Test and Improve Transfer Processes
Strengthen Relationships Across Settings
Lead Quality Improvement in Your Region

The national Step Up Together Action Collaborative supports teams to actively plan, run, and debrief interdisciplinary drills that simulate real transfer scenarios—from community to hospital. By the end of the program, your team will execute and be able to sustain Full Transfer Drills and apply those insights to real patient care.

We are seeking interdisciplinary teams that include:

• Community birth providers (birth centers or home birth practices)
• Hospital-based providers and leaders
• EMS or transport partners

Two cohort tracks will be available:

• Birth Center Cohort (Still accepting applications) - for teams testing emergency transfer processes from the birth center to the hospital
  
  
• Home Birth Cohort - Our 2026-27 Home Birth Cohort is now closed!

Our 2026-27 Birth Center Cohort still has a few spots left.  Birth Center Cohort applications will be accepted on a first-come, first-served basis. The program starts in September 2026 and runs through February 2027. We anticipate most teams will run their Full Transfer Drills in January, although some may schedule them earlier or later. 

Fill Out the Form Below to Apply!

We've also created a guide to help you prepare what you'll need for a complete application. View the Application Guide.