Healthy Start and CHW Evaluation. MiCHWA Annual Meeting Lansing Community College October 9, 2013
|
|
- Aldous Sullivan
- 5 years ago
- Views:
Transcription
1 Healthy Start and CHW Evaluation MiCHWA Annual Meeting Lansing Community College October 9, 2013
2 History of Healthy Start Created under HRSA s MCHB in 1991 to reduce infant mortality & improve MCH in areas with highest IMR and racial disparities Began with 15 demonstration sites, now 105 in 38 states, Puerto Rico, and WDC Seven HS in Michigan
3 Healthy Start Model Comprehensive model that uses home visiting as a service delivery component Uses place-based systems approach Based on Life Course Perspective Socio-ecologic framework Serves >78,000 women per year IMR of 5.1 / 1000 is lower than US 6.7
4 Goals & Objectives Reduce infant mortality Reduce low birth weight rates Increase the number of women with adequate prenatal care Increase access to mental health Increase the number of pregnancies spaced at least 18 months apart
5 Goals & Objectives Increase the number of women & children with a medical home Educate community and health care providers Foster consumer and family participation Improve the overall system of care Promote racial equity
6 Participants Program Participants: Pregnant women Interconception women (enrolled for two years after delivery) Infants and children under two years of age Community Participants: People who attend events sponsored by HS
7 Core Components Service Level Outreach Case Management Inter-Conception Care Health Education Depression Screening & Referral Systems Level Consortium (incl. consumers) Local Health System Action Plan Collaboration w/ Local & State Agencies Sustainability
8 Core Components Flexibility in how implement based on local needs, resources and priorities. But all are: Community-driven to ensure project is relevant and responsive to the realities of life Service-focused to provide needed care, meet basic needs, and promote self-sufficiency Address SDoH and work to enhance health care infrastructure and service system
9 Service Level Core Services: Outreach Community Health Workers / Peer Mentors Identify women at risk and connect to needed services Build long-term relationships Home visits for social support, education and referrals
10 Service Level Core Services: Case Management Home visits by CHWs, RNs and SWs (MIHP) for prenatal and inter-conception women Develop goals, provide counseling and education Link to needed services (GED, housing, food, education, insurance, FP, transportation, etc.)
11 Service Level Core Services: Education Program participants Family members Community residents Agency staff Health care providers Service providers Students, church members, child care providers SB: EBP, Safe Sleep Facilitator, YGG!, quarterly community education >1,650 / year
12 Service Level Core Services: Mental Health Screen & refer for perinatal depression SB Mental Health Coordinator: Crisis management Individual counseling Six-week therapeutic support groups on stress, depression & anger mgt
13 Additional Components Brush Up for Baby Breastfeeding support groups (co-facilitated by CHWs) Fatherhood program (home visits by male CHW)
14 Systems-Level Consortium consumers, partners, providers, business, clergy, universities, WIC, etc. LHSAP (e.g., FIMR, GSC, Healthy Homes Coalition, PRFC, GGREN) Collaboration with state agencies (e.g., MiCHWA, PRAMS, PRIME, MCMCH) Advocacy - local, state & national
15 CHW Role in Strong Beginnings Community Outreach Enroll clients, complete assessments help develop care plans & monitor progress towards goals Social support, listening ear Members of case management team, case conference, support & enhance work by MIHP CM Health educators (individual and community)
16 CHW Role in Strong Beginnings Assist with mental health therapeutic support groups Complete Reproductive Life Plans Monitor birth control use & anticipatory guidance Help enroll in Medicaid, WIC, Plan First! Form part of CQI teams
17 CHW Role in Strong Beginnings Advocates & referrals for needed services (health care, GED, housing, food, employment) Arrange wrap-around services such as transportation Connect to mental health, BUFB, and Fatherhood Breastfeeding peer counselors Members FIMR Case Review Team Meet with state and federal legislators
18 CHW Training CHW Certification Ohio NCSC Healthy Families America Motivational interviewing HiPAA & Mandated Reporter Breastfeeding peer counselors Family planning, birth control & RLP Infant care, safe sleep, CPR, infant massage
19 CHW Training Mental health, substance abuse, IPV Baby Basics and Partners for a Healthy Baby curricula Healthy homes & lead poisoning Health equity / social justice On-going in-services & conferences New CHWs shadow & mentored by experienced CHWs
20 Value of CHWs Many former program participants - first hand knowledge of program All represent the pop. they serve Trusted leaders in the community Bring personal as well as professional expertise that complements RN/SW case managers Male CHW helps strengthen father involvement, communication, and parenting skills
21 Value of CHWs Smaller caseloads, more frequent visits than MIHP Serve as realistic role models Develop unique trust relationships with clients Engage highest risk women (lower no-show rates)
22 Value of CHWs Better utilization of health services Improved outcomes especially LBW, breastfeeding, child spacing, mental health Significant cost savings from improved outcomes
23 Vulnerable Clients Compared to African American pregnant women on Medicaid in Kent County, Strong Beginnings clients are statistically more likely to: Be unmarried Be in poverty Have an unwanted pregnancy Smoke and use drugs Have a clinical diagnosis of depression Have had a prior poor pregnancy outcome Be homeless and move more frequently Be in abusive relationships
24 Outcomes: Service Utilization Compared to other African Americans on Medicaid in Kent County, SB clients have higher rates of: First trimester prenatal care (80% vs. 58%) Adequate and Adequate Plus prenatal care (75% vs. 69%) Post Partum exams (70% vs. 57%) Well Child Visits (92% of SB infants had seven or more well child visits vs. 79% non-clients)
25 Outcomes: Breastfeeding
26 Outcomes: Child Spacing In Grand Rapids, 28% of African American women become pregnant within 18 months of delivery, down from 34% in 2008 (2010 data) Only 9% of SB participants became pregnant within 18 months of delivery
27 Grand Rapids Infant Mortality Black and White IMR - Three Year Averages Black 18.9 Rate per 1,000 live births Total White White Black Source: MDCH, Division of Vital Records and Health Statistics
28 Infant Mortality Rate (IMR) Moving average per 1000 live births Strong Beginnings and Grand Rapids Black IMR Rate per 1,000 live births Grand Rapids Black IMR Strong Beginnins Strong Beginnings : 5 infant deaths among 546 live births : 6 deaths /705 births (3 unpreventable birth defects)
29 Percent Low Birth-Weight Births (Weighing less than 2,500 grams or 5.5 lbs) Strong Beginnings and Grand Rapids African American LBW births Percent Grand Rapids Black Strong Beginnings
