Implementation Schedule

Design, planning, and implementation have received cross-systems support. The Plan of Safe Care Statewide Implementation Team has membership representing the Department of Children, Youth, and Families, the Department of Health, the Washington State Health Care Authority, the Washington State Hospital Association, and WithinReach – the community-based organization responsible for administering Washington’s Help Me Grow network.

The Statewide Implementation Team is working on expanding membership to include individuals with lived experience and Tribes.

Summer 2021

The first two pilot sites in Yakima and Pierce County were launched in June 2021. Participating birthing hospitals partnered with agencies in their respective communities already serving families with infants to prevent child abuse.

Winter 2021-22

Thirteen additional birthing hospitals across the state, already engaged in quality improvement work with the Washington State Hospital Association and the Department of Health addressing Substance Use Disorder (SUD) in pregnancy/at birth, were invited to participate in the expanded POSC pilot and begin using the POSC Online Referral Portal.


By December 2022, 12 birthing hospitals across Washington received initial onboarding/training to begin utilizing the Plan of Safe Care Online Referral Portal:

  • Astria Sunnyside Hospital (Yakima)
  • CHI St. Joseph’s (Pierce)
  • Confluence Health (Regional - Central Washington)
  • Mason Health (Mason)
  • MultiCare Deaconess (Spokane)
  • MultiCare Good Samaritan (Pierce)
  • MultiCare Tacoma General (Pierce)
  • Overlake Medical Center (King)
  • Peace Health Southwest (Clark)
  • Pullman Regional Hospital (Palouse)
  • Swedish First Hill (King)
  • UW Medicine – UW Medical Center NW (King)


The following birthing hospitals have been onboarded to the POSC Online Referral Portal and/or received follow-up training and technical assistance in 2023:

  • UW Medicine – UW Medical Center NW (King) 
  • Overlake Medical Center (King) 
  • Swedish First Hill (King)
  • MultiCare Deaconess Medical Center (Spokane)
  • Multicare Valley (Spokane)
  • UW Medicine – Valley Medical Center (King)
  • Providence Holy Family (Spokane)
  • Providence Sacred Heart (Spokane) 
  • Kittitas Valley Healthcare (Kittitas) 

Anticipated for Q4 (Oct-Dec): 

  • Providence Regional Medical Center Everett (Snohomish) 
  • Skagit Valley Hospital (Skagit) 
  • Island Health (Island/Skagit) 
  • Providence + Swedish Central Puget Sound Region (Regional – Western Washington) 
  • PeaceHealth St Joseph – Bellingham (Whatcom) 
  • UW Medicine – Montlake (King) 
  • St. Anne Hospital – Burien (King) 


In partnership WithinReach and Washington’s Help Me Grow network, DCYF has a goal of onboarding all remaining birthing hospitals in Washington throughout 2024.