We have designed a unique event, one that is not a traditional conference of clinical practice sessions or research presentations. Rather we will be drawing on new approaches required to address the challenges we face in the development of professional midwifery in the United States. We will create an expansive space in which to listen to ideas that are different than the ones we typically have when we think about our challenges and search for solutions. We will be using proven processes (such as Otto Scharmer, MIT) that allow groups to connect, sense an emerging future individually and collectively, and then move into the formation of solid next steps forward that support rapid achievement their goals.
The CPM Symposium will apply to MEAC to provide continuing education for the symposium sessions.
- March 16, 2012
- 9:00 am - 2:00 pmLobby Day on Capitol Hill with Health Policy SourceThis event is optional
- 3:00 pm - 6:00 pmSymposium Check-In at Airlie Center
- 7:00 pm - 8:00 pmDinner at Airlie
- 7:00 pm - 9:00 pmSymposium Registration
- March 17, 2012
- 7:15 am - 8:15 amBreakfast
- 8:30 am - 8:45 amOpening Plenary Welcome
- 8:45 am - 9:15 amOrientationAn Introduction to the Symposium Process and How We Will Work Together
- 9:15 am - 10:15 amHonoring our History to Create the Future Learn about and celebrate the remarkable people, the deep values, the incredible organizations, and the passion for birth that are the fabric of midwifery in the United States. This unique presentation will include pictures, essays, mementos, and interviews that describe significant historical milestones that led to the establishment of Certified Professional Midwives.
- 10:15 am - 10:35 amBreak
- 10:35 am - 10:40 amIntroduction to Opening Plenary Sessions:Grounding CPM Midwifery in a Global and National Context
- 10:40 am - 11:00 amKeynote: Policy Imperatives and Perinatal OutcomesOn June 2, 2011, the Centers for Medicare and Medicaid Services (CMS) convened a symposium of national health care leaders: Perinatal Outcomes Improvement: Where Are We? Where Can we Go? Dr. Berwick, then CMS Administrator, stated that CMS should not just be a partner, but a force in improving care outcomes and patient experience in health care. The Affordable Care Act provides CMS with a variety of opportunities and tools to improve perinatal outcomes, including the new Centers for Medicare and Medicaid Innovation (CMI). CMS recognizes that most of the expertise to improve perinatal outcomes exists outside of CMS and sees their role as translating known best practices into action and are seeking ideas with the greatest potential for success. It is imperative that CPMs understand the goals of the agency that insures 43%of the childbearing population in the U.S.
- 11:00 am - 11:20 amState of the World’s Midwifery: International Strategies for Strengthening Midwifery To Improve the Health of Women and BabiesIn June 2011, a landmark report on the “State of the World’s Midwifery” was released. This report, coordinated by the United Nations Population Fund (UNFPA), revealed the high rates of maternal, fetal and newborn mortality in 58 countries around the world. This information has now become a focus of global efforts to realize the right of every woman to the best possible health care during pregnancy and childbirth, and is a clarion call to increase the numbers of skilled, educated and competent midwives throughout the world. The International Confederation of Midwives (ICM) is now working with countries and regions, including midwifery organizations in the U.S., to implement the new global standards for midwifery education, regulation and association in order to strengthen midwifery and meet the needs of women worldwide.
- 11:20 am - 11:30 amQuestions and Dialogue
- 11:30 am - 11:50 amMaternal Mortality in the United States: Taking Action to Eliminate Disparities in Maternal Health Outcomes
- 11:50 am - 12:10 pmThe Future of Home Birth in the United States: Addressing Shared ResponsibilityThe Home Birth Consensus Summit – The Future of Home Birth in the United States: Addressing Shared Responsibility was convened in October 2011, bringing together stakeholders and leaders to open dialogue and discuss the status of homebirth within the greater context of maternity care in the United States. Participants agreed that the dialogue was held in good faith, was respectful, complex, and revealed multiple issues for future discussion and action. Common ground was discovered across several areas of concern about maternity care in the United States, resulting in nine specific statements of consensus. Organization of the summit was led by Saraswathi Vedam RM FACNM MSN Sci D(hc), who is Senior Consultant to the MANA Division of Research Coordinating Council; Chair of the ACNM Home Birth Section; and Director of the Division of Midwifery, Faculty of Medicine, University of British Columbia; she will share with symposium participants the momentum that is building across disciplines for improving the care of women choosing home birth in the U.S.
