Learn About Us

 

What We Do


We provide certified training for individuals with a "lived experience" – or those that represent them, maternal health organizations, and healthcare providers, to ensure a productive partnership and accepting culture is a part of all patient care and quality improvement practices.

Together, we're addressing cross-cutting issues such as quality and consistency of healthcare delivery, patient-provider communications, racial disparities, inadequate research funding, and other major contributors to poor health equity and adverse outcomes in pregnancy and the postpartum period.

If you or a loved one has experienced pregnancy or childbirth complications causing a near miss, loss, or severe morbidity, we invite you to JOIN US. Your experience can help improve maternal care for moms and babies.

Who We Are


MoMMA’s (Maternal Mortality and Morbidity Advocates) Voices, established in 2018, is the first-ever maternal-health patient-advocacy coalition to amplify the voices of those who have experienced pregnancy and childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes.

Mission


Our mission is to amplify the voices of people who have experienced pregnancy and childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes.

 

Vision


Mommas' voices are integrated as partners wherever maternal health improvements are needed.

 Our Team 

Nicole Purnell

Program Director

 

Bekah Bischoff

Program Manager

 

Rhonda Sims

Program Manager

 

Jennifer Mikenas

Program Coordinator

 

Daneille Dalberry

Admin Assistant

 

Press Releases

MoMMA's Voices Program Receives CDC Contract to Connect Patients to Maternal Health Quality Improvement Projects

MELBOURNE, Fla., Oct. 4, 2023  -- The Preeclampsia Foundation announced today that the Centers for Disease Control and Prevention (CDC) awarded new funding for its MoMMA's Voices program, a national coalition of patient advocacy organizations and individuals with "lived experience" – or those that represent them. This award will help MoMMA's Voices to expand their engagement with state perinatal quality collaboratives to ensure the patient voice is integrated into quality improvement projects, particularly those focusing on substance use disorder and maternal mental health.

 Maternal mortality rates in the United States are alarmingly high, with 32.9 deaths per 100,000 live births. This rate is ten times higher than in other high income countries and is increasing. A 2021 CDC report found that maternal mortality rate rose from 861 deaths in 2020 to 1,205 deaths in 2021.
 

 What's even more concerning is that 80% of these maternal deaths were deemed preventable. MoMMA's Voices goal is to bridge the gap between what happens to patients during their maternal health experiences and the quality improvement initiatives designed to improve that experience.  The program provides certified training for patient and family members with a "lived experience", maternal health organizations, and healthcare providers to ensure a productive partnership and a culture of patient inclusion is a part of all patient care and quality improvement practices.

"We are thrilled to receive this award from the CDC," said Preeclampsia Foundation Chief Executive Officer Eleni Tsigas. "This funding will allow us to expand our programmatic reach and ensure that the patient voice is authentically included in the development of quality improvement projects."

MoMMA's Voices continues to receive national attention for its integrated approach, which prioritizes deep partnership between providers and patients to create better care for all.

"We are developing an innovative, inclusive curriculum specifically designed to equip patient family partners with the skills and knowledge needed to successfully engage with these initiatives," said MoMMA's Voices Program Manager Nicole Purnell. She emphasized that focused outreach to historically marginalized populations will be critical to the success of the project.

The MoMMA's Voices program team will work in partnership with Abt Associates, a global consulting and research firm that specializes in evaluation, research, technical assistance and implementation. The partnership will further develop the evidence base for the inclusion of patient experiences in quality improvement. Training resources and tools will be co-designed by Tara Bristol Rouse, a Principal at Partnership Health Advisors and noted expert on healthcare quality, safety, equity, and patient experience.

For more information about MoMMA's Voices' training programs, please visit https://www.mommasvoices.org/

About the Preeclampsia Foundation and MoMMA's Voices

MoMMA's (Maternal Mortality and Morbidity Advocates) Voices, a program of the Preeclampsia Foundation, is the first-ever maternal health patient advocacy coalition established in 2018, to amplify the voices of people who have experienced childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes. The program is supported by a grant through Merck for Mothers. For more information, visit www.preeclampsia.org and www.mommasvoices.org.

