Tennessee Initiative for Perinatal Quality Care (TIPQC)

Improving prenatal care in Tennessee


The Tennessee Initiative for Perinatal Quality Care (TIPQC) began with Dr. Judy Aschner (former Director, Neonatology) presenting to the State Perinatal Advisory (PAC) governing board and TennCare in June 2007 to promote collaborative statewide inter-institutional quality improvement projects designed to improve perinatal outcomes in Tennessee. TIPQC is funded through a grant awarded from the State of Tennessee through TennCare, with federal additional matching funds through the Department of Health (TDH). 

The mission of TIPQC is: To improve health outcomes for mothers and infants in Tennessee by engaging key stakeholders in a perinatal quality collaborative that will identify opportunities to optimize birth outcomes and implement data-driven provider- and community-based performance improvement initiatives.    

TIPQC Goals include

  • Establish a statewide perinatal database
  • Foster state-wide quality improvement initiatives to reduce mortality and morbidity associated with premature birth and low birth weight
  • Promote system changes by provider organizations to increase use of evidence based clinical practices for obstetric and NICU patients (website)

TIPQC has grown rapidly through free membership to include 1,733 list serve members, with 58 hospitals and 80 teams participating in Improvement Projects throughout the years. TIPQC comprises volunteer members who engage in quality improvement projects in local hospitals, clinics, and physician practices to improve the quality of care for mothers and infants across Tennessee.

TIPQC strategies include

  • Teach QI Methodologies
  • Share data and processes, not just best practices (transparency)
  • Build an infrastructure for data collection
  • Break out of the medical model: partner with TDH, payers, governmental and non-governmental advocacy and community groups  
  • Develop partnerships across the perinatal care spectrum
  • Develop and implement methods that integrate families into the quality agenda

TIPQC members vote on and develop projects. TIPQC credits its success to: highly motivated stakeholders, medical community improvement need, changing healthcare landscape, highly skilled staff, robust and flexible data collection and report analysis, successful QI curriculum, professional development opportunity including MOC and CME, good will and good relationships with stakeholders, measures and improvement projects that matter, and volunteer leadership at the local level.

For a list of projects and results, Quality online training modules, and meetings, please visit the TIPQC website.