What Is Epic Stork? A Comprehensive Overview for OB/GYN Providers

TL;DR – Quick Summary

  • Epic Stork is Epic’s dedicated labor and delivery module, designed to support OB/GYN workflows from prenatal care through postpartum recovery. It centralizes vital signs, fetal monitoring, and documentation in one dashboard, integrates with other Epic modules, and provides clinical decision support for timely interventions.
  • Hospitals benefit from faster documentation, improved patient safety, standardized ACOG-aligned records, and smoother handoffs across OB, NICU, and anesthesia teams. Real-world use cases show how Stork enables coordinated care from triage to postpartum discharge, including patient engagement through MyChart.
  • Common challenges such as workflow misalignment, limited AI/device integration, and training needs can be addressed with custom EHR development. Mindbowser extends Epic Stork with hospital-specific workflows, SMART on FHIR extensions, wearable integrations, and postpartum modules, all built with HIPAA and SOC 2 compliance.
  • Looking ahead, Epic Stork is poised to incorporate predictive AI, richer patient tools, expanded FHIR integrations, smarter CDS alerts, unified dashboards, and TEFCA-driven interoperability for seamless maternal data exchange nationwide.

I. Introduction

In the delivery room, every second counts. A timely alert can mean the difference between a smooth birth and a medical emergency. Obstetric teams depend on systems that give them accurate information exactly when they need it and guide fast and safe decisions.

Epic Stork is Epic Systems’ dedicated labor and delivery module, designed to support OB/GYN workflows from the first prenatal appointment through postpartum recovery. It organizes critical data into actionable views, helping clinicians monitor maternal and fetal health, coordinate across care teams, and document every step of the process with precision.

For hospitals already using Epic, Stork offers a strong foundation for obstetric care. But no two delivery units operate the same way. Hospitals often find that custom EHR development—tailored to their protocols, devices, and patient engagement needs—can bridge functional gaps and unlock greater efficiency.

Epic’s influence in US healthcare is undeniable. It currently supports 51.5% of all acute care hospital beds, the only major EHR vendor to grow its share in the last year. That reach means Stork is shaping labor and delivery workflows nationwide, and the opportunity to extend its capabilities is significant.

II. What Is Epic Stork?

Epic Stork is Epic Systems’ specialized module for obstetrics, designed to support clinicians through every stage of maternal care from the first prenatal appointment to postpartum discharge. Unlike general EHR workflows, Stork is purpose-built for the unique pace, complexity, and urgency of labor and delivery environments.

A. Comprehensive Maternal Care Lifecycle

Hospitals rely on Stork to consolidate all relevant patient data into a single, continuous record. It covers:

  1. Prenatal Care: Tracking maternal health metrics, documenting visits, and monitoring conditions that could affect delivery.
  2. Labor and Delivery: Real-time monitoring of maternal vitals, fetal heart rate, and contraction trends, with tools to document events as they happen.
  3. Postpartum Recovery: Post-delivery assessments, newborn records, discharge instructions, and follow-up scheduling.

This lifecycle approach reduces the risk of information gaps between departments, which can be critical in managing high-risk pregnancies and emergencies.

B. Why Hospitals Choose Epic Stork

Many hospitals opt for Epic Stork because it helps standardize care protocols while still allowing for flexibility in documentation. The module facilitates coordination between OB/GYN teams, anesthesiology, NICU, and even outpatient follow-ups. For large health systems, this consistency is essential to improving quality metrics and meeting compliance standards such as those set by the American College of Obstetricians and Gynecologists (ACOG).

C. Market Presence and Adoption

Epic’s dominance in the hospital EHR space is a major factor in Stork’s widespread use. Between 2017 and 2022, Epic captured 79% of all new U.S. hospital EHR contracts, adding over 600 hospitals to its network. Today, more than half of all U.S. acute care hospital beds, 51.5% are managed through Epic.

This scale means hospitals using Stork can tap into a mature, widely supported platform. At the same time, many see opportunities to customize and extend the module to better match their clinical workflows, patient engagement strategies, and device ecosystems.

We Improved Predictive Accuracy in Childbirth with Advanced EHR Integration

D. Why It Matters for Hospitals

While Epic Stork provides a solid foundation for maternal care, out-of-the-box configurations often leave gaps. Some hospitals need custom prenatal intake forms, integration with third-party fetal monitors, or additional analytics for maternal-fetal outcomes. Others may want to embed predictive alerts or patient-facing tools directly into Stork.

