Association of Maternal & Child Health Programs Every Mother Initiative

Association of Maternal & Child Health Programs Every Mother Initiative REQUEST FOR APPLICATIONS RELEASED: May 28 th, 2013 REQUEST FOR APPLICATIONS DEADLINE: June 28 th, 2013 This request for applications includes the following components: Maternal Mortality background 2 Every Mother Initiative overview 2 Team Requirements 2-3 What Teams can expect of AMCHP 3 Every Mother Initiative Project Timeline 4 Application Procedure (including application components and selection criteria) 5-6 Appendix A Example Team Roster 7 Appendix B Template for Team Roster 8 For questions regarding the RFA or selection process, please join us for a RFA Orientation Q&A* call on June 6 th, 2013 at 3pm EST. *Please note attendance on this call is not required to submit an application. No registration required, log in information below: Call in Number: 1-888-450-5996; Passcode: 979667# Join the meeting in Adobe Connect: To join the meeting, click on the link below, select Enter as a Guest and type your name in the box. When you are prompted to choose how to connect to the audio, you will be connecting by calling in with the number and passcode above. You can click cancel to close the box. http://amchp.adobeconnect.com/everymotherrfa/ For questions about the Every Mother RFA for Teams, Tegan Callahan, tcallahan@amchp.org; 202-266-3051. 1

Maternal Mortality In the United States, pregnancy-associated mortality is a rare but troubling event data suggest approximately 1,000 women die per year (more than two women a day) due to pregnancy-related causes. 1 However, the overall rate masks the approximately 52,000 near miss events that lead to lasting morbidity: recent estimates indicate that for every 10,000 delivery hospitalizations in the United States each year, more than 120 women experience these severe complications. 2 Even more concerning are reports that U.S. maternal mortality rates may be rising and disparities between racial groups widening. 3 Currently, we lack a complete understanding of maternal mortality in the United States because of limitations in the data systems used to track and analyze maternal death. Through the Every Mother Initiative, it is AMCHP s goal is that all states and territories have full capacity to support their maternal mortality surveillance systems (MMSSs) and use data to change programs and policies at all levels to eliminate preventable maternal death. ABOUT AMCHP The Association of Maternal and Child Health Programs is a national resource, partner and advocate for state public health leaders and others working to improve the health of women, children, youth and families, including those with special health care needs. AMCHP supports state maternal and child health programs and partners by helping states build successful programs through such efforts as providing capacity building and technical assistance, disseminating best practices, convening leaders to share experiences and ideas, and advising states about involving partners to reach our common goal of healthy children, healthy families, and healthy communities. The AMCHP Every Mother Initiative With support of Merck, AMCHP is launching the Every Mother Initiative to help states address maternal health issues in their community through strengthening and enhancing state MMSSs and use the data from these systems to take action in developing and implementing population-based strategies and policy change to prevent maternal death and improve maternal health outcomes. The Every Mother Initiative will begin with a 15-month Action Learning Collaborative (ALC) among six states with existing maternal mortality review programs. ALC s are a multidