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Michigan Perinatal Quality Collaborative (MI PQC)
Michigan Perinatal Quality Collaborative (MI PQC)
MDHHS launched the Michigan Perinatal Quality Collaborative (MI PQC) in 2015; over the past several years, all 50 states along with the District of Columbia have established State Perinatal Quality Collaboratives. The State Perinatal Quality Collaboratives, including the MI PQC, are part of the National Network of Perinatal Quality Collaboratives (NNPQC).
Contact Michigan's Perinatal Quality Collaborative Coordinator to learn more.
MI PQC Updates
Michigan Perinatal Quality Collaborative Advancing Healthy Births: Request for Proposals - 2025
To facilitate alignment with the Advancing Healthy Births plan and encourage collaborative efforts with the MI PQC and individual Regional Perinatal Quality Collaboratives (RPQCs), funding was awarded to community-based organizations and local programs, whose efforts focus on improving birthing outcomes and advancing healthy births. The Advancing Healthy Births: Request for Proposals was led by the RPQCs and made possible by funding received through the Michigan Department of Health and Human Services. Download the list of 2025 awarded agencies and projects.
MI PQC Efforts and Achievements
Advancing Health Outcomes for Families
♦ Actively addressing systemic health gaps and social drivers of health outcomes.
♦ Partnering with Maternal Child Health Epidemiology and Infant Health Epidemiology to collect, analyze and share data to improve health outcomes for all.
Implementing and expanding care for families affected by Perinatal Substance Use Disorder (PSUD)
♦ Increased screening for mental and behavioral health concerns at prenatal clinics through utilization of an electronic screening tool (such as High Touch, High Tech).
♦ Increased accessibility of Medication-Assisted Treatment (MAT) for pregnant & postpartum women, as well as coordination of prenatal care for pregnant women receiving MAT.
♦ Establish rooming-in policies and procedures for families with babies born substance-exposed at participating birthing hospitals.
Improving access to respectful, quality care throughout the pregnancy and postpartum period
♦ Promoting CenteringPregnancy© as an evidence-based model of prenatal care.
♦ Increased referrals and enrollment to evidence-based home visiting programs through various interventions, including enhanced social media posts, warm hand-offs from trusted providers, referral hubs, etc.
♦ Bolstering virtual birthing and breastfeeding education and support.
♦ Building a doula workforce through training, mentorship and continued education opportunities.
Download the Michigan Perinatal Quality Collaborative Information Sheet to learn more about improving birth outcomes for Michigan families.
Regional Perinatal Quality Collaboratives (RPQCs)
Recognizing the diverse geographic and demographic nature of the state, Michigan approached its structure of the PQC in a unique manner. The Michigan PQC (MI PQC) is comprised of nine (9) Regional Perinatal Quality Collaboratives (RPQC), representing the state’s ten (10) Prosperity Regions (see map above), with all nine established by 2019.
As an individual’s health outcomes are attributed to clinical care, as well as environment, socioeconomic factors, and health-related behaviors, the RPQCs utilize both community and clinical approaches by bringing together health care professionals, community partners, families, faith-based organizations, Great Start Collaboratives, home visiting agencies, and others in a unified, collaborative effort.
RPQC Approach:
- Convene perinatal partners in regular meetings to address their respective region’s largest concerns with individualized attention.
- Improve birth outcomes for mothers, infants and families through data-driven quality improvement efforts that are tailored to the strengths and challenges of their respective region.
- Authentically engage families and communities; garnering and utilizing the advisement of families statewide and within specific RPQC catchment areas.
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Region 1
Region 1 Perinatal Quality Collaborative
The Region 1 Perinatal Quality Collaborative was initiated in 2017 with a goal of ensuring birthing women and babies are healthy and thriving across the Upper Peninsula. The predominantly rural Region covers 15 counties and is home to an extensive coastline on three of the Great Lakes. Every county in the Upper Peninsula has at least one Health Professional Shortage Area designation.
Geographic location – Michigan’s Upper Peninsula
- 15 counties
- Six local health departments
- Seven birthing hospitals; One Neonatal Intensive Care Unit (NICU)
- One Medicaid health plan (Upper Peninsula Health Plan)
Key program highlights
- Bringing training opportunities to the region on topics including perinatal mood and anxiety disorders, Spinning Babies- cesarean prevention training, urgent maternal warning signs, perinatal loss, and child passenger safety.
