4/23/14. Healthy Start: Description of a Safety Net for Perinatal Support during Disaster Recovery*
|
|
- Edmund Barker
- 6 years ago
- Views:
Transcription
1 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, LA Study Team Emily Harville, PhD, Perinatal Epidemiologist Veronica Barcelona de Mendoza, MSN, MPH Doctoral Student Tulane University, School of Public Health New Orleans, LA Jane Savage RN, LCCE, FACCE, PhD Loyola University, School of Nursing, New Orleans, LA TrezMarie T. Zotkiewicz, RN-NIC, MN, APRN LSU Health Sciences Center Consultant: Dr. Cynthia Logsdon Funding: National Institute of Nursing Research 5R03NR * Models of Prenatal Care and Perinatal Health Indicators in Disaster Recovery 5R03NR Costliest disaster in US history Flooded 80% of New Orleans via Levee Failure 300,000 homes destroyed Displaced about a million people At least one-third of New Orleans remain displaced Long-term effects on all aspects of life on the Gulf Coast, especially New Orleans Extreme widespread property damage Ongoing financial problems Disaster caused by human intent: Levee Failures? High trauma impact, injuries, threat to life, loss of life Norris (2002) Psychiatry, 65, Process of restoring, rebuilding, and reshaping the physical, social, economic, and natural environment through pre-event and post-event actions. People, groups, institutions are affected differently Recovery is not linear; occurs at different rates for different entities High level of uncertainty Smith & Wenger, 2006 Handbook of Disaster Research Degree and type of exposure High secondary stress; Less social resources Lacking belief in one s ability to cope and control outcomes ---- self efficacy, optimism, coping style Personal Factors: Female, parent, low income, psychiatric history, ethnic minority Galea, et al. (2007), Arch Gen Psychiarty, 64, Norris, et al. (2002,) Psychiatry, 65,
2 Women at increased risk for PTSD, depression More sensitive to loss of resources, i.e. home, displacement Women s Health Issues - Interrupted family planning -Increased Domestic Violence - Increased use of alcohol, smoking, drugs - Lack of child care - Parenting issues Badakhsh, et al. (2010). JOGNN,39, Savage, et al. (2010) J. Holistic Nursing, 28, Fothergill, A. (2004) Heads above water. State U NY Press Birth outcomes (WTC, other disasters) - Fetal Growth - PTB/SGA Harville, et al. (2011) Obstetrical & Gynecological Survey, 65, Mental health remains the primary risk -Depression/Anxiety - Stress - Unhealthy Lifestyles - Child Development Impaired Specific Aims Lack of Social Support, Extended Family Housing Issues Limited Public Transportation Unsafe Neighborhood Lack of Medical Care Providers/OB, PSY Limited Hospital Services Lack of Day Care/Schools Lack of Retail Stores Everyone stressed and rebuilding! Higher risk for domestic abuse, unplanned pregnancy in future Badakhsh, et al. (2010). JOGNN,39, Savage, et al. (2010) J. Holistic Nursing, 28, To examine the relationship between different models of prenatal care and psychosocial and physical outcomes, including depression, pregnancy-specific anxiety, perceived stress, and lifestyle health practices. Federal Healthy Program Funded by Congress in 1991, now serves 105 communities with high infant mortality rates Reduce disparities in access and utilization of health services Core Services of direct community outreach, case management, health education, interconceptional care, and screening for depression Psychosocial and safety net care that complements routine prenatal care The purpose of this study was to compare differences in hurricane experience, recovery, mental health, and birth outcomes in pregnant women who added participation in the New Orleans Healthy program from those who only used the traditional prenatal care (PNC) system during a two year period of the long-term recovery ( ) from Hurricane Katrina. 2
3 Cross-sectional Inclusion: weeks gestation Enrolled in PNC (3 visits) Currently living in Greater N.O. area English/Spanish language Study Sites Two Med School Clinics One Community Clinic One Private OB/GYN Two Hospital-based Prenatal Classes Healthy Classes Personal Attributes Health Behaviors Socio-Demographic Survey (PRAMS, phase 5, CDC) brief COPE (Carver, 1997) Multidimensional Scale of Perceived Social Support (MSPSS) (Zimet, 1988) Complementary and Alternative Medicine Usage Survey (NHIS Health Survey 2002) Instruments Environmental Type of PNC Add on Healthy? Hurricane Experience: Threat, loss, damage (Norris, 1996) Crime and Safety Recovery Expectations and City Problems Oil Spill Recovery Experience Daily Stress Inventory (DSI) (Brantley, 1987) Health Outcomes Edinburgh Postnatal Depression Index (EDSI) (Cox, 1987) Pregnancy-Related Anxiety (Pregnancy-distress) (Lobel, 2008) Perceived Stress Scale (Cohen, 1983; 1994) Posttraumatic Stress Disorder Checklist Scale (PCLS) (Weathers, 1994) Physical Health Indicators -- Smoking, alcohol use -- Birth Weights, Gestational Age at birth Differences in Demographics for those using Healthy PNC Healthy vs. PNC Only Relationship status N % N % <0.01 Healthy 120 total PNC 282 total Married Living with partner Single N % N % p Age <0.01 < Race <0.01 African-American > Other Currently employed <0.01 Yes Income <0.01 <$15K $15-29K $30K Education <0.01 Less than High School High School Greater than High School No
