PPH
PPHrisk Compliance
100% free • No login • No PHI transmitted
PPHrisk Compliance

Stop rebuilding hemorrhage compliance reports from chart audits, spreadsheets, and memory.

Built for L&D directors, nurse managers, quality officers, and maternal safety committees.

Daily PPH risk assessments become monthly Joint Commission, AIM, and CMQCC bundle-compliance reports — automatically. Plus audit logs, simulation drill tracking, QBL documentation, and MTP timelines.

Join the QI pilot → See compliance features

Built by a physician-scientist — Ravi Goyal, MD, PhD, MBA, FAHA. Runs in your browser today; no PHI transmitted, no IT project to start.

See it in 74 seconds

From bedside assessment to a compliance report that writes itself

Join the QI pilot →
PPHrisk Compliance

Your hemorrhage compliance report writes itself.

No more month-end chart audits. No more "wait, did we drill this quarter?" Every PPH risk assessment your team runs becomes a row in your Joint Commission, AIM, and CMQCC compliance report — assembled automatically and ready for the maternal safety committee.

For L&D Directors For Nurse Managers For Quality Officers For Maternal Safety Committees
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Monthly compliance report

Committee-ready PDF summarizing risk assessment completion rate, tier distribution, MTP activations, and bundle compliance. Aligned with AIM measure set.

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Audit log

Every risk assessment, every QBL entry, every MTP activation — timestamped and attributable. Filterable team feed, CSV-exportable for QA review.

🎯

Simulation drill log

Track required PPH simulation drills — date, scenario, participants, debrief notes. Satisfies AIM "Readiness" pillar documentation. Quarterly export-ready.

⚡

MTP response timeline

Timestamped milestone tracker for massive transfusion activations. Captures activation-to-product times for case review and committee reporting.

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QBL documentation

Quantitative blood loss tracker with preset dry weights. AWHONN/AIM-aligned. One-tap export to chart note.

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Bundle compliance tracking

AIM Obstetric Hemorrhage bundle checklist with progress tracking across Readiness, Recognition, Response, and Reporting pillars.

⚠ Label syncs to your team feed if signed in. Use bed/room/case ID — do not enter patient name or MRN.

1 Prenatal / Baseline Factors

2 Intrapartum Factors

Decision support tool — not a diagnostic device. Clinical judgment supersedes this score. Risk computation runs entirely in your browser. When signed in, only de-identified data (bed/room label, framework, stage, risk factors, tier, notes) syncs to your team's encrypted database — no patient name, MRN, DOB, address, or other direct identifiers. See Privacy Policy.

Which framework should you use?

All three are evidence-based and widely accepted. Choose the one your unit has standardized — or compare across them.

CMQCC V3

California Maternal Quality Care Collaborative

The de facto US gold standard. Categorical Low/Med/High based on risk factors. Updated 2022 in the V3 Hemorrhage Toolkit.

  • Best for: Hospitals with maternal safety bundles
  • Style: Categorical (no numeric score)
  • Updated: 2022
AWHONN

Association of Women's Health, Obstetric and Neonatal Nurses

Numeric weighted score (0–17+). Most widely deployed in US L&D units. ACOG Safe Motherhood Initiative endorses it.

  • Best for: Nurse-led workflows; EHR integration
  • Style: Weighted numeric → 3-tier
  • Updated: 2022
ACOG SMI

ACOG Safe Motherhood Initiative

Three-tier framework aligned with AWHONN and CMQCC. Used in the ACOG Postpartum Hemorrhage Patient Safety Bundle.

  • Best for: ACOG-aligned units; physician-led workflows
  • Style: Categorical Low/Med/High
  • Updated: 2024 bundle revision
Now enrolling · maternal-safety QI pilot

Join our obstetric-hemorrhage QI pilot

We're inviting a small group of L&D units into a maternal-safety quality-improvement pilot — putting PPHrisk to work in real bedside workflow and measuring whether it improves hemorrhage-bundle compliance and documentation. Pilot sites get hands-on setup, direct access to the clinical team, and a hand in the work.

No cost to your unit

The full compliance suite is provided at no cost for the pilot — no credit card, no procurement to start.

Hands-on setup

We configure your frameworks, onboard your charge nurses, and stand up your first monthly report with you.

Shape the work

A direct line to the clinical team. Your feedback shapes how the pilot and the tool evolve.

Apply to join the QI pilot →

No PHI leaves the browser. A 30-minute call is all it takes to start.

A quality-improvement collaboration

Everything included — at no cost — for pilot sites

PPHrisk is offered to participating labor & delivery units at no cost as part of a maternal-safety quality-improvement pilot. The calculator is free for every clinician; pilot units get the full compliance suite, hands-on setup, and support.

