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Centering® Model of Care & Learning Community
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The Centering Learning Community creates a collaborative environment to provide support for Michigan Health Centers' transformation to offer group prenatal care.

Working closely with content experts from the Centering Healthcare Institute (CHI), Michigan Department of Health & Human Services, and Michigan Primary Care Association, the Centering Learning Community creates an environment for peer-to-peer learning coupled with intensive on-site consultation and technical assistance provided by CHI to complete the Model Implementation Plan.


MPCA will engage state and national partners to provide guidance and assist in building coordinated, comprehensive, and community supported prenatal care. The Centering Learning Community design provides many services and benefits to support and sustain the Centering model. By strategically utilizing the best possible research and material available from a variety of programs and organizations, the participants are connected to diverse, credible, and reliable information and perspectives through one collaborative community. The Learning Community also uses multiple learning and communication methods to actively engage participants including:  

  • Model Implementation Plan provided by CHI for Health Center specific transformation
  • Three education conferences to include the Orientation & Launch Meeting, Basic Facilitation Training, and Advanced Facilitation Training 
  • Monthly coordinator focused peer-to-peer meetings and guided conversations with MPCA and CHI staff to share progress as well as potential stumbling points, and troubleshoot to find solutions and strengthen internal support structures
  • Quarterly provider/faciliator based peer-to-peer meetings
  • Web-based information and Education & Resource Center 


Centering Model Overview

Centering® is an evidence-based redesign of health care delivery that helps promote: 

  • Safety
  • Efficiency
  • Effectiveness
  • Timeliness
  • Culturally appropriate patient-centered care and more equitable care

Centering is a model of group health care, which incorporates three major components: assessment, education, and support. Patients meet with their care provider and other group participants for an extended period of time, usually 90-120 minutes, at regularly scheduled visits over the course of their care. Centering promotes greater patient engagement, personal empowerment, and community-building. 

For more information on Centering Healthcare Institute (CHI) visit or watch the video below.


Requirements for Participation in the Learning Community 

To support Michigan Health Centers in building a strong program foundation, the Learning Community will financially support sites in expanding from a traditional prenatal care model to offer group prenatal care. Through a Request for Applications, MPCA will provide start-up funding to cover the costs directly associated with coordination, training, and the purchase of supplies needed for group care. MPCA will also purchase the contract with CHI for the Model Implementation Plan for Michigan Health Centers that have not already received other funding for this purpose through other partners such as March of Dimes.

To participate in the Centering Expansion Learning Community, your Michigan Health Center must ensure that the following essential elements of the program are addressed and either meet or exceeded in specific planning details and in delivery of services:

  • Health assessment occurs within the group space
  • Participants are involved in self-care activities
  • A facilitative leadership style is used
  • The group is conducted in a circle
  • Each session has an overall plan
  • Attention is given to the core content, although emphasis may vary
  • There is stability of group leadership
  • Group conduct honors the contribution of each member
  • The composition of the group is stable, but not rigid
  • Group size is optimal to promote the process
  • Involvement of support people is optional
  • Opportunity for socialization within the group is provided
  • There is ongoing evaluation of outcomes



Centering Learning Community Key Contact Information

For additional information or questions on the Centering® and CenteringPregnancy® model of care in Michigan Health Centers initiative and the Centering Expansion Learning Community, please contact Jaspreet Malhotra at or 517.827.0877

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