4 Differences in Hurricane Experiences for those using Healthy vs. PNC Only Health Indicators Healthy n=120 Prenatal Care ONLY n=282 Likely depression (EDSI>12) 48 (40%) 75 (26%) Likely PTSD (PCL>50) 18 (15%) 17 (6.1%) s Prenatal Care First Trimester 85 (72%) 238 (85.6) p<0.01 Difference in Prenatal Care and Mental Health Outcomes Difference in Mental Health Care Healthy PNC difference adjusted beta* mean std mean std Depression PTSD < Pregnancyrelated Anxiety Perceived stress Healthy PNC N % N % OR (95% CI) Took prescription medicine for depression ( ) (0.63, 2.14) 0.65 Counseling for depression ( ) < (1.27, 6.30) 0.01 aor (95% CI) Difference in Birth Outcomes adjusted beta p beta* p birthweight gestational age birth length head circumference *adjusted for age, partnership, race, smoking, income, body mass index, and current employment Difference in Birth Outcomes Healthy start vs. OR (95% CI) aor (95% CI)* Low birthweight 1.80 (0.70, 4.64) 1.25 (0.44, 3.60) Preterm birth 2.23 (0.87, 5.69) 2.90 (0.97, 8.65) Neonatal intensive care admission 1.69 (0.63, 4.60) 1.58 (0.51, 4.88) Gestational diabetes 1.03 (0.38, 2.78) 2.00 (0.62, 6.43) Pregnancy-induced hypertension 1.09 (0.56, 1.27) 0.93 (0.44, 1.97) anemia 0.56 (0.25, 1.27) 0.29 (0.12, 0.70) c-section 0.84 (0.50, 1.43) 0.92 (0.51, 1.66) *adjusted for age, partnership, race, smoking, income, body mass index, and current employment 4
5 Taught Prenatal Education by Prenatal Care Provider + Healthy Prenatal Care Not to smoke 77.5% 59.9% Breastfeed your baby 80.8% 67.4 % Not to use Alcohol 78.3% 60.6% Use seat belt 63.9% 36.9% Birth Control 63.3% 43.4% Not to use illegal drugs 81.7% 55.6% Report abuse 60.5% 39.4 % p<0.01 Services Offered + Healthy Case Worker 90.8% Referral to another agency 46.7% Earning Points for Products 76.7% Support Group 63.9% Counseling 14.2% p<0.01 Pregnant women using Healthy New Orleans represented a population more vulnerable to the stress of disaster and long term disaster recovery. High disaster exposure, decreased resources, and high social risks (poor, no partner, African American) are associated with mental health problems during pregnancy. As a safety net organization Healthy New Orleans was achieving its mission to target women at risk for problems. Women remain at risk for years after disaster. Community, state, and federal agencies that exist as routine or safety-net providers of care for vulnerable populations need an action plan to respond to the needs of the target population in the immediate and long term post-disaster recovery period. Professional social services and mental health care needs to be available to support families still disrupted. Private PNC providers need to partner with community safety net organizations such as Healthy to help address the psychosocial needs of socially high risk pregnant women. Prenatal care for women with a history of disaster exposure needs to include assessment for mental health (depression and PTSD) and low social support for years after the event. 5
6 Cross-Sectional Design Mental Health instruments indicate risks for depression, PTSD, etc but do not diagnosis conditions Other situational factors may contribute to mental health status other than hurricane recovery. 6
Optimal 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 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 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 informationDelaware Perinatal Population. Behavioral Objectives:
A HYBRID INTEGRATED MATERNAL MENTAL HEALTH CARE MODEL: IMPLEMENTATION STRATEGIES AND CHALLENGES FOR AN OUTPATIENT, HOSPITAL-BASED MATERNAL MENTAL HEALTH PROGRAM Megan O Hara, LCSW Malina Spirito, Psy.D.,
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 informationJames Meloche, Executive Director. Healthy Human Development Table Meeting January 14, 2015
James Meloche, Executive Director Healthy Human Development Table Meeting January 14, 2015 2 1. Introduction to PCMCH 2. Overview of Perinatal Mental Health 3. Perinatal Mental Health Initiatives at PCMCH
