Missouri Perinatal Quality Collaborative - Missouri Hospital Association (MHA) is pleased to apply for Component A of the Statewide Perinatal Quality Collaboratives, CDC-RFA-DP22-2207. As the lead agency of Missouri’s Maternal-Child Learning and Action Network (MC LAN), MHA is poised to leverage this funding opportunity to enhance the capacity, reach, and impact of the MC LAN’s initiatives. This project seeks to make measurable improvements in equitable perinatal health outcomes across Missouri, particularly in populations who experience health disparities such as Black and rural birthing people. By increasing personnel infrastructure, improving data collection and stratification across important Social Determinants of Health (SDOH), and integrating patient and family partners, the MC LAN seeks to achieve meaningful, sustained systemic change through quality improvement efforts across maternal-child health (MCH) stakeholders. MHA and the MC LAN have a proven track record of engaging Missouri birthing facilities in past and current quality improvement (QI) initiatives, and with increased capacity would engage additional facilities in new initiatives, including but not limited to Cardiac Conditions in Obstetric Care, Perinatal Mental Health Conditions, and Postpartum Discharge Transition patient safety bundles. In addition to increasing recruitment, the MC LAN will employ more robust data collection, analysis, and stratification, including capture of key social determinants of health and improved race, ethnicity, and language demographics to enable more specific interventions and reduction of health disparities. Finally, this funding opportunity will support increased engagement of patient and family partners in the work of the MC LAN. The MC LAN currently has a strong, diverse group of clinical and community-based organization partners. Patient and family partners will add diverse, lived experience perspectives and further inform QI efforts. MHA and the Core Leadership Team of the MC LAN have varied, relevant expertise to effectively, efficiently, and equitably implement the work plan and strategies proposed. With multi-sector partners and a strong data infrastructure, Missouri will build upon its four years of collaborative and evidence-based perinatal QI work to include a broader statewide reach. The MC LAN also has the structures and partnerships to ensure participatory evaluation of efforts and stakeholder dissemination of learnings to continuously improve and appropriately target efforts to maximize perinatal and population health outcomes.