DescriptionPurpose of Project: This aim of this quality improvement (QI) pilot project was to integrate the Edinburgh Postnatal Depression Scale (EPDS) and establish a process to improve identification and timely referral for postpartum depression (PPD) in an obstetrical setting. The objectives were to (a) improve knowledge surrounding PPD, screening, referral options, and crisis management for screen positive cases, (b) develop and assess workflow to increase screening, detection, and referral rates, and (c) establish recommendations for program sustainability based on outcome evaluation. Methodology: This non-experimental QI project was based on the aims to develop, implement, and evaluate EDPS workflow and a culturally sensitive evidence-based referral process for women seeking routine postpartum care. Results: Of the 12 patients coded for postpartum visits, 8 were screened, 2 of whom screened positive and were referred. Approximately one third of patients eligible for screening were missed using only the postpartum visit code and, another 10 were missed because they were not specifically coded for a postpartum visit but would have qualified had the coding been more inclusive. As such, approximately 50% of women were missed. Of the patients screened including those who screened positive, none had a history of PPD, were being treated for PPD, or expressed they wanted to harm to themselves or their infant. Implications for Practice: After being modified to close gaps and accommodate the needs of the location, EPDS screening will be better incorporated into this clinical practice to improve identification and referral rates for women who screen positive.