30 Percent Very Low Birth Weight Births (Weighing less than 1500 gm or 3.3 lbs) Percent Strong Beginnings and Grand Rapids African American VLBW births 10 Percent Grand Rapids Black VLBW Strong Beginnings , 2009, 2011 Strong Beginnings VLBW = 0 Overall VLBW = 0.98 (8/810)
31 Multi-Disciplinary Team Approach -- In Genesee County, CHWs are an integral part of our case management team Team consists of a community health worker (CHW), dietitian, nurse, and social worker Combines the skills and expertise of each team member Provides comprehensive service delivery to our moms and babies Service is individually based according to each family situation Assessments, screenings & other case information is shared by all members of the team The team holds a case conference once each month to update one another on progress and challenges Home visit frequency, by each team member and in total, is dependent upon the current needs of the family
32 Impact of Social Determinants in Flint and the Role of CHWs Risk Assessment Results Top 4 domains (Education/Career, Mental Health, Social Support, Housing) are not (or not effectively) addressed through traditional clinical interventions. Risk factors are not commonly singular. Top 3 Low Of 601 women, about 2% (10 women) scored high for risk in Adult Safety. About 2% (11 women) scored high for risk in Chronic Disease. 2.5% (15 women) scored high for risk in Disabilities. Top 3 High Of 601 women, 22% (133 women) scored high for risk in Education and Career. 13% (79 women) scored high for risk in Mental Health. 9% (56 women) scored high for risk in Social Support & Faith. Genesee County Health Department Program strategies must address all social determinants concurrently. Access to community based resources is critical to health improvement. CHWs are critical to addressing social determinants. This poster is supported by the Genesee County Health Department through the Healthy Start project, Grant Number H49MC , from the Department of Health and Human Services, Health Resources and Services Administration (HRSA).
33 CHWs outreach, recruitment, enrollment advocacy and support instrumental in engaging & maintaining participation transportation to medical appointments, WIC, community resources focus on basic needs assure access to organizations referral follow up Dietitians assess and educate nutrition of mothers and babies develop food plans for special health needs, diabetes, cardiovascular assess and monitor appropriate growth of babies and weight gain of pregnant women educate mothers about healthy weight after pregnancy Nurses focus on medical issues assess and monitor growth and development of babies monitor maternal health provide education and expertise for common but sometimes critical health issues such as gestational diabetes and high blood pressure Masters Level Social Workers (MSW) provide a focus on the psycho-social needs of mother and baby assess and educate mental well-being stress, family relationships and parenting domestic violence and substance abuse assess child growth and development help families access community resources Genesee County Health Department (GCHD) lead coordinating organization and fiduciary central client records and database, all federal reporting works with case coordination/case management team coordinates and performs outreach and health education services Christ Enrichment Center (CEC) joined our project in October 2012 to build stronger community connections to the population we serve October 2013 two additional part-time CHWs were added to coordinate the consortium and the men s project women s educational and support groups men s project - mentoring, fatherhood, systems advocacy coordinates community consortium and faith-based activities
34 CHWs and Social Determinants of Health The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics. (CDC website) CHWs know the neighborhoods and understand how systems affect the lives of our families. Our mothers look to the CHWs for help and guidance. Educator Advocate Mentor GCHS CHWs are critical to our success. They fill many roles in the lives of our families.. Coach Role Model Support
35 PERCENT PERCENT 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 6.0% 4.0% 2.0% 0.0% LOW BIRTH WEIGHT (LBW) of African American Babies VERY LOW BIRTH WEIGHT (VLBW) of African American Babies Genesee County Healthy Start vs. City of Flint African American Infant Mortality Rates Source: Genesee County Health Department Healthy Start participant data. City of Flint population includes Healthy Start participants. GCHS Achievements CITY OF FLINT HEALTHY START CITY OF FLINT HEALTHY START Between 2001 and 2010 the Genesee County Healthy Start Project served 1,790 pregnant women, 1,107 interconceptional women, 1,260 infants less than one year of age, and 669 children between one and two years of age for a total of 4,826 service recipients. Genesee County Healthy Start program participants consistently demonstrated better birth outcomes in comparison to the outcomes among African American residents in the project area. During the project period (2001 to 2010), very low birth weight (VLBW) among Healthy Start program participants was one-half the rate of other African Americans in the project area (1.7% compared to 3.4%), and the low birth weight (LBW) among program participants averaged 12.3% compared to 16.2% among other African Americans in the project area. Perhaps the most striking difference has been in the infant mortality rates. The IMR among Healthy Start program participants was almost seven times less than their counterparts in the project area (2.8 compared to 18.3 per 1,000 live births) over the ten-year period.
36 GCHS Goals (include promoting CHWs) The next 10 years of Genesee County Healthy Start will build on lessons learned A Progressive Referral and experience gained from the first 10 years. Nine goals summarize our focus Network: and direction for the future: Goal 1: Identify opportunities to maximize community resources and advance local referral system. Goal 2: Increase community partnerships and strengthen connections with current partners. Goal 3: Broaden connections to all sectors of the community to increase resources. Goal 4: Develop foundational strategies among other programs to increase emphasis on mothers stress level and lack of positive social support. Goal 5: Maintain alliances with the Maternal Infant Health Program to emphasize the importance of funding maternal/infant home visiting services and related programs. Goal 6: Promote awareness of the value of community health workers. Goal 7: Identify opportunities to expand advocacy of policies regarding improved access to adequate/safe housing and utility assistance. Goal 8: Promote awareness of social determinants of health as the key to improving maternal/infant health. Goal 9: Showcase successes though increased local evaluation and publishing to expand sustainability opportunities. Assisted Referrals following the client through the course of their contacts and appointments. More connected referral network working with agencies to increase use of each other s services and create a net of support for each client. Navigation support decentralized over time client will learn skills of self support and advocacy, creating a base of community members and mothers who are empowered.
