As of June 30, 2021, more than 50% of colorado birthing facilities were participating in at least one quality improvement initiative led by cpcqc. Sixty percent of all births in colorado happen at facilities participating in the collaborative. The number of births at these facilities range from 150 to over 4,000 per year. The participating facilities are geographically diverse. Cpcqc has participating facilities in twenty-seven of colorado's sixty-four counties, six of which are rural and twenty-one of which are urban. They represent academic institutions, large health systems, and private organizations. Over the past year, cpcqc hosted educational events including informational webinars, learning collaborative sessions, coaching calls, committee meetings, introductory meetings, and its annual maternal and infant care quality conference. Current areas of focus include prevention of maternal and infant morbidity and mortality, perinatal behavioral health including mental health and substance use, family engagement, and equity. Participating facilities have experienced significant positive outcomes, reducing variation in care, particularly in regard to cesarean delivery, substance use disorder, and mental health diagnosis.