Understanding the CDC Level of Care Assessment Tool (LOCATe) for Maternal and Neonatal Health

Risk-appropriate care is crucial for optimizing health outcomes for both pregnant women and their infants. This approach ensures that individuals with complex medical needs receive specialized care in facilities equipped with the necessary expertise and technology. Conditions such as severe cardiac issues in mothers or premature births before 32 weeks in infants necessitate a higher level of medical attention.

However, a lack of uniformity in defining and monitoring these levels of care across different states has been a significant challenge. To address this, the Centers for Disease Control and Prevention (CDC) developed the Cdc Level Of Care Assessment Tool (LOCATe). This standardized tool is designed to assist states in consistently evaluating the levels of maternal and neonatal care provided by healthcare facilities.

Introducing CDC LOCATe: A Standardized Approach to Care Assessment

CDC LOCATe is a valuable resource for states and jurisdictions aiming to implement standardized assessments of maternal and neonatal care levels. This tool is meticulously crafted, drawing upon the most current guidelines and policy statements from leading professional organizations, including:

  • American Academy of Pediatrics (AAP)
  • American College of Obstetricians and Gynecologists (ACOG)
  • Society for Maternal-Fetal Medicine (SMFM)

By leveraging these established standards, CDC LOCATe ensures that assessments are evidence-based and reflect the best practices in maternal and neonatal healthcare.

The CDC LOCATe Process and Data Utilization

Image alt text: CDC LOCATe process infographic illustrating the steps of building support, data collection using the tool, data analysis and results sharing, and how states can utilize CDC LOCATe data for maternal and neonatal healthcare improvement.

The implementation of CDC LOCATe typically involves state champions – agencies or organizations already working with hospitals – who guide facilities through the process. This process encompasses several key stages:

1. Building Support for Participation

  • Collaboration is Key: Identifying and engaging relevant collaborators is essential to encourage healthcare facilities to adopt CDC LOCATe.
  • Statewide Engagement: Building strong relationships and fostering cooperation are crucial steps towards achieving comprehensive statewide participation in the assessment process.

2. Data Collection Using the Tool

  • Web-Based Accessibility: The CDC LOCATe web link is distributed to facilities, providing easy access to the assessment tool.
  • Proactive Follow-Up: Consistent follow-up with facilities ensures timely responses and maximizes data collection efforts.

3. Data Analysis and Results Sharing

  • Centralized Data Submission: Participating states securely submit collected data to the CDC.
  • Expert Assessment: The CDC conducts a thorough assessment of maternal and neonatal care levels based on the submitted data.
  • Confidential Results Reporting: The CDC provides states with detailed results, which can be strategically used and shared at the state’s discretion to inform improvements.

Leveraging CDC LOCATe Data for Enhanced Healthcare Strategies

The standardized assessments generated by CDC LOCATe provide states with actionable insights. States gain a clear understanding of the levels of care offered by each facility and the overall distribution of essential staff and services across the state.

Furthermore, by integrating CDC LOCATe data with other public health data sources, states can perform in-depth analyses to explore the correlation between levels of care, service volumes, and patient health outcomes. This comprehensive data analysis can be instrumental in developing targeted strategies for healthcare improvement.

Who Should Utilize CDC LOCATe?

CDC LOCATe is specifically designed to empower public health decision-makers. It fosters informed discussions and collaborations among key stakeholders involved in risk-appropriate care, such as:

  • State and Local Public Health Departments: To guide policy and resource allocation.
  • State Perinatal Quality Collaboratives (PQCs): To drive quality improvement initiatives in maternal and neonatal care.
  • Hospital Associations: To support member hospitals in enhancing their service delivery.
  • Healthcare Providers in Maternal and Neonatal Care: To facilitate continuous professional development and service improvement.

The findings from CDC LOCATe serve as a valuable starting point for collaborative dialogues focused on improving health outcomes for women and infants across the state.

Access to CDC LOCATe is Free

Participation in and utilization of CDC LOCATe is offered at no cost. For those interested in learning more or participating in CDC LOCATe, inquiries can be directed to [email protected].

Further Resources on CDC LOCATe and Levels of Care

View Participating States and Success Stories

Frequently Asked Questions About CDC LOCATe

Reference Documents:

Levels of Neonatal Care from the American Academy of Pediatrics

Levels of Maternal Care from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine

LoMC Levels of Maternal Care from the American College of Obstetricians and Gynecologists

Maternal and Neonatal Risk-Appropriate Care: Gaps, Strategies, and Areas for Further Research

Levels of Neonatal Care Among Birth Facilities in 20 States and Other Jurisdictions: CDC Levels of Care Assessment Tool (CDC LOCATe)

Summary of Neonatal and Maternal Transport and Reimbursement Policies—a 5-Year Update

Seven Years Later: State Neonatal Risk-Appropriate Care Policy Consistency with the 2012 American Academy of Pediatrics Policy

CDC LOCATe: Discrepancies Between Self-Reported Level of Maternal Care and LOCATe-Assessed Level of Maternal Care Among 463 Birth Facilities

Maternal Transport: An Opportunity to Improve the System of Risk-Appropriate Care

Levels of Maternal Care Verification Pilot: Translating Guidance Into Practice

Implementing CDC’s Level of Care Assessment Tool (LOCATe): A National Collaboration to Improve Maternal and Child Health

Levels of Medical Care for Your Newborn from the March of Dimes

Service Marks:

CDC LOCATeSM and CDC Levels of Care Assessment ToolSM are service marks of the U.S. Department of Health and Human Services.

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