Implementing Team-Based Care Models in Rural Areas: How Nurse-Midwives and Nurse Practitioners Can Help Improve Outcomes
This presentation was recorded during the live meeting titled "Kentucky Symposium for Maternal and Infant Outcomes" on August 27-28, 2025. If you attended that event and claimed credit you should not claim credit for this module.
Team-based health care is the provision of health services to individuals, families, and/or their communities by at least two health providers who work collaboratively with patients and their caregivers—to the extent preferred by each patient—to accomplish shared goals within and across settings to achieve coordinated, high-quality care.
Target Audience
This course targets physicians, midwives, advanced nurse practitioners, nurses, community health workers, peer support specialists, social workers, doulas, emergency medical technicians, pharmacists, public health officials, and individuals with lived experience.
Learning Objectives
Upon completion of this activity, participants will be able to:
1. Define and explain the team-based health care framework's relevance to improving maternal health in rural communities.
2. Describe how decentralized, nurse-led models—such as the integration of midwifery, primary care, and mental health services address gaps in maternity care access and outcomes across rural Kentucky.
3. Identify key elements that support successful implementation of collaborative care models.
Deborah Karsnitz, DNP, CNM, CNE, FACNM

Available Credit
- 1.25 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Enduring activity is designated for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.25 AMA PRA Category 1 Credit™ Participation
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Enduring activity is designated for a maximum of 1.25 AMA PRA Category 1 Credit™ Participation. Learners should claim only credit commensurate with the extent of their participation in the activity.
- 1.25 ANCC (UK Healthcare CECentral)
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 nursing contact hour(s).
- 1.25 ASWB
As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course.
Social workers completing this course receive 1.25 clinical continuing education credit(s).
- 1.25 Certified Community Health WorkThis training is approved by the Office of Community Health Workers Program to provide 1.25 continuing education unit(s) for Certified Community Health Workers.
- 1.25 EMS (Kentucky Board of Emergency Medical Services)The Kentucky Board of Emergency Medical Services (KBEMS) certifies that this educational activity is designated for 1.25 KBEMS contact hour(s). Approval Number:
- 1.25 IPCE
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credit(s) for learning and change.
- 1.25 Public HealthUniversity of Kentucky College of Public Health certifies that this educational activity was designated for 1.25 hour(s) of Public Health Continuing Education (CPHCE) credit. This course is approved for continuing education by the University of Kentucky College of Public Health.

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