Abt, HeathBegins, Preeclampsia Foundation Receive HRSA Contract to Advance Equitable Maternal Health Outcomes 
Rockville, Md. — The U.S. Department of Health and Human Services (HHS)—through the Health Resources and Services Administration (HRSA)— awarded an evaluation and technical assistance contract to Abt Associates. Abt Associates, together with subcontractors HealthBegins and the MoMMA’s Voices program of the Preeclampsia Foundation, will provide technical assistance and evaluation support to 36 HRSA-supported health centers who are implementing innovative approaches to holistic, patient-centric maternal care through HRSA’s Quality Improvement Fund – Maternal Health funding opportunity.
 
The Abt team will support health centers as they develop sustainable care models that can address individuals’ clinical, behavioral, and social needs—such as housing, food, transportation, and safety—that impact maternal health.

Designing the Process

Abt will bring decades of experience in participatory mixed-methods evaluation to lead the evaluation and technical assistance process, leveraging our experience addressing challenges across the social determinants of health. HealthBegins—with expertise in upstream quality improvement at varying levels of intervention and prevention to address health inequities—will advise on the evaluation and guide the technical assistance. MoMMA’s Voices will provide expert support to the health centers so they can effectively integrate patient voice in design, implementation, and evaluation.

“We understand a lot about what goes wrong in maternal health in the U.S., but we need to take an innovative approach to making it better,” said Abt’s Project Director Jodi Anthony. “That includes understanding health as part of a larger tapestry, and addressing it holistically alongside the social determinants of health, and this project allows us to do just that.”

“By integrating lived experiences into the training and evaluation process of this project, we ensure that patient voices are heard,” said Preeclampsia Foundation Chief Executive Officer Eleni Tsigas. “We must implement innovative processes to change how care is provided and received.”

"For decades, health centers have been at the forefront of the health equity movement in America," said Dr. Rishi Manchanda, chief executive officer at HealthBegins. "With this opportunity, we're excited to help these courageous leaders and care teams use our upstream quality improvement methods to refine and accelerate their efforts to advance maternal health equity in conjunction with patients and communities harmed by societal practices."


About Abt Associates
Abt Associates is a global consulting and research firm that combines data and bold thinking to improve the quality of people's lives. We partner with clients and communities to advance equity and innovation—from creating scalable digital solutions and combatting infectious disease, to mitigating climate change and evaluating programs for measurable social impact. https://www.abtassociates.com

About HealthBegins
HealthBegins is a national strategy and implementation firm that helps Medicaid-serving organizations to meet health care equity and social needs requirements and achieve long–term impact for people and communities harmed by societal practices. We have extensive experience working with health plans, health systems, and CBOs in developing clinical-community partnerships to integrate health and social care, address individual social needs, and improve community-level social and structural determinants of health equity. Learn more at https://healthbegins.org/

About the Preeclampsia Foundation and MoMMA’s Voices

MoMMA’s (Maternal Mortality and Morbidity Advocates) Voices, a program of the Preeclampsia Foundation, is the first-ever maternal health patient advocacy coalition established in 2018, to amplify the voices of people who have experienced childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes. The program is supported by a grant through Merck for Mothers. For more information, visit www.preeclampsia.org and www.mommasvoices.org.

MoMMA's Voices awarded new funding to further amplify BIPOC and other historically marginalized patient voices in maternal health

January 27, 2022 - The Preeclampsia Foundation announced today that Merck for Mothers has awarded new funding for its program, MoMMA’s Voices, a national coalition of patient advocacy organizations and individuals with "lived experience" – or those that represent them. Merck for Mothers is Merck’s global initiative to help create a world where no woman has to die while giving life.

