Crook, Deschutes and Jefferson Counties, and the Central Oregon Health Council (COHC) collaborated to develop and implement a regional approach to a perinatal continuum of care. This project began in OCT 2016 and addresses goals identified in our Regional Health Improvement Plan to improve the health outcomes for women and babies. This project has provided a foundation for a regional referral system that includes: 1) Public Health care coordinators embedded in specific obstetrics provider clinics as well as local Health Departments, providing enrollment and linkages to community resources; 2) Expanded nurse home visiting services for our perinatal women; and 3) Regional coordination and data reporting of the perinatal women served by this project.