Improving Care in California: Obstetric Hemorrhage and Maternal Hypertension

California has come a long way in addressing Severe Maternal Morbidity, but there is still work to do. Join Dr. Elliott Main and Christa Sakowski, RN of the California Maternal Quality Care Collaborative to see where we have been, where we are, and where we are going as a state. Learn the latest changes in the treatment of these leading causes of maternal morbidity and mortality and how to focus on improvement.


At the conclusion of this presentation, the participant will be able to

  • Know the impact of obstetric hemorrhage and maternal hypertension on morbidity and mortality
  • Describe the latest management guidelines for obstetric hemorrhage, severe hypertension, and preeclampsia
  • Understand the importance of debriefs, case reviews, process measures, and outcome measures in obstetric quality improvement


Click here to register. 

Date and Time

Thursday, July 7, 2022 from 11:00am – 12:00pm Pacific


Elliott Main, MD
Medical Director and Executive Committee Chair
California Maternal Quality Care Collaborative (CMQCC)

Elliott Main, MD is the Medical Director of the California Maternal Quality Care Collaborative (CMQCC) and has led multiple state and national quality improvement projects. He is also the Chair of the California Pregnancy-Associated Mortality Review Committee since its inception in 2006. For 14 years, he was the Chair of the OB/GYN Department at California Pacific Medical Center in San Francisco (which has 5,500 annual births with 103 OB/GYN physicians). He is currently a clinical professor of Obstetrics and Gynecology at Stanford University. Dr. Main has been actively involved or chaired multiple national committees on maternal quality measurement including those sponsored by the American College of Obstetricians and Gynecologists (ACOG), the American Medical Association (AMA), The Joint Commission, Leapfrog, and Centers for Medicare and Medicaid Services. In addition, he helps direct a number of national quality initiatives with ACOG, the CDC, and Maternal Child Health Bureau (HRSA) including the multi-state AIM project. In 2013, Dr. Main received the ACOG Distinguished Service Award for his work in quality improvement. 

Christa Sakowski, MSN, RN, C-ONQS, C-EFM, CLE
Clinical Lead 
California Maternal Quality Care Collaborative (CMQCC)

Christa Sakowski has worked in a variety of roles including perinatal nurse, nursing faculty, certified nurse-midwife, and nurse education specialist. This has provided her with experience in numerous settings from very low-risk women delivering at home to high-risk patients in tertiary care centers. She completed her BSN at The College of New Jersey in Ewing and her MSN at the University of Pennsylvania in Philadelphia. Christa has experience implementing CMQCC toolkits within a healthcare system and has been involved with CMQCC’s collaboratives since 2011.  In her role as Clinical Lead, she works directly with hospital teams, mentor nurses, mentor physicians, research partners, and the entire CMQCC staff to assess and improve care delivery in the state of California.  She has served as a task force co-lead and co-author of CMQCC Toolkits. Christa also engages with the rest of the country by working with state Perinatal Quality Collaboratives nationally and as the California nurse representative for the Alliance for Innovation on Maternal Health (AIM).

CE Notice

HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16793 for 1.0 contact hour.

Please contact CHPSO at info@chpso.org if you have any questions.