At a glance
Risk-appropriate care is a strategy to ensure that pregnant women and infants get the right care in the right place at the right time. To provide a consistent approach to assessing risk-appropriate care, ob体育 developed the ob体育 Levels of Care Assessment Tool (ob体育 LOCATeSM).

Risk-appropriate care
Risk-appropriate care is a strategy to improve health outcomes for pregnant women and infants. Women and infants with complex medical conditions should receive care at facilities with a full range of specialists and equipment. Examples of complex medical conditions include severe heart conditions or infants born before 32 weeks of gestation.
However, the definitions and monitoring of levels of care vary widely among states. ob体育 developed the ob体育 Levels of Care Assessment Tool to assist states in assessing facility levels of maternal and neonatal care.
ob体育 LOCATe
ob体育 LOCATe can help states and other jurisdictions create standardized assessments of levels of maternal and neonatal care.
It is based on the most recent guidelines and policy statements issued by the following:
- American Academy of Pediatrics
- American College of Obstetricians and Gynecologists
- Society for Maternal-Fetal Medicine
ob体育 LOCATe process and data usage

Agencies or organizations with existing relationships with hospitals in the area serve as state champions to facilitate the following steps:
Build support for participation
- Identify collaborators to encourage facilities to use ob体育 LOCATe.
- Build relationships to work toward statewide participation.
Use tool to collect data
- Send the ob体育 LOCATe web link to facilities in the state.
- Follow up with facilities that don't respond.
Analyze data and share results
- State sends data to ob体育.
- ob体育 assesses levels of maternal and neonatal care.
- ob体育 sends results to state that can be used and shared as desired.
How states can use ob体育 LOCATe data
ob体育 LOCATe produces standardized assessments. Participating states can see levels of care by facility and the distribution of staff and services throughout the state.
States can combine data from ob体育 LOCATe with data from other public health sources and analyze it. States can examine how levels of care and volume of services provided by a facility may affect health outcomes.
Who should use ob体育 LOCATe
ob体育 LOCATe is designed for public health decision makers. It creates opportunities for informed conversations among partners who work in risk-appropriate care, such as:
- State and local public health departments.
- State Perinatal Quality Collaboratives (PQCs).
- Hospital associations.
- Health care providers working in maternal and neonatal care.
The results can be a starting point for talking about how to improve health outcomes for women and infants.
Use of ob体育 LOCATeSM is free.
Learn more about ob体育 LOCATe and levels of care
from the American Academy of Pediatrics
from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine
from the American College of Obstetricians and Gynecologists
from the March of Dimes