- Piloting the Alliance for Innovation on Maternal Health (AIM) Perinatal Substance Use Disorder safety bundle with three of the region’s birthing hospitals.
- Launching a region-wide universal referral process for home visiting services.
- Promoting and expanding the use of Long-Acting Reversible Contraceptives (LARCs).
- Convening workgroups to focus on topics including Care Coordination, Child Passenger Safety, Family Planning, Grief & Bereavement, Maternal and Family Wellness, and Perinatal Substance Use Disorder/Opioid Use Disorder (SUD/OUD).
Contact Information:
- Emily Belinski, Upper Peninsula Health Care Solutions
- Katrina Keough, Upper Peninsula Health Care Solutions
- Andy Chosa, Upper Peninsula Health Care Solutions
Website: https://www.uphcs.org/rpqc/
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Region 2 & 3
Northern Michigan Regional Perinatal Quality Collaborative
Regions 2 & 3 share a combined Perinatal Quality Collaborative, which was the initial Regional Perinatal Quality Collaborative in Michigan, and was formed in 2011. Funding through the Michigan Department of Health and Human Services (MDHHS) was initiated in 2015. The primarily rural Region covers 21 counties near the northern shores of Lake Michigan and Lake Huron.
Geographic Location - Northern Lower Michigan
- 21 counties
- Seven local health departments
- Eight birthing hospitals; One Neonatal Intensive Care Unit (NICU)
- Four Medicaid health plans
Key program highlights:
- Implementing High Touch, High Tech universal behavioral and mental health screening in obstetric provider practices across the regions. New sites continue to be added, and support for existing sites is provided, as well as exploration of expansion to a direct-to-patient screening modality.
- Enhancing family and doula engagement through active recruitment, as well as holding listening sessions and town hall events to amplify family and doula voices to better inform the work of the collaborative.
- Supporting birthing hospitals in their efforts to implement MI AIM (Michigan Alliance for Innovation on Maternal Health) safety bundles.
- Maximizing patient safety for birthing families through a variety of measures, including supporting hospitals with training and birthing supplies, supporting home visiting programs, increasing direct engagement with Medicaid health plans, involving doulas in regional blood pressure (BP) screening, education, and referral program, and implementing strategies to improve birth outcomes based on feedback from families.
- Expanding and promoting Healthy Futures - Universal Home Visiting program:
- Offering Universal Home Visit Services.
- Providing hypertension screening, hypertension and hemorrhage education, and appropriate referrals at all Healthy Futures postpartum visits.
Contact Information:
- Lisa Peacock, Independent Consultant
- Debbie Aldridge, Munson Medical Center & Benzie, Leelanau District Health Department
- Toni Leaf-Odette, Munson Healthcare
- Christi Nowak, Munson Healthcare
Website: https://healthyfuturesonline.org/
Social Media:
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Region 4
West Michigan Perinatal Quality Collaborative (WMPQC)
Michigan’s Region 4 Perinatal Quality Collaborative has been working to reduce infant and maternal mortality since 2016. The region consists of the second highest population center in Michigan, Grand Rapids, and includes a variety of towns and rural communities along Lake Michigan’s West coast.Geographic location – Central West Michigan
- 13 counties
- Nine local health departments
- 11 birthing hospitals; two Neonatal Intensive Care Units (NICU)
- Six Medicaid health plans
Key program highlights:
- Launched the WMPQC website, and currently establishing a presence on Facebook, Instagram, and LinkedIn. WMPQC hopes this effort will facilitate the ability to reach broad audiences in West Michigan.
- Ongoing development of three main workgroups:
- Home Visiting Workgroup: created social media materials with the intention of increasing referrals, enrollments, and inclusion of support persons (e.g., fathers, grandparents). Efforts include testimonial videos and community outreach.
- Substance Use Workgroup: continues to promote use the MI Recovery website, which offers recovery resources for individuals in Region 4. The workgroup also prioritizes increasing available behavioral health education for patients, families and providers, as well as improving referral pathways for substance use treatment.
- Mental Health Workgroup: focused on decreasing stigma associated with mental health, increasing educational resources for professionals, assuring referral systems are in place for new parents, and engaging fathers and support people in these efforts.