With this new grant, MoMMA's Voices is preparing to engage hundreds of new patient and family partners (PFPs) across the U.S. in 2022. This program teaches both advocates and providers how to use the Lived Experience Integration™ framework to engage as partners wherever maternal health improvements are needed.

How the Lived Experience Integration™ and sharing of personal stories is making an impact:

○ Leads to a more focused commitment by quality improvement teams

○ Creates a culture of trust and acceptance between patients, families and providers

○ Reveals new solutions and insights through patient perspectives

○ Identifies confusing or missing pieces of processes

○ Assists in developing action plans and recommendations

○ Contributes to the content and design of materials

○ Pilots and tests new materials and processes

○ Expands research participation and information collection

The U.S. continues to face a maternal mortality crisis. According to the Centers for Disease Control and Prevention (CDC), at least 60% of these deaths are preventable. Black, Indigenous, and People of Color (BIPOC) are disproportionately affected. MoMMA's Voices is providing grant writing, execution, and reporting support specifically for BIPOC led organizations to build capacity to address this head-on. This effort will aim to increase BIPOC representation as patient and family partners nationwide.

“MoMMA’s Voices breaks down silos between maternal health organizations to amplify lived patient experiences that represent the voices of the women and their families affected by maternal health conditions,” said Eleni Tsigas, chief executive officer of the Preeclampsia Foundation. “The continued funding of our patient-centric work ensures patients continue to have a role in addressing the U.S. maternal health crisis.”

About MoMMA's Voices

MoMMA's (Maternal Mortality and Morbidity Advocates) Voices is the first-ever maternal health patient advocacy coalition established in 2018, to amplify the voices of people who have experienced childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes. This is a program of the Preeclampsia Foundation, a 501(c)(3) non-profit organization, and is supported by a grant through Merck for Mothers. For more information, visit mommasvoices.org and preeclampsia.org.

MoMMA's Voices and AIM launch the first-ever Lived Experience Integration™ into QI Community of Learning in 23 States

January 13, 2022 - MoMMA's Voices and the Alliance for Innovation on Maternal Health (AIM) have partnered to provide an enhanced integration of lived experiences into Quality Improvement (QI) initiatives to foster safe, respectful, and equitable care to pregnant and postpartum people.

“The integration of patients’ lived experience into quality improvement teams is critical to the success of our efforts to decrease maternal morbidity and mortality in the U.S.,” said AIM.

The Lived Experience Integration into QI Community of Learning training program is an eight-week educational series created by MoMMA’s Voices and funded by AIM. The program will run January to May 2022 and will serve three cohorts of 23 AIM state teams, territory teams, Indian Health Services facilities, and other healthcare entities.

During the eight-week AIM COL program, each cohort will learn how to effectively build a patient engagement culture centered on the Lived Experience Integration™, a concept developed by MoMMA’s Voices. The program teaches how to perform work that integrates patients and families with lived experience into patient safety bundle implementation and other QI initiatives.

“Partnering with AIM is an important milestone to amplify the patient voice for maternal healthcare improvements here in the United States,” said Nicole Purnell, Program Director of MoMMA's Voices. “Most importantly, the AIM COL program focuses on the inclusion of lower-resourced communities and special populations who we know are falling through the cracks of maternal healthcare in order to address healthcare disparities.”

MoMMA’s Voices offers certified training for patient family partners, organizations that represent them, maternal healthcare providers, and researchers to partner together effectively. The Lived Experience Integration™ is the framework that guides healthcare providers to partner and integrate the patient or family members’ “lived experiences” into their work. To keep patients at the center of quality improvement, providers and healthcare facilities are matched with certified patient family partners that best represent the communities they serve. Through these partnerships, the patient voice is used to improve maternal health outcomes.

