Improving Access to Maternal Support Systems — Torrie Real
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Improving Access to Maternal Support Systems

Maternal HealthService DesignCare NavigationSystems ThinkingProgram Strategy
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Project Snapshot

A maternal health concept designed to strengthen support across the care journey

I developed this concept on behalf of Raising St. Louis, a program at St. Louis Children’s Hospital, to explore how maternal support could extend beyond clinical visits and into a more connected care system.

The work focused on improving care access, strengthening provider responsiveness, and connecting families with more consistent support across pregnancy and early parenthood.

Healthcare strategy / systems concept
Maternal health, provider education, care access, family support
Research synthesis, systems thinking, service concepting, proposal design
The Problem

Maternal outcomes are shaped by fragmented support, inconsistent care, and barriers to access

This project began with a systems question: how might maternal healthcare better support families navigating unequal access, disconnected services, and preventable complications?

  1. Families often encounter barriers to quality care shaped by trust, communication, coordination, and unequal treatment across the healthcare system.
  2. Providers may not have enough support or structure for adapting care to the real barriers their patients face.
  3. Mothers need guidance that continues between visits, including advocacy, navigation support, and stronger links to community resources.
  4. When provider education, patient support, and local services are disconnected, outcomes worsen and costs rise across the system.
The Opportunity

A more connected maternal support model could improve outcomes for both families and providers

This concept explored how a single program could strengthen maternal care from multiple angles: provider learning, patient advocacy, doula support, and stronger connections to local organizations already doing critical work.

The design question

How might a maternal health program reduce barriers to care, support more responsive providers, and give families stronger guidance throughout pregnancy and early parenthood?

The Concept

Connecting provider learning with parent-centered support

Providers for Parents was designed as a multi-part support model that paired provider education with more direct family support. Rather than improving one moment in care, it aimed to strengthen the broader maternal health ecosystem.

Provider education

Learning sessions for nurses, physicians, and office teams focused on implicit bias, cultural humility, and more adaptive care.

Hotspotting sessions

Providers learned directly from patient experiences to better understand real barriers to access and quality care.

Doula connection

Moms were connected with doulas who could support physical and emotional well-being while helping bridge care gaps.

Community coordination

Local partnerships helped make the concept more sustainable and improved access to trusted maternal and infant health resources.

Target Users

Designed for both families navigating care and providers shaping that experience

This work centered mothers and families, while also designing for the clinicians, office teams, doulas, and local organizations that influence care quality and access.

Family needs
  • More agency in healthcare decisions
  • Trusted support across pregnancy and early parenthood
  • Clearer guidance through care and community resources
Provider needs
  • Better ways to adapt care to patient realities
  • Stronger patient-centered and culturally responsive practices
  • More connected workflows with community support systems
Systems-Level Value

Aligned value across families, providers, and the wider care system

For mothers and families

More support in care decisions, better advocacy in health settings, and stronger connection to local maternal and infant health resources.

For providers and care teams

Practical education on bias and cultural humility, along with more visibility into the barriers shaping patient outcomes.

For the healthcare system

A stronger preventative support model with potential to improve outcomes, reduce avoidable complications, and create long-term system value.

Product Thinking

Designing across services, stakeholders, and long-term outcomes

  • Care beyond visits

    The concept treated maternal health as an ongoing support journey, not just a series of appointments.

  • Trust and behavior

    Better outcomes depended not only on clinical care, but also on trust, guidance, and support families could actually use.

  • Multi-sided design

    The system was shaped for parents, providers, doulas, office teams, and community partners at the same time.

  • System alignment

    The biggest opportunity was in connecting fragmented support into a more coordinated maternal care experience.

Outcome

A concept for extending maternal support through a more connected model

This work translated a complex maternal health challenge into a clearer systems concept. It framed a direction for supporting families more holistically while also strengthening provider capability and regional care coordination.

Service concept

A connected model combining provider learning, doula support, and local partnerships.

Strategic framing

A clearer direction for how Raising St. Louis could expand its impact through a scalable support system.

Viable Direction

A path from concept to implementation

  • Start with provider learning sessions for obstetric teams and office staff
  • Introduce patient-informed hotspotting sessions grounded in lived experience
  • Build referral pathways connecting moms with doulas and trusted local resources
  • Measure early indicators around engagement, care adaptation, coordination, and maternal-infant outcomes
Project Materials

Proposal and supporting materials

Program proposal

View in Google Drive

Supporting materials

View in Google Drive

Why This Work Matters

An early example of how I think about complex systems today

This project reflects how I approach fragmented systems, multiple stakeholders, and services that need to work together. It directly informs how I design for complex ecosystems in product work.

It reinforced an idea that continues to shape my work: meaningful outcomes often come from improving coordination, trust, and support across the full system, not just optimizing a single touchpoint.

Interested in how I apply this thinking to fully developed products?

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