New Hampshire Perinatal Quality Collaborative-NHPQC

Who we are

The NHPQC represents a statewide network working collaboratively towards improving maternal and infant health care and outcomes in our state.

This graphic represents the broad stakeholders participating in our initiative:











The concentric circles within the state of NH represent the diverse group of stakeholders in each geographic region who are NHPQC members.

Our leadership structure includes a Core Co-design team (CCDT). The CCDT represents a broad range of stakeholders who met regularly to craft the NHPQC strategic plan.  They include OBGYNS,  doulas, a quality improvement specialist, community health workers, and parenting community members. They will continue to be the central leadership guiding the strategic direction of the NHPQC.


The New Hampshire Perinatal Quality Collaborative aims to build a patient-centered, data-driven, evidence-based, sustainable infrastructure to assure that every woman/birthing person, and infant receives high quality, safe care.

We support New Hampshire birthing communities with an integrated and collaborative approach to equitably improve health outcomes before, during, and after birth. We honor each person’s unique and transformative experience of childbirth.


All birthing people feel emotionally, psychologically, and physically safe as they experience caring, respectful, inclusive, high-quality care before, during, and after birth



1. Sustainable Infrastructure That Supports Ideal Birth Conditions for Everyone


  • All NH birthing communities communicate and convene regularly with active participation by a broad range of partners to address community perinatal priorities. This includes birthing people, community organizations, hospitals and all other participants*
  • All improvements to advance perinatal outcomes are community-driven, integrated and collaborative, and inclusive of all voices at either the organization, community, system, or policy level
  • All communities build and sustain processes, systems, and polices to support improved outcomes for all birthing people
  • Systems and policies are designed to support all participants’* wellbeing

2. Equitable, Safe, and Inclusive Practice


  • Provide education, tools, and resources for providers, organizations and communities to increase capacity for improving respectful care, patient centeredness, psychological safety, trauma-informed care, inclusion, effective communication, and cultural competence including reducing stigma, discrimination and bias.
  • Support systems change to promote best practices and implementation of evidence-based care

3. Women/Birthing People Are Supported and Have the Power To Make Informed Decisions


  • Women/birthing people and family members are provided with accurate and transparent information about best practices for high quality, safe, comprehensive reproductive health care. This includes miscarriage, bereavement, reproductive autonomy, and other pivotal decision points along the perinatal journey.
  • Providers and systems understand, and are able to, engage in effective communication, collaborative care, coproduction and shared decision making
  • Women/birthing people feel supported in their autonomy to make informed decisions about all their individual choices and care
  • Providers and systems acknowledge and address power dynamics between providers and birthing people and create authentic and equitable partnership

4. Data and Perinatal Health Outcomes Continuously Improve


  • Co-create a system for collecting NH data related to perinatal care and outcomes within 12 months
  • Co-develop shared metrics and evaluate progress annually
  • Collectively review current data to interpret meaning, identify trends and targeted areas for improvement, and share data with all partners in communities
  • Co-design and implement improvement projects grounded in these findings to improve perinatal care and quality for all
  • Continuously share evidence-informed practices to reduce inequities and improve safety and quality


Draft Initiatives and Activities Here: DRAFT Initiatives and Activities (Y1&2)


NH State of Maternal Health Report 2024


View our Monthly Newsletters!

June 2024 Newsletter

May 2024 Newsletter

April 2024 Newsletter

March 2024 Newsletter

Maternal Health Community Coalition Updates

Our first “wave” of coalitions will be Plymouth, Claremont, and Rochester.

As needed NHPQC support for the coalitions can include:

  • Identifying local perinatal partners/members for the coalition
  • Maintaining membership lists
  • Providing resources and literature about the most successful methods for coalition building
  • Scheduling first meetings
  • Conducting listening sessions with local birthing people
  • Creating a local perinatal resource map
  • Local process/referral network mapping
  • Emotional journey mapping with local moms
  • Holding webinars about ways to improve perinatal healthcare in NH

See our Plymouth Resource Guide here!


Contact us at:

General Email:

Director, Julie Bosak:

E:; P: (603)-653-1236

Sr. Coordinator, Stephanie Langlois:

E:; P: (603)-308-9469