The AIM Data Center is a national data submission system, server, and quality improvement tool. It gives administrators the ability to submit data and track AIM bundle implementation and severe maternal morbidity (SMM) in states, jurisdictions, and hospitals/birthing centers. The AIM Data Center does not include protected health information (i.e., data that could identify individual patients). All data is in aggregate form, and in numerators, denominators, or other values based on the measure types in AIM data collection plans.

The AIM Data Center’s functions and view options vary depending on user roles.

1. National Administrator
   1. View quality improvement data attributable to identifiable states and de-identified facilities.
   2. Invite and manage state administrators in the AIM Data Center.
2. State Administrator
   1. View quality improvement data attributable to identifiable facilities.
   2. Benchmark data against other state-based teams.
   3. Invite and manage hospital users and state users for their state-based team.
3. Hospital Administrator
   1. View quality improvement data attributable to their facility.
   2. Benchmark hospital quality improvement data against their collaborative’s data.
   3. Invite and manage other users for their facility.

Read-only users for each of these user types can view data within the AIM Data Center but are restricted from submitting or modifying data or user settings.

Before being invited to the AIM Data Center, AIM requires the following from state and jurisdiction teams:

• A fully executed data use agreement with JSI Research & Training Institute, Inc. (JSI).
• Birthing facilities recruited to participate in AIM patient safety bundle implementation with your state or jurisdiction, which may include establishing separate data use agreements so their data can be shared with AIM.
• A hospital demographics file containing metadata on recruited birthing facilities.
• Additional patient safety bundle information for AIM Data Center dashboard configuration.

As AIM receives the above information from your state or jurisdiction team, the AIM TA Center will establish your team’s dashboard in the Data Center and invite state-and jurisdiction-based users to the Data Center.

Logging in for the First Time

1. To activate your account, you should have received an email from support@maternalsafety.org with the subject line, “AIM Data Center Invitation.”
2. Click on the “Accept invitation” hyperlink to complete your registration in the AIM Data Center.

Figure 1a: Email Notification to Create an Account for the AIM Data Center

3. On the registration page, you will be asked to enter your name, email, and password. Share these details and click “Complete Registration” and “Sign In.”
4. Upon setting up your AIM Data Center account, you will be asked to review and accept the Data Center’s data use agreement. Once you click “Accept Data Use Agreement,” registration is now complete, and you have access to the Data Center.

Figure 1b: AIM Data Center Data Use Agreement Page

Next Steps for AIM Data Center Users

1. If you are a new state administrator of a new AIM State/Jurisdiction Team and your dashboard was recently set up in the AIM Data Center, then follow these next steps:
   1. Meet with the AIM TA Center (info@saferbirth.org). The AIM TA Center will provide a walkthrough of AIM data processes and the AIM Data Center.
   2. Submit baseline outcome measures data. Baseline data allow hospital, state/jurisdiction, and national administrators to assess the impact of AIM patient safety bundle (PSB) implementation. Specifically, collection and submission of baseline data helps administrators compare severe maternal morbidity (SMM) and other outcomes as PSBs are implemented over time. This data should be collected at both the state/jurisdiction-level and hospital-level, and can be disaggregated by race, ethnicity, and payor, as desired.
   3. Invite hospital users, as desired. We recommend that you first upload baseline outcome measures data before inviting hospital users to the Data Center. If you need support inviting hospital users in bulk, please contact the AIM TA Center at info@saferbirth.org.
   4. Submit other process, structure, and outcome measures data on a regular basis. If your state or jurisdiction team collects process and structure measures from facility teams using an alternate data collection platform, plan to submit this quality improvement data to AIM on a quarterly cadence (at a minimum, we recommend this data be submitted at least annually).
2. If you are a new state administrator for an existing AIM State/Jurisdiction Team, please refer to the next steps below:
   1. Refer to the Data Upload Guide. This guide provides teams with an introduction to and reference document for the AIM Data Center, its administrative uses, and its function as a quality improvement and data reporting tool.
   2. As needed, request a meeting with the AIM TA Center. Email info@saferbirth.org to set up a call for a walkthrough of the AIM Data Center.
   3. Submit process, structure, and outcome measures data on a regular basis. If your state or jurisdiction team collects process and structure measures from facility teams using an alternate data collection platform, plan to submit this quality improvement data to AIM at least once a year, though more frequent submission is encouraged. Your state’s dashboard will stop displaying a checkmark if you haven’t submitted outcome measure data recently.

