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SPEAK UP – Implicit and Explicit Bias Virtual Training – Safe Deliveries Roadmap

October 26, 2020 @ 9:00 am - 1:00 pm


October  27 @  9:00 am – 1:00 pm

Additional Dates are November 17 & 18 from 9:00am – 1:00pm

Nationally, a Black woman is 3 to 4 times more likely to die of pregnancy-related complications than a white woman. In Washington state, a Hispanic woman is 2 times and an American Indian or Alaskan Native woman is 6.5 times more likely to die than a white woman. Research shows that inequities in outcomes are primarily due to differences in how women are treated within the health care setting based on race (racism).
Implicit and Explicit SPEAK UP Training happens during 2 half day interactive virtual sessions that outline strategies to help individuals and groups dismantle racism, provide quality equitable care, and reduce health disparities.

Target Audience
Healthcare professionals with a passion for eliminating disparities who support and care for women before, during and after pregnancy or care for newborns.
We are asking each hospital to identify 1-4 individuals within your organization that will be champions in leading this work. We strongly recommend teams include at least one staff nurse. Please use this link to submit individual name(s) and contact information. We will then send detailed information and a registration link for the event to each person. For those members of the Washington State Perinatal Collaborative or Maternal Mortality Review committees, please use the same link to
submit for registration.



Conference Objectives

01 – Background Knowledge

        Describe factors that contribute to perinatal disparities based on a social justice framework.

02 – Improvement Science

 Outline quality improvement strategies and tactics for eliminating implicit and explicit bias when caring for women before, during, and after pregnancy.

03 – Action Plan

Develop a quality improvement action plan for ensuring quality in perinatal outcomes.


Quotes from 2019 & 2020 Conference Participants
“Eye opening!”
”I will continue to check myself and speak up when I see bias.
Excellent training! Thank you!”
“Great training. Very helpful and empowering!”
Debra Bingham, DrPH, RN, FAAN
Renée Byfield, MS, RN, FNP, C-EFM



Meet the Presenters


Debra Bingham, DrPH, RN, FAAN, has over 30 years’ experience in Maternal Child Health Nursing, a master’s degree in perinatal nursing from Columbia University, and a doctorate in Public Health from the University of North Carolina-Chapel Hill. Most of Debra’s career has been spent working in hospital leadership positions at the front lines of healthcare which included 5 years as the Director of Maternal Child Health Nursing for 2 union hospitals in New York City.

Dr. Bingham was the first Executive Director of the California Maternal Quality Care Collaborative (CMQCC) during which she helped form the California Pregnancy-Associated Mortality Review (CA-PAMR) committee, co-authored the Obstetric Hemorrhage Toolkit and the Elimination of Elective Deliveries Prior to 39 Weeks Toolkit, and launched the first CA-Obstetric Hemorrhage Multi-Hospital Collaborative. Debra’s work was instrumental in the reducing maternal mortality by 50% in the state of California.

Dr. Bingham held the position of Vice President of Research, Education, and Practice for the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) from 2010-2016. During these years she led the development and launch of the multi-region Postpartum Hemorrhage Project, the Women’s Health and Perinatal Nursing Care Quality Measures, the Maternal Fetal Triage Index, and the #POSTBIRTH Warning Signs program. She was a founder and Vice-Chair and Chair of the Council on Patient Safety in Women’s Healthcare.

In 2016, in an effort to expand the use of quality improvement (QI) in healthcare Dr Bingham formed the Institute for Perinatal Quality Improvement (PQI) and is currently serving as PQI’s first Executive Director. In this role, she has developed SPEAK UP, QI Action Briefs, and QI Project Maps. Debra is also working to expand the use of QI among Doctor of Nursing Practice students. She is currently an Associate Professor of healthcare quality and safety at the University of Maryland School of Nursing.



Renée Byfield, MS, RN, FNP, C-EFM is a clinical leader, specializing in obstetric and newborn care. She has held nurse management positions at Temple University Hospital. She has been a clinical nurse educator in both academic and hospital programs. At Temple and Drexel University Nursing schools in Philadelphia, PA. Ms. Byfield taught in the undergraduate and master programs. She has held obstetric educator roles at St. Luke’s-Roosevelt Hospital and Weill Cornell Medical Center – NYP. At Cornell, she became Patient Safety Administrator for the obstetric service where she coordinated quality improvement and perinatal patient safety initiatives. She developed and launched interdisciplinary simulation drills and team training as an AHRQ TeamSTEPPS master trainer.

As a Senior Manager of Clinical Program Development at the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) she authored and facilitated development of Perinatal Orientation Education Program (POEP) and Neonatal Orientation Education Program (NOEP) 3rd and 4th editions and the Obstetric Patient Safety (OPS) Program focused on postpartum hemorrhage management utilizing simulation-based training. She serves on the Georgia Perinatal Quality Collaborative (GaPQC), Alliance for Innovation on Maternal Health (AIM) Program Advisory Committee and Health Equity Subcommittee.

In 2018, Ms. Byfield was selected by the March of Dimes as a Georgia Nurse of the Year Finalist receiving an Excellence in Nursing certificate. She is passionate about the positive impact that mutual respect and team collaboration has on patients, their families, and the community we serve.


SPEAK UP is sponsored by The Washington State Hospital Association and the WA State Department of Health.

Safe deliveries rebrand header

A special thank you to our Industry Partner, OB Hospitalist Group for their financial contribution.


October 26, 2020
9:00 am - 1:00 pm
Registration Link:


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

Map / Directions

206.281.7211 phone
206.283.6122 fax


Staff List