A comprehensive solution requires connecting what is currently a very fragmented maternal health ecosystem and shifting the narrative of the conversation. Over the next four years, the Square Roots B40 Initiative will connect 40 member cities and states in order to streamline the sharing and dissemination of best practices, innovative solutions, and current evidence-based research regarding how to improve maternal and infant health outcomes. The primary goal of B40 is to improve pregnancy outcomes within member cities and states and to empower local governments to take ownership over the health of expectant mothers and their newborn babies within their communities.
This initiative explores new territory within the maternal health ecosystem, as current standards are focused at the institutional and clinical level without placing importance on action at the municipal or state levels. Building on a resolution on maternal health at the 2015 U.S. Conference of Mayors, Square Roots has identified 11 U.S. cities and states focused on improving maternal and infant health outcomes. Square Roots will be targeting other key cities nationally that are on the cutting edge of maternal health as leaders to emulate.
The B40 initiative provides community needs assessments and quantitative measures on the state of maternal and infant health in each member city and state. After the community needs assessments are conducted within each member city, local conferences will be held within those communities to share findings with the community.
Through this commitment, Square Roots is creating a multi-dimensional solutions blueprint based on these measures, which Square Roots calls the BIRTH Mark Framework, in order to give the inaugural 40 cities and states access to better maternal and infant health care systems and resources. Square Roots will customize the BIRTH Mark approach within each community based off the findings of their needs assessment. This system will provide member cities and states a technology platform and products to disseminate the most up-to-date information on pregnancy, labor, and delivery from the leading labs, hospitals, cities, and community health providers to community stakeholders and over a million pregnant women within the first year. The B40 coalition will also host summits during the four-year commitment to further collaborate between B40 members to share challenges as well as best practices.
By connecting cities and states with exemplary maternal and infant health outcomes to other cities in need of improvement in particular areas of maternal and infant health, B40 will streamline the ability to converse about common goals and to share and scale solutions to improve pregnancy outcomes. B40 is a continued shift towards cities and states as the natural coordinating and implementation points of greatest leverage for change. It is a move from individualism to dynamic coordination - and a new kind of organization that discovers, partners, and aligns into one complete system comprised of multiple factors and complementary components.
This commitment will be launched and executed over the next four years. By 2020 Square Roots aims to have partnered with 40 cities and state to incorporate the BIRTH Mark framework as a solution mechanism.
2016 through 2017 (Round One)
Round one of 10 cities and states will join and have access to the BIRTH Mark information and solutions portal as part of the B40 network. The network will connect to families in the community and deliver curated educational resources via bundled risk and individualized preference packages according to gestational age, condition, or interest/preference in labor options. By the end of round one, technology solutions and a free standardized birth plan mobile application will be implemented to expecting mothers and their families within the network city and state jurisdiction through various social marketing campaigns, targeted partnerships and a social movement. At the end of round one, measurement of baseline cities will be held to calculate best practices and improve upon solutions. Square Roots will organize a conference to convene all inducted cities and states in the network. The purpose of this conference will be to share emerging practices that combat health maternal and child disparities.
2018 (Round Two)
Utilizing principles of service design, the Square Roots team, comprised of maternal health industry leaders from clinicians to consumers, will work with each city and state to provide assessment and education to develop a comprehensive updated BIRTH Mark Framework blueprint that outlines strengths and goals for success for support of healthy birth in each community. In round two, Square Roots will also provide workflow data capture tools through mobile applications for nurses, community health workers, doulas, or other home visitation providers for personalized pregnancy monitoring and support. This innovation will enable enhanced pregnancy support that has been proven to improve outcomes - next generation Community Care Management. Furthermore, round two will induct 10 more cities and states that will follow the mentorship of previous network inductees. Based on targeted cities and states and per capital births, Square Roots estimates that participating jurisdictions will include approximately five million expecting mothers within the B40 network.
2019 (Round Three)
B40 network will continue to recruit 10 new city or state inductees with a CDC birth rate of 12.5 births per 1000 populations, and refine best practices with on going partnerships to find new solutions based off needs. In round three another conference will be held to convene all previous cities and states with new inducted cites and states. The purpose of this conference will be to follow up on actions and reevaluate best practices. Round three will be critical in evaluation of lives impacted and a reevaluation based on recommendations towards better outcomes to achieve towards round four.
2020 (Round Four)
Round four of B40 will emphasize the last mile of connectivity within the BIRTH Mark Framework, including information on educational resource availability and utilization, experience of care and clinical outcomes for all citizens during their pregnancy, providing insight into existing and new pregnancy improvement programs. Ten new cities and states will be inducted reaching the goal of 40 cities and states by 2020 within the pilot four-year plan. Data and impact will be evaluated to finalize a BIRTH Mark Framework playbook that is unique, innovative and evidence based in decreasing maternal and infant health disparities. B40 will be the first of its kind to disseminate dynamic tools that empower expecting mothers and their families to make more informed choices around planning for labor, birth and delivery.