Frequently Asked Questions (FAQs)

What is AWHONN's Postpartum Hemorrhage (PPH) Project?

Supported by a grant from Merck for Mothers, AWHONN's PPH Project will start as a demonstration project among hospitals in the District of Columbia, Georgia and New Jersey.  The long term goals of the project are to improve clinicians' recognition of, readiness for, and response to obstetric hemorrhage.  These multi-hospital, multi-state learning collaboratives will actively reduce clinician errors and assist in adopting clinical practice changes.  These clinical practice changes include:

1) Standardizing quantification of blood loss after every birth instead of visual estimation of blood loss
2) Performing PPH risk assessments  on admission, pre-delivery, and post-delivery
3)  Creating and/or updating policies and procedures for general and massive transfusions
4)  Having obstetric hemorrhage teams participate in PPH simulation drills
5)  Conducting debriefs after postpartum hemorrhage events

Why did AWHONN choose the District of Columbia, Georgia and New Jersey?

These geographic areas were chosen because they have high rates of maternal mortality related to postpartum hemorrhage, several hospitals within their respective states, racial diversity, no reported competing obstetric hemorrhage-related quality improvement initiatives, and strong AWHONN leaders.  AWHONN thanks its identified leaders in the target areas: Robyn D'Oria APN, RNC, MA, (NJ), Catherine Ruhl MS, CNM (DC), and Lashea Wattie M.ED , RNC, C-EFM, BSN, (GA).

How is the project structured?

The PPH Project has two distinct phases:

1. Baseline Assessment

Hospitals in the District of Columbia, Georgia and New Jersey will be invited to participate in a baseline survey that will assess their level of obstetric hemorrhage preparedness. The online survey should take approximately 20 minutes to complete.

2. Multi-Hospital Learning Collaborative

Upon completion of the survey, 40 to 60 hospitals will be selected for the learning collaborative (20 to 30 hospitals from DC and NJ, and 20 to 30 hospitals from GA) by way of a competitive application process. Participating hospitals will be required to submit data on a monthly basis and discuss the data on collaborative monthly calls. AWHONN will make the data available for participating hospitals to view and print for internal team discussions and quality improvement purposes. 

Is there a fee to participate in either of the above phases of the project?

There is no fee to participate in either phase of the project.  However, hospitals that are accepted into the multi-hospital learning collaborative will need to travel to a one-day "kick-off" and "wrap-up" meeting, which may require travel and/or hotel expenses, as well as dedicated time for collecting data and participating in monthly conference calls.

If I complete the baseline assessment, am I required to apply to the multi-hospital learning collaborative?

No. Hospitals can participate in the baseline assessment and not participate in the learning collaborative. However, in order to apply to the learning collaborative, the hospital must complete the baseline assessment.

If I complete the baseline assessment, is my hospital guaranteed a spot in the multi-hospital learning collaborative?

Unfortunately, space in the learning collaborative is limited, and we cannot guarantee a spot for every hospital that completes the baseline survey.

I'm not in one of your regions.  Can I still complete your baseline survey?

At this time, only hospitals in the District of Columbia, Georgia, and New Jersey can complete the baseline survey.  At some point in the future, we will evaluate whether we will open the baseline survey up to other geographic areas.

What is the time commitment for the baseline assessment?

A key nurse informant should be able to complete the online baseline assessment survey in approximately 20 minutes. AWHONN will provide a PDF copy of the assessment so participants can discuss the questions with hospital colleagues, but the actual assessment must be completed online.

How will AWHONN use the baseline assessment data?

AWHONN will use the baseline assessment data to help guide the structure of the quality improvement project in the District of Columbia, Georgia and New Jersey. The data will be kept confidential and will only be discussed in a summary fashion. AWHONN may choose to publish the results of the survey but will not identify any hospital that participated in the survey.

How is the baseline assessment data secured?

AWHONN will keep the baseline assessment data password protected, and only key AWHONN PPH Project personnel will be given access to the results.

What is the timeframe and time commitment to participate in the Multi-Hospital Learning Collaborative?

Timeframe: Beginning in the summer of 2014 and ending in the winter of 2015.

Time commitment

  • One day initial kick-off meeting event at a designated location (8 hours plus travel time)
  • Monthly conference calls with the hospital collaborative team (1.5 hours per month)
  • Monthly data collection activities for the collaborative (time estimate of 2 hours per month but this will vary by hospital based upon how you are currently collecting data).
  • Various interdisciplinary meetings at your hospital to help guide clinical practice changes to improve recognition of, readiness for, and response to PPH. (time estimate of 2-4 hours per month)
  • Collaborative wrap-up meeting at a designated location(8 hours plus travel time)

Has the baseline assessment been reviewed for Institutional Review Board (IRB) approval?

AWHONN provided a copy of the baseline assessment to an IRB. Because AWHONN is not collecting human subject data in the baseline survey, the IRB recommended not submitting the assessment for IRB review, per the Department of Health and Human Services recommendations.

Project Overview

Improve PPH care through quality improvement methods and collaboration


Learn more about our geographic areas of focus

Participating Hospitals

View the list of participating hospitals & meetings


Access more information on best practices for postpartum hemorrhage


Review this snapshot of AWHONN and the organization’s scope of work

Press Room

Explore PPH coverage in the media

Take Action

Join AWHONN’s effort and make a difference

Maternal Morbidity & Mortality

Know the facts about maternal death and injury

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