IMPLICIT Network - An FMEC Collaborative


IMPLICIT Network - An FMEC Collaborative

IMPLICIT: Interventions to Minimize Preterm and Low birth weight Infants through Continuous Improvement Techniques

"Preventing prematurity one woman at a time"

Our multi-center collaboration (IMPLICIT Network- An FMEC Collaborative) is dedicated to enhancing preconception, prenatal, postpartum and interconception care. Conceived in 2003, the Networkwas developed toeducate family medicine residents and practicing physicians about primary and secondary prevention of low birth weight and preterm birth, with the goal of reducing the rates of preventable prematurity.

Using a set of evidence-based prenatal and preconception interventions, network residencies restructured curriculum and practice habits to insure use of these interventions using Continuous Quality Improvement (CQI) techniques, including frequent chart reviews and ongoing provider feedback. Ournineteen collaborating members have trained over 500 residents, and have delivered (using an average of 100 patients per year in each site) more than 13,000 babies, with an average network preterm birth rate of less than 10% (as of 2012).

u.8.IMPLICIT Logo.jpgThe next exciting phase of the project is enhancing women's health by focusing on health behaviors during the interconception period (time between pregnancies). Our interconception care (ICC) model offers a unique evidence based approach by targeting women who accompany their children to well child visits and uses that opportunity to assess risks and deliver interventions.

We welcome new practices to join the network, as we are in the process of sharing successful interventions and process changes with the medical community at large.

  • Read our provider brochure to learn more about the group's work with IMPLICIT and ICC.
  • Look at our network's data and results, our peer-reviewed publication in the Journal of American Board of Family Medicine, and our scientific poster for the 2014 North Amierican Primary Care Research Group (NAPCRG) Annual Meeting.
  • If you are ready to do quality improvement with women and children check out the interventions at a glance for IMPLICIT and for ICC.u.8.BBB.jpg

If you are looking for more information regarding preconception health, please visit the National Preconception Health and Health Care Initiative's website: The clinical toolkit is a great resource help providers meet patients' needs and incorporate preconception health into the routine care of women of childbearing age.

Make a Contribution

Join this project as:     As an individual     As an organization

For more information contact:

Stephen D. Ratcliffe, MD, MSPH

Jessica Brubach