PSBC is leading a provincial quality improvement collaborative focused on increasing rates of vaginal birth through clinical practice change. Teams from a diverse group of maternity hospitals are each piloting evidence-based interventions to improve the likelihood of vaginal birth for their patients with nulliparous, term, singleton, vertex (NTSV) pregnancies. PSBC provides sites with access to data, metrics, and dashboards and support in identifying and tailoring an appropriate intervention for their site. The collaborative meets monthly to share progress updates and learn from each other's successes and challenges.