Contact Information:
- Kortni Garcia, District Health Department #10
- Joann Hoganson, Kent County Health Department
- Jill Montgomery, Independent Consultant
Website: https://westmipqc.org/
Social Media:
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Region 5
Region 5 Perinatal Quality Collaborative
Region 5 Perinatal Quality Collaborative was initiated in 2018. Located adjacent to Saginaw Bay of Lake Huron, the region includes rural areas, as well as several small urban cities with their own unique characteristics and dynamics. The work of the R5PQC is driven by a commitment to reduce infant mortality and address both medical and social factors that impact maternal and infant health.Geographic location – Saginaw Bay Area
- Eight Counties
- Five local health departments
- Five birthing hospitals; one Neonatal Intensive Care Unit (NICU)
- Four Medicaid health plans
Key program highlights:
- Supporting quality improvement efforts with regional birthing hospitals to increase scheduling of 3-day follow up appointments for postpartum patients experiencing high blood pressure.
- Utilizing Community Health Workers (CHWs) on labor and delivery units to provide more comprehensive support, and ongoing support after discharge from the hospital setting.
- Hosting doula networking sessions to strengthen the doula network throughout the Region.
- Implementing and supporting Fetal Infant Mortality Review (FIMR) case reviews and recommendations to address and decrease infant mortality in the region.
Contact Information:
- Shanna Hensler, Michigan Public Health Institute
Website: https://r5pqc.com/
Social Media:
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Region 6
Region 6 Perinatal Quality Collaborative
Region 6 Perinatal Quality Collaborative is geographically located in the Thumb Area of Michigan. Formal collaboration was initiated in 2019. The region includes large areas of rural countryside, as well as being home to Flint, its largest city.Geographic Location - Thumb Area
- Seven counties
- Seven local health departments
- Seven birthing hospitals; two Neonatal Intensive Care Units (NICU)
- Six Medicaid health plans
Key program highlights:
- Elevating family voices through expanding town hall meetings and listening sessions across the region, strengthening family engagement in the collaborative, gathering community insights, and ensuring lived experiences are used to directly shape perinatal care improvements.
- Utilizing storytelling and showcasing real-life experiences from birthing women, families, and providers to foster understanding, reduce stigma, and inspire community-driven solutions.
- Expanding screening and support through increasing universal behavioral and mental health screening, with enhanced referral pathways, provider training, and integrated resources to improve outcomes for parents and infants.
Contact Information:
- Katie O'Mara, Sanilac County Health Department
Website: https://www.region6pqc.org
Social Media:
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Region 7
Region 7 Perinatal Quality Collaborative
Region 7 Perinatal Quality Collaborative was initiated in 2019 with a goal of ensuring mothers and babies are healthy and thriving across Clinton, Eaton and Ingham Counties. The region encompasses the cities of Lansing and East Lansing, as well as rural townships and villages.
Geographic location – Mid-Michigan area
- Three counties
- Three local health departments
- Two birthing hospitals; one Neonatal Intensive Care Unit (NICU)
- Four Medicaid health plans
Key program highlights:
- Working diligently to increase opportunities for training, education, and outreach related to addressing perinatal health and improving birth outcomes. The Region 7 Perinatal Quality Collaborative supports training and education for families and professionals on topics including infant safe sleep, childbirth education, breastfeeding, cardiopulmonary resuscitation (CPR), and behavioral health.
- Implementing additional efforts on improving access to doula training, supporting birthing center tours, and enhancing cardiac care efforts and urgent maternal warning sign education.
- Evaluating regional strengths and gaps through formal assessments and listening to family stories.
Contact Information:
- Sally Meyer, Ingham County Health Department
- Jazmyn Shepherd, Ingham County Health Department
Social Media:
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Region 8
Southwest Michigan Perinatal Quality Improvement Collaborative (SWMPQIC)
The Region 8 Perinatal Quality Collaborative, located in southwest Michigan, is home to a blend of urban settings, small towns, rural farmland, and miles of sandy Lake Michigan shoreline. Kalamazoo is the largest city in the region, with a population of about 80,000, which is rich with a diverse and engaged community.
Geographic location – Southwestern Michigan
- Seven counties
- Five local health departments
- Seven birthing hospitals; one Neonatal Intensive Care Unit (NICU)
- Four Medicaid health plans
Key program highlights:
- SWMPQIC prioritizes the mental health of birthing women in Southwest Michigan by increasing awareness and building knowledge of perinatal mental health disorders through provider training opportunities, PSI (Postpartum Support International) Postpartum Planning classes for pregnant women, and partnerships with local birthing hospitals to distribute educational and supportive materials to families.
- Focusing on providing education and building self-advocacy skills to empower pregnant women and their support person to make informed decisions about their pregnancy, birth, and care of baby, all while removing common barriers to traditional educational classes.