Custom Epic EHR development enables hospitals to address these gaps without replacing the core system—preserving interoperability while tailoring the experience to their needs.

III. Key Features of Epic Stork

Epic Stork offers a set of tools designed specifically for labor and delivery. Each feature is built to help OB/GYN teams work more efficiently, document accurately, and respond quickly to changes in maternal or fetal condition.

A. Labor and Delivery Dashboard

What it is:
A centralized, real-time view of critical patient data, including maternal vitals, fetal heart rate, contraction patterns, and care team notes. The dashboard also integrates nurse and physician documentation so all stakeholders can see the same updated information.

Why it matters:
In labor and delivery, delays can be dangerous. A single interface that presents the most relevant data reduces the need to navigate multiple screens, allowing care teams to make faster, more informed decisions during active labor.

B. Partogram Integration

What it is:
A visual representation of labor progression, charting cervical dilation, fetal descent, and other key indicators over time. It also includes overlays for fetal heart rate trends and contraction frequency.

Why it matters:
The partogram helps clinicians spot deviations from expected labor patterns, enabling early intervention before emergencies occur. This is especially valuable for high-risk deliveries or when multiple providers share patient care.

Need a faster way to connect wearables or remote cardiac monitors to Epic?

Image of Features of Epic Stork
Fig 1: Features of Epic Stork
Image of Features of Epic Stork
Fig 1: Features of Epic Stork

C. OB-Specific Templates

What it is:
Pre-built documentation templates designed for obstetric care, covering cervical checks, delivery summaries, newborn assessments, and complication events like shoulder dystocia.

Why it matters:
Standardized templates help maintain compliance with ACOG documentation guidelines while ensuring all necessary information is captured. This improves data quality and reduces variability in charting.

We have helped hospitals implement predictive analytics within Epic that reach over 80% accuracy in forecasting delivery timelines. By combining real-time monitoring with historical patient data, these tools enable care teams to plan interventions before emergencies arise.

D. Clinical Decision Support (CDS)

What it is:
Built-in alerts that notify care teams of potential risks such as fetal distress, maternal hypertension, or overdue gestation. Alerts can be triggered based on real-time monitoring data or pre-set thresholds.

Why it matters:
Timely alerts help clinicians respond before conditions escalate, supporting better maternal and fetal outcomes. Hospitals can also align CDS settings with internal protocols for more targeted decision support.

Related Read: What Are CDS Hooks? A Simple Guide for Healthcare Providers

E. Modular Integration

What it is:
Epic Stork connects with other Epic modules, such as:

  1. Epic Anesthesia (Optime) for perioperative care
  2. NICU modules for newborn care coordination
  3. Epic Cupid (Cardiology) for cardiac monitoring during pregnancy
  4. MyChart for patient communication and education

Why it matters:
This integration ensures continuity of care across multiple specialties. For example, an expectant mother’s cardiology data can be viewed alongside her obstetric chart, reducing the risk of missed information during labor.

IV. Benefits for OB/GYN Providers

Epic Stork’s design goes beyond documentation; it’s built to help providers deliver safer, faster, and more coordinated care in one of the most high-pressure environments in healthcare. The real value emerges when its features translate into measurable improvements for both clinicians and patients.

A. Reduce Documentation Time During High-Pressure Events

In labor and delivery, time spent on documentation is time not spent directly with the patient. Epic Stork’s OB-specific templates, consolidated dashboards, and automated data capture from connected devices cut down on repetitive charting.

Example: A labor nurse can document cervical checks, fetal heart rate, and contraction patterns in a single view without toggling between modules. Throughout a shift, this can save hours—time that can be redirected to patient care.

B. Improve Patient Safety Through Timely Alerts

The module’s issues real-time alerts for conditions such as fetal distress, elevated maternal blood pressure, or prolonged labor stages. These alerts give the care team actionable information while there is still time to intervene.

Why it matters: Early intervention is often the deciding factor in avoiding adverse maternal or neonatal outcomes. By surfacing critical changes quickly, Epic Stork can help reduce complications.

Image of Key Benefits of Epic Stork
Fig 2: Benefits of Epic Stork
Image of Key Benefits of Epic Stork
Fig 2: Benefits of Epic Stork

C. Support Compliance With ACOG and Hospital Standards

Standardized templates and structured data capture help ensure that every delivery is documented consistently. This supports compliance with ACOG guidelines and hospital quality metrics while also simplifying chart reviews for audits, legal documentation, and peer review.