Follow the steps below to upload data to the AIM Data Center using the Default file format template. In the default file formatting option, the individual measure names are formatted into rows.

1. Find the most recent version of the file formatting template for the relevant patient safety bundle (PSB) on the File Formatting Templates page.
2. Review the template file and all the included sheets.
   1. Title Page: Includes the name of the PSB and version date. It also has some helpful tips for using these templates.
   2. Default Template: Where data is entered for upload to the AIM Data Center.
   3. Codebook: Provides description of the header names that are part of the template and how to find information for them.
   4. Measures: Includes the measures information for the PSB including measure name, description, default variable name, reporting frequency, data source, etc.

Figure 1a: File Formatting Template and the associated sheets

3. Use the Default Template sheet to enter data. Refer to the Codebook and Measures sheets for reference.
4. All column headers need to be present even if you are not reporting data for specific columns.

Figure 1b: Default File Formatting Template

1. 1. hospital_unique_identifier: The unique identifier used for each hospital reporting data as determined by the state or jurisdiction team. Reference the hospital demographics file for hospital unique identifiers or log in to the AIM Data Center and follow the below steps to access hospital unique identifiers:
      1. Select “Hospital Management” under Admin.

Figure 2a: AIM Data Center Hospital Management Menu

1. 1. 2. Click “Download CSV” or refer to the table column “Unique Identifier” for hospital unique identifiers.

Figure 2b: Hospital Management Page to view Hospital Unique Identifier

1. 2. 3. Some of the outcome and state surveillance measures are reported at the state/jurisdiction and collaborative level. There is a difference between reporting collaborative-wide and statewide:
         • When reporting data for all the facilities participating in AIM PSB implementation, use “collaborativewide” in the hospital_unique_identifier column of your file.
         • When reporting data for all facilities within a state or jurisdiction regardless of participation in AIM PSB implementation, use “statewide” in the hospital_unique_identifier column of your file.
   3. period_start_date and period_end_date: The start and end date of the period for which data are being reported. Refer to the table below.
      1. Process and structure measures data can be reported in monthly or quarterly intervals based on calendar years.
      2. The outcome measures data can be reported in quarterly intervals based on calendar year quarters or in yearly intervals based on increments of a single calendar year. NTSV Cesarean births data may be submitted in monthly intervals.

Table 1: Reporting Frequency Cadence

1. 3. measure: The specific process/structure/outcome measure identifier being reported. Refer to the default variable names column in the Measures sheet in the template.
   4. population: The specific population identifier being reported. Outcome measures and some of the process measures can be reported disaggregated by race, ethnicity, and payor.
      1. AIM recommends being mindful of your state or jurisdiction’s small number reporting requirements when reporting disaggregated data.
      2. At minimum, report data for “all” as the AIM Data Center does not assume the sum of all data reported disaggregated by race and ethnicity is equivalent to “all.” For visualizations to work in the AIM Data Center, data must at minimum be reported for “all.”
   5. numerator: Numerator value for a particular measure.
      1. All outcome measures and some of the process measures are reported as numerators and denominators.
      2. All columns should be populated except for the ‘value’ column.
      3. The numerator value should be equal to or less than the denominator value.
   6. denominator: Denominator value for a particular measure.
      1. All outcome measures and some of the process measures are reported as numerators and denominators.
      2. All columns should be populated except for the ‘value’ column.
      3. The denominator value should be equal to or greater than the numerator value.
   7. value: Used for some process measures and all structure measures. When reporting data for the value column, please leave the numerator and denominator columns blank.
      1. When providing range-based data (e.g., the provider and nursing education measure) data for AIM using the default file format, use the value column to report midpoint estimates based on facility team reporting.

