Table 1.

Preliminary and Selected Measures for PNQIN MA Maternal Equity Bundle from Literature Review, Expert Interviews, and Equity Workgroup Review

	Structure	Process	Outcome
Candidate Measures	Antiracism Statement Standardized Debrief System Practical Patient Reported Experience Measures (PREMs) in Place* Race, Ethnicity and Language (REaL) Data Dashboard Mandated Anti Racism Training Community Engagement Universal Social Determinants of Health (SDOH) Screening System for Reporting Racism & Discrimination Equity Team	% Staff Trained in Bias and Respectful Care† % Patients Screened for SDOH % Patients administered a PREM at discharge Frequency staff review outcomes and dashboard % Perinatal Care Standard Met by REaL: Obstetric Hemorrhage Risk Assessment, Quantitative Blood Loss (QBL) use, Timely Treatment for Hypertension, Coordination and Transitions of Care, Shared-Decision Making	SMM 20/21 Rates by REaL30 PREMs Respectful Care Index (MADM/MORi) by REaL Exclusive breastfeeding at discharge by REaL VBAC, NTSV cesarean rates, unexpected NICU admission, newborn mortality, and postpartum readmission rates
Selected Measures	1 Equity Team 2 Equity Goals 3 REaL Data Collection by Self-Report 4 Data Disaggregation by REaL 5 PREMs	6 % Staff Trained in Bias and Respectful Care† 7-9 % Perinatal Care Standard Met by REaL: 1)Obstetric Hemorrhage Risk Assessment, 2)QBL use, 3)Timely Treatment for Hypertension	10 SMM 20/21 Rates by REaL

^*PREMs suggested include the Mothers on Autonomy in Decision Making (MADM), Mothers on Respect Index (MORi), Birth Satisfaction Scale, Everyday Discrimination Scale, Discrimination in the Medical Setting Scale, the Press Ganey and Jackson-Hogue-Phillip Scale

^†Training suggested include the Institute of Perinatal Quality Improvement (PQI) SPEAK UP Against Racism training, National Birth Equity Collaborative training, Harvard Implicit Association Test, Diversity Science, Cultural Maternity Care, March of Dimes and Office of Minority Health training