- 12:10 pm - 12:25 pmQuestions and Dialogue
- 12:25 pm - 1:30 amLunch
- 1:30 pm - 1:35 pmIntroduction to Plenary Sessions: Midwifery in the United States – A National Picture
- 1:35 pm - 1:50 pmState of Midwifery in the United States
- 1:50 pm - 2:05 pmCertified Professional Midwives: Where Are They? What Are They Doing?
Where Are the Challenges in Licensure and Scope of Practice? Ida Darragh, CPM, Chair of the Board of the North American Registry of Midwives with extensive experience with the status of CPM in states across the country, will provide a picture of the status of Certified Professional Midwives in the U.S. She will address the number and distribution of CPMs, how many new credentials are being issued each year, the legal status and scope of practice in states where CPMs are licensed, and challenges in securing licensure.
- 2:05 pm - 2:15 pmQuestions and Dialogue
- 2:15 pm - 2:30 pmSurvey of Certified Professional Midwifery Education in the U.S.:
Creativity and Flexibility Are Hallmarks of the Multiple Routes to Entry for CPMsHolly Scholles, CPM, Director of Birthingway College of Midwifery in Portland, Oregon, and President of the Midwifery Education Accreditation Council, will provide a picture of Certified Professional Midwifery education in the U.S. Her report will include information on accredited and non-accredited schools, distance education, degree programs and apprenticeship.
- 2:30 pm - 2:45 pmHealth Care Reform and the Midwives Model of Care:
Opportunities and Challenges for the Integration of CPMsHow does the practice of Certified Professional Midwifery exemplify the picture of health care reform in the Affordable Care Act (ACA) and the U.S., and where does the ACA and the trajectory of health care reform present challenges for CPMs in achieving full integration and in creating full access for women to the care of CPMs.
- 2:45 pm - 2:55 pmQuestions and Dialogue
- 2:55 pm - 3:25 pmBreak
- 3:25 pm - 3:30 pmIntroduction to Plenary Sessions: Transforming Birth in America
- 3:30 pm - 3:45 pmA High-Quality, High-Value Maternity Care System Is Within Reach:
Implementing the Blueprint for ActionIn January 2010, Childbirth Connection released the Blueprint for Action: Steps Toward a High-Quality, High-Value Maternity Care System that answered the question: Who needs to do what, to, for, and with whom to improve maternity care quality within the next 5 years? More than 100 leading experts set out to answer this question, reaching unprecedented consensus on the steps and actions needed to reform this critical and costly segment of the U.S. health care system. Five stakeholder workgroups collaborated to develop concrete solutions to the most pressing issues facing the U.S. maternity care system. The result is a detailed list of actionable strategies to improve maternity care quality and value centered on 11 critical focus areas for change. Amy Romano, CNM, MSN, Director of Childbirth Connection’s Transforming Maternity Care Partnership, will provide symposium participants with a report on the implementation of these strategies since the release of the Blueprint.
- 3:45 pm - 4:00 pmTransformation Driven by Performance Measurement and Payment Reform
- 4:00 pm - 4:10 pmQuestions and Dialogue
- 4:10 pm - 4:25 pmImproving Birth Outcomes while Saving Money with Midwives:
What One State is Doing
- 4:25 pm - 4:40 pmOpportunities for CPMs in Federal Health Policy and ProgramsAs a health policy analyst and former Congressional staff supporting the work of the Senate Finance Committee, Billy Wynne of Health Policy Source, Inc., has a deep understanding of federal policy and health care reform. He has particular expertise in drafting legislation regarding Medicaid. Since 2009, he has been a lobbyist and health policy advisor to the Midwives and Mothers in Action Campaign, becoming an ever more dedicated and effective advocate for CPMs. With his colleagues at Health Policy Source, he has identified opportunities and opened doors to leading officials for the MAMA Campaign.