Table 2: Provider and Nursing Education Reporting Range and Midpoint Estimates

4. 1. 2. Process measures: Reported as an integer or TRUE/FALSE include Unit Drill measures.
         1. Document the number of unit drill topics that were covered during a given reporting period by inputting an integer in the value column in the template.
         2. Document which topics were covered during a unit drill by inputting ‘TRUE’ or ‘FALSE’ in the value column for each unit drill topic for a given reporting period. Topics include unit drills for obstetric hemorrhage, severe hypertension, and drills on any other patient safety topic.
      3. Structure measures: Reported on a 5-point Likert scale. A value of 1 indicates that the team has “Not Yet Started” working on putting the structure in place while a value of 5 indicates that the structure is “Fully in Place”. For more information on how structure measures are reported, please refer to the structure measure and transition packet. Report the structure measures in the “value” column.
5. If a hospital team did not report any data for a reporting period, omit rows containing measure names and no data for the hospital.
6. Once the data are entered, please delete all the sheets except the “Default Template” and save the file in the csv format.
7. Upload the file to the AIM Data Center
   1. Login to the AIM Data Center.
   2. Hover over the Admin tab to select Import Measures (default). This will take you to the page to upload your file.

Figure: 3a: Default Format Import Menu

1. 3. Review the file against the portal’s instructions and upload it. Add notes as necessary.

Figure 3b: Data Submission Page

1. 4. After a successful submission, a prompt to review a downloadable change summary report will appear. Email confirmations can be sent to yourself or other administrators in your state or jurisdiction by selecting “Notify by Email.”

Figure 3c: Data Submission Summary Report

8. If your file upload fails, review the errors per the AIM Data Center’s comments, correct them and re-upload the file. If you continue to have trouble uploading your files, please contact info@saferbirth.org.

Follow the steps below to upload data to the AIM Data Center using the Wide file formatting template. In the Wide formatting option, the individual measure names are in columns rather than rows.

1. Find the most recent version of the file formatting template for the relevant patient safety bundle (PSB) on the AIM Data Center Wide File Formatting Templates page.
2. Review the template file and all the included sheets:
   1. Title Page: Includes the name of the PSB and version date. It also has some helpful tips for using these templates.
   2. Wide Template: Where data are entered for upload to the AIM Data Center.
   3. Measures: Includes the measures information for the PSB including measure name, description, default variable name, reporting frequency, data source, etc.
   4. Case Sensitive Header: Includes all variable names in a row for easy reference.

Figure 1a: File Formatting Template and the associated sheets

3. Use the Wide Template sheet to enter data. Please note that all column headers and variable names are case sensitive. Refer to the Measures and Case Sensitive Headers sheets for reference.
4. Columns representing measures in the AIM Data Collection Plans can be deleted if no data are being reported, but the column headers respondent_unique_identifier, period_start_date, period_end_date, and population must be included for a successful upload.

Figure 1b: File Formatting Template (Note that due to this template’s design, it may be difficult to see all the variable names.)

1. 1. respondent_unique_identifier: The unique identifier used for each hospital reporting data as determined by the State or Jurisdiction team. Reference your submitted the hospital demographics file for hospital unique identifiers or log in to the AIM Data Center and follow the below steps to access hospital unique identifiers:
      1. Select “Hospital Management” under Admin

Figure 2a: AIM Data Center Hospital Management Menu

1. 1. 2. Download CSV or refer to the table column “Unique Identifier”

Figure 2b: Hospital Manage Hospital Unique Identifier

1. 1. 3. Some of the outcome and state surveillance measures are reported at the state/jurisdiction and collaborative level.
         • When reporting data for all the facilities participating in AIM PSB implementation, use “collaborativewide” in the hospital_unique_identifier column of your file.
         • When reporting data for all facilities within a state or jurisdiction regardless of participation in AIM PSB implementation, use “statewide” in the hospital_unique_identifier column of your file.
   2. period_start_date and period_end_date: The start and end date of the period for which data are being reported. Refer to the table below.
      1. The process and structure measures data can be reported in monthly or quarterly intervals based on calendar years.
      2. The outcome measures data can be reported in quarterly intervals based on calendar year quarters or in yearly intervals based on increments of a single calendar year. NTSV Cesarean births data may be submitted in monthly intervals.

Table 1: Reporting Frequency Cadence

1. 3. measure: The specific process/structure/outcome measure being reported. Refer to the root Wide Variable Name column in the Measures sheet in the template.
      1. Outcome measures and some of the process measures are reported as numerators and denominators and can be disaggregated by race, ethnicity, and payor. Please note that the numerator value must be less than or equal to the denominator value.
      2. Some of the process measures are reported as an increment of 10%, integers, or TRUE/FALSE.
         • For process measures reported as increments of 10% or as midpoint estimates, such as provider and nursing education, refer to the table below.