About MoMMA’s Voices

MoMMA’s (Maternal Mortality and Morbidity Advocates) Voices is the first-ever maternal health patient advocacy coalition established in 2018, to amplify the voices of people who have experienced childbirth complications or loss - especially those who have been historically marginalized - ensuring they are equipped and activated as partners with providers and researchers to improve maternal health outcomes. This is a program of the Preeclampsia Foundation, a 501(c)(3) non-profit organization, and is supported by a grant through Merck for Mothers. For more information, visit mommasvoices.org and preeclampsia.org.

About AIM

The Alliance for Innovation on Maternal Health (AIM) is a national data-driven maternal safety and quality improvement initiative. AIM works through state teams and health systems to align national, state, and hospital level engagement efforts to improve overall maternal health outcomes. Based on proven safety and quality implementation strategies, AIM works to reduce preventable maternal mortality and severe morbidity across the United States. AIM is funded through a cooperative agreement between the American College of Obstetricians and Gynecologists (ACOG) and the Maternal and Child Health Bureau (MCHB)-Health Resource Services Administration through August 2023. For more information, visit https://safehealthcareforeverywoman.org/aim/.

Patients, Families, and Healthcare Providers Work to Change Maternal Health Summit to be Held Oct 2-3

MELBOURNE, Fla., July 28, 2020 -- The annual Champions for Change Summit, a forum for training maternal health advocates and patient/family partners, will take place October 2-3 as a virtual conference and will include a track for healthcare providers.

The annual event, hosted by MoMMA's Voices a coalition representing 19 maternal health organizations, brings together survivors and/or their family members to learn to advocate for improvements in care, policies, and outcomes in maternal health. This year's addition of a healthcare provider component is a to foster patient/family partners and healthcare providers working together.

"Often patients and families, who have experienced an adverse outcome or complication of childbirth, want to be part of the solution. Providers need their voice at the table," says Nicole Purnell, manager of MoMMA's Voices, "Likewise providers want to deliver quality care and often welcome patient/family partners but may not know how best to use them. That is where we come in - training (both parties) and matching them given their experiences and improvement initiatives."

At their recent national meeting, the National Network of Perinatal Quality Collaboratives (NNPQC) and the Alliance for Innovation in Maternal Health (AIM) announced their goal is for each state Perinatal Quality Collaborative to include two or more patient/ family partners, in their initiatives by January 2021.

"Thanks to a partnership with the Alliance for Innovation in Maternal Health (AIM), a cooperative agreement between the American College of Obstetrics and Gynecology and Health Resources and Services Administration (HRSA), the educational track for healthcare providers will showcase best practices and deliver practical tips and strategies for engaging patient/family partners and will host a patient as partners recruitment expo allowing providers to highlight their projects and recruit patient/family partners," added Purnell.

As a member of the NNPQC's Patient Family Advisory Committee, Purnell participated in the development of the Patient Family Engagement Driver Diagram, which defines the steps and processes for inclusion of patient/family partners in PQC leadership teams and serves as a living document in the quality improvement process.

For patient/family partners, the summit offers sessions on telling your story, how to work with the media, leveraging social media, participating in provider education, serving state, regional and national organizations, trends in maternal care, and understanding quality improvement projects.

Purnell Selected for National Quality Forum's Maternal Morbidity and Mortality Committee

MELBOURNE, Fla., Jan. 27, 2020 -- The Preeclampsia Foundation announced today that Nicole Purnell, program manager of MoMMA's Voices, has been selected to serve on the National Quality Forum's Maternal Morbidity and Mortality Committee as a patient advocate. While the majority of the committee's members are medical and scientific experts in maternal health, inclusion of patient and family partners is of extreme importance to the 14 maternal health patient organizations represented in the MoMMA's Voices coalition.

Driven by science, collaboration, measurement, and innovation, the National Quality Forum (NQF) fosters healthy multistakeholder collaboration to advance quality measures and improvement strategies that lead to better outcomes and greater value in healthcare. The U.S. is the only high-income country where maternal mortality is on the rise. Additionally, racial disparities are stark and persistent – a Black woman is three to four times more likely to die from a pregnancy or childbirth complication than a White woman, according to the Centers for Disease Control and Prevention (CDC).