Impact: Hospitals can reduce variability in care documentation, making it easier to measure performance and improve outcomes across the board.

D. Streamline Handoffs Across Departments

From triage to delivery, through the operating room and into postpartum recovery, multiple teams touch the patient record. Epic Stork centralizes updates so the NICU (neonatal intensive care unit) team, anesthesia providers, and OB/GYN staff all see the same information in real time.

Benefit: This eliminates gaps in communication that can delay care or lead to duplication of work.

Image of Benefits of Epic Stork for OB/GYN Providers
Fig 3: Benefits of Epic Stork for OB/GYN Providers
Image of Benefits of Epic Stork for OB/GYN Providers
Fig 3: Benefits of Epic Stork for OB/GYN Providers

V. Real-World Use in Hospitals

Epic Stork is more than just a documentation tool; it is embedded in the daily operations of labor and delivery units. In practice, it enables multiple clinical teams to work from the same set of information, ensuring care is coordinated from the moment a patient arrives to the time she leaves the hospital.

A. How OB/GYN Teams Use Epic Stork

  1. Nurses in Labor and Delivery
    L&D nurses use Stork to monitor vitals, track fetal heart rate, and document every step of labor progression. Because Stork consolidates data from connected devices and manual inputs, nurses can keep patient records updated in real time without juggling multiple systems.
  2. OB/GYN Physicians
    Physicians rely on Stork’s dashboards and partograms to assess labor progress, evaluate potential risks, and decide when interventions such as induction or C-section are needed. Alerts for abnormal readings ensure that critical changes are not overlooked.
  3. Anesthesiology Teams
    When a patient needs an epidural or surgical anesthesia, the anesthesiology team can access relevant maternal health data directly in Stork. This eliminates delays that can occur when moving between systems or requesting information verbally.
  4. NICU Teams
    For high-risk births or premature deliveries, the NICU (neonatal intensive care unit) team uses integrated Stork data to prepare for immediate newborn care. Data flows from the delivery record into the newborn’s chart, reducing duplication and ensuring continuity.

Related Read: Epic Modules for Mid-Sized Hospitals: Which Ones Matter Most?

Image of Use Cases of Epic Stork for Hospitals
Fig 4: Real Use Cases of Epic Stork
Image of Use Cases of Epic Stork for Hospitals
Fig 4: Real Use Cases of Epic Stork

B. Example Scenario: From Triage to Postpartum

  1. Triage Admission
    A patient arrives with early labor signs. The triage nurse logs vitals, maternal history, and fetal monitoring data into Stork. Alerts flag elevated blood pressure, prompting a preeclampsia evaluation.
  2. Active Labor
    OB physicians monitor the partogram to track labor progression. The system alerts them to slower-than-expected dilation, allowing timely decision-making on whether to augment labor.
  3. Delivery
    An anesthesiologist uses Stork data to review recent vitals before administering an epidural. All procedural notes are captured in the same patient record.
  4. Postpartum Recovery
    Post-delivery, the nurse documents newborn APGAR scores and maternal status in Stork. This information is visible to the NICU and postpartum units without any hand-entry duplication.
  5. Patient Engagement
    Through MyChart, the patient can review her birth plan, read discharge instructions, and schedule follow-up appointments—all linked to her Stork record.

C. Why This Matters

Hospitals that use Stork effectively see fewer delays in care transitions, reduced duplication in charting, and better communication between departments. These efficiencies can directly impact clinical outcomes, patient satisfaction, and compliance with quality standards.

VI. Challenges and Limitations

While Epic Stork delivers strong baseline capabilities for obstetric care, hospitals often encounter limitations when adapting it to their specific workflows, device setups, and patient engagement goals. Recognizing these challenges is the first step in identifying where custom development can deliver significant operational and clinical gains.

A. Training Requirements for OB/GYN Teams New to Epic

The challenge:
For hospitals transitioning to Epic or onboarding new OB/GYN staff, Stork’s interface can feel overwhelming. The module offers a large set of features, and without targeted training, users may only leverage a fraction of its potential.

The opportunity:
Hospitals can build custom onboarding modules, simulation environments, or role-specific dashboards that streamline the learning curve. Tailoring the user interface to show only the most relevant fields during early adoption can boost confidence and speed up proficiency.