37 Maajtaag Mnobmaadzid The Inter-Tribal Council of Michigan Healthy Start Project
38 Who We Are Inter-Tribal Council of Michigan, Inc. A 501 (c) (3) organization (a Tribal Consortium) composed of eleven federally recognized Indian Tribes in Michigan.
39 Who We Are Maajtaag Mnobmaadzid Since late 1997, ITCMI has been administering Maajtaag Mnobmaadzid: The Start of a Healthy Life. A home visiting, case management program for Native American pregnant and postpartum women and infants. 8 sites throughout 14 counties in Michigan 6 Tribal 2 Urban
40 Home or office visits by a maternal child health nurse to provide screening, assessment and education Innovative, holistic and culturally appropriate interventions that are specifically tailored to each client and address risky behaviors Health promotion, childbirth and parenting education Case management services including referral, follow-up and after-care services for a variety of family needs Transportation assistance Support & Advocacy Provided Services
41 CHW Provided Services Accompany nurse on home or office visits on first time visits, if unfamiliar area, or in isolated rural areas for safety and community entry families will sometimes open door for CHW but not others; Involved in recruitment: field word of mouth and informal referrals; Locating lost to follow up clients: use community knowledge to locate hard to reach clients; Case management follow-up: checking back to see if pursued referral, if need transport, drop of incentives, emergency supplies Transportation assistance Support & Advocacy
42 Focused CHW Provided Services Two of our CHWs have taken a special interest in breastfeeding support and have obtained their CLC Certified Lactation Counselor credential In addition to providing one on one lactation support, they run breastfeeding support groups, have become involved in advocating for work place breastfeeding policy, and initiated breastfeeding friendly actvities at community events Baby Breastaurant at Pow Wow s, etc. MICHIGAN INTER-TRIBAL COUNCIL
43 Community Level Activities involving CHWs Community health promotion and risk reduction events Health education counseling for teens and their families Advocacy through a statewide consortium of clients, service providers, community leadership, policy makers, & organizational partnerships Advocacy for system changes that will improve the quality and accessibility of care for Native American families
44 Program Successes The infant mortality rate among American Indians within the ITCMI s Healthy Start project area has dropped more than 50% since the start of the project. In 1996 the rate of 1rst trimester prenatal care for MITC project participants was at 74%. In 2005 the rate was 90.4%. This rate is higher than the statewide rate for Whites.
45 Strong Start. Healthy Start
46 *Program Awarded June, 2012 Mission: Eliminate infant mortality disparities and improve the health of families in the Ingham County area. *
47 *Workshops held weekly at 3 of the Lansing subsidized housing sites *Peer Advisors from each site assist Health Educator with workshops *Peer Advisors are women who live in the community that are recognized as leaders or supporters of their community * Over 90 families participated *
48 WHY IS OUR COMMUNITY SICK? YOUR THOUGHTS. YOUR PHOTO. YOUR VOICE. Creating Community Dialogue Around Issues that Affect Infant Mortality *
49 Case Management: Maternal Infant Health Program * High Risk * African American woman * Experienced a negative pregnancy outcome * Services provided by both Public Health Nurse and Public Health Advocate for 2 years post partum * At Risk: * African American woman of childbearing years * Services provided by either Public Health Nurse or Public Health Advocate * Implementation Year * Over 50 Women and their families served *
50 * *Facilitate discussion of perceived racism and its relationship to chronic stress. *Provide information related to effects of chronic stress. *Utilize motivational interviewing to identify barriers *Provide positive affirmations to facilitate achieving goals. Supporting women and families in overcoming barriers and reaching their goals.
51 MiCHWA CHW Common Program (Process and Outcome) Indicators Telling the CHW story with NUMBERS
52 What are common indicators? Putting a number to what CHW s do (process indicators) Putting a number to what happens to clients/patients when they do what they do (outcome indicators) The potential POWER of all our numbers
53 Why CHW Common Indicators? Critical point in time The U.S. can t afford health care as we know it Openness to alternative ways to deliver health care; other health team members Attention to the social determinants of health Health literacy obtain, process and understand health information and services to make appropriate health decisions Primary care and patient-centered Medical Home
54 Why CHW Common Indicators? Investments in evidence-based interventions Example: the MI Maternal and Infant Health Program and the state legislature (18,000 pregnant women in 82 MI counties; 50% second time moms) Time to persuade: taking numbers to policymakers and payors Example: Food insecurity
55 Why is getting numbers so hard? Lack of clarity about the scope of CHW work Many activities address social determinants, not well defined, time consuming, hard to measure and put a number on Data sources---warehouses for medical and nursing care tied to reimbursement MIHP as an example (some also served by CHW) Using the same yardstick for nurses, CHWs, social workers and others
56 Why is getting numbers so hard? It feels like it is taking time away from our clients
57 How will data be used? CHWs provided X (time) care to x number of Michiganders; The health of CHW clients are impacted by poverty and racism (% Medicaid insured; % < 133% level; % racial/ethnic minority) CHWs helped % people with low health literacy learn to use primary care versus the emergency department
58 Picking common indicators? How do others define CHW roles and functions? State groups? Researchers? CHW groups? Ask programs what they count! What indicators are they required to count Healthy Start performance measures: 3 rd trimester tobacco use; postpartum visit; Ask CHWs what they do!