More informationNurse Home Visiting: Reducing Maternal Depression and Partner Violence March 15, 2008
Access and Equity in Health Care Nurse Home Visiting: Reducing Maternal Depression and Partner Violence March 15, 2008 Paula D. Zeanah, PhD, MSN, RN Director, LA Nurse Family Partnership Assoc. Professor,
More informationEvidence for Home Visiting Programs to Reduce Intimate Partner Violence and related Health Disparities
Evidence for Home Visiting Programs to Reduce Intimate Partner Violence and related Health Disparities Linda Bullock, PhD, RN, FAAN Professor University of Missouri Sinclair School of Nursing lbullock@missouri.edull
More informationCost Effectiveness of a High-Risk Pregnancy Program
1999 Springer Publishing Company This article presents an evaluation of an innovative community-based, case-management program for high-risk pregnant women and their infants. A 7-year analysis of the Medicaid
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 informationHealthy Start Initiative: Provincial Perinatal, Child and Family Public Health Services. April 2013
Healthy Start Initiative: Provincial Perinatal, Child and Family Public Health Services April 2013 Provincial Public Health Perinatal, Child and Family Health Services Introduction - Advancing the Health
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 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 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 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 informationInfant 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 informationGood practice in the field of Health Promotion and Primary Prevention
Good practice in the field of Promotion and Primary Prevention Dr. Mohamed Bin Hamad Al Thani Med Cairo February 28 th March 1 st, 2017 - Cairo - Egypt 1 Definitions Promotion Optimal Life Style Change
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 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 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 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 informationDISASTER PREPAREDNESS:
Conflict of Interest I have no financial relationships to discuss, and I will not discuss off label use and/or investigational use in my presentation. DISASTER PREPAREDNESS: Neonatal Intensive Care Unit
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 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 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 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 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 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 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 informationCare Transitions Engaging Psychiatric Inpatients in Outpatient Care
Care Transitions Engaging Psychiatric Inpatients in Outpatient Care Mark Olfson, MD, MPH Columbia University New York State Psychiatric Institute New York, NY A physician is obligated to consider more
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 informationSituation Analysis Tool
Situation Analysis Tool Developed by the Programme for Improving Mental Health CarE PRogramme for Improving Mental health care (PRIME) is a Research Programme Consortium (RPC) led by the Centre for Public
More informationCurriculum Vitae. Cherylann Sarton, PhD, CNM. School of Nursing 12 High Street Suite 200. Portland, Maine Office: (207)
Curriculum Vitae Cherylann Sarton, PhD, CNM University of Southern Maine Central Maine Medical Center OBGYN School of Nursing 12 High Street Suite 200 P.O. Box 9300 Lewiston, Me Portland, Maine 04039-9300
More informationEvidence About Health Outcomes
Oregon Public Health Nurse Home Visiting Babies First!, CaCoon, Maternity Case Management Evidence About Health Outcomes Panel: Mary Ann Evans, Francine Goodrich, Marilyn Sue Hartzell, Lari Peterson, and
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 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 informationCommunity Needs Assessment. Swedish/Ballard September 2013
Community Needs Assessment Swedish/Ballard September 2013 Why Do This? Health Care Reform Act requirement Support our mission to give back to community while targeting its specific health needs Strategically
More informationThe Mommies Program An Integrated Model of Care. Karen Palombo, LCSW, LCDC Texas Women s SUD Intervention Specialist
The Mommies Program An Integrated Model of Care Karen Palombo, LCSW, LCDC Texas Women s SUD Intervention Specialist Objectives Discuss the effects of opioid epidemic on pregnant women Recognize the importance
More informationPart I. New York State Laws and Regulations PRENATAL CARE ASSISTANCE PROGRAM (i.e., implementing regs on newborn testing program)
