In the Netherlands pregnancy and childbirth care is provided by regional obstetric care collaborations (OCCs) consisting of hospitals, freestanding midwifery practices and maternity care organisations. After ICHOM completed the Pregnancy and Childbirth (PCB) outcome standard set in 2015,1 seven OCCs, accounting for approximately 25,000 births annually, teamed up in a nationwide consortium aiming for value-based birth care. First, the consortium adapted, translated and validated the PCB set for use in the setting of Dutch birth care.2 Currently the consortium is implementing the PCB set for shared decision making with funding from the Netherlands Healthcare Institute. It is a challenging journey with many organisations involved and many hurdles to overcome. The project will be concluded in 2021. Deliverables will include a toolkit for nationwide implementation of the PCB set and shared decision making, experience with short improvement cycles in birth care, transparency of quality of pregnancy and birth care, recommendations on content and governance of national quality indicators, information and decision aids for patients and e-learnings for professionals.
In this session we will report on the outline of the project, the feasibility of the implementation the PCB outcome set in clinical practice, patients’ experience of current perinatal care, retrospective use of PROMs and PREMs in different patient groups, and the challenge of setting up a data structure.