59 What do CHWs say they do? Self-Management /Health literacy Discussed what happened at last medical prenatal visit Discussed when to call the doctor Prepared mother with what to expect at next medical prenatal visit Translated medical provider information Translated MIHP case manager information Accompanied client to: Community resource for basic needs DHS Doctor office Group education session Mental health appointment Other
60 What do CHWs say they do? Medicaid Outreach/Navigation: Arranging language translation services ; translating forms Arranging transportation Completing DHS forms Completing insurance forms; change in Medicaid; provider Completing medical forms Contacting DHS worker on behalf of client Engaging/retaining client in other Medicaid services Finding a medical provider (physician or dentist) Making medical appointments Teaching client how to use MHP transportation
61 Basic needs Assisted with acquiring or maintaining housing (did more than a referral) Assisted with acquiring or maintaining utilities Assisted with getting access to a phone Assisted with securing food (food pantry, WIC, food stamps did more than a referral) Picked-up or distributed supplies Social support - listened to client, showed concern, gave moral support, gave encouragement
62 CHW impact in the new health care system : an example The next slides provide some numbers about where some Medicaid insured women are receiving health care after they have a baby How could CHWs target the problem of emergency department visits and engage women in a medical home? How could CHWs count their successes? How interested would Medicaid health plans be in your numbers?
63 Postpartum Visit by Race/Ethnicity Kent Total (4,484) Black (928) Other (3,556) N % N % N % Postpartum visit 2, , Postpartum Visit by Medicaid Status Kent Total (4,484) Medicaid before Pregnancy (2,262) No Medicaid before Pregnancy (2,222) N % N % N % Postpartum visit 2, ,
64 Postpartum ED 61 st -365 th Days After Birth by Medicaid Status Kent Total (2,148) Medicaid before pregnancy (835) No Medicaid before Pregnancy (1,313) N % N % N % Postnatal ED: 61 st 365 th days after birth # of postnatal ED visits None 1, or or more
65 What Medicaid managed care likes Johnson, D et al. Community Health Workers and Medicaid Managed Care in New Mexico. Journal of Community Health, Published online 28 September 2011
66
67 Common Indicators Next Steps CHW survey Ask program directors what data they are collecting now for current funders? Give them a checklist to briefly scan Ask them to tell us what is missing or more detail (using a health literacy question; and ED diversion, a medical home indicator) Consensus MiCHWA group for a starter list
68 Common Indicators Talk to us! Help us understand your concerns about collecting more data What do you think we should be collecting? How should we be collecting data? What would make it easier for you as a program? As a CHW?
Infant Mortality Reduction Programs: Examples of Successful Models
Infant Mortality Reduction Programs: Examples of Successful Models MDH African American Infant Mortality Project Community Co-learning Sessions Mia Robillos October 2, 2017 4 Examples 1. B More Baltimore
More informationMaternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2016 Annual Report for 2014
Maternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2016 Annual Report for 2014 NM Title V MCH Block Grant 2016 Application/2014 Report Executive Summary
More informationMaternal and Child Health Services Title V Block Grant for New Mexico. Executive Summary. Application for Annual Report for 2015
Maternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2017 Annual Report for 2015 Title V Block Grant History and Requirements Enacted in 1935 as a part
More informationMichigan Council for Maternal and Child Health 2018 Policy Agenda
Michigan Council for Maternal and Child Health 2018 Policy Agenda MCMCH Purpose! MCMCH s purpose is to advocate for public policy that will improve maternal and child health and optimal development outcomes
More information2015 DUPLIN COUNTY SOTCH REPORT
2015 DUPLIN COUNTY SOTCH REPORT Reported March 2016 State of the County Health Report The State of the County Health Report provides a review of the current county health statistics and compares them to
More informationMaternal, Child and Adolescent Health Report
Maternal, Child and Adolescent Health Report San Francisco Health Commission Community and Public Health Committee Mary Hansell, DrPH, RN, Director September 18, 2012 Presentation Outline Overview Emerging
More informationYour Connection to a Healthier Life
Your Connection to a Healthier Life The Northwest Ohio Pathways HUB is a regional care coordination system that connects low-income residents to needed medical and social services, including insurance
More informationCommunities to Improve Health. through the Pathways HUB Model Second level
PREGNANT Unleashing CLIENT the Power of Communities to Improve Health Click to edit Master text styles through the Pathways HUB Model Second level Third level Fourth level Fifth level Judith Warren, Healthcare
More informationCommunity Health Needs Assessment Joint Implementation Plan
Community Health Needs Assessment Joint Implementation Plan and Special Care Hospital CHNA-IP Report Page ii Community Health Needs Assessment (CHNA) Implementation Plan (IP) Report Table of Contents Introduction...
More informationMinnesota CHW Curriculum
Minnesota CHW Curriculum The Minnesota Community Health Worker curriculum is based on the core competencies that are identified in Minnesota s CHW "Scope of Practice." The curriculum also incorporates
More informationCommunity Health Workers in Michigan: Addressing Social Determinants in the Community and the Clinic
Community Health Workers in Michigan: Addressing Social Determinants in the Community and the Clinic MICHIGAN HEALTH POLICY FORUM Katie Mitchell, LMSW MiCHWA Project Director November 9, 2015 Lansing,
More informationALIGNING STATE AND LOCAL HEALTH DEPARTMENTS TO IMPROVE MATERNAL AND CHILD HEALTH
ALIGNING STATE AND LOCAL HEALTH DEPARTMENTS TO IMPROVE MATERNAL AND CHILD HEALTH National membership organization of city and county health departments' maternal and child health (MCH) programs and leaders
More informationHow Do You Operationalize Health Equity? How Do We Tip The Scale?
1 How Do You Operationalize Health Equity? How Do We Tip The Scale? 2 Why Look Through A Health Equity Lens: A large body of research has been well a established. This research has lead us to understand
More informationPractices to Reduce Infant Mortality through Equity (PRIME) Final Narrative Report July Project Award # P
Practices to Reduce Infant Mortality through Equity (PRIME) Final Narrative Report July 2015 Project Award # P3027218 This is an initial report on activities and accomplishments of the Practices to Reduce
More informationCare Coordination and the Healthy Start Community. Kimberlee Wyche Etheridge, MD,MPH WycheEffect LLC
Care Coordination and the Healthy Start Community Kimberlee Wyche Etheridge, MD,MPH WycheEffect LLC Webinar Purpose To provide Healthy Start grantees with additional information on implementing care coordination
More information3. Expand providers prescription capability to include alternatives such as cooking and physical activity classes.
