Study Group (VICSG). Improvement of outcome for infants of birth weight under1000 g. Arch Dis Child. 1991;66:765-769.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.