Record the history.
Use the pregnancy-history guide and optional Heart Story organizer. A clinician confirms relevant diagnoses and the next step. At later visits, carry this history into midlife prevention.
← All 50 statesPregnancy history
Alabama · A proposed state pathway
Pregnancy history
is heart history.
Alabama.
One national message, with local responsibility for the care that follows.
Planning invitation · No state participation or funding committedWhere does Alabama rank?
45/ 51
Women’s health
& reproductive care.
Published overall rank · 2024 scorecard
Make the next step a funded, accountable improvement plan.
47Health outcomes
Rank out of 51
42Coverage, access & affordability
Rank out of 51
37Quality & prevention
Rank out of 51
Commonwealth Fund, 2024 State Scorecard on Women’s Health and Reproductive Care, Appendix B2. Ranks include 50 states plus DC; 1 is best, 51 is lowest, and published ties are retained. The report generally uses 2021–2022 data. This is a broad women’s-health index, not a maternal heart-health or campaign-performance ranking. Read the source table ↗
Every state can ask the same practical question: when pregnancy care ends, is the history recorded and does a receiving clinician own the next step?
Compare all 50 states →Proposed local design question
Start with the people
who will deliver the care.
Link a maternity host with a receiving primary-care clinic and ask families about transport and coverage.
This is a proposed design focus for local discussion, not a finding from a state needs assessment. Confirm priorities with the state's current Title V assessment, maternal mortality review findings and participating families.
The first request
A state contact.
A working session.
Invite the governor's health-policy staff, state maternal-health or Title V leadership, an appropriate quality collaborative, a willing maternity or NICU host, receiving primary care and paid parent advisers.
Local and Tribal participation is voluntary. No named agency, hospital or community organization is presented as a partner.
Leave that meeting with five decisions.
- Who is the state coordinator and who has clinical responsibility?
- Which clinical-community pair has capacity to provide the follow-up?
- Which families, language needs and access barriers should the first test address?
- What approvals, care-payment arrangements and data safeguards are required?
- What baseline, budget and written agreements must be completed before launch?
The same core pathway in every state
Record. Connect. Follow through.
Name the next step.
Record a receiving clinician, action, due date and care contact. Offer phone, paper and language support. Use the local clinical team's urgency and treatment protocols.
Confirm completion.
Check scheduling and barriers, then record completed indicated care or a revised clinical plan. Keep unconfirmed outcomes visible in reporting.
A place in the national rollout
Education available nationally.
Implementation by readiness.
Alabama may be considered for the first five-state demonstration or a later phase, based on expressed interest, need, care capacity and evaluation readiness. No selection is implied.
Planning allowance if selected: up to $150,000 for a 12-month state demonstration with up to 100 women. This is an illustrative allocation, not a grant offer. Clinical care, tests, devices and treatment require separate payment arrangements.
Report the care completed.
Proposed targets: 90% with history recorded; 90% of those needing follow-up with an owner and due date for each indicated step; 80% of due follow-up actions confirmed completed on time. Report separately how many women completed every due action. Establish baseline and denominators first.
Include patient understanding, staff workload, costs and access differences. Report missing outcomes. A small pilot cannot prove lower mortality or validate a risk calculator.
Read the common measurement definitions →Official planning routes
Ground the local plan.
Alabama congressional contacts & state brief →
Select Alabama in the USAGov directory. Confirm the appropriate maternal-health office before outreach.
Select Alabama in HRSA's official state directory.
Select the state and current reporting cycle. Use local priorities and data definitions.
Confirm current state and bundle participation with the responsible team.
Existing educational materials require clinical and language review and local patient testing before institutional use. English and Spanish draft materials are available in the original campaign kit; other languages require qualified adaptation.