Maternal and Child Health Assessment 2015 In 2015, the Minnesota Department of Health conducted a Maternal and Child Health Needs Assessment for the state of Minnesota. Under the direction of a community
More informationPathways Community HUB overview September Sarah Redding, MD, MPH Pathways Community HUB Institute (PCHI)
Pathways Community HUB overview September 2016. Sarah Redding, MD, MPH Pathways Community HUB Institute (PCHI) The HUB model is all about risk. It is about the comprehensive identification and reduction
More informationMarch of Dimes Chapter Community Grants Program Letter of Intent (LOI)
March of Dimes Chapter Community Grants Program 2016 Letter of Intent (LOI) March of Dimes Michigan Chapter 26261 Evergreen Rd., #290 Southfield, MI 48076 (248) 359-1550 khamiltonmcgraw@marchofdimes.org
More informationSUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R (May 24, 2010)
National Conference of State Legislatures 444 North Capitol Street, N.W., Suite 515 Washington, D.C. 20001 SUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R.
More informationMario Drummonds, MS, LCSW, MBA CEO, Northern Manhattan Perinatal Partnership, Inc.
Mario Drummonds, MS, LCSW, MBA CEO, Northern Manhattan Perinatal Partnership, Inc. The Northern Manhattan Perinatal Partnership, Inc. (NMPP) is a not for for profit organization comprised of a network
More information2016 Mommy Steps Program Descriptions
2016 Mommy Steps Program Descriptions Our mission is to improve the health and quality of life of our members Mommy Steps Program Descriptions I. Purpose Passport Health Plan (Passport) has developed approaches
More informationCoIIN: Using the Science of Quality Improvement and Collaborative Learning to Reduce Infant Mortality
CoIIN: Using the Science of Quality Improvement and Collaborative Learning to Reduce Infant Mortality NGA s Learning Network Conference on Improving Birth Outcomes May 17, 2013 David S. de la Cruz, PhD,
More informationBEACON HEALTH SYSTEM COMMUNITY BENEFIT INVESTMENT
BEACON HEALTH SYSTEM COMMUNITY BENEFIT INVESTMENT There is only so much impact a hospital can have by just helping the sick. Creating a healthy community goes beyond treating illness. It s about prevention,
More informationTransforming Maternity Care Blueprint for Action Disparities in Access and Outcomes of Maternity Care
! Transforming Maternity Care Blueprint for Action Disparities in Access and Outcomes of Maternity Care This document presents the content of the Transforming Maternity Care Blueprint for Action that addresses
More informationIndicator. unit. raw # rank. HP2010 Goal
Kentucky Perinatal Systems Perinatal Regionalization Meeting October 28, 2009 KY Indicators of Perinatal Health Infant mortality in Kentucky has been decreasing and is currently equal to the national average
More informationAMCHP Annual Conference
Co-located with the Family Voices National Conference February 12 15, 2011 Omni Shoreham Hotel Washington, DC AMCHP Annual Conference WORKING TOGETHER TO IMPROVE MATERNAL AND CHILD HEALTH The 2011 AMCHP
More informationCollaborative Partners: Healthy Start of North Central Florida North Florida Regional Medical Center UF-Health Shands UF-Health Shands-HomeCare
Collaborative Partners: Healthy Start of North Central Florida North Florida Regional Medical Center UF-Health Shands UF-Health Shands-HomeCare Florida School of Traditional Midwifery Licensed Midwives/Birthing
More informationTexas Department of State Health Services and March of Dimes Austin, Texas January 6-7, 2011
Texas Department of State Health Services and March of Dimes Austin, Texas January 6-7, 2011 Mario Drummonds, MS, LCSW, MBA CEO, Northern Manhattan Perinatal Partnership, Inc. Strategies are choices Strategies
More informationAgency: County of Sonoma Department of Health Services Fiscal Year: Agreement Number:
MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) PROGRAM SCOPE OF WORK (SOW) The local health jurisdiction (LHJ) must work toward achieving the following goals and objectives by performing the specified activities,
More informationMedicaid Braided Funding
Medicaid Braided Funding Policy Brief November 2013 a flexible, coordinated, and sustainable approach to funding state programs and services in several states about Voices for Ohio s Children advocates
More informationCommunity Health Improvement Plan
Community Health Improvement Plan Methodist Le Bonheur Germantown Hospital Methodist Le Bonheur Healthcare (MLH) is an integrated, not-for-profit healthcare delivery system based in Memphis, Tennessee,
More information2013 Mommy Steps. Program Description. Our mission is to improve the health and quality of life of our members
2013 Mommy Steps Program Description Our mission is to improve the health and quality of life of our members I. Purpose Passport Health Plan (PHP) has developed approaches to the management of members
More informationIllinois Breastfeeding Blueprint: From Data to Strategy to Change
Illinois Breastfeeding Blueprint: From Data to Strategy to Change Sadie Wych, MPH Project Coordinator HealthConnect One 1 HealthConnect One is the national leader in advancing respectful, community-based,
More informationSEM PQIC MEETING. Minutes April 10, :00 4:00 p.m.
