Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)

在格鲁吉亚，黑人妇女占与怀孕有关的死亡人数的60%， 比非西班牙裔白人的死亡率高出一倍 格鲁吉亚临床和转化科学联盟（格鲁吉亚CTSA）通过这一 行政补充，将建立一个基础，为实施产妇 健康和Pregnant Outcomes Vision for Everyone（IMPROVE）， 格鲁吉亚。Georgia-IMPROVE将建立一个以社区为重点的多学科 围产期护理研究和干预网络， 可预防的孕产妇死亡率、孕产妇严重发病率，并促进 健康公平。 格鲁吉亚IMPROVE的总体目标是：1）将战略社区 建立伙伴关系和参与，以解决产妇保健方面的保健差距; 2） 建立一个基金会，以扩大对MM和怀孕的主要原因的研究 相关的发病率，重点是以病人为中心的循证预防。 该项目符合格鲁吉亚CTSA社区参与的范围， 整合特殊人群和信息学项目，并将建立一个基础 围产期护理研究和干预网络（PCRIN），将告知未来 研究，与MM/SMM的社会文化和行为决定因素的数据。 具体目标是：1）制定一个多方利益攸关者、以社区为基础的围产期保健方案， 由妇女、保健提供者和 卫生系统，以确定障碍，并制定知情的解决方案， 最佳的产妇保健公平性。 2)开展以患者为中心的围产期护理协调的试点可行性研究，使用 远程监测，以支持从围产期到产后42天的护理过渡。 这些发现将支持未来的研究，将优先考虑妇女的需求， 他们的家庭，以及告知在护理过渡的文化一致的方法。

In Georgia, black women account for 60% of pregnancy-related deaths and are 3.3 times more likely to die than non-Hispanic Whites. The Georgia Clinical and Translational Science Alliance (Georgia CTSA) through this administrative supplement, will establish a foundation for the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE), across the state of Georgia. Georgia-IMPROVE will establish a community focused multidisciplinary perinatal care research and intervention network (PCRIN) to inform priorities on preventable maternal mortality (MM), severe maternal morbidity (SMM), and to promote health equity. The overall goals of Georgia IMPROVE are to 1) incorporate strategic community partnerships and participation to address health disparities in maternal health; and 2) establish a foundation to expand research on the leading causes of MM and pregnancy related morbidity, with a focus on patient centered evidence-based prevention. This project aligns with and is in the scope of Georgia CTSA Community engagement, Integrating special populations and Informatics programs, and will establish a foundation for a Perinatal Care Research and Intervention Network (PCRIN) that will inform future research, with data on sociocultural and behavioral determinants of MM/SMM. The specific aims are to: 1) Develop a multi stakeholder, community-based Perinatal Care Research and Intervention Network (PCRIN) of women, healthcare providers and health systems, to identify barriers to, and develop stakeholder-informed solutions for optimal maternal health equity. 2) Conduct a Pilot feasibility study of patient-centered perinatal care coordination, using remote monitoring, to support care transition from perinatal through 42 days postpartum. These findings will support future research that will prioritize the needs of women and their families, as well as inform culturally congruent approaches in care transitions.