Table 2: Provider and Nursing Education Reporting Range and Midpoint Estimates

4. 1. 2. • Process measures that are reported as integer or TRUE/FALSE include Unit Drill measures.
           • Document the number of unit drill topics that were covered during a given reporting period by inputting an integer.
           • Document which topics were covered during a unit drill by inputting ‘TRUE’ or ‘FALSE’ for each unit drill topic for a given reporting period. Topics include unit drills for obstetric hemorrhage, severe hypertension, and drills on any other patient safety topic.
      3. Structure measures are reported on a 5-point Likert scale. A value of 1 indicates that the team has “Not Yet Started” working on putting the structure in place while a value of 5 indicates that the structure is “Fully in Place”. For more information on how structure measures are reported, please refer to the structure measure and transition packet.
5. Once the data are entered, please delete all the sheets except the “Wide Template” and save the file in csv format.
6. Upload the file to the AIM Data Center.
   1. Login to the AIM Data Center.
   2. Hover over the Admin tab to select which set of measures you would like to import. This will take you to the page to upload your file.

Figure 3a: Wide Format Data Import Menu

1. 3. Review the file against the portal’s instructions and upload it. Add notes as necessary.

Figure 3b: Data Submission Page

1. 4. After a successful submission, a prompt to review a downloadable change summary report will appear. Email confirmations can be sent to yourself or other administrators in your state or jurisdiction by selecting “Notify by Email.”

Figure 3c: Data Submission Summary Report

7. If your file upload fails, review the errors per the Data Center’s comments, correct them and re-upload the file. If you continue to have trouble uploading your files, please contact info@saferbirth.org.

The Dashboard section of the AIM Data Center allows state and jurisdiction administrators to review hospital- and state- or jurisdiction-level data submission status by patient safety bundle and measure type. Use the Data Center Dashboard to edit or add hospital-level structure and process measures data. User instructions are below.

1. From your dashboard home page tab, click “View Status” under the “Patient Safety Bundles” to view the hospital data submission status in your state by bundle and measure type (process and structure).

Figure 1: Dashboard Tab to View Data Submission Status

2. Click the “Process Measures” tab to view the overall and hospital-specific process measure data.

Figure 2a: Process Measure Data Submission Status

3. Click the “Structure Measures” tab to view the overall and hospital-specific structure measure data. Note that structure measures are reported on a 5-point Likert scale (1=Not Started, 5 =Fully in Place).

Figure 2b: Process Measure Data Submission Status

4. For both the “Process Measures” and “Structure Measures” tabs, click hospital names under “Complete Hospital Percentage” to view and edit data entry status for structure and process measures and to view measure results for individual hospitals.

Figure 3a: Hospitals’ Data Submission Status

Figure 3b: Hospital data entry portal to Edit or Submit the Data

5. Click “Recent Submission” to view the last time data were reported by each hospital participating in your state.

Figure 4: Recent Data Submission Status

Use this section of the AIM Data Center to assess data quality related to quality of blood transfusion coding for severe maternal morbidity (SMM) and hospital outliers by measure.

1. Assessing Quality of Blood Transfusion Coding

Figure 1a: Data Quality Tab to View Transfusions Reports and Hospitals Outliers

Figure 1b: Transfusions Reports to Assess Quality of Blood Transfusions Coding

• Click on “Transfusion Coding” to view hospitals that may not have coded blood transfusions for certain reporting periods. This is determined by comparing the numerators of the hospital’s SMM rate that includes transfusion codes with the numerators of the hospital’s SMM rate that excludes transfusion codes. If both versions of the SMM rate have the same numerator, that hospital likely did not code for blood transfusions.
• Click on “Transfusion Exclusion” to view hospitals that may have erroneous data for a given reporting period. This is determined by comparing the denominators of the hospital’s SMM rate that includes transfusion codes with the hospital’s SMM rate that excludes transfusion codes. Denominators for both versions of the SMM rate should be the same and hospitals with unequal denominators are flagged in this report.

2. Assessing Outliers by Measure

Click specific outcome measures to view hospital rates across reporting periods. Hospitals and reporting periods with outlier data will be highlighted.

Figure 2a: Outcome Measures

Figure 2b: Hospitals Rates with Outliers

The AIM Data Center accepts two types of file formatting template—default and wide. Based on your state’s preference, use the appropriate template on the File Formatting Templates page to access the case sensitive variable names for each patient safety bundle.