Part I. New York State Laws and Regulations PRENATAL CARE ASSISTANCE PROGRAM (i.e., implementing regs on newborn testing program) (SEE NY Public Health Law 2500f for HIV testing of newborns FOR STATUTE)
More informationGood Samaritan Medical Center Community Benefits Plan 2014
Good Samaritan Medical Center Community Benefits Plan 2014 This Addendum to the Community Benefits Plan 2014 is an addendum to the Community Benefits Plan approved by the Community Benefits Council on
More informationImplementation Strategies
Implementation Strategies 2017 2019 Mission & Vision Our Mission is: Advancing education, research and clinical care through a mutual commitment with the University of Cincinnati. Delivering outstanding,
More informationTHE INTER-PREGNANCY CARE PROJECT
THE INTER-PREGNANCY CARE PROJECT IMPROVING MATERNAL AND CHILD HEALTH THROUGH INTER-PREGNANCY CARE FOR HIGH-RISK MOTHERS Supported by Baptist Community Ministries Transom Grant #98380-17 and Birth Outcomes
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 informationDELAWARE FACTBOOK EXECUTIVE SUMMARY
DELAWARE FACTBOOK EXECUTIVE SUMMARY DaimlerChrysler and the International Union, United Auto Workers (UAW) launched a Community Health Initiative in Delaware to encourage continued improvement in the state
More informationMONROE COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
MONROE COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Monroe County. Where possible, benchmarks
More informationUPDATE PROVIDER. A Guide: Prenatal Behavioral Risks and the New PRSI Form JUNE 2017 PAGE 9
A Newsletter for West Virginia Family Health Providers and Clinicians PROVIDER A Guide: Prenatal Behavioral Risks and the New PRSI Form PAGE 9 UPDATE OFFICE STAFF PROVIDER MEMBER RIGHTS AND RESPONSIBILITIES
More informationONTARIO COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
ONTARIO COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Ontario County. Where possible, benchmarks
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 informationAssessing Health Literacy and Preconception Healthcare (PCH) Risk amongst Black/African-American Women via web-based Conversational Agent Technology
7 th Annual Health Literacy Research Conference (HARC) November 2-3, 2015, Bethesda, MD Assessing Health Literacy and Preconception Healthcare (PCH) Risk amongst Black/African-American Women via web-based
More informationOBSTETRICAL ANESTHESIA
DEPARTMENT OF ANESTHESIA RESIDENCY TRAINING PROGRAM UNIVERSITY OF MANITOBA OBSTETRICAL ANESTHESIA INTRODUCTION Residents will have the opportunity to gain experience in Obstetrical anesthesia in the course
More informationDisclosures. Updates: Psychological Support for Families in the NICU NPA Interdisciplinary Recommendations
Disclosures Updates: Psychological Support for Families in the NICU NPA Interdisciplinary Recommendations Janet N. Press, C.N.S.,M.S.N.,C.T.,R.N. C. Perinatal/ Obstetrical Coordinator Central New York
More informationPROTOCOL FOR UNIVERSAL ANTENATAL CONTACT (FOR USE BY HEALTH VISITING TEAMS)
Scope - CP12 PROTOCOL FOR UNIVERSAL ANTENATAL CONTACT (FOR USE BY HEALTH VISITING TEAMS) RATIONALE The Healthy Child Programme Pregnancy and the first five years of life (DH, 2009) states that health professionals,
More informationIndiana Perinatal Hospital Standards
Indiana Perinatal Hospital Standards 2013 Indiana Perinatal Hospital Summit Indiana Perinatal Quality Improvement Collaborative Mission To improve maternal and perinatal outcomes in Indiana through a collaborative
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 informationFY16 Community Benefits Report
FY16 Community Benefits Report History and Mission The Boston Dispensary was established in 1796 as New England s first permanent medical facility to provide care to Boston s underserved working and poor
More informationOHIO PREGNANCY ASSOCIATED MORTALITY REVIEW (PAMR) TEAM ASSOCIATED FACTORS FORM
OHIO PREGNANCY ASSOCIATED MORTALITY REVIEW (PAMR) TEAM ASSOCIATED FACTORS FORM Please Circle: OFFICIAL WORKING COPY Case # DEATH REVIEW PROCESS 1. Estimate the degree of relevant information (records)
More informationIdaho Perinatal Project Newsletter
Idaho Perinatal Project Newsletter In This Issue Idaho Perinatal Nurse Leadership Summit July/August 2014 2014/2015 March of Dimes Chapter Community Grant Application Helpful Resources PTSD, Depression
More informationEvidence Based Practice and Nurse- Family Partnership
1 Evidence Based Practice and Nurse- Family Partnership Katie Eilers, MPH, MSN, RN Director, Community Health Copyright 2011 Nurse-Family Partnership. All rights reserved. Copyright 2011 Nurse-Family Partnership.
