In conjunction with department quality and safety leadership, establish and monitor systemwide MFM quality metrics and clinical outcomes, with particular attention to severe maternal morbidity, maternal mortality, fetal and neonatal outcomes, obstetric complications, transfers, and other measures relevant to high-risk pregnancy. Develop and oversee coordinated physician staffing and coverage models for MFM services across all three sites, including ambulatory consultation, prenatal care, ultrasound and antenatal testing, inpatient consultation, Labor & Delivery support, and after-hours MFM availability.