Table 2: Case Sensitive Variable Names for Formatting Data Disaggregated by Race and Ethnicity
(Default File Formatting Only)

Table 3: Case-Sensitive Variable Names for Formatting Data Disaggregated by Payor Type
(Default File Formatting Only)

State administrators can add new patient safety bundles (PSBs) to their state dashboard by following the steps below. Please note there are two parts to this process that must be followed to ensure the new PSBs are properly configured, and the hospital dashboards are updated accordingly.

Step 1: Add New Bundle on State Dashboard

1. Login to the AIM Data Center.
2. Select “Collaborative Management” under the Admin tab.

Figure 1a: Collaborative Management Navigation to Add New Bundle

Or select “Configure Bundle Reporting” on the Dashboard page.

Figure 1b: Alternative Way to Add New Bundle from Dashboard Tab

3. Scroll down on the Configure page and select “Add Bundle”.

Figure 1c: Add Bundle Button

4. Scroll up on the page and add the following information:
   1. Select the desired PSB from the drop-down menu.
   2. Enter Process measure start date. This is the approximate month and year facilities will begin reporting process measures data to the AIM Data Center.

Figure 1d: Period Start Date for Reporting Frequency

1. 3. Select the “Process/Structure Measure Reporting Frequency”. These measures can be reported in either quarterly or monthly intervals.

Figure 1e: Required Patient Safety Bundle Information

5. Scroll down and click “Update Collaborative Bundle” once all the information is entered.

Figure 1f: Collaborative Bundle Update Button

6. Navigate through the dashboard page to make sure the new bundle measures appear under the Outcome, Process & Structure Measure Tabs.

Figure 2: Outcome, Process, and Structure Measure Tabs

Step 2: Add the New Bundle on Hospital Dashboard

To add a new bundle on the hospital dashboard, please update and upload the hospital demographics file to the AIM Data Center by following the steps below:

1. Download your state or jurisdiction team’s most recently submitted hospital demographics file from the AIM Data Center and update the following columns. Detailed instructions on downloading and updating the demographics file can be found here.
   1. Bundle_start_date (e.g., hem_start_date, htn_start_date, etc.): For all the facilities participating in the new bundle implementation, add the approximate month and year facilities will begin reporting process measures data to the AIM Data Center (it may be the same from step 4b above).
   2. Update other information, as necessary.

Figure 3a. Hospital Demographic File Template to Add Bundle Start Date

2. Upload the updated demographics file to the AIM Data Center. Click on “Upload Hospital File” under Dashboard.

Figure 3b: Navigation to Upload the Hospital Demographic File

3. On the Import Hospital Page, select “Hospitals” from the drop-down menu. Upload the updated demographics file using the “Choose File” option.

Figure 3c: Hospital Demographic File Import Page

4. Once uploaded successfully, go under the “Hospital Management” page to make sure the new bundle has been added for the hospitals.

Figure 4a: Hospital Management Navigation Page

5. The new added bundle should appear under the Bundles column.

Figure 4b: Hospital Management Page

State administrators can hide or unhide measures on their data center dashboard. Please note that these changes will also affect the hospital dashboards and will affect all hospitals participating in the bundle implementation within your collaborative.

1. Login to the AIM Data Center.
2. Select “Collaborative Management” under Admin.

Figure 1a: To View Collaborative Management Page

3. On the state collaborative page, scroll down to the bottom of the page. Under Hidden Measure, select the measure from the drop-down menu you wish to hide/unhide. Click “Update Collaborative Bundles” to save the changes.

Figure 1b: Hidden Measure (s) Functionality

4. Once the changes have been successfully saved, review the outcomes, process, & structure measure tabs to double check if the measure still appears on the respective page(s).

Figure 2: Outcome, Process, and Structure Measures Tabs

State administrators can add new hospitals and update existing hospital information in the AIM Data Center by uploading a hospital demographics file. This file can also be used to bulk invite hospital-level users. Instructions for developing a hospital demographics file for the first time or updating a preexisting hospital demographics file are available here. Once the file is ready, follow the steps below to update your data center dashboard.

1. Log in to the AIM Data Center.
2. Click “Import Hospitals” under Admin OR Click “Upload Hospital File” on the Dashboard page under Onboarding Status.