- 4:40 pm - 4:50 pmQuestions and Dialogue
- 4:50 pm - 6:00 pmDay 1 Collective Learning and Theme Summary
- 6:00 pm - 7:00 pmRest and Renewal
- 7:00 pm - 8:00 pmDinner
- 8:00 pm - 9:00 pmBeing an Agent of Change
- March 18, 2012
- 7:15 am - 8:15 amBreakfast
- 8:30 am - 9:00 amOpening Plenary:Community Capability Practice
- 9:00 am - 9:05 amIntroduction to Plenary Sessions:Health Professionals for a New Century
- 9:05 am - 9:25 amHealth Professionals for a New Century:
A Global Perspective
- 9:25 am - 9:45 amMaternity Care Workforce AnalysisThe maternity care workforce is changing, a workforce shortage is looming, and the future landscape for the delivery of health care and maternity care will be radically different from the one we are accustomed to today. Dr. Fisher believes it is time for us to look critically, with open hearts and minds, at how and where to provide women with safe, high-quality maternity care at reasonable cost. With rising rates of intervention, a shrinking physician workforce and unsustainable costs of hospital-based care systems, it is time we did some out of the box thinking.
- 9:45 am - 9:55 amQuestions and Dialogue
- 9:55 am - 10:15 amUnderstanding the Upward Trend in Home and Other Out-of-Hospital BirthsHome births are on the rise again after several decades of decline according to a new Data Brief issued by the National Center for Health Statistics on January 26, 2012. This recent publication examines trends and characteristics of home and other out-of-hospital births. The authors found that there were nearly 29,650 home births in 2009, an increase from 25,000 in 2006. The percentage of home and other out-of hospital births varied widely among the states, but was significantly higher in rural areas, and percentages of home births among women of color are significantly lower than for non-Hispanic white women. Marian MacDorman is a statistician with the Reproductive Statistics Branch at the National Center for Health Statistics and lead author of the report.
- 10:15 am - 10:35 amThe Imperative to Train More MidwivesJust as there are issues of cost and quality with the overuse and underuse of interventions in the birth process, there are similar issues of cost and quality in the education of primary maternity care providers. Carol Sakala, PhD, MSPH, Director of Programs at Childbirth Connection, will explore the education of maternity care providers from the perspective of the analysis and recommendations in the Blueprint for Action, Steps Toward a High-Quality, High-Value Maternity Care System.
- 10:35 am - 10:55 amQuestions and Dialogue
- 10:55 am - 11:15 amBreak
- 11:15 am - 12:15 pmConcurrent Sessions:
Concurrent Session 1: A Glimpse into the Future: Strategies for Meeting the Need
As we search for ways forward for the integration of CPMs into the U.S. maternity care workforce, we can learn from peers about success stories of where and how integration is already happening in the states, and from policy makers about how new policy concepts can support our goals
• Maternity Care Worforce Shortage Areas: How this new concept, as delineated in H.R. 5807, The MOMS for the 21st Centure Act, introduced by Congresswoman Roybal-Allard (D-CA-34th), can help met the increasing need for maternity care providers.
