Research led by Dr. Katy Kozhimannil, assistant professor at the University of Minnesota School of Public Health, found that the adoption of a perinatal quality improvement and safety initiative to reduce birth injuries had little net financial impact on the hospital. Data collected by Fairview Health Services from before and after the implementation of the Zero Birth Injury (ZBI) initiative were used to assess the cost and revenue impacts associated with ZBI. Implementation of ZBI led to an 11 percent reduction of adverse neonatal outcomes. Because hospitals are paid more when complications arise, this resulted in a decrease in hospital revenues. While the cost to the hospital of providing of maternity and newborn care also decreased, revenues decreases exceeded cost reductions, on average.