Figure 1a: Import Hospital Navigation

3. On the Import Hospital File page, select “Hospitals” from the drop-down menu. Click “Upload”. To bulk upload hospital users, select “Contacts” from the drop-down menu and upload the file.

Figure 1b: Hospital File Import Page

Follow the steps below to invite users individually to the AIM Data Center.

1. Log in to the AIM Data Center.
2. On the Dashboard tab, click “Add User.”

Figure 1a: Dashboard Page to Add User

3. Enter the user’s first name, last name, and email. Click the drop-down menu under role to select the user type.
   1. A “Hospital Administrator” can submit data, invite, and manage other users in their facility.
   2. A “Hospital Read-Only User” can only view data within the AIM Data Center but cannot submit or modify data or user settings.

Figure 1b: Information Required to Add a User to the AIM Data Center

4. Under Hospitals, select the appropriate hospital to which to assign the new user and click “Send Invitation”.

Figure 1c: List of Hospitals within your state’s collaborative

Follow the steps below to invite users in bulk in the AIM Data Center.

1. Log in to the AIM Data Center.
2. Download your state or jurisdiction team’s most recently submitted hospital demographics file from the AIM Data Center using the Hospital Demographics File Instructions.
   1. Make sure your state or jurisdiction team’s hospital information is up to date.
   2. To invite hospital users in bulk, provide the first name, last name, and email address in the demographics file.

Figure 1: Hospital Demographic File Template to Add Users

3. Upload the updated demographics file to the AIM Data Center. On the Dashboard tab under Onboarding Status select “Invite Hospital Users.”

Figure 2a: Dashboard page to invite hospital users in bulk

4. Select the drop-down menu from Import Type and choose “Contacts.” Click “Upload” to then bulk invite users to the AIM Data Center.

Figure 2c: Hospital Demographic File Upload Page

State administrators can send data submission email reminders to their hospital administrators in the AIM Data Center. Please note that hospital administrators can opt-out from these email reminders.

1. Login to the AIM Data Center.
2. Select “Collaborative Management” under Admin.

Figure 1a: To View Collaborative Management Page

3. On the State Collaborative page, scroll to the bottom. Under Data Submission Reminder, set the frequency for the reminders. You can choose to send reminders 5 days, 25 days, and 75 days after the reporting period has ended. These reminders will be sent to the administrators of hospitals that have not submitted any data. If nothing is selected, no reminders will be sent.

Figure 1b: Data Submission Email Reminder Functionality

Figure 2: Email Submission Reminder Example

4. To see which hospital administrators have opted out of the email reminder, please follow the steps below:
   1. Click “User Management” under Admin.

Figure: 3a: To View User Management Page

1. 2. On the User Management page, click “Download CSV”.

Figure 3b: User Management Page to Download CSV File

1. 3. In the downloaded csv file, refer to the “permit_emails” column.

Figure 3c: Downloaded CSV Report

The AIM Data Center contains a wealth of information that can be useful for stakeholders who would prefer to receive this information in an email attachment or printed report. If you are a state or jurisdiction user of the AIM Data Center, you can generate custom, printable reports of data from your Dashboard. Depending on your needs, you can select an overall (state or jurisdiction-level) report or reports for one or more hospitals or birthing centers within your state or jurisdiction. Follow the instructions below to create and download your custom reports.

1. Navigate to your Dashboard by clicking “Dashboard” in the top menu.
2. Click on the “PDF Reports” tab at the top of your Dashboard.

Figure 1: The State or Jurisdiction Dashboard

1. Within this tab, there will be sections for each of the patient safety bundles your state has implemented. For each bundle, you can check the outcome, process, state surveillance, or structure measures you want included in your report.

Figure 2: The State or Jurisdiction Dashboard

1. Below the bundle sections, you will find additional options for your report, such as which date ranges to include and which types of charts to show.
2. Finally, you can select which reports to generate. You can generate a report for your state or jurisdiction as a whole and/or for any of your hospitals/birthing centers.
3. Click “Generate Report” and allow the process to complete. A download prompt will appear when your set of reports has finished generating (although your browser may also automatically download the file). The download will be a ZIP file containing a PDF for each of your selected reports.

Figure 3: The Generating Reports Window

If you are unsure of which email to use, please direct questions to info@saferbirth.org.