Florida Perinatal Quality Collaborative

Located at:


Maternal Opioid Recovery Effort (MORE)


The rate of pregnant women diagnosed with opioid use disorder (OUD) during labor and delivery in the U.S. more than quadrupled from 1999 to 2014, according to a 2018 analysis by the Centers for Disease Control and Prevention (CDC). In Florida, the rate climbed from 0.5 per 1,000 delivery hospitalizations in 1999 to 6.6 in 2014. 

This project’s purpose is to work with providers, hospitals, and other stakeholders to improve identification, clinical care and coordinated treatment/support for pregnant women with opioid use disorder and their infants.


Project Focus: Standardization related to:

  • OUD Screening
  • Prevention
  • Treatment
  • Comprehensive Discharge Planning

Learn about our parallel infant health NAS Initiative.



  • MORE Initiative Tool Box

    Resources specific to MORE:


    Resources for our Maternal Opioid Recovery Effort and our Neonatal Abstinence Syndrome projects, including provider and staff education, screening tools, patient education, and more are available at:

    Online Tool Box for Opioid Initiatives

    Recently added to the Tool Box:

    • Brand New FPQC MORE "HOPE Brochure" for pregnant and postpartum women
    • Urgent Pregnancy-Associated Mortality Review Message: Opioid Use During Pregnancy (Mar 2020)
    • Opioid safety  and how to use Naloxone: A Guide for Patients and Caregivers
    • Community Resources, such as abuse residential services, map tools, and more.
    • Example OB substance abuse disorder Order Set
    • FPQC Info Posters for Clinicians, Hospitals Community Members on Opioid Use Disorder
  • Archived MORE Presentations and Webinars

    Slide sets and presentation recordings are available below. Please e-mail us if you would like these any of these slides for use in your own institution.



    Webinar with Dr. Mishka Terplan: Engaging Women With OUD in the COVID19 Crisis: Tools and Principles - June 2020


    Webinar with Dr. Michael Marcotte: Partnering to Help Women with Opioid Use Disorder - June 2020


    Overview of the MORE Initiative - February 2020


    Data Collection for the MORE Initiative - December 2019



    MORE Kick Off Presentations (Nov 2019)


    2019 Chiles Lecture: Dr. Elizabeth Krans

    "Maternal Opioid Use: Latest Research and Practice" - View Recording - Download Slides

  • MORE Video Snippets

    The FPQC is hard at work creating a library of short educational videos for the MORE Initiative. Check back for additions!


    Implementation of SBIRT

    Four-Part MORE Video Series


    These can be used in a variety of ways! Here are some ideas:

    • Use as a way to kick off a team meeting or a department meeting 
    • Show at OB division meetings where nursing, physician, and C-suite leaders are present to raise awareness of MORE
    • Share on social media and promote via your website
    • Show to OB Chief and OB Medical Director and ask for the best way to present the information at their hospital
    • Perinatal safety team discussions
    • Incorporate into training, education, or events
  • Initiative Data Resources

  • Participating Hospitals

    AdventHealth Celebration

    AdventHealth Deland

    AdventHealth Ocala

    AdventHealth Orlando

    AdventHealth Sebring

    AdventHealth Winter Park

    BayCare - Morton Plant Hospital

    BayCare - St. Joseph's Women's Hospital

    Bayfront Health Port Charlotte

    Cleveland Clinic Indian River Hospital

    Halifax Health

    Jackson North Medical Center

    Lakeland Regional Health

    Lee Health Cape Coral Hospital

    Lee Health HealthPark Medical Center

    Manatee Memorial Hospital

    Memorial Regional Hospital

    Orlando Health Winnie Palmer Hospital for Women and Babies

    Sarasota Memorial Healthcare System

    Tampa General Hospital

    UF Health Jacksonville