PEACE Toolkit

The PEACE Toolkit contains information and resources for providers and clinical administrators seeking to integrate early pregnancy loss care into their clinical setting.
Administrative Tools
View operational tools necessary for developing a successful PEACE Clinic, including justification to stakeholders, empowering a successful clinic team, and optimal scheduling for a unique patient population.
Clinical Tools
Explore our resources for providing evidence-based, high-quality, patient-centered care. Designed for the provider and clinical staff, these tools can be adapted to reflect your care setting.

Administrative Tools

TEAM Based Approach

A PEACE model requires the entire team to understand patient-centered, trauma-informed care. Early pregnancy visits do not fit into a simple template, and each patient’s experiences and priorities are different. PEACE clinics connect patient centeredness and evidence-based care, and all members of clinical teams should be involved in this process.

Building your team

Teambuilding starts in the hiring process. A PEACE model includes front desk staff, a practice manager, a patient care coordinator, medical assistants, nurses, and clinicians. When interviewing potential members of a PEACE team, use behavioral interview questions to determine how people’s past experiences might predict their behaviors in a clinical setting.

Trauma-informed care

While trauma-informed care is not necessarily taught in all training programs, it is an essential component of early pregnancy care. Ensure that all team members receive onboarding in these essential principles.

Professionalism in early pregnancy care

Personal beliefs and values related to early pregnancy may vary considerably among staff members. However, all team members should be taught in the essential concepts of professionalism in early pregnancy care: the patient always has the answer. Consider leading a yearly staff professionalism workshop, to allow a secure space to explore differences in values and for team members to share their feelings.

Ongoing team building

Team building is an ongoing process, and strong relationships, accountability, and trust among team members translates to outstanding patient care.

Daily: One way to foster trust and communication is to start the day with brief “gratitude” rounds, where each team members shares something they are grateful for. This centers the team in positivity and encourages relationship building. Following this, one team member should be designated to lead a “huddle” to review the patient panel and clinical considerations for each patient.

Weekly: Arrange 30-minute weekly clinical huddles with the practice and nursing manager to discuss any operational concerns that may have arisen, and to develop action plans for improvement. Foster an environment where any member of any role can ask clarifying questions, or contribute essential information.

Monthly: Consider planning standing get-togethers outside of work, so co-workers foster relationships as individuals rather than simply as co-workers.

As needed: Plan formal group de-brief sessions after challenging patient cases, for example, if a patient complication or complaint has occurred. Invite colleagues outside the clinic as needed, such as behavioral health colleagues to support mental health of team members, or clinical specialists that can provide continuing education in areas where clinic members may have knowledge gaps.

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ROI Metrics for Stakeholders

Measuring and Reporting Metrics of a PEACE Model. Helpful ROI metrics you can share with your stakeholders to help illustrate the impact of your PEACE Clinic include:

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PEACE Model Scheduling

Early access pregnancy care requires thoughtful arrangement of clinical schedules. Unlike a traditional office schedule template, which often fills up weeks or months ahead of time, an ideal PEACE schedule requires both time and personnel availability within 1-5 business days. Having tried many versions of scheduling over the years, we present below our lessons learned and tried-and-true tactics for getting patients the access they need:
medical history

Clinical Tools

Clinical Best Practices

Clinical Best Practices for Early Pregnancy Management


When establishing a PEACE practice, consider your resources (personnel, equipment, space) and aligning these with your practice goals and scope. An PEACE model may include any combination of the following practice scopes which range from narrow to broad:

Confirmed early pregnancy loss management only

In this model, your clinic may require an ultrasound confirming an intrauterine pregnancy loss prior to their visit. These patients would be offered counseling and medical or surgical management

Early pregnancy evaluation and management

In this model, your clinic may plan to complete ultrasounds in the office to evaluate any early pregnancy complaints including vaginal bleeding and cramping

Possible diagnoses may include pregnancy of unknown location, ectopic pregnancy, normal intrauterine pregnancy, pregnancy loss, incomplete spontaneous abortion

Clinics that practice in this expanded model will need clear protocols for emergency room referral for ectopic pregnancy, and outpatient protocols for pregnancy of unknown location management

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Optimizing Billing and Coding in a PEACE Model

The PEACE model provides high levels of care that require a significant amount of clinician, nursing, and staff time. Careful coding practices can allow for appropriate reimbursement of this level of care. Electronic medical record templates, with codes embedded into template visits, help clinicians gain quick access to the appropriate codes.

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PEACE Referrals

Referrals to PEACE come from many sources and may include clinicians inside and outside of your own health system, Emergency Departments, urgent care settings, and patient self-referrals.
We have found that simplest is best when it comes to referrals, which is why we recommend offering one EMR method of referral for internal clinicians and one telephone number that reaches your patient care coordinator.
An essential component to appropriate scheduling is a knowledgeable, empathetic, and skilled patient care coordinator who understands the clinical aspects of early pregnancy care. The ideal candidate for this role is someone who realizes the amount of time required for consultation and management in addition to possible treatment options. Practices in our network have incorporated social workers and nurses into a patient care coordinator role.

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Patient Resources

Referrals to PEACE come from many sources and may include clinicians inside and outside of your own health system, Emergency Departments, urgent care settings, and patient self referrals.

Contact us to get expert guidance and quotes for individualized services. We offer one-time, time-limited, or ongoing support.

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