There is research that supports the safety of planned home birth for healthy women, and more women in the United States are choosing to give birth at home. Strategic initiatives developed at the Home Birth Summit in 2011 address issues related to planned home birth including integration into the health system. This editorial discusses the ongoing work on these initiatives including the development and endorsement of best practice guidelines for safe transfer from home to hospital. The American College of Obstetricians and Gynecologists revised policy statement on home birth calls for the integration of home birth into the health system. This is an important step in making home birth even safer for mothers and babies.