The 5-point Likert scale is the new standard structure measure format put forth by the Alliance for Innovation in Maternal Health (AIM) National Program for all bundles moving forward. It is used to assess the degree to which hospitals have a structure in place.
AIM purposefully left the 2,3,4 values undefined so that hospital teams could determine for themselves where they feel they fall between the outer parameters of “not started” and “fully in place”:
- Ex. If the hospital does not have an equity team, they would answer “1 – not started”.
- Ex. If the hospital is in the process of creating an equity team, they would answer 2-4 depending on how close they feel the structure is to being “fully in place”.
- Ex. If the hospital’s equity team is all MDs and 1 RN, they might answer “2” — the structure is in place, but with minimal role diversity.
- Ex. If the hospital’s equity team has 2 community members but neither are of the racial/ethnic group most represented in the hospital’s SMM data, they might answer a “3” — the structure is in place, but perhaps they’re working on finding a 3rd person of the needed racial/ethnic identity.
With implementation of our Equity and Perinatal Mental Health Conditions Bundles, we have created a reference for the structure measures to help teams identify where along the likert scale teams believe they fall with certain measures.
You can view the most recent appendix here.
Last updated: August 2024