The purpose of NQF's Maternal Morbidity and Mortality Committee's 24-month project include:

○Convening a multi-stakeholder committee of experts to advise and guide NQF's work;

○Development of an Environmental Scan Report on the quality measurement for maternal morbidity and mortality;

○Development of a Recommendations Report which will describe measurement frameworks for maternal morbidity and mortality.

MoMMA's Voices prime focus is training advocates to be engaged patient partners. Members speak to the media, participate in provider education, serve on state, regional and national organizations and serve in a variety of capacities to support improving maternal health. In Fall 2019, at MV's Champions for Change Summit 100 more patients were trained as advocates.

"We've worked hard to ensure the voice of the patient is at the table where decisions impacting maternal health are being made," says Purnell. "We commend NQF for including our voice in this important initiative."

A maternal health advocate based in North Texas, Purnell's life was tragically changed in 2005 when severe preeclampsia caused multiple organ failure and placenta abruption resulting in the stillbirth of her son at 34 weeks gestation. For 10 years, Nicole chaired the Dallas Promise Walk for Preeclampsia along with several other volunteer roles. Last year, she joined the staff at the Preeclampsia Foundation as the MoMMA's Voices Coalition Program Manager. She also serves on the Executive Committee of the CDC's National Network of Perinatal Quality Collaboratives (NNPQC).

Established in 2018, MoMMA's Voices is a national coalition of patient organizations and individuals with lived experiences or those who represent them, using their voice to reduce maternal complications in pregnancy and the postpartum period. This program is supported by a grant from Merck, through Merck for Mothers, the company's $500 million initiative to help create a world where no woman dies giving life. Merck for Mothers is known as MSD for Mothers outside the United States and Canada.

Preeclampsia Foundation, a U.S.-based 501(c)(3) organization established in 2000 whose purpose is to improve the outcomes of hypertensive disorders of pregnancy by educating, supporting and engaging the community, improving healthcare practices, and finding a cure. The Preeclampsia Foundation envisions a world where preeclampsia and related hypertensive disorders of pregnancy no longer threaten the lives of mothers and their babies. www.preeclampsia.org.

The National Quality Forum (NQF) works with members of the healthcare community to drive measurable health improvements together. NQF is a not-for-profit, membership-based organization that gives all healthcare stakeholders a voice in advancing quality measures and improvement strategies that lead to better outcomes and greater value. Learn more at www.qualityforum.org.

voice at the table," says Nicole Purnell, manager of MoMMA's Voices, "Likewise providers want to deliver quality care and often welcome patient/family partners but may not know how best to use them. That is where we come in - training (both parties) and matching them given their experiences and improvement initiatives."

At their recent national meeting, the National Network of Perinatal Quality Collaboratives (NNPQC) and the Alliance for Innovation in Maternal Health (AIM) announced their goal is for each state Perinatal Quality Collaborative to include two or more patient/ family partners, in their initiatives by January 2021.

"Thanks to a partnership with the Alliance for Innovation in Maternal Health (AIM), a cooperative agreement between the American College of Obstetrics and Gynecology and Health Resources and Services Administration (HRSA), the educational track for healthcare providers will showcase best practices and deliver practical tips and strategies for engaging patient/family partners and will host a patient as partners recruitment expo allowing providers to highlight their projects and recruit patient/family partners," added Purnell.

As a member of the NNPQC's Patient Family Advisory Committee, Purnell participated in the development of the Patient Family Engagement Driver Diagram, which defines the steps and processes for inclusion of patient/family partners in PQC leadership teams and serves as a living document in the quality improvement process.

For patient/family partners, the summit offers sessions on telling your story, how to work with the media, leveraging social media, participating in provider education, serving state, regional and national organizations, trends in maternal care, and understanding quality improvement projects.