EMBRACE Program Framework

Expanding subspecialty support beyond tertiary centers

• Virtual Maternal-Fetal Medicine (MFM) consultation and coordinated referral pathways
• Reduced delays in diagnosis, imaging and care planning
• Strengthened transfer agreements and maternal transport coordination
• 24/7 MFM consultation hotline for urgent cases
• Community-based ultrasound services with real-time remote reading and MFM interpretation
• Biomarker-based risk stratification to guide the care of patients with hypertensive disorders of pregnancy

What this means for providers

• Easier access to MFM expertise without requiring patient travel
• Clear referral and escalation pathways
• Ongoing collaboration with Nebraska Medicine and UNMC specialists for complex case management
• Employment of tools that will facilitate patients remaining in their community or promptly allow escalation of care before morbidity occurs

Postpartum Hypertension Systems of Care (STAMPP-HTN Program)

Systematic Treatment and Management of Postpartum Hypertension (STAMPP‑HTN) provides a structured, evidence-based framework for postpartum hypertension management. Details of the program include:

• Standardized, evidence-based postpartum hypertension protocols
• Remote blood pressure monitoring after discharge for 6 weeks postpartum
• Structured follow-up pathways to reduce adverse events
• Telehealth postpartum hypertension telehealth visits
• Automatic escalations for severe hypertension and worrisome symptoms

What this means for providers

• Clearer communication across prenatal, intrapartum and postpartum care
• Reduced variation in postpartum hypertension management
• Earlier identification in high-risk conditions

Learn more details about the STAMPP-HTN program.

Advancing preeclampsia risk assessment

• Access to evidence-based biomarker testing (sFlt 1/PIGF)
• Provider education on interpretation and clinical integration
• Planned expansion to partner sites to support equitable access
• Deployment of in-house biomarker testing to shorten turnaround times and support clinical decision-making

What this means for providers

• Improved diagnostic confidence for hypertensive disorders
• Standardized pathways for integrating emerging diagnostic into care

Continuous learning and system improvement

• Continued education and training for labor and delivery nurses and sonographers
• Multidisciplinary case review of maternal outcomes
• Identification of system-level improvement opportunities
• Translation of findings into education, protocols and practice change
• Training pathways, including an OB-GYN resident track and Family Medicine-Obstetrics fellowship to build Nebraska’s maternal health workforce

What this means for providers

• Actionable feedback without individual blame
• Participation in a statewide quality improvement and research network
• Support for tracking disparities and aligning care with best practices

In partnership with the UNMC College of Public Health and Brian Sims, PhD, MA, Director of the Center for Metrics and Evaluation, EMBRACE conducts stratified outcomes reporting by race, ethnicity, and geography, along with process and clinical outcome tracking. This work supports accountability, program refinement, and scholarly contribution.