Integrating Midwives in to Team-Based care has been widely endorsed and encouraged by ACOG through association documents, eg. Collaboration in Practice: Implementing Team-Based Care, and journal publications. Quality, efficiency, and value are necessary characteristics of our evolving health care system. Team-based care models address the Triple Aim of 1) improving the experience of care of individuals and families; 2) improving the health of populations; and 3) lowering per capita costs. It also should respond to emerging demands and reduce undue burdens on health care providers. Team-based care requires both Physicians and Midwives establish models that are seamless, built on trust, and provide sound principles of practice.
Grow Midwives have over 50 years of combined experience in working with private physician models as well as collaborative models with private OB groups. We can provide proforma data related to cost of scaling up with midwives, as well as target/market employment arrangements and work schedules. Some Physicians are interested in owning their own birth center, led and staffed by Midwives. Our services include expert guidance on how to take concept to reality.

How can Midwives Design a Successful Physician/Midwife Practice


One of the challenging questions that the midwifery profession is still trying to figure out is, “How do we look attractive in a collaborative relationship? Perhaps it is with a privately owned obstetric group. Maybe it’s 5 obstetricians and 4 midwives. Maybe it’s a hospital based service where physicians are collaborating through mutual employment models. There are many possibilities to fit a variety of situations.

How do you figure out your income and expenses in a collaboration? How do you ensure that all parties make some profit margin that’s respective to the body of work that each has done and to their degree of training? How do you measure the level of acuity of services each provides?

Midwives aren’t surgeons. Midwives primary scope of care is in working with normal, healthy people. One of the important things few midwives have thought about, or accounted for in any kind of data collection, is “How much money are they generating based on the services they provide in a given period of time?” Creating this kind of pro forma is incredibly important for Midwives, yet almost never happens today.


How Do We Open an Accredited Birth Center


Opening an accredited birth center would start with understanding what the American Association of Birth Centers (AABC) promotes as exemplary models of free-standing birth centers. Creating environments that emphasize family centered care for low risk maternity patients in an out-of-hospital setting.

Alongside the AABC, is an accrediting body that is not affiliated with, but works in tandem to promote accreditation of freestanding birth centers, the Commission for Accreditation of Birth Centers (CABC).

Birth Centers can be owned and operated by midwives or physicians or hospitals. When you think about accrediting a birth center, again you need to go back to state regulations. About half the states in our country have state licensure regulations that are additional to an accreditation process. Some insurance companies are likely to mandate both state licensure and accreditation before reimbursing for a facility fee. Additionally, some states do not require accreditation of your birth center or have regulatory requirements. Optimal safe practice is best provided by meeting minimum requirements of CABC accreditation. There is a cost associated with accreditation as with any oversight organization that provides recommendation of quality review.. However, Grow Midwives believes this is the most rigorous process demonstrating public safety and accountability. We believe this is a requirement for safe care.


 

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