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Inconsistent Care Prenatal care is typified by largely routine, high volume, and brief encounters with relatively healthy patients, sometimes conducted by rotating "anonymous" providers or often by someone who was awake the night before delivering babies. It is exactly this type of environment that can lead to errors, oversights and patients "falling through the cracks". Reducing variability in care is especially important in systems where care is sometimes delivered by-proxy (e.g. midwives, nurse practitioners, residents, medical students). Establishment of protocols and structure for these practices is essential so that consistent care is given to patients independent of the expertise or focus of the provider at any one visit. Consistent Care With hundreds of historical facts, physical findings, testing, and laboratory items spread throughout the paper prenatal record, it is at times difficult to tease out precisely what the patient is at risk for. Proactive identification of those patients and fetuses who are likely to develop complications during pregnancy is one of the central tasks assigned to prenatal providers. This is especially important for those providers who don't have the skills or the facilities to manage certain pregnancies and need a way to first stratify their patients according to risk and then see them to the next level of care. With unfailing consistency, eNATAL will help identify patients who are at risk of adverse outcomes based on historical facts, physical findings, and laboratory studies. Once those risks are identified and validated by her provider, eNATAL will suggest care items (lab tests, educational topics, ultrasounds, interventions, etc.) that should be added to her specific care plan depending on the practice’s plan. Care plans for routine care (for all patients) and risk-activated care (only for those patients with specific risks) are completely crafted and easily customized by each practice group. At the appropriate times during pregnancy eNATAL will gently remind clinicians of the specific care items that THEY intended for each and every patient. These care items will not go away until the provider takes specific action on those care items and documents that fact. This clinical decision support built into eNATAL will help prevent oversights and errors of omission thereby improving the quality and consistency of prenatal care that you deliver to your patients.