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 informationThe Syrian Arab Republic
World Health Organization Humanitarian Response Plans in 2015 The Syrian Arab Republic Baseline indicators* Estimate Human development index 1 2013 118/187 Population in urban areas% 2012 56 Population
More informationHealthy Moms Happy Babies 2nd Edition, 2015 Has Answers
Healthy Moms Happy Babies 2nd Edition, 2015 Has Answers Building Stronger Collaborations With Domestic Violence Agencies and Addressing Programmatic Barriers to Screening: For free technical assistance
More informationSUBSTANCE EXPOSED NEWBORNS CPS ALTERNATIVE RESPONSE AND. Marlys Baker September, 2017
SUBSTANCE EXPOSED NEWBORNS AND CPS ALTERNATIVE RESPONSE Marlys Baker September, 2017 How did we get here? Three elements combined: Casey Family Programs (2014) Substance Exposed Newborn Task Force (2016)
More informationKatheleen Hawes White Hall-College of Nursing University of Rhode Island, Kingston RI
CV 1 EDUCATION Katheleen Hawes White Hall-College of Nursing University of Rhode Island, Kingston RI 02881 khawes@uri.edu 401-874-5841 2009 PhD Nursing University of Rhode Island, Kingston 2002 Master
More informationPSI Conference 2016 San Diego 7/12/2016. Bridging the Gap: Interdisciplinary Recommendations for Psychosocial. Support of NICU Parents 1
Support of NICU Parents Sage Nottage Saxton, Psy.D. Associate Clinical Professor Pediatrics and Neonatology Oregon Health and Science University Pec Indman, EdD, MFT Postpartum Support International PSI
More informationAVAILABLE TOOLS FOR PUBLIC HEALTH CORE DATA FUNCTIONS
CHAPTER VII AVAILABLE TOOLS FOR PUBLIC HEALTH CORE DATA FUNCTIONS This chapter includes background information and descriptions of the following tools FHOP has developed to assist local health jurisdictions
More informationThe Infant-Parent Perinatal Service
The 7 th FEBRUARY 2014 - PERINATAL MENTAL HEALTH DISCUSSION DAY OXFORD HEALTH GERRY BYRNE (Clinical Lead, FASS, IPPS, ReConnect) Consultant Nurse & Consultant Psychotherapist JUDITH RICHARDSON (Clinician,
More informationBlending Behavioral Health and Primary Care. Applying the Model. Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist
Blending Behavioral Health and Primary Care Applying the Model Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist Overview Introducing the Model to Patients Key Components
More informationBronx-Lebanon Hospital Center Community Service Plan Update
Bronx-Lebanon Hospital Center 2015 Community Service Plan Update Introduction New York State s Prevention Agenda is the state s public health improvement plan and a call to action to identify local health
More informationHealthy Start Screening Tools Overview Workbook. Updated December 3, 2016
Healthy Start Screening Tools Overview Workbook Updated December 3, 2016 Content 1. Healthy Start Participant Screening Process - Page 2 2. Healthy Start Screening Tool Reminders - Page 3 3. Informed Consent
More informationCommunity Health Needs Assessment
Community Health Needs Assessment Bollinger County, Missouri This assessment will identify the health needs of the residents of Bollinger County, Missouri, and those needs will be prioritized and recommendations
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 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 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 informationChapter 2 Provider Responsibilities Unit 5: Specialist Basics
Chapter 2 Provider Responsibilities Unit 5: Specialist Basics In This Unit Topic See Page Unit 5: Specialist Basics Participation in the Highmark s Networks as a Specialist 2 Specialist and Personal Physician
More informationAgenda 2/10/2012. Project AIM. Improving Perinatal Health Outcomes: New York State Obstetric and Neonatal Quality Collaborative
Improving Perinatal Health Outcomes: New York State Obstetric and Neonatal Quality Collaborative Marilyn A. Kacica, MD, MPH Chair Medical Director Division of Family Health NYSDOH Pat Heinrich, RN, MSN
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 informationCURRICULUM VITAE. EDUCATION Institution Degree Major Year The University of Tennessee BS Education 1988 Martin, TN
4-10-17 CURRICULUM VITAE Nina Katherine Sublette, PhD, APRN-BC University of Tennessee Health Science Center College of Nursing Department of Health Promotion and Disease Prevention 920 Madison Avenue
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 informationArticles of Importance to Read: UnitedHealthcare Goes Live With 13th Edition of Milliman Care Guidelines. Summer 2009
Important information for physicians and other health care professionals and facilities serving UnitedHealthcare Medicaid members Summer 2009 UnitedHealthcare Goes Live With 13th Edition of Milliman Care