SEM PQIC MEETING Minutes April 10, 2018 1:00 4:00 p.m. 1. Welcome and Introductions Vernice Anthony opened the meeting. Introductions were made of all the members. New attendees included: Aaron Almasy
More informationAPRIL HEALTHY START INITIATIVE
APRIL 2017 93.926 HEALTHY START INITIATIVE State Project/Program: HEALTHY START BABY LOVE PLUS COMMUNITIES U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Authorization: PHS Title III, Section 301,
More informationEDUCATION AND SUPPORT OF THE FAMILY THE ROLE OF THE PUBLIC HEALTH NURSE ANNE MCDONALD PHN PHIT PROJECT LEADER
EDUCATION AND SUPPORT OF THE FAMILY THE ROLE OF THE PUBLIC HEALTH NURSE ANNE MCDONALD PHN PHIT PROJECT LEADER Public Health Nursing PHN is a generalist nurse with specialist education Postgraduate Diploma
More informationDevelopment of Educational Outreach Materials (Pregnancy Support Program)
National Medical Foundation Primary Care Leadership Program GE/NMF PCLP Summer 2012 United neighborhood Health Services Service Project: Development of Educational Outreach Materials (Pregnancy Support
More informationBright Futures: An Essential Resource for Advancing the Title V National Performance Measures
A S S O C I A T I O N O F M A T E R N A L & C H I L D H E A L T H P R O G R A MS April 2018 Issue Brief An Essential Resource for Advancing the Title V National Performance Measures Background Children
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationState Health Department Support for CHW Workforce Development and Engagement
State Health Department Support for CHW Workforce Development and Engagement Geoff Wilkinson, Senior Policy Advisor Office of the Commissioner Massachusetts Department of Public Health New England Regional
More informationHealthy Patients/Engaged Patients
Healthy Patients/Engaged Patients PRESENTED BY: SUE LING LEE RN, MPA KENNETH FELDMAN, PHD, FACHE CHCANYS 2015 STATEWIDE CONFERENCE AND CLINICAL FORUM FACULTY DISCLOSURE It is the policy of the AAFP that
More informationFirst Steps Nutrition Modules Module 1 The Role of the MSS RD in First Steps
First Steps Nutrition Modules Module 1 The Role of the MSS RD in First Steps Introduction The First Steps program includes, Medical Care, Child Birth Education (CBE), Maternity Support Services (MSS) and
More informationYour Family Counts A Multidisciplinary Home Visiting Program
Your Family Counts A Multidisciplinary Home Visiting Program Commission Meeting March 25, 2010 Every Child Counts Family Support Services Alameda County Public Health Department family support services
More informationCentering Pregnancy. Better Health Partnership Learning Collaborative April 13, 2018
Centering Pregnancy Celina Cunanan, CNM, MSN UH System Chief for Nurse-Midwifery Alison Tomazic Centering & Midwifery Program Manager Better Health Partnership Learning Collaborative April 13, 2018 No
More informationOptimal Pregnancy Outcomes for Women on Medicaid The Optima Partners in Pregnancy Program
Optimal Pregnancy Outcomes for Women on Medicaid The Optima Partners in Pregnancy Program The Disease Management Colloquium Karen Bray, PhD(c), RN, CDE Nancy Jallo, RNC, MSN, CS, FNP June 22, 2005 Overview
More informationNURSE FAMILY PARTNERSHIP PROGRAM
1 NURSE FAMILY PARTNERSHIP PROGRAM Kelly Murphy, RN, MSN, IBCLC CAPT USPHS Clinical Coordinator Nutaqsiivik Program Home Based Services Southcentral Foundation Patty Wolf RNC-OB, BSN Team Manager Nurse
More informationPostpartum Depression In Working Women: Creation of a National Policy
Postpartum Depression In Working Women: Creation of a National Policy Nancy Selix DNP, FNP-c, CNM, CNL Assistant Professor School of Nursing and Health Professions Learning Objectives 1. Identify the process
More informationMarch of Dimes Chapter Community Grants Program Request for Proposals Application Guidelines The Coming of the Blessing
March of Dimes Chapter Community Grants Program 2013 Request for Proposals Application Guidelines The Coming of the Blessing March of Dimes Washington Chapter 1904 Third Ave, Suite #230 Seattle, WA 98101
More informationFinancing of Community Health Workers: Issues and Options for State Health Departments
Financing of Community Health Workers: Issues and Options for State Health Departments ASTHO Technical Assistance Presentation Terry Mason, PhD Carl Rush, MRP Geoff Wilkinson, MSW This webinar is supported
More informationCOMMUNITY ACTIONS Prematurity and Infant Mortality
The following community actions represent ongoing efforts to reduce preventable deaths in children while others represent new initiatives that build and strengthen existing outreach, education, and service
More informationBig Rapids Hospital Community Health Needs Assessment (CHNA) Implementation Plan July 2015 June 2018
Big Rapids Hospital Community Health Needs Assessment (CHNA) Implementation Plan July 2015 June 2018 Attachment A Spectrum Health Big Rapids Hospital Community Health Needs Assessment Summary of Significant
More informationThere are over 2 million Michigan Medicaid and CHIP Beneficiaries, more than ½ are children
April, 2015 There are over 2 million Michigan Medicaid and CHIP Beneficiaries, more than ½ are children (January, 2015). www.medicaid.gov/medicaid-chip-program- Information/By-State/michigan.html Signed
More informationCommunity Health Needs Assessment Implementation Strategy Tallahassee Memorial HealthCare 1300 Miccosukee Road FY 2016
Community Health Needs Assessment Implementation Strategy Tallahassee Memorial HealthCare 1300 Miccosukee Road FY 2016 I. General Information Contact Person : Warren Jones Date of Written Report: September
More informationWellCare of Kentucky s Quest for Quality
WellCare of Kentucky s Quest for Quality WellCare of Kentucky Offices Lexington Office 859-264-5100 Louisville Office 502-253-5100 Ashland Office 606-327-6200 Owensboro Office 270-688-7000 Hazard Office
More informationPerformance Measurement in Maternal and Child Health. Recife, Brazil
Health Resources and Services Adm Maternal and Child Health Bureau Performance Measurement in Maternal and Child Health Recife, Brazil April 15, 2004 Health Resources And Services Administration Maternal
More informationMcLaren Health Plan Quality Improvement Update 2014
McLaren Health Plan Quality Improvement Update 2014 Since the incorporation of McLaren Health Plan (MHP) in November 1997, the staff has continued to utilize their extensive clinical and administrative
More informationSAMPLE STRATEGIES AND EVIDENCE-BASED OR -INFORMED STRATEGY MEASURES
SAMPLE STRATEGIES AND EVIDENCE-BASED OR -INFORMED STRATEGY MEASURES Compiled by the Strengthen the Evidence for Maternal and Child Health Programs Initiative: Strengthen the Evidence is a collaborative
More informationCommunity Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012
Community Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012 Joan Cleary, Interim Executive Director Minnesota Community Health Worker Alliance
More informationDraft. Public Health Strategic Plan. Douglas County, Oregon
Public Health Strategic Plan Douglas County, Oregon Douglas County 2014 Letter from the Director Dear Colleagues It is with great enthusiasm that I present the Public Health Strategic Plan for 2014-2015.
