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MA Levels of Maternal Care Initiative

PNQIN and MPQC invite and encourage birthing hospitals in Massachusetts to participate in a new statewide initiative to reduce severe maternal morbidity and mortality and eliminate inequities. This initiative works by ensuring that expectant parents are cared for at hospitals with the resources and personnel to manage their unique needs.

"Moms are not just vessels for babies;

they need their own safety levels."


- Dr. Ronald Iverson, MPQC Co-Chair

The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), along with the Centers for Disease Control and Prevention (CDC), are promoting an improved method for regionalization of care based on maternal condition; this is called Levels of Maternal Care. It is similar to the Neonatal Levels of Care model but focuses instead on the pregnant person. PNQIN is engaged in this initiative to explore how Levels of Maternal Care effort could benefit the Commonwealth.

Congratulations and thank you to all 40 MA hospitals who have completed LOCATe!!!











Click through the tabs below to learn more about Levels of Maternal Care!







If you have additional questions, concerns, or feedback about the Massachusetts Levels of Maternal Care Initiative or the CDC LOCATe® Tool, please contact Dr. Sarah Rae Easter ( or Kali Vitek (
















  • Webinars
    We are hosting a monthly webinar series on the first Tuesday of every month, from 1pm-2pm. Please email Mary Houghton for more information.
  • MPQC Maternal Opioid Use During Pregnancy Toolkit
    Click HERE to access the MPQC Maternal Opioid Use During Pregnancy Toolkit. This toolkit was developed by all the maternal health providers that encompass the Massachusetts Perinatal Quality Collaborative, the Massachusetts Department of Public Health, Bureau of Substance Abuse Services, Boston Medical Center’s STATE OBAT-B, and Institute for Health and Recovery. Additional thanks goes to Massachusetts Child Psychiatry Access Project (MCPAP for Moms) and Massachusetts Perinatal-Neonatal Quality Improvement Network with whom the initial document was conceptualized.'
  • Hospital Resources
    Click here to access a collection of policies, guidelines, and educational materials developed by different hospitals engaged in our collaborative.
  • Plan of Safe Care
    The Plan of Safe Care is a document created jointly by a pregnant or parenting woman, and her provider. This document helps women to think about what services or supports they might find useful, to record their preparations to parent and organize the care and services they are receiving. To view more information and see templates of a plan of safe care, click here. As part of the statewide initiative around plans of safe care, DPH and IHR have developed a robust web-based repository with searchable, geographically-organized substance use resources for pregnant and parenting women. The repository can be found on the IHR website here.
  1. Anna Jaques Hospital

  2. Baystate Franklin Medical Center

  3. Baystate Medical Center

  4. Berkshire Medical Center

  5. Beth Israel Deaconess Hospital-Plymouth

  6. Beth Israel Deaconess Medical Center

  7. Beverly Hospital

  8. Boston Medical Center

  9. Brigham and Women's Hospital

  10. Cambridge Health Alliance

  11. Cape Cod Hospital

  12. Charlton Memorial Hospital

  13. Cooley Dickinson Hospital

  14. Emerson Hospital

  15. Fairview Hospital

  16. Good Samaritan Medical Center

  17. Heywood Hospital

  18. Holy Family Hospital

  19. Lawrence General Hospital

  20. Lowell General Hospital 

21. Martha's Vineyard Hospital

22. Massachusetts General Hospital

23. MelroseWakefield Hospital

24. Mercy Medical Center

25. MetroWest Medical Center

26. Milford Regional Medical Center

27. Mount Auburn Hospital

28. Nantucket Cottage Hospital

29. Newton Wellesley Hospital

30. North Shore Medical Center

31. Saint Elizabeth's Medical Center

32. Signature Healthcare Brockton Hospital

33. South Shore Hospital

34. St. Vincent Hospital

35. St. Luke's Hospital

36. Sturdy Memorial Hospital

37. Tufts Medical Center

38. UMass Memorial HealthCare

39. UMass Memorial HealthAlliance-Clinton Hospital

40. Winchester Hospital

Routine Checkup

The CDC has highlighted PNQIN's use of the CDC LOCATe® Tool in Massachusetts birthing hospitals to address racial and ethnic disparities and ensure all pregnant and birthing people have access to the appropriate level of care.

Read about it here

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