• Strategies for CPM inclusion in the National Health Service Corps
• Washington State - Midwife participation in a state perinatal advisory committee and perinatal collaborative: Being a midwife advocate in the public policy arena
• New Mexico: What can we learn from New Mexico where midwives serve a large and varied population of women
• Washington State: Providing services in a busy suburban setting: a bustling birth center, multiple practitioners, strategizing increased capacity
Concurrent Session 2: Primary Maternity Care: Enhancing the Potential of the CPM
Examining the concept of primary maternity care and its implications for the U.S. maternity care system and CPMs
• Creating a primary maternity care system for the U.S.: Implications for CPMs
• Primary maternity care: Recommendations from the Blueprint for Action
Concurrent Session 3: Innovative Care Delivery: Extending Access to CPMs
Examining the needs, opportunities and challenges for professional midwifery practice in underserved communities
• Florida: Overcoming disparities and improving outcomes in vulnerable populations: The JJ way
• Alaska: Expanding access to midwifery care with birth centers - Lessons from Mat-Su Midwifery in Wasilla
• Washington, DC: Serving inner city populations: combining birth centers and the Federally Qualified Health Centers model
• Canada: What we can learn from the Canadian model about adding hospital practice to midwifery care: Opportunities and challenges for home birth midwifery
Concurrent Session 4: Getting Paid for What We Do: Increasing Women’s Access to CPMs
Reimbursement for CPMs is an essential component of creating access for women to CPM services: Learning from the successes and challenges experienced by our peers in states across the country.
• Vermont: Implementing a new state law mandating reimbursement for CPMs
• Florida: Challenges and lessons learned from state mandated reimbursement
• New Hampshire: One state’s experience of implementing the Affordable Care Act mandate for Medicaid coverage of birth center facility fees
• Creative reimbursement possibilities for the CPM model of care
* Texas: A state effort to increase access to CPMs through Medicaid reimbursement.
Concurrent Session 5: Increasing Awareness and Taking Action
• Midwives and Mothers in Action (MAMA) Campaign: Federal action to increase access to CPM care
• Coalition for Quality Maternity Care: supporting maternity care legislation in Congress
• MANA’s public education project: reaching consumers with the good news of CPM care
• Maine: Business of Being Born: A phenomenon that boosts mainstreaming midwifery
• Colorado: a successful campaign to secure midwifery and expand scope of services
- 12:15 pm - 1:15 pmLunch
- 1:15 pm - 1:45 pmAwards: Maternity Care Champions
- 1:45 pm - 1:50 pmIntroduction to Plenary Sessions:Opportunities for Transformation in Education
- 1:50 pm - 1:45 amOpportunities and Innovation in Integrated Health Profession EducationJohn Weeks, co-founder and Executive Director of the Academic Consortium for Complementary and Alternative Health Care (ACCAHC), will speak on strategic directions for integrated practice and interprofessional education. Projects prioritized by ACCAHC educators range from policy-related input to efforts to enhance inter-professional education that include disciplines for which education is not typically available in conventional academic health centers. He will speak about ACCAHC's participation on behalf of midwives and other natural health-focused disciplines in the Institute of Medicine’s Global Forum on Innovation in Health Professional Education which begins a 3-year process in early March 2012. The IOM is convening stakeholders to illuminate issues in health professional education, and to support ongoing, innovative mechanisms to incubate and evaluate new ideas.
- 2:10 pm - 2:30 pmPrevention & Health Promotion In Education and Practice
- 2:30 pm - 2:50 pmTransformation that Addresses a New Generation of LearnersDisruptive Innovations for a New Generation of Learners: What this Could Mean for Apprenticeship and Structured Education. Converging trends are signaling fundamental institutional change in higher education and are creating an alternative set of educational realities that challenge the primacy of a campus-centric orthodoxy. How, then, should institutions respond to the changes these trends represent, particularly with respect to the way in which they implement their core academic mission of teaching and learning?
- 2:50 pm - 3:05 pmQuestions and Dialogue
- 3:05 pm - 3:25 pmBreak
- 3:25 pm - 4:25 pmConcurrent Sessions:
Concurrent Session 1: Caring for All Women; Increasing Diversity in the Profession
To meet the needs of the full demographic range of childbearing women, it is imperative that we increase the percentage of women of color served by midwives and the numbers of women of color who become midwives. This imperative is a matter of social justice and equity, and is essential to reducing disparities in birth outcomes. What is the need and why aren’t we there yet?