More informationPathways in Washington
Pathways in Washington What do you most want to know about Pathways? Relationship to Medicaid Demonstration Project? How it works? What training is like for the Care Coordinators? Medicaid Transformation
More informationBluePrints for the Community Advisory Council. Blue Cross Blue Shield of Delaware Board of Directors. Community Representatives. BCBSD Board Members
Blue Cross Blue Shield of Delaware Board of Directors BluePrints for the Community Advisory Council Max S. Bell, Jr., Chair Robert F. Rider BCBSD Board Members Community Representatives Thomas E. Archie
More informationChild and Family Development and Support Services
Child and Services DEFINITION Child and Services address the needs of the family as a whole and are based in the homes, neighbourhoods, and communities of families who need help promoting positive development,
More informationIllinois Birth to Three Institute Best Practice Standards PTS-Doula
Illinois Birth to Three Institute Best Practice Standards PTS-Doula The Ounce recognizes that there are numerous strategies that can be employed to effectively serve pregnant and parenting teens and their
More informationNutrition and Prevention A Golden Opportunity: How Can MCH Practitioners Get Involved?
Nutrition and Prevention A Golden Opportunity: How Can MCH Practitioners Get Involved? Nutrition Leadership Network Meeting Los Angeles March 4, 2016 What We ll Cover Learn about Nutrition-Related Clinical
More informationSubtitle L Maternal and Child Health Services
1 Subtitle L Maternal and Child Health Services SEC. 1. MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS. Title V of the Social Security Act ( U.S.C. 01 et seq.) is amended by adding at the
More informationMarch of Dimes Louisiana Community Grants Program Request for Proposals (RFP) Application Guidelines for Education and Incentive Projects
March of Dimes Louisiana Community Grants Program 2017 Request for Proposals (RFP) Application Guidelines for Education and Incentive Projects March of Dimes Louisiana Maternal & Child Health Impact 11960
More informationAdult Learning. Initiation Client identifies adult learning need(s). Date
Birth Adult Learning Client identifies adult learning need(s). Date Partner with client to establish and review educational and/or career goals. Document goal(s) and desired outcome(s). Goals: Assist client
More informationWIC supports exclusive breastfeeding
Six Steps You CAN Have a Breastfeeding- Friendly WIC Site OUR GOAL IS TO INCREASE EXCLUSIVE BREASTFEEDING NWA Six Steps to Achieve Breastfeeding Goals for WIC Clinics and the Surgeon General s Call to
More informationWhat is a CHW? Today s Agenda 9/6/17. Community Health Workers and Pharmacy Technicians: Allies in Promoting Patient-centered Care
Community Health Workers and Pharmacy Technicians: Allies in Promoting Patient-centered Care Michigan Society of Pharmacy Technician Presentation Priscilla Hohmann Program Manager, MiCHWA September 16,
More informationImproving Health Outcomes with Pathways. November 28, 2012
Improving Health Outcomes with Pathways November 28, 2012 2 Do we serve the most at-risk? Why should we? Pregnant Client at-risk: 5% of population uses 56% of health care resources Most at-risk are often
More informationPerinatal Care in the Community
Perinatal Care in the Community Elizabeth Betty Jordan DNSc, RNC Assistant Professor Johns Hopkins School of Nursing INTRODUCTION 2 INTRODUCTION Maryland s s preterm birth rate :11.4%/Baltimore City :
More information4/23/14. Healthy Start: Description of a Safety Net for Perinatal Support during Disaster Recovery*
Healthy : Description of a Safety Net for Perinatal Support during Disaster Recovery* Gloria Giarratano APRN, CNS, PhD Professor, School of Nursing LSU Health Sciences Center School of Nursing, New Orleans,
More informationEvaluation Report for Practices for Reducing Infant Mortality through Equity (PRIME) Thomas M. Reischl, PhD Allison Krusky, MPH
Evaluation Report for Practices for Reducing Infant Mortality through Equity (PRIME) Thomas M. Reischl, PhD Allison Krusky, MPH Prevention Research Center of Michigan University of Michigan School of Public
More information2018 IMPLEMENTATION PLANS. of the 2016 Community Health Needs Assessment
2018 IMPLEMENTATION PLANS of the 2016 Community Health Needs Assessment After examining the range of services currently available, significance, impact ability, relevance to the population served, and
More informationAdvancing Preconception Wellness: Health System Learning Collaborative
Advancing Preconception Wellness: Health System Learning Collaborative Webinar #3 September 15, 2016 4PM EST Dial in : 1-800-371-9219 Participant Code: 6080761 Agenda Welcome and Introductions Learning
More informationPrenatal Care Webinar. Luz Jimenez, RN, BSN VP Clinical Operations Erie Family Health Center
Prenatal Care Webinar Luz Jimenez, RN, BSN VP Clinical Operations Erie Family Health Center National Center for Health in Public Housing The National Center for Health in Public Housing (NCHPH), a project
More informationCommunity Health Worker (CHW) Strategies and Local Public Health: Overview and Opportunities Local Public Health Association Meeting May 16, 2013
Community Health Worker (CHW) Strategies and Local Public Health: Overview and Opportunities Local Public Health Association Meeting May 16, 2013 Carol Berg, Board Member Joan Cleary, Executive Director
More informationProvider Newsletter October-December 2017
Provider Newsletter October-December 2017 Table of Contents Contact Information... 3 HAP Midwest Health Plan Access and Availability Standards... 3 Provider Enrollment in CHAMPS Requirement... 4 Claims...