B. Workflow Misalignment With Hospital Protocols

The challenge:
Out-of-the-box Stork workflows are based on standard labor and delivery practices, which may not fully match the policies, checklists, or patient flow unique to each facility. This can lead to extra clicks, redundant data entry, or inconsistent charting.

The opportunity:
Custom OB workflows, such as hospital-specific prenatal intake forms, triage protocols, or delivery checklists, can be embedded directly into Stork. This alignment reduces workarounds, improves compliance with internal standards, and makes documentation more efficient.

C. Limited Flexibility for AI, Wearables, or Third-Party Tools

The challenge:
Hospitals interested in advanced features such as predictive analytics for labor progression, or data capture from wireless fetal monitors, may find native integration options limited or complex to configure.

The opportunity:
By leveraging SMART on FHIR and APIs, hospitals can connect Stork to third-party apps, AI models, and wearable devices. With the right integration, real-time vitals from devices like blood pressure cuffs or fetal monitoring systems can flow directly into the patient’s Stork record.

Kristen Valdes, CEO of b.well

Healthcare data is often “highly fragmented,” sometimes scattered across dozens of locations, underscoring the need for open standards like FHIR to allow systems to talk to one another.

D. Complex Device Syncing and Interface Setup

The challenge:
Integrating medical devices like fetal monitors or anesthesia systems with Stork requires both technical configuration and workflow coordination. Delays in setup can push back go-live timelines and frustrate clinical teams.

The opportunity:
Hospitals can use integration workflows such as HealthConnect CoPilot to reduce implementation time. Pre-built device connectors, testing frameworks, and validation scripts can help ensure data flows reliably from day one.

E. The Bottom Line

Each of these limitations points to a customization pathway that can make Epic Stork more intuitive, more integrated, and more aligned with the realities of a busy labor and delivery unit. Addressing them improves staff satisfaction and directly influences patient safety and operational efficiency.

VII. How Mindbowser Extends Epic Stork

Hospitals and health systems often see Epic Stork as a strong starting point—but they also recognize that its out-of-the-box configuration may not fully meet their clinical and operational goals. That’s where Mindbowser comes in. We work alongside OB/GYN, IT, and administrative teams to design and implement enhancements that make Stork work exactly the way each hospital needs it to.

A. Custom OB Workflows

What we do:
We develop hospital-specific modules for key stages of maternal care, such as prenatal intake, triage assessments, and delivery checklists. These can be configured to match a facility’s protocols, ensuring every step, from patient arrival to postpartum discharge, is covered.

Impact:
By embedding these workflows directly in Epic Stork, hospitals reduce workarounds, speed up documentation, and ensure compliance with internal quality standards.

B. SMART on FHIR Extensions

What we do:
Using SMART on FHIR, we create embedded apps and UI layers within Epic. This can include advanced analytics dashboards, condition-specific decision support, or intake screens that are easier for staff to navigate.

Impact:
Hospitals can add new functionality without waiting for core Epic upgrades, enabling rapid deployment of clinical decision tools that are tailored to their patient population.

C. Wearable Data Integration

What we do:
Through our WearConnect workflow, we integrate data from devices such as wireless fetal monitors, digital blood pressure cuffs, and wearable sensors directly into Epic Stork records.

Impact:
This real-time feed of maternal and fetal vitals reduces manual data entry, improves monitoring accuracy, and allows earlier detection of complications.

D. Postpartum Care Modules

What we do:
We design extensions that support post-delivery follow-up, such as lactation tracking tools, automated patient education messages, and maternal mental health check-ins.

Impact:
By keeping patients engaged after discharge, hospitals can reduce readmissions, improve maternal outcomes, and strengthen patient satisfaction scores.

E. Compliance-First Development

What we do:
All of our Epic Stork enhancements are built to meet HIPAA and SOC 2 requirements, with security and privacy safeguards in place from the start.

Impact:
Hospitals can innovate with confidence, knowing their customizations meet the highest standards for healthcare data protection.

VIII. Future of Epic Stork

The next phase of Epic Stork will be shaped by emerging technologies, evolving regulatory frameworks, and the increasing demand for personalized maternal care. Hospitals that plan for these changes now will be better positioned to deliver safer, more efficient labor and delivery experiences in the years ahead.

