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About the Cherished Futures Collaborative

Building a Cadre of Clinical and Community Leaders for Change

Uniting Clinical and Community Leaders

Cherished Futures brings together decision-makers from local hospitals, public health departments, health plans, and Black community leaders. Together, we co-design systems-change solutions at the clinical, institutional, and community levels. The collaborative provides a unique space where different sector leaders can move through difficult conversations while learning from each other. 

A Two-Year Cohort Experience

Cherished Futures is a two-year, cohort experience that focuses on institutional accountability and redefining the narrative about Black birthing families in Los Angeles.

 

Year 1, the capacity-building year, prepares teams for action through a series of workshops and technical assistance sessions.  Together, we examine anti-Black racism as a root cause of unequal medical treatment and birth outcomes, its impact on Black bodies. We explore clinical and community data, discuss systems-change strategies and regional collaboration opportunities. The year concludes with hospital teams developing actionable, community-informed implementation plans across 3 domains: clinical, institutional, and community.  

 

Year 2—the implementation year, puts hospital plans into action. We support successful change processes through a series of learning convenings, technical assistance and coaching sessions, and storytelling.

Networking Event

ANNOUNCEMENT

Cherished Futures Welcomes Cohort 2!

Meet the New 2022-2023 Cohort!

As Cherished Futures Cohort 1 comes to a close, we are thrilled to welcome a new cohort of hospitals to engage in systems-level change in LA County! These hospitals collectively serve a significant proportion of Black birthing families across Los Angeles County and represent an exciting opportunity to create a large-scale impact towards birth equity.

The following hospitals have signed up to participate in Cherished Futures Cohort 2:

 

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“Working with [Cherished Futures] has made it easier to discuss items surrounding race with employees and physicians.”
- Cohort 1 Hospital Team Member

Celebrating Cherished Futures Cohort 1: 2020-2021

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2020 Capacity Building Year
In January 2020, despite the COVID-19 pandemic, we successfully launched a pilot cohort with five high-volume hospitals*, drawing nearly 80 clinicians, Black women community advisors, the public health department, and health plan partners to engage in a year-long planning and capacity-building process. The goal of the capacity-building year was to help the teams develop foundational knowledge about birth inequities and to assist them in developing actionable, community-informed implementation plans
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* Two hospitals were unable to continue into year 2 in order to prioritize the COVID-19 response.
Through a series of seven virtual collaborative workshops and monthly technical assistance sessions, the teams prepared for action by critically assessing their hospitals’ progress in advancing birth equity, understanding root causes of birth inequities impacting Black families, and examining community needs. At the end of 2020, all three participating Cohort 1 hospitals created Implementation Plans with specified goals and objectives to improve processes and outcomes of care for Black birthing families.  

Collaborative Members and Partners

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2021 Implementation Year
The 2021 Implementation Year began in January 2021 and put hospital plans into action. All three hospital teams implemented strategies to improve hypertension (HTN) management protocols-- a prevalent risk factor for preeclampsia, which can lead to other pregnancy and delivery complications. All three hospital teams re-developed their inpatient HTN management protocols to ensure timely intervention and collaborated with outpatient clinics to address the recommendations for low-dose aspirin (LDA) protocol in accordance with ACOG guidelines.


Getting Comfortable with Being Uncomfortable
Perhaps the most transformative work was seen in the learning and unlearning among participating hospitals. In addition to having all perinatal staff complete implicit bias training in alignment with SB 464, our teams began engaging in deeper dialogues around the Black patient and Black staff experiences. These conversations unearthed hard truths and opportunities for meaningful internal change. Additionally, as part of the Cherished Futures work, hospitals began examining the Black patient experience through post-discharge phone calls, surveys, and one-on-one conversations. They also forged more intentional partnerships with Black-led doula initiatives and community-based organizations.

The synthesis of these efforts are paving the way for a more equitable and just future. We look forward to continuing to support the clinicians and executive leadership within our pilot hospitals to continue this transformative work.