• Attracting, training and retaining women of color in midwifery
• A vision for supporting Latina women to become midwives
• New Mexico: a consumer perspective for CPMs on serving the Hispanic community
• Texas: Serving border populations: training midwives from many backgrounds and cultural safety
• Cultural Safety in training First Nations/American Indian/Alaska Native midwives
• Wisconsin: Serving Native American families in rural northern Wisconsin
Concurrent Session 2: Implementing the Global Standards for Midwifery Education in the U.S.
• ICM global initiatives for education: What they are, why are they important, and how are they relevant to the U.S.?
• ICM Global Standards for Education: Development and implementation
• MEAC: Addressing ICM Essential Competencies in MEAC accreditation standards
• NARM: Expanding CPM eligibility requirements in the global context
Concurrent Session 3: Interprofessional Education and Collaboration: Implications for CPMs
How do we prepare midwives for a new era in which home and other out-of-hospital birth is integrated in the health care system and midwives are part of collaborative teams?
• Core competencies for optimal practice and integrated environments; examining the impact of interprofessional education and collaborative practice
• Action steps to implementation of the IOM/NIH federal initiative around interprofessional education; home birth summit follow-up on IPE
• Congresswoman Roybal-Allard’s bill “Moms for the 21st Century”: Core competencies for optimal practice in integrated environments and working models of collaborative practice.
• Canadian perspective on Interprofessional Education and Collaboration: What It Could Mean for CPMs - Exploring how interprofessional education influences future professional practice
Concurrent Session 4: Increasing access to Midwifery Through Innovation in Education
• Growing to Meet the Need for Midwives, while protecting and preserving the core values of CPM training.
• Freestanding schools or programs within larger institutions- what are the benefits and challenges
• Publicly-supported technical schools; a vision for community colleges
• Training apprentices and student midwives: a matter of social justice
• Problem-based learning: Learning, Not Teaching; A Student-Centered Approach to Education
• Meeting the needs of mature learners with a hybrid program: combining distance education and on-campus learning
Concurrent Session 5: We Need Midwifery Researchers, Teachers, Leaders and Cutting Edge Practitioners: How Graduate Midwifery Education Can Help Meet the Challenge
• How graduate midwifery education can meet the need for midwifery researchers, teachers, leaders and cutting-edge midwifery practitioners.
• Graduate midwifery education: what are our options?
• Graduate midwifery education programs: Distance education and blended learning models
• Midwifery schools as research and leadership centers: learning as we go
• The MANA Division of Research and the link to graduate education
• Academic midwifery: meeting the growing need for faculty
- 4:25 pm - 4:45 pmBreak
- 4:45 pm - 5:30 pmPart 1. Theme Convergence from Days 1 and 2
- 5:30 pm - 6:30 pmRest and Renewal
- 6:30 pm - 7:30 pmDinner
- 7:30 pm - 9:30 pmPart 2. Listening to the Future: Final Theme Convergence and Action Teams
- March 19, 2012
- 7:15 am - 8:15 amBreakfast
- 8:30 am - 8:30 amOur Agenda for the DayDrawing on our collective listening, learning, sensing and reflection from Days 1 and 2, on Day 3 we will endeavor to move forward our shared, identified agenda. Our aim is to not only come together to learn, but to have the chance to work together, in the next level of detail, on the key themes and areas that we agree most need our shared attention. Unlike conferences where good information and ideas may be shared, we seek in this day to roll up our sleeves and get to work. Our intention is to shorten the cycle time between having new and good ideas and taking action to test those ideas.
- 8:30 am - 9:00 amAction Team Set Up
- 9:00 am - 10:30 amWorking Session 1
- 10:00 am - 11:30 amIntegration Round 1 and Break
- 11:00 am - 12:30 pmWorking Session 2
- 12:30 pm - 1:30 pmLunch
- 1:30 pm - 3:00 pmWorking Session 3 and Break
- 3:00 pm - 4:00 pmWorking Session 4
- 4:00 pm - 5:30 pmIntegration, Next Steps and Symposium Close
- March 16, 2012