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Application
The following application components must be completed before your project team will be approved to participate in this inter-institutional QI project:
- STEP 1: Designate key project team members
- STEP 2: Designate data access rights
- STEP 3: Designate additional project team members
- STEP 4: Obtain necessary signatures
It should be noted that execution of the TIPQC Participation and Data Use Agreement (DUA) with TIPQC is required prior to approval of your facility for this project application. Many facilities have already completed this step. It is only required once and is applicable to all projects.
It is recommended that the “day to day” project team member (i.e. key contact person) complete this application.
Project Aim
To promote safe vaginal delivery for ALL in the birthing population presenting with a nulliparous, term, singleton, vertex pregnancy (NTSV) and thus decrease NTSV cesarean delivery rates to <23.6% (Healthy People Goal 2030)[9] in all participating Tennessee birthing facilities by Summer 2024. This project will include a special focus on the BIPOC (Black, Indigenous, and People of Color) population which data shows has greater disparities in this outcome.
Target Population
Nulliparous birthing patients with a term, singleton baby in a vertex presentation.
- Nulliparous = first delivery/birth or Para Zero (Para Zero defined as no history of a previous pregnancy that reached at least 20 weeks gestation)
- Term = ≥37 weeks gestation,
- Singleton = no twins or beyond,
- Vertex position = Cephalic position; no breech or transverse positions.
This population is also known as the NTSV population.


Hospital Teams
- Ascension St Thomas Midtown*
- Ascension St Thomas Rutherford
- Ballad Health Bristol Regional Medical Center
- Baptist Memorial Hospital – Union City
- Baptist Memorial Hospital for Women*
- Baptist Memorial Hospital Tipton
- Cookeville Regional Medical Center
- Cumberland Medical Center
- Erlanger East
- Erlanger Health System
- Fort Sanders Regional Medical Center
- Franklin Woods Community Hospital
- Greeneville Community Hospital
- Hardin Medical Center
- Indian Path Community Hospital
- Jackson Madison Co. General Hospital
- LeConte Medical Center
- Maury Regional Medical Center
- Methodist Medical Center Oak Ridge
- Morristown Hamblen Healthcare System
- Newport Medical Center
- Niswonger/Johnson City Medical Center
- Parkwest Medical Center
- Regional One Health*
- Riverview Regional Medical Center
- Stonecrest Medical Center*
- Sumner Regional Medical Center
- Tennova North Knoxville Medical Center
- Tristar Centennial Medical Center*
- Tristar Horizon Medical Center
- Tristar NorthCrest Medical Center
- University of Tennessee Medical Center*
- Vanderbilt University Medical Center
- Vanderbilt Tullahoma-Harton Hospital
- West Tennessee Healthcare Dyersburg Hospital
- West Tennessee Healthcare Volunteer Martin Hospital
- *Pilot Teams
QI Project Guidance
Resources
Maternity Safety and Quality in Cesarean Delivery
Infomercial
If you missed the infomercial kickoff, view below:
Promotion of Safe Vaginal Deliveries with Dr. Danielle Tate