- Maintaining a website and social media presence to share up to date information, resources, educational classes, and events happening around the region, and uplifting the many partnerships that SWMPQIC has within the community.
- Partnering with birthing hospitals to support their efforts to keep babies and their families healthy. Efforts include providing birthing hospitals with simulation equipment to train staff on life saving techniques, supporting the use of remote blood pressure monitoring to improve timely treatment of high blood pressure, and facilitating birthing hospital communication with the community at collaborative meetings.
Contact Information:
- Alaina Dequaine, Michigan Public Health Institute
- Alysse Breckenridge, Parent Representative
- Karen Garcia, Bronson Methodist Hospital
Website: www.swmpqic.com
Social media:
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Region 9
Region 9 Perinatal Quality Collaborative
Region 9 Perinatal Quality Collaborative was initiated in 2019 and continues working to support healthy moms and healthy babies. Region 9 aims to develop data-driven, innovative strategies that are tailored to the strengths and challenges of the region to improve birth outcomes. The region covers six counties and consists of Metropolitan cities which are mixed urban-suburban areas, along with beautiful rural farmland, and unique small towns.
Geographic location – South Central Michigan
- Six counties
- Six local health departments
- Six birthing hospitals; two Neonatal Intensive Care Units (NICU)
- Six Medicaid health plans
Key program highlights:
- Expanding collaborative membership and engaging members from all six counties in the Region in a diverse range of projects.
- Expanding the doula workforce through sponsorship of doula trainings and launching a unique mentorship program to support newly trained doulas. Additionally, bolstering doula support and relationship building through an innovative conference, and facilitated educational sessions with local hospitals and providers to strengthen collaboration.
- Advancing trauma-informed care through the development and dissemination of innovative projects, including creation of comprehensive toolkits that support universal screening and trauma-informed care planning for providers and organizations.
- Enhancing support for women with perinatal substance use disorder (PSUD) and opioid use disorder (OUD) through a regional myth-busting campaign to address common misconceptions surrounding PSUD/OUD, and developing specialized training for doulas.
Contact Information:
- Lisa Kane Low, University of Michigan
- Helen Joa, University of Michigan
- Avonlea Rickerson, University of Michigan
Email: contact@region9.org
Website: www.Region9.orgSocial Media:
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Region 10
Southeast Michigan Perinatal Quality Improvement Coalition (SEMPQIC)
Region 10 Perinatal Quality Collaborative, located in Southeast Michigan, was initiated in 2015. SEMPQIC works to reduce adverse maternal, perinatal and infant outcomes, including infant and maternal mortality, by creating a coordinated and sustainable network for perinatal care based on best practices, evidence-based and innovative community solutions that will result in system changes and improved birth outcomes for all babies born in the Region.
Geographic location – Southeastern Michigan
- Three counties
- Four local health departments
- Twenty-one birthing hospitals; ten Neonatal Intensive Care Units (NICU)
- Eight Medicaid health plans
Key Program Highlights:
- Creation of the Detroit Health Equity Education Resource (DHEER), an online platform designed to support individuals, healthcare providers, and organizations in addressing maternal and infant health, particularly among women and families at increased risk of negative outcomes in Detroit and Southeast Michigan. The resource offers comprehensive health information, actionable tools, and best practices to promote personal and organizational transformation.
- Ensuring that fathers are recognized, valued, and thriving in the many roles they fulfill. Creation of The Color of Fatherhood Curriculum: An Inclusive Guide for Cultivating the Spectrum of Dads provides support to dads on the perinatal journey and affirms the role of fathers as central to the health and well-being of their families.
- Facilitating specialized training on Perinatal and Postpartum Mood and Anxiety Disorders (PMADs) for staff and members of partner organizations.
- Supporting MI AIM (Michigan Alliance for Innovation on Maternal Health) in Region 10 by engaging the 21 regional birthing hospitals in adopting the patient safety bundles and clinical protocols including Severe Hypertension, Obstetric Hemorrhage, and Sepsis.
Contact Information:
- Kizzi Montgomery, Metro Solutions
- Vern Davis Anthony, Independent Consultant
- Alethia Carr, Independent Consultant
- Iris Taylor, Independent Consultant
Email: info@sempqic.org
Website: https://www.sempqic.org
Social Media:
For more information on the RPQC's,
please contact:
Emily Goerge, MPH, MSN, RN
Perinatal Nurse Coordinator
GoergeE@Michigan.gov