EMBRACE Program Framework
Explore the four pillars of the EMBRACE maternal health transformative program.
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
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
The UNMC Center for Metrics and Evaluation (CME) provides data, research and evaluation support to EMBRACE. Using a combination of evidence-based evaluation frameworks and approaches in Public Health and Medicine, CME partners with EMBRACE leadership and community partners to ensure quality improvement, drive performance outcomes measurement, and translate evaluation insights into actionable recommendations for maternal child health promotion in Nebraska and beyond.
