The OB Initiative (OBI) will host our SemiAnnual Meetings in April and November each year. These meetings are opportunities to gather the community of OBI hospitals. OBI is hosting our own meetings separate from the Michigan Value Collaborative (MVC) in 2019. Attendance at our two meetings is part of participating in OBI.

Save the Date!!


november 15, 2019 Weber's Inn, Ann Arbor

9am - 3:00pm

3050 Jackson Ave, Ann Arbor, MI 48103

Weber’s Inn is offering discounted hotel rooms for $98 a night. Weber's Hotel Room Reservations: Make reservations under the Obstetrics Initiative Meeting Room Block go to Weber's Hotel Room Reservations and enter your arrival & departure dates and NURS111519 in the group code field before clicking on “check availability” and the rooms for this block will be available for you to reserve online or call Weber's direct at 734-769-2500 or 800-443-3050. 


friday, march 27, 2020 The kensington hotel, Ann Arbor

3500 S State St, Ann Arbor, MI 48108

Want to book your room at the reduced rate of $109 a night? Book here.

Friday, November 2020 Grand Rapids or Traverse City, MI

Past Meetings

april 12, 2019: Weber's Inn, Ann Arbor

9:30 am - 2:45 pm, Meeting Agenda

Meeting Objectives 1. Discuss staff and community engagement techniques, interdisciplinary curriculum that aims to reduce cesarean delivery by focusing on labor support methods and nonpharmacologic pain management. 2. Discuss hospital-peer respective plans to implement the Option A OBI Checklist & the Option B Promoting Spontaneous Progress in Labor Bundle.   3. Review practical strategies to guide your hospital team in your implementation strategies to support vaginal birth and reduce cesarean delivery for low risk births

Elisabeth Howard, PhD, CNM, FACNM was our keynote speaker. Dr. Howard is an Associate Professor of Obstetrics and Gynecology, Director for the Division of Nurse Midwifery in the Department of Obstetrics and Gynecology at Brown University Women and Infants Hospital. Dr. Howard presented on her staff and community engagement techniques, interdisciplinary curriculum that aims to reduce cesarean delivery by focusing on labor support methods, and nonpharmacologic pain management. Presentation slides.

Following lunch, David Miller, MD, MPH Director of the Michigan Urological Surgery Improvement Collaborative (MUSIC) and Arvin George, MD spoke on the power and successes of Collaborative Quality Initiatives (CQIs). Established in 2011, MUSIC is a consortium of 44 urology practices and over 250 urologists from across Michigan aiming to improve the quality and cost-efficiency of prostate cancer care. Dr. Miller was also one of the founding directors of the Michigan Value Collaborative (MVC). In addition to his CQI work, his clinical practice focuses on the diagnosis and management of patients with prostate and kidney cancer and he serves as the chief clinical officer for the Michigan Medicine University Hospital and the Frankel Cardiovascular Center. Dr. George is an Associate Professor of Urology at Michigan Medicine. He is a Urologic Surgeon specializing in the diagnosis and management of genitourinary cancers.  Dr. George’s clinical practice includes both surgical and non-operative management of prostate, kidney, ureteral, testicular, and bladder cancers. Presentation slides.

In the afternoon, OBI hospital representatives: Katie Pemberton, BSN from Metro Health and Cheryl Larry-Osman, RN, MS, CNM from Henry Ford Hospital presented their respective plans to implement the Option A OBI Checklist and the Option B Promoting Spontaneous Progress in Labor Bundle.  Then OBI Directors, Lisa Kane Low, PhD, CNM, FACNM, FAAN and Elizabeth Langen, MD led a coaching session, entitled “Implementation Strategies: Getting Off to a Good Start.” This was an opportunity to engage in conversation as a Collaborative and address questions about barriers and opportunities for implementation at your hospital.

Katie Pemberton, BSN, Metro Health Option A Presentation Cheryl Larry-Osman, RN, MS, CNM, Henry Ford Hospital Option B Presentation

OBI prepared folders for our meeting participants of some key documents.

CME is available

You will need to create a MiCME account if you wish to claim CME credit. Please follow these instructions to set up an account. You will need to complete the CME survey following the meeting (up to 6 months after) in order to receive the credits.


November 2, 2018: Schoolcraft College, Livonia

OBI Meeting Agenda

OBI Program Director, Daniel M. Morgan, MD gave an update on OBI progress to date as well as a brief introduction to OBI’s 2019 Strategy to the joint MVC OBI audience.

OBI Program Directors Daniel M. Morgan, MD, Elizabeth Langen, MD, and Lisa Kane Low, Phd, CNM presented OBI’s 2019 Strategy and P4P measures, “How Optimizing Care & Support in the First Stage of Labor Can Reduce the Primary Cesarean Delivery Rate”.

OBI Hospital Panel: Implementing Best Practices for Management of Latent Labor at Your Hospital

  • Patient Education (shared decision making), Gayle S. Moyer, MD & Ruby Shapiro, MSN, RN, St. Joe’s Ann Arbor

  • Labor Partnership/Birth Plan, Megan Danielson, PhD, CNM, Bronson Women’s Hospital

  • Labor Management and Support, & Coping with Labor, Joanne Bailey, CNM, Von Voigtlander Women's Hospital

  • Labor Lounge, Rachel Breman, MSN, MPH, RN, PhD, Medstar Washington Hospital Center

April 20, 2018: Radisson Hotel, Lansing

OBI Program Director, Daniel M. Morgan, MD gave an Update on the Obstetrics Initiative

OBI was thrilled to have Susan Garpiel, RN, MSN, CNS, C-EFM, Director of Perinatal Clinical Practice at Trinity Health as our first OBI speaker.  “Reducing Cesarean Deliveries for Low-Risk Pregnancies: Overcoming the Resistance to Change. Be the Change Leader!”.

She also hosted an afternoon breakout session entitled, “Continuing the Conversation: How Trinity Health Implemented the Safe Prevention of the Primary Cesarean Delivery Bundle.” 

Questions: Contact Sue at