The PREM-OB Scale®

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What is the problem with Black maternal and perinatal health and health care?

The impacts are staggering:

Obstetric racism persists and worsens under the veil of “standard of care” in hospital clinicians and staff blame Black mothers and birthing people for their disparate care, outcomes, and experiences.

Accreditation and credentialing organizations and professionals in community health, health care, public health, improvement science, implementation science, or data science do not endorse obstetric racism as an adverse event that creates and facilitates preventable and unjust harm exclusively against Black mothers and birthing communities.

Obstetric racism threatens obstetric patient safety during the provision of care to Black mothers and birthing people.

Disparate data systems and nonrelevant data create barriers to institutional alignment with and accountability to Black people focused and equity driven perinatal care experiences and outcomes.

Hospitals in the U.S. do NOT routinely keep Black women, girls, & gender expansive people and their loved ones safe during pregnancy, labor, birth, and postpartum.

What is the solution to the perinatal death and dying gap?

Birthing Cultural Rigor® in Perinatal QI requires a patient driven diagnosis using an institutional diagnostic tool to drive quality and equity through awareness, action, and accountability. Evolving the PREM OB Scale® suite to an easily accessible digital platform addresses seven QI pain points: ethics, knowledge, leadership, science, measurement strategies, data quality and accessibility, and community participation and partnership.

The Patient Reported Experience Measure of Obstetric Racism© (The PREM OB Scale® Suite) is a novel and valid survey tool created by Dr. Karen A. Scott, MD, MPH, FACOG and her team, to amplify and improve Black birthing experiences and outcomes during childbirth hospitalization through awareness, action, and accountability.

Developed for, by, and with Black mothers and birthing people in dignified partnerships with Black women community leaders and scholars, the PREM-OB Scale® Suite is the first and only quality improvement metric designed to provide an evidence-based evaluation of the presence, permeation, and magnitude of obstetric racism during childbirth hospitalization. As a novel national data repository of exclusively Black birthing experiences in hospital settings, the Digital PREM-OB Scale® facilitates greater user access and provides, previously unavailable, experiential data insights to benefit Black mothers, Black birthing communities, Black birth workers, advocates, activists, and professionals in perinatal health, rights, and justice, social sciences, medical humanities, community health, health care, public health, public policy, health care financing, improvement science, implementation science, dissemination science, and data science.

The PREM OB Scale® Suite offers three independent valid measures, Humanity, Kinship, and Racism, that characterize the impact of the quality of hospital-based services on patient experiences through the perspectives of Black mothers and birthing people. The hospital policies and practices that govern the quality and safety of care provision during childbirth hospitalization can now be evaluated by Black mothers and birthing people through the application of the Digital PREM OB Scale® Suite.

Click here to complete our client intake form if you are interested in utilizing the PREM-OB Scale®️ through paid collaboration or consultation to evaluate obstetric quality and patient safety of childbirth hospitalization among Black women and gender expansive individuals.

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