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IMPLICIT Network

IMPLICIT Network

Innovations for Maternal and PerinataL Care ImprovemenT

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    • About IMPLICIT
    • Where We Work
    • Meet the Team
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  • Projects
    • Interconception Care – ICC
    • 4th Trimester – 4TM
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About

  • Mission, Vision, Values
  • Mission, Vision, Values

    Mission

    The IMPLICIT Network is a family medicine maternal child health learning collaborative focused on improving birth outcomes and promoting the health of women, birthing people, infants, and families through innovative models of care, quality improvement and professional development for current and future physicians.

    Vision

    To envision a future where all mothers/birthing people are fully supported to attain optimal health and wellness for themselves and their babies.

    Values

    The work of the IMPLICIT Network is rooted in the following core values:

    Commitment

    Improving maternal health one woman / birthing person at a time

    Innovation

    Developing methods to improve the health of women, birthing people, children and families

    Education

    Training future physicians and health care providers to positively impact the health of women / birthing people in their communities

    Collaboration

    Fostering a synergistic environment where all specialties can work towards birth and health equality for all

    Cultural Humility

    Amplifying the expert voices of all women / birthing people to create trustworthy therapeutic alliances

    Justice

    Promoting respect, empathy and shared decision making as well as protecting dignity and safety for everyone
  • Supporters
  • Supporters

    The IMPLICIT Network receives support from foundations, government and public health, nonprofits, and industry.

    • 2004-present Family Medicine Education Consortium
    • 2004-2010 National March of Dimes support in-kind 
    • 2011-2012 PA American Academy of Pediatrics
    • 2013-2016 March of Dimes
    • 2016-2020 PA Department of Health 
    • 2020-2025 PA Department of Health
    • 2021-2025 Minnesota Department of Health 
    • 2022-2024 North Carolina State Maternal Health Innovation Grant through MAHEC
    • 2024-2026 American Board of Family Medicine
    • 2025-2028 HRSA PA State Maternal Health Innovation Grant 
    • 2025-2026 The Philadelphia City Fund: Philadelphia Department of Public Health Division of Maternal, Child, and Family Health’s

    If your organization is interested in providing support to IMPLICIT, please make a donation below:

    Support Us
  • History
  • History

    At the 2003 Family Medicine Education Consortium (FMEC) fall meeting, a group of family medicine physicians discussed the idea of creating a network of family medicine residencies collectively working to reduce the incidence of premature and low birth weight babies using continuous quality improvement (CQI) techniques. Out of this meeting and with seed funding from the national March of Dimes, the Interventions to Minimize Preterm and Low Birthweight Infants through Continuous Improvement Techniques or the IMPLICIT Network, was formed.

    After recruiting family medicine faculty members to review their prenatal care curriculum and existing prematurity prevention literature, the Network developed a shared strategy to implement evidence-based prenatal interventions known as IMPLICIT Pregnancy. This model, launched in 2004, concentrated on six areas of focused intervention as the basis of prematurity prevention: asymptomatic bacteriuria (UTIs), bacterial vaginosis (BV) screening for women/birthing people with a history of preterm birth, depression, smoking, and family planning to avoid short pregnancy interval. For nearly a decade, IMPLICIT Pregnancy was the dominant model at participating Network sites. 

    In recognition of the 2006 Centers for Disease Control (CDC) recommendation to use the interconception period, or the time between pregnancies, to improve maternal health and subsequent pregnancies, the Network began developing IMPLICIT Interconception Care (ICC). Launched in 2011, IMPLICIT ICC eventually replaced IMPLICIT Pregnancy at most sites. 

    Our newest care model, IMPLICIT 4th Trimester (4TM) was launched in 2020 in response to the American College of Obstetrics and Gynecology (ACOG) call for a new paradigm of postpartum care that addresses the needs of women/birthing people and protects against maternal morbidity and mortality. 

    Throughout its history, the Network has published scholarly work highlighting the successes of the ICC and 4TM care models. Since its inception the IMPLICIT Network has consistently evaluated its care models using CQI techniques to provide the best quality care for women/birthing people and their families at all IMPLICIT Network sites. 

    In 2023, the IMPLICIT Network began a rebranding initiative of our logo and acronym to better represent the birthing people we serve and the work we do. Our new logo was launched in April 2024 and in March 2025 we unveiled our new acronym: Innovations for Maternal and PerinataL Care ImprovemenT.

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    Get the Latest

    Check out this recent article citing the IMPLICIT Check out this recent article citing the IMPLICIT Network as a collaborative that has developed and supported the implementation of the fourth trimester care model at 12 family medicine practices in Pennsylvania and New York. 

Click the link in our bio to read more!

#IMPLICITNetwork #FourthTrimester
    Meet our Leadership Council - today we're highligh Meet our Leadership Council - today we're highlighting Dr. Narges Farahi!

Dr. Narges Farahi is a family medicine physician and longtime champion for person-centered and family-centered care. Dr. Farahi is a Professor at UNC, where she served as the Director of the Family Medicine Perinatal and Child Health Program for ten years. Her heart is in community health, and her outpatient practice is at Prospect Hill Community Health Center, a rural federally qualified health center. Prior to her current role, Dr. Farahi served as the medical director of the NC Farmworker Health Program. Her clinical interests include providing seamless care for people with the capacity for pregnancy across the continuum of care, including before, between and after pregnancies. Dr. Farahi is committed to providing trauma-informed care, supporting people and families to meet their reproductive goals, and using quality improvement strategies to help health care practices and systems better meet the needs of patients and families. She has been a leader in implementing enhanced access to comprehensive contraception options and the IMPLICIT interconception care model in the primary care setting. Dr. Farahi works to integrate community engagement and implementation science to transform care with a focus on patients with hypertensive disorders of pregnancy and polycystic ovary syndrome. Her goal is to center the voices of patients and families from marginalized communities and build partnerships with patients and communities to improve health.

#IMPLICITNetwork
    Juggling the responsibilities of life and parentho Juggling the responsibilities of life and parenthood often means less time to take care of yourself. Many mothers/birthing people (MBP) don't attend their own doctor's appointments, but almost ALL attend their child's doctor's appointments. 

Smoking/vaping status is one of the screening questions asked during both IMPLICIT Interconception Care (ICC) and 4th Trimester (4TM) models of care. Many times, MBPs who smoke or vape, see quitting during pregnancy as a time limited response and will start again after having the baby. 

IMPLICIT ICC screens mothers/birthing people at their child's Well Child Visits (WCV) from ages 0-24 months and offers the opportunity to meet MBPs where they are at, providing support in maintaining or starting their smoking/vaping cessation. 

IMPLICIT data showed that an overwhelming number of MBPs are willing to receive advice about their health from their child's provider. 

Identifying risks and providing interventions at WCVs in between pregnancies promotes not only healthier future pregnancies, but a healthier mother/birth person, child, and family. 

#IMPLICITNetwork #SmokinginPregnancy #VapinginPregnancy #MaternalandChildHealth #SmokingCessation #InterconceptionCare #IMPLICITICC #4thTrimester #4TM
    Check out this recent article citing the IMPLICIT Check out this recent article citing the IMPLICIT Network as a learning collaborative that supports current and early career family physician's training in evidence-based pregnancy care.

Click the link in our bio to read the full article!

#IMPLICITNetwork
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