Included for pilot sites Included
Calculator & documentation
PPH risk calculator (CMQCC V3, AWHONN, ACOG SMI)✓
30+ risk factors, all assessment stages✓
Chart-ready note (copy / paste / print)✓
Maternal Safety Suite (Bundle / QBL / MTP / Handoff)✓
Install on iPhone, iPad, Android, Windows & Mac✓
Local patient roster — no PHI transmitted✓
Team & compliance
Team feed (shared, de-identified)✓
Monthly compliance report (AIM, Joint Commission, CMQCC)✓
Audit log — every assessment & MTP, CSV export✓
Simulation drill log + quarterly audit export✓
Branded PDF reports✓
SMART-on-FHIR launch (Cerner / Epic) — optional✓
Onboarding + tip sheet for charge nurses✓
Dedicated support contact✓
Join the QI pilot →

Frequently asked questions

Is patient data transmitted anywhere?

No. Every calculation runs entirely in your browser using JavaScript. No patient information leaves your device, and the site does not store any inputs. You can use it on the hospital wifi without HIPAA concerns.

Is this an FDA-cleared device?

No — this is a clinical decision support tool intended to assist licensed clinicians. It does not diagnose, treat, or replace clinical judgment. Per FDA guidance on clinical decision support software (2022), tools that allow the clinician to independently review the basis of a recommendation are not regulated medical devices.

Why three different scoring frameworks?

Different hospitals standardize on different frameworks based on their EHR, quality reporting requirements, and historical adoption. CMQCC is dominant in California and West Coast systems; AWHONN is the most common nurse-implemented tool; ACOG SMI aligns with physician-led bundles. Validation studies show all three identify similar high-risk populations.

What compliance frameworks does the report cover?

The monthly compliance report aligns with the AIM Obstetric Hemorrhage Bundle measure set (4 R's: Readiness, Recognition & Prevention, Response, Reporting & Systems Learning), the Joint Commission Perinatal Care standards (PC.02.02.05), and the CMQCC V3 Hemorrhage Toolkit quality metrics. It captures: risk-assessment completion rate, tier distribution by month, simulation drill participation, MTP activation timelines, and QBL documentation completeness.

What data is stored in the cloud vs locally?

PHI (patient names, MRN, DOB) never leaves the user's browser. Only de-identified risk-assessment results sync to the team feed: bed/room label, framework, stage, risk factors, tier, timestamp, and who entered it. Simulation drill logs and audit data are stored in encrypted Supabase tables gated by row-level security on team email domain. No BAA required for this de-identified pathway.

Can I integrate this into our EHR?

Yes — SMART-on-FHIR support is live. PPHrisk implements the SMART App Launch 2.0 framework with read-only patient scopes. When launched from Epic Hyperspace, Cerner PowerChart, or any FHIR-R4-compliant EHR, PPHrisk prefills risk factors from the patient's chart — Conditions (prior PPH, previa, accreta, chronic HTN, preeclampsia, fibroids), Observations (BMI, platelets, hematocrit, EFW), MedicationStatements (anticoagulation, magnesium), and Procedures (prior cesarean). The clinician confirms and adds intrapartum factors. Read-only — PPHrisk never writes back to the EHR. See SMART_DEPLOY.md for vendor registration steps. Contact us to bring SMART launch to your unit.

Who built this?

PPHrisk is a product of Epigenuity LLC, built for L&D clinicians who need a faster way to run PPH risk assessments and bundle compliance. Free for all clinicians, with no subscription, no usage limits, no fees.

Are the recommendations evidence-based?

Yes — recommendations are drawn from the CMQCC V3 Hemorrhage Toolkit (2022), ACOG Practice Bulletin 183 (Postpartum Hemorrhage), AWHONN Postpartum Hemorrhage Project, and the AIM (Alliance for Innovation on Maternal Health) Maternal Safety Bundle on Obstetric Hemorrhage.

About PPHrisk Compliance

Who this is for: L&D directors, charge nurses and nurse managers, hospital quality officers, perinatal patient-safety officers, and maternal safety committee chairs — anyone who has been asked, at the end of the month, to assemble a hemorrhage-bundle compliance summary from chart audits, spreadsheets, and someone's memory.

Postpartum hemorrhage is the leading preventable cause of maternal mortality in the United States, and the frameworks built to reduce it — AIM's 4 R's, CMQCC V3, Joint Commission Perinatal Care standards — all demand documentation: risk assessments completed, simulation drills logged, MTP timelines tracked, QBL recorded. The gap between the framework and the bedside isn't clinical knowledge. It's paperwork.

PPHrisk Compliance closes that gap. The same risk assessment a nurse runs at admission becomes a row in the monthly compliance report. The simulation drill the unit ran last Tuesday lands in the quarterly audit log. The MTP activation timeline gets timestamped in real time, not reconstructed from memory at the M&M conference. By the time the committee meets, the documentation is already done.

We're currently inviting a small group of L&D units into a maternal-safety quality-improvement pilot — provided at no cost, with hands-on setup and a direct line to the clinical team. Apply to join the QI pilot.

Built by
RG
Ravi Goyal, MD, PhD, MBA, FAHA
Physician-scientist · Founder, Epigenuity LLC · Tucson, AZ

PPHrisk is built by a practicing physician-scientist, not a generic software vendor. Every framework, score, and report is grounded in the clinical evidence and the real bedside workflow of labor & delivery — so what your committee sees at month-end reflects how care actually happens on the unit.

PPHrisk is a product of Epigenuity LLC, developing decision-support and life-science tools.

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