Project Director, Rachel Hardeman, PhD, MPH


Diversity Science and project director, Rachel Hardeman, PhD, MPH, will create interactive e-learning modules for perinatal providers focused on implicit bias and reproductive justice. 

These resources are developed in accordance with the training requirements outlined in the California Dignity in Pregnancy and Childbirth Act (Senate Bill 464) which went into effect in January 2020.

All of the e-learning modules and resources developed for this project will be available free of charge. This project was funded by the California Health Care Foundation in response to strong evidence of racial inequalities in perinatal care and outcomes.


As part of our commitment to active collaboration with stakeholders throughout this project, we launched the Equal Care Resource Portal. This site allows you to access resources, view our stakeholder collaboration process, and submit your maternal health care stories.

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Frequently Asked Questions

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What resources will be available?

Three types of resources are being developed:

  1. An online e-Learning experience that will empower perinatal care providers through 1) Deeper insight into the ways structural racism and implicit racial biases undermine the quality of perinatal care, 2) Specific, feasible, evidence-based strategies for providing high quality, respectful and patient-centered care to Black patients and 3) Tools for protecting their patients from the impact of racism. The 4 modules together will cover all of the learning requirements for an evidence-based implicit bias program per California Senate Bill 464 (Section 123630.6). This course will be approximately 60 minutes in length and composed of four 10 to 20-minute modules.
  2. Downloadable print resources with essential information and recommended actions for organizational leaders.
  3. Downloadable print resources for internal trainers and change agents.

Learn more:
Downloadable PDF: https://www.diversityscience.org/wp-content/uploads/2020/06/Perinatal-Providers-Education-Program-Summary.pdf

How can individuals complete the e-Learning?

Individuals will have free open access to the e-learning experience at diversityscienceacademy.org. They will receive a printable Certificate of Completion and an email documenting their achievement. This option is open to anyone, anywhere.

How can organizations provide e-Learning to their staff?

Health care organizations will have three options:

  1. Organizations that have an existing LMS for e-learning delivery may prefer to access the e-Learning modules in SCORM (Shareable Content Object Reference Model) and xAPI formats. These formats are compatible with the vast majority of LMS. After signing a user agreement (the organization will not charge for access to the e-learning nor will they use any part of the e-learning in a product for sale).
    How Will We Track Completion/Document Compliance?
    Organizations will independently track learner progress per the requirement of SB 464 for facilities to certify completion of the training.
    What does this cost?
    This option is free to any organization that provides perinatal care
  2. Organizations may wish their employees complete the E-Learning experience on the diversityscienceacademy.org learning platform.
    How Will We Track Completion/Document Compliance?
    There are two options:
    i) Ask employees to self-register and, after successful completion of the course, provide you with a copy of their printable electronic Certificate of Completion.
    ii) You may prefer to work with us to register and track your employees’ completion. In this option, we provide completion reports or you designate a course manager (from your organization) to monitor completion (or both).
    What does this cost?
    Option (i) is free for all organizations, anywhere.
    Option (ii)* is free for organizations that provide perinatal care and:
    Are located in California
    Are CQMCC member organizations, located in any state.
    *For Option (ii), hospitals that are not in California and/or are not in CQMCC member hospitals outside of California will incur a small administrative fee to defray our costs.

How will stakeholders be included?

We are committed to the inclusion of all interested stakeholders and perspectives. Rather than use traditional approaches for stakeholder engagement that include some but exclude others, we will provide open access to all interested stakeholders to review objectives and content and provide either public or private feedback. The more common approach (e.g., advisory groups) inevitably limits inclusion. This approach encourages any individual or group that self-identifies as having a stake in this project to have an opportunity for participation.

On June 29th, 2020, draft learning objectives and a content outline will be posted on this website. Stakeholders will then have the opportunity to provide feedback either publicly (so other stakeholders viewing the website will see it) or privately (to Dr. Hardeman and team).

What is the deadline for providing feedback on the content of this training?

The stakeholder feedback portal will be opening on the stakeholder resource page starting June 29th and will close July 20th. Please see the stakeholder resource page for more information.

When will these resources be available?

We are very aware that SB 464 is already in effect (as of Jan. 1, 2020). We will be developing the e-Learning training experiences in modules that will be released as they are completed so that organizations can start meeting the requirement for SB 464 as quickly as possible. The first e-Learning module will be released in September 2020 and the remainder will follow in close succession. All resources are expected to be completed and available by January 2021.

Are these resources for California only?

These resources are NOT limited to California.
Anyone, anywhere can self-register and complete the e-Learning experience for free. Upon successful completion, they will receive an electronic printable Certificate of Completion.

How much time will the e-Learning training modules take?

The entire foundational e-Learning experience will take around 60 minutes. Following best practices, the 60 minutes will be broken up into several shorter modules 10-20 minutes each. We acknowledge that a 60-minute training is insufficient, on its own, to overcome structural racism. These e-Learning modules are understood to be a starting point from which deeper organizational and systems change can build. As with all our learning experiences, we will focus on strategies to inspire motivation for and interest in deeper learning and change.

How will these learning modules make a difference?

Through this training, healthcare professionals have the opportunity to deepen their understanding of the impact of structural racism on the health and healthcare of Black patients. They will learn strategies to interrupt institutional racism and racial bias and protect the health and well-being of Black mothers and birthing people.

The learning modules will also serve as a starting point for many organizations in addressing health equity and structural racism organizationally. A common knowledge base and language can serve as common ground for future dialogue, advocacy, training, capacity building, and policy changes that will ultimately create the institutional change needed to improve the health and well being of all patients, especially Black mothers and birthing people.

How can I get more information?

Signup for our mailing list!  You will receive project updates, or visit our stakeholder resource page. You can contact the project team at: [email protected].

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If you have questions, contact [email protected]

Stakeholder Resources 


As part of our commitment to active collaboration with stakeholders throughout this project, we launched the Equal Care Resource Portal.

All resources will be developed using a collaborative and iterative approach and developed in a way that is fully responsive to:

  • The perspectives and needs of black mothers/birthing people, infants and families
  • Stakeholder input
  • The realities of perinatal care providers and organizations
  • The scientific evidence on effective strategies for dismantling structural and interpersonal racism and bias and promoting equally high-quality care
  • Evidence-based strategies that affect individual and organizational change


Information, resources and tools related to the project

Meet the Team


Rachel Hardeman, Perinatal Health Equity Project Lead, Scientific Adviser and Trainer
Michelle van Ryn, PhD, Professor, Mayo Clinic School of Medicine Executive Director Partners in Equity & Inclusion
Michelle van Ryn, CEO and Lead Scientist
Axcelle Bell, Project and Training Coordinator

We would also like to honor the valuable contributions of many Diversity Science staff. Learn more about our team here.


Thank you for your generous contributions to this project and your continued support for the work of eliminating inequities in perinatal health care.

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