The Centeringpregnancy Model: The Power of Group Health Care

The Centering Healthcare model is an empowering, low-tech innovation that improves outcomes impacting family health well beyond the perinatal period. This seminal book provides interprofessional primary care providers needed information, tools, and insights into their key facilitation role. Brian Jack, MD Professor, Department of Family Medicine Chief, Boston Medical Center Chair, Boston University School of Medicine The clinical outcomes alone are impressive, but we also appreciate the provider and patient satisfaction that is so apparent with the Centering model of care. Karen Shea Vice President, Maternal Child Health for Anthem, Inc. This book is a wonderful tutorial in how to move to a new and highly effective model of co-designing care with people and professionals working in collaboration. The Centering model moves us closer to the Institute of Healthcare Improvement (IHI) Triple Aim of better health, improved care, and decreased costs. The stories and perspectives in this book will inspire all to imagine bring joy back into the workplace. Maureen Bisognano President Emerita and Senior FellowInstitute for Healthcare Improvement This important book comes out at a time when health care is transforming on every level, and innovations in how we organize, deliver, and sustain health care services have never been more welcome. The Centering model, tested and proven as a model of care that is highly effective and satisfying to patients and health care providers alike, is ready to move from innovation to standard of care and this book will help make that happen. Margaret M. Flinter, APRN, PhD, FAAN, c-FNP Senior Vice President and Clinical Director, Community Health Center, Inc. Written by two distinguished leaders in midwifery, this text provides a comprehensive examination of an effective model of prenatal care associated with improved health outcomes and reduced costs. This book describes basic tenets of the Centering Healthcare model, which brings together cohorts of people with similar health care needs in a circle group setting for care. The model encourages meaningful dialogue between the patient, other patients, clinicians, the family, and the community. Chapters discuss the clinical practice landscape leading to the model's development, its use in clinical practice, and its widespread and continuing growth as an effective alternative to traditional care. Interspersed with comments and stories from Centering participants and health care professionals, this book describes the implementation of the model that is based on three foundations: health care, interactive learning, and community building. Throughout the book, chapters emphasize that power of the group process through facilitative leadership encourages behavior change and personal empowerment. Applicable around the world and in other health care settings, this book can be an invaluable resource for use by nurse-midwives, family nurse practitioners, physicians, social workers, and other health practitioners. Key Features: * Describes the theoretical foundations of the Centering Healthcare model* Documents the importance of the Centering model elements to achieve improved health care and reduced cost* Discusses the impact of evidence-based research on providers, administrators, and policy makers* Focuses on implementation science relating to stages of system redesign and the need for supportive mentoring* Includes personal stories of empowerment from patients, providers, and staff* Demonstrates the validity and applicability of the model to a variety of health care populations, both domestic and international* References the work of the Centering Healthcare Institute