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT. TMC Hospital Hill
COMMUNITY HEALTH NEEDS ASSESSMENT TMC Hospital Hill TABLE OF CONTENTS 1 2 Letter from CEO 3 Purpose of the Report 4 Mission and Vision of Organization 5 Service Area 7 Process to Determine Priority Needs
More information2012 Community Health Needs Assessment
2012 Community Health Needs Assessment University Hospitals (UH) long-standing commitment to the community spans more than 145 years. This commitment has grown and evolved through significant thought and
More information2.0 APPLICABILITY OF THIS PROTOCOL AGREEMENT FRAMEWORK
Roles and Responsibilities of the Director (Child, Family and Community Service Act) and the Ministry Of Health: For Collaborative Practice Relating to Pregnant Women At-Risk and Infants At-Risk in Vulnerable
More informationSTEUBEN COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
STEUBEN COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Steuben County. Where possible, benchmarks
More informationHealth Needs Assessment 2018 Implementation Plan
Health Needs Assessment 2018 Implementation Plan HSHS St. John s Hospital is an affiliate of Hospital Sisters Health System, a multi-institutional health care system comprised of 14 hospitals and an integrated
More informationRegion 1 Parish Community Health Assessment Profile: St. Bernard Parish
Region 1 Parish Community Health Assessment Profile: Spring 2014 FOREWORD The Regional Meeting on Health Priorities was held in Harvey, LA in November 2013, and was co-convened by the Department of Health
More informationDemographic Screening Tool Overview. Pregnancy History Screening Tool Overview
Administer on enrollment 10 Questions 14 Including Sub-questions Demographic Screening Tool Overview # Qs Questions from standardized surveys: 1 Pregnancy Risk Assessment Monitoring System (PRAMS) 1 State
More informationLIVINGSTON COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
LIVINGSTON COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Livingston County. Where possible,
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 informationSTEUBEN COUNTY HEALTH PROFILE
STEUBEN COUNTY HEALTH PROFILE 2017 ABOUT THE REPORT The purpose of this report is to provide a summary of health data specific to Steuben County. Where possible, benchmarks have been given to compare county
More informationMaternal Child Services: OB Case Management
Maternal Child Services: OB Case Management 1 Maternal Child Services OB Case Management 2 Program overview OB Case Management New Baby, New Life SM : My Advocate High-risk conditions Breastfeeding support
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 informationImplementation Strategy
Implementation Years 2014-2016 Akron Children s Hospital One Perkins Square Akron, OH 44308 www.akronchildrens.org The Implementation contains the activities that Akron Children s Hospital will conduct
More informationHealth Care Response to Domestic Violence
Health Care Response to Domestic Violence Domestic Violence Nurses, Physicians and clinicians who care for abuse victims must Recognize domestic violence as a major health care problem Understand the power
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 informationTriage. CAPWHN October 23, Nancy Watts, RN, MN, PNC Clinical Nurse Specialist, Perinatal London Health Sciences Centre
Triage CAPWHN October 23, 2014 Nancy Watts, RN, MN, PNC Clinical Nurse Specialist, Perinatal London Health Sciences Centre Rob Gratton, MD, FRCS(C), FACOG Department of Obstetrics and Gynecology Western
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 informationINDONESIA S COUNTRY REPORT
The 4 th ASEAN & Japan High Level Officials Meeting on Caring Societies: Support to Vulnerable People in Welfare and Medical Services Collaboration of Social Welfare and Health Services, and Development
More informationCHEMUNG COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
CHEMUNG COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Chemung County. Where possible, benchmarks
More informationCURRICULUM VITAE. Southern Vermont College Bennington, Vermont 9/2007-5/2013 Director, Doctor of Nursing Practice Program
CURRICULUM VITAE BOBBE ANN GRAY, PhD, RNC-OB, CNS-BC ASSOCIATE PROFESSOR WRIGHT STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH 134 University Hall 937-775-2646 bobbe.gray@wright.edu EDUCATION: Date Degree
More informationLocation, Location, Location! Labor and Delivery
Location, Location, Location! Labor and Delivery Jeanne S. Sheffield, MD Director of the Division of Maternal-Fetal Medicine Professor of Gynecology and Obstetrics The Johns Hopkins Hospital Disclosures
More information