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.


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

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

We are pleased to have Elisabeth Howard, PhD, CNM, FACNM as 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 will present her staff and community engagement techniques, interdisciplinary curriculum that aims to reduce cesarean delivery by focusing on labor support methods and nonpharmacologic pain management.

Following lunch, David Miller, MD, MPH Director of the Michigan Urological Surgery Improvement Collaborative (MUSIC) and Arvin George, MD will speak 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.

We will also have two panels of OBI hospital representatives present their respective plans to implement the Option A OBI Checklist and the Option B Promoting Spontaneous Progress in Labor Bundle.  This is an opportunity to engage in conversation as a Collaborative and address questions about barriers and opportunities for implementing this program.

CME is available

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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.

The certificate will be emailed to you. Sometimes attendees do not receive their CME certificate via email due to email servers blocking that email message. Contact the CME office and ask them to provide your attendee with a copy of their certificate.

Need to stay overnight in Ann Arbor?

A limited number of hotel rooms have been reserved at a discount rate ($98/night for a king or two doubles) for attendees. To make reservations under the U of M Obstetrics Initiative Meeting Room Block go to Weber's Ann Arbor Room Reservations and enter your arrival & departure dates and NURS2019 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 at (734) 769-2500 to directly book with their reservations department. 

Want to Register or have Questions?

Please contact OBI Program Coordinator, Evalyn Yanna at

november 15, 2019: Save the Date!! lyon meadows conference center, New Hudson

9am - 2:30pm

Lyon Meadows Conference Center 53200 Grand River Ave New Hudson, MI 48165


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