Stepping up safety and teamwork for perinatal care, starting in communities.

  • We are QI experts who focus on community-based perinatal care models.
  • We offer tools, coaching, and community for leaders working toward excellence and equity in maternal and perinatal health in all care settings.
  • We do it because we can have safe and respectful care everywhere, if we work together.

Get the latest news and updates about Step Up Together resources, drill kits and programs.

Is your staff trained in intermittent auscultation?

Primary Maternity Care and the Institute for Perinatal Quality Improvement (PQI) have partnered to offer a special Step Up Together® edition of Intermittent Auscultation Simulation-Based Education—a virtual course designed for nurses, midwives, paramedics, physicians, and other clinical team members committed to providing safe, patient-centered care during labor.

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Our Offerings

Whether you are looking to do it yourself or need loads of support, Step Up Together can help you meet your goals for safety, teamwork, and respectful care for all.

Tools
Tools

Drill Kits

Easy-to-use, modular Drill Kits have everything you need to plan, run, and debrief a drill for a clinical emergency that involves a transfer from a community-based setting to a hospital.

Explore Drill Kits
Tools + Community
Tools + Community

Focused Action Cycles

Meet with Step Up Together Faculty and a team of practices and facilities around the country to kick off a drill cycle, run the drill in your own community using the Drill Kit, then participate in one of our signature Community Debrief sessions to benefit from the implementation experience of other teams.

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Tools + Community + Coaching
Tools + Community + Coaching

Action Collaboratives

Get ongoing coaching and implementation expertise from Step Up Together Faculty as you undertake a Full Transfer Drill as part of a cohort, participate in multiple Community Debriefs, and translate learnings into quality improvement initiatives.

Explore Action Collaboratives

What is Step Up Together?

  • QI Experts

    We are QI experts who focus on community-based perinatal care models.
  • Tools, community & coaching

    We offer tools, coaching, and community for leaders working toward excellence and equity in maternal and perinatal health in all care settings.
  • Working together for safe & respectful care

    We do it because we can have safe and respectful care everywhere, if we work together.

Featured Blog Posts

What We Learned from Our First Open Community Debrief: Practicing Intrapartum Transfer for Fetal Bradycardia

On March 2, Step Up Together launched our new Quarterly Community Debriefs with a discussion focused on First Stage Fetal Bradycardia and intrapartum transfer from community settings. Community Debriefs are 60-minute sessions that bring together professionals across the maternity care system—community midwives, hospital teams, EMS personnel, educators, and quality improvement leaders—to reflect on what happens

No More Silos: A Unified Response to Maternal Emergencies

Perinatal emergencies are the classic “low-frequency, high-acuity” challenge for EMS: they’re uncommon enough that confidence and muscle memory can fade, but when they happen, the stakes are large: two patients, rapidly changing physiology, and a system that has to coordinate fast from dispatch to the receiving hospital. Step Up Together® bridges the gap between silos.