A. Predictive AI for Labor and Delivery

What’s coming:
AI models can analyze historical and real-time data to forecast labor progression, identify potential complications, and recommend proactive interventions. With more hospitals capturing detailed maternal and fetal data through Stork, predictive analytics will become a standard part of decision support.

Potential impact:

  • Earlier identification of conditions like preeclampsia or prolonged labor
  • Reduced emergency interventions
  • More precise resource planning for delivery rooms and NICU staffing

B. Interactive Patient Tools in MyChart

What’s coming:
Patients will have more opportunities to engage directly with their care via MyChart-linked tools. This includes interactive birth plans, tailored pre-labor education modules, and secure two-way messaging with care teams.

Potential impact:

  • Higher patient satisfaction through clearer communication
  • Better adherence to pre-labor instructions
  • More personalized postpartum care pathways

C. Expanded FHIR Integration

What’s coming:
FHIR-based APIs will enable faster, more flexible integration with OB-specific devices and third-party apps. This opens the door for connected wearables, home monitoring tools, and specialty software to feed data directly into Stork.

Potential impact:

  • Real-time maternal and fetal vitals from remote or outpatient settings
  • More seamless data exchange between inpatient and outpatient care teams
  • Reduced manual entry errors and workflow delays

Related Read: Epic FHIR Integration: Making Interoperability Seamless for Healthcare Providers

D. Smarter Clinical Decision Support

What’s coming:
Hospitals will be able to tailor CDS alerts more precisely to their protocols, patient demographics, and risk thresholds. Instead of generic warnings, alerts will be contextual and actionable.

Potential impact:

  • Fewer alert fatigue issues among providers
  • Higher trust in decision support recommendations
  • Faster response to condition-specific risks

E. Unified Cross-Department Dashboards

What’s coming:
A single, role-based dashboard that consolidates data from OB, anesthesia, NICU, and social work teams into one view will make it easier to coordinate care in complex cases.

Potential impact:

  • More efficient multi-specialty collaboration
  • Better preparation for high-risk deliveries
  • Stronger continuity of care from admission to discharge

F. TEFCA Alignment for Maternal Data Exchange

What’s coming:
With the U.S. moving toward TEFCA (Trusted Exchange Framework and Common Agreement) for nationwide interoperability, Epic Stork will be part of Qualified Health Information Networks (QHINs). This will allow maternal records to move securely between institutions.

Potential impact:

  • Improved continuity for patients who transfer between facilities during pregnancy
  • Easier sharing of high-risk pregnancy data for second opinions or specialized care
  • Enhanced public health tracking of maternal outcomes

Related Read: TEFCA in Healthcare: A Complete Guide

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Conclusion

Epic Stork gives OB/GYN teams a powerful foundation for managing labor and delivery bringing together real-time data, structured documentation, and cross-department visibility. But for many hospitals, the real potential is unlocked when Stork is adapted to match their unique workflows, protocols, and patient engagement strategies.

Custom Epic EHR development allows hospitals to close functional gaps, integrate with advanced monitoring tools, and provide decision support that is tailored to their own standards of care. Whether it’s streamlining documentation, enabling predictive analytics, or improving postpartum follow-up, these enhancements can make a measurable difference in both clinical outcomes and operational efficiency.

Mindbowser partners with hospitals to deliver these capabilities. With expertise in SMART on FHIR, wearable device integration, and HIPAA-compliant development, we help health systems extend Epic Stork in ways that align with their goals and deliver real-world results.

What is Epic Stork used for?

Epic Stork is Epic Systems’ dedicated module for labor and delivery care. It supports OB/GYN teams with real-time maternal and fetal monitoring, structured documentation, and coordinated workflows from prenatal visits through postpartum discharge.

How does Epic Stork help improve labor and delivery workflows?

By consolidating vitals, fetal monitoring data, and provider notes in one dashboard, Epic Stork reduces the time spent switching between systems. Clinical Decision Support alerts help providers identify risks early, while standardized templates improve compliance with ACOG guidelines.

Can Epic Stork be customized for my hospital’s workflows?

Yes. While Stork comes with standard templates and workflows, hospitals often customize it to match their own triage processes, intake forms, delivery protocols, and patient engagement needs. This can be done through Epic’s configuration tools or via SMART on FHIR extensions.

What are the main limitations of Epic Stork out of the box?

Common challenges include training requirements for new users, workflows that may not align with hospital protocols, limited built-in device integration, and restricted flexibility for AI or third-party tools without additional development.

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