More informationMaternal and Child Health Oregon Health Authority, Public Health Division. Portland, Oregon. Assignment Description
Maternal and Child Health Oregon Health Authority, Public Health Division Portland, Oregon Assignment Description Overview of the Fellow's assignment including description of fellow's placement in division
More informationFORM 1 MCHB PROJECT BUDGET DETAILS FOR FY
FORM 1 MCHB PROJECT BUDGET DETAILS FOR FY OMB # 0915-0298 1. MCHB GRANT AWARD AMOUNT $ 2. UNOBLIGATED BALANCE $ 3. MATCHING FUNDS (Required: Yes [ ] No [ ] If yes, amount) $ A. Local funds $ B. State funds
More informationCommunity Grants Program for Idaho, Montana, North Dakota, South Dakota and Wyoming
March of Dimes Community Grants Program for Idaho, Montana, North Dakota, South Dakota and Wyoming Request for Proposals (RFP) March of Dimes Contact: Gina Legaz 206-452-6638 glegaz@marchofdimes.org 1
More informationMarch of Dimes - Georgia. State Community Grants Program. Request for Proposals (RFP) March of Dimes- Georgia
March of Dimes- Georgia State Community Grants Program Request for Proposals (RFP)-2018 March of Dimes - Georgia Attn: Danielle Brown, MSPH Maternal and Child Health Director 1776 Peachtree Street NW,
More informationPROGRAM POLICIES & PROCEDURES MANUAL
PROGRAM POLICIES & PROCEDURES MANUAL (Enter Local Site Name Here) 2014 Early Learning Division, Oregon Department of Education Healthy Families Oregon Program Policies and Procedures Manual February 2014
More informationThe Affordable Care Act, HRSA, and the Integration of Behavioral Health Services
The Affordable Care Act, HRSA, and the Integration of Behavioral Health Services Indiana Council of Community Mental Health Centers Ft. Wayne, Indiana May 19, 2011 David B. Bingaman, LCSW, ACSW U.S. Department
More informationSaving Every Woman, Every Newborn and Every Child
Saving Every Woman, Every Newborn and Every Child World Vision s role World Vision is a global Christian relief, development and advocacy organization dedicated to improving the health, education and protection
More informationCommunity Health Workers: An ONA Position Statement April 2013
Community Health Workers: An ONA Position Statement April 2013 Authors: Connie Miyao, RN, BSN; Sue B. Davidson, PhD, RN, CNS Position Oregon Nurses Association supports the development and utilization
More informationSUBJECT: Certificate Change Proposal Maternal and Child Health
UNIVERSITY OF KENTUCKY D r e a m C h a l l e n g e S u c c e e d COLLEGE OF PUBLIC HEALTH M E M O R A N D U M TO: FROM: Health Care Colleges Council James W. Holsinger, Jr., PhD, MD Associate Dean for
More informationTennessee Department of Health (TDH) Breastfeeding Activities Summary (Updated 7/14/2015)
Tennessee Department of Health (TDH) Breastfeeding Activities Summary (Updated 7/14/2015) Statewide Infrastructure TN Breastfeeding Hotline 486 calls in June 2015 WIC clinics in all 95 counties Admin support
More informationPerformance Management in Maternal and Child Health
Performance Management in Maternal and Child Health Stephen E. Saunders, M.D., M.P.H. Associate Director for Family Health Illinois Department of Human Services "Improving Health System Performance and
More informationCommunity Health Needs Assessment 2013 Oakwood Heritage Hospital Implementation Strategy
Community Health Needs Assessment 2013 Oakwood Heritage Hospital Implementation Strategy Community Health Needs Assessment 2013 Oakwood Healthcare CHNA Implementation Strategy Community Health Needs Assessment
More informationMaternal and Child Health North Carolina Division of Public Health, Women's and Children's Health Section
Maternal and Child Health North Carolina Division of Public Health, Women's and Children's Health Section Raleigh, North Carolina Assignment Description The WCHS is one of seven sections/centers that compose
More informationSenate Bill 332: Access Barrier Assessment
Senate Bill 332: Access Barrier Assessment Alisha Brown Melissa Nance 0 Access Barrier Assessment Initial Review & Proposed Strategy Introduction The Ohio Department of Medicaid (ODM) provides healthcare
More informationCOMMUNITY CLINIC GRANT PROGRAM
COMMUNITY CLINIC GRANT PROGRAM FINAL GRANT APPLICATION GUIDANCE Grant Project Period: April 1, 2015 March 31, 2016 Application Due: December 22, 2014 MINNESOTA DEPARTMENT OF HEALTH OFFICE OF RURAL HEALTH
More informationRequest for Proposals (RFP) for CenteringPregnancy
March of Dimes State Community Grants Program Request for Proposals (RFP) for CenteringPregnancy March of Dimes Illinois 111 W. Jackson Blvd., Suite 1650 Chicago, IL 60604 (312) 765-9044 1 I. MARCH OF
More informationEXHIBIT A Performance Matrix
EXHIBIT A Performance Matrix Contract Number: 07499 Agency Name: County of Los Angeles Department of Public Health Project Name: Black Infant Health Program Project Length: 12 months Contract Period: July
More informationMarch of Dimes Washington State Community Grants Program. Community Award Application
March of Dimes Washington State Community Grants Program March of Dimes Washington Kasey Rivas, MPH Maternal & Child Health Director 1904 Third Ave, Suite 230 Seattle, WA 98101 206-452-6631 krivas@marchofdimes.org
More informationOpioid Use in Pregnancy: Innovative Models to Improve Outcomes
December 1, 2017 ML12 Opioid Use in Pregnancy: Innovative Models to Improve Outcomes Daisy Goodman, CNM, DNP, MPH Instructor, Dartmouth Medical School Tina Foster, MD, MPH Director of Education, Dartmouth
More informationCommunity Health Needs Assessment July 2015
Community Health Needs Assessment July 2015 1 Executive Summary UNM Hospitals is committed to meeting the healthcare needs of our community. As a part of this commitment, UNM Hospitals has attended forums
More informationWhat services does Open Door provide? Open Door provides prevention-focused services that extend beyond the exam room.
What is Open Door? Open Door has been delivering top-notch health care services since 1973. We provide prevention-focused health care for low-income people in Westchester and Putnam, regardless of ability
More informationMINNESOTA 2010 Needs Assessment
MINNESOTA 2010 Needs Assessment Maternal and Child Health Services Title V Block Grant July 2010 Community and Family Health Division P.O. Box 64882 St. Paul, MN 55164-0882 (651) 201-3760 www.health.state.mn.us
More information