Committees - IMPLICIT Network

Health Equity

The Health Equity Committee facilitates projects within the IMPLICIT Network to further explore inequities in healthcare.

Current Projects

Patient needs assessment
Objective: understand patient needs in the postpartum period, with input from patients, providers, and clinical staff (MAs, nurses)

Site partnership survey
Objective: identify and describe existing community partnerships at Network sites and use this information to create a Community Partnership Toolkit

Inclusive language guidance
Objective: Keep equity at the forefront of our communication and acknowledge gender diversity of postpartum parents

Letter of support for specific legislation that improves the health and wellbeing of moms/birthing people and infants
Objective: Have language available to support local/state/federal legislation that would improve the health and wellbeing of moms/birthing people and infants

Educational social media series
Objective: Increase presence on social media and be a source of educational information on topics related to postpartum/prenatal health and current events

Data Review

The Data Review Committee works to improve and help facilitate data collection, uploading, extraction, and reporting for the IMPLICIT Network. Review data for discrepancy and error, (data strategy). Utilize data for academic purposes, quality improvement and publications. Data use and governance (includes uploading data etc.)

Network data presentations and engagement
• Data presentation

Site data
• Support projects to look at data related questions
• Help troubleshoot site data issue
• Quality improvement support

EHR mapping and integration of ICC and 4TM
• Standardizations of smart data elements with smartforms and smarttext for EPIC
• Creation of national EPIC builds for ICC and 4TM
• Support in EHR builds in AllScripts and NextGen

R Report
• Maintain ICC and 4TM data reports
• Recommend additions and edits to update reports (inclusive language, addition of behavior change, stratification of risk by maternal demographics, etc.)
• Create standard data definitions
• Support creation of ad hoc reports for special projects

Network REDCap Database
• Manage access and data entry
• ICC (Phase 1, Phase 2, Phase 3)
• 4TM (Phase 1, Phase 2, Outcomes Study)
• Create surveys for projects

Interconception Care (ICC)
• Lead phase changes (Phase 1 to Phase 2 to Phase 3)
• Behavior change
• Stratification of risk by maternal demographics
• Support toolkit creation and updates
• Standard data definitions

4th Trimester (4TM)
• Lead Phase 1 to Phase 2 recommendations and edits
• Support updates to questionnaires
• Support toolkit creation
• Standard data definitions

PDSA Cycles
• Lead Network wide PDSA cycles and QI initiatives
• Maternal Demographics PDSA
• Patient centered contraception counseling PDSA

Scholarly Activity

The Scholarly Activity Committee leads initiatives to promote broad and equitable participation in scholarly work within the IMPLICIT Network. The IMPLICIT Network has published 10 papers on our innovative care models and presented at conferences including FMEC, STFM, NAPCRG, AAP, and many more.

ICC Publications

Is this normal?

Authors: Brianna Moyer, MD

Interconception Care and Safe Sleep: Adapting the IMPLICIT Toolkit for Pediatrics

Authors: Emily Scott, MD, Corresponding Author; Kara Casavan, BS; Nancy Swigonski, MD, MPH, MBA

Interconception Care for Mothers at Well Child Visits After Implementation of the IMPLICIT Model

Authors: Daniel Frayne, Phillip Hughes, Brunilda Lugo, Kathy Foley, Stephanie Rosener, Wendy B. Barr, Scott A. Davis, Heidi Knoll, Kayla Krajick & Ian M. Bennett

Interventions to Increase Multivitamin Use Among Women in the Interconception Period: An IMPLICIT Network Study

Authors: Mario P. DeMarco, Maha Shafqat, Michael A. Horst, Sukanya Srinivasan, Daniel J. Frayne, Lisa Schlar & Wendy Brooks Barr

Optimizing Interconception Care: Rationale for IMPLICIT Model

Authors: Scott Hartman, Elizabeth Brown, David Holub, Michael Horst, and Elizabeth Loomis

Clinician and Staff Perceptions of Barriers to Providing Contraception in Primary Care

Delivering Interconception Care During Well-Child Visits: An IMPLICIT Network Study

Authors: Sukanya Srinivasan, Lisa Schlar, Stephanie E Rosener, Daniel J Frayne, Scott G Hartman, Michael A Horst, Jessica L Brubach, Stephen Ratcliffe

Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study

Authors: Stephanie E Rosener, Wendy B Barr, Daniel J Frayne, Joshua H Barash, Megan E Gross, Ian M Bennett

Improving maternal care with a continuous quality improvement strategy: A report from the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network

Authors: Ian M Bennett, Andrew Coco, Janice Anderson, Michael Horst, Angela S Gambler, Wendy Brooks Barr, Stephen Ratcliffe

Efficiency of a two-item pre-screen to reduce the burden of depression screening in pregnancy and postpartum: an IMPLICIT network study

Authors: Ian M Bennett, Andrew Coco, James C Coyne, Alex J Mitchell, James Nicholson, Ellen Johnson, Michael Horst, Stephen Ratcliffe

4TM Publications

IMPLICIT Network: The 4th Trimester Program

Redefining Postpartum Care through an Innovative Model

Perinatal Mental Health Anxiety and OCD

Presented by: Priya Gopalan, MD, FACLP 01/29/2025

Pregnancy and Domestic Violence: Supporting Patients who Experience Domestic Violence

Presented by Mae Reale 11/19/2024

The Impact of Doula Care on Pregnancy, Delivery and Postpartum

Presented by: Dr. Sharee Livingston and Ashlee Heyward 11/6/2023

Opioid Use Disorder in Pregnancy

Presented by Caroline LaFave 11/16/2022

The 4th Trimester Model: A new approach to improving perinatal care

Authors: Amundam Mancho, MPH; Sara Peterson, BS; Lauren Cowen, MD; Alexandria Snow, MD; Rachel Bian, MD; Elizabeth Brown, MD; Dawn Pruett, MD and Scott Hartman, MD

Fourth Trimester Care: Timely Intervention for Postpartum Needs

Authors: Brianna Moyer, M.D.

ABFM Organizational Performance Improvement (PI) Project

What is an organizational PI?
Designed for organizations that support physicians in quality improvement efforts. Allows for approval for Organizational PI activities that will provide certification credit for any physician who is meaningfully participating, simply through attestation from the organizational sponsor.

What is the project?
Interconception Care (ICC) screening rates at Well Child Visits have declined by nearly 15% over the last 2 years, leading to decreased screening and interventions for maternal health risk factors. From January of 2022 to December of 2024, ICC was being done at 66% of Well Child Visits at participating IMPLICIT Network sites. Though our most recent ICC data shows that ICC is completed when mothers/birthing people (M/BP) are marked present 86.5% of the time, we assume there are WCVs where M/BP are present but not documented or screened, leading us to believe this rate may be lower than it seems.

Project Aim
Improve Interconception Care (ICC) screening and intervention rates at well child visits (WCVs) at IMPLICIT Network sites

How can I use this for my PI requirement?
Interested providers can find this project listed in the ABFM catalog under “IMPLICIT ICC QI Cycle.”

Both members and non members of the IMPLICIT Network may participate. For sites that are not currently IMPLICIT Network members there is a participation fee of $250.

Please complete this registration form (also found on the ABFM website): https://redcap.link/swn7xvqp

A member of the IMPLICIT Network staff will reach out to you to assist in starting your project.

Conference Submission Tables

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