Recommendations for improving the maternal and child health care system in the Pittsburgh region. An overview of a family-centered, community-based approach to improving the maternal and child health care system in the Pittsburgh region. Based on a review of best practices in maternal and child health care and an assessment of strengths, weaknesses, and barriers to improvement in the current system, targets for local policy reform are identified and a vision, strategy, and action plan for achieving systemwide improvements in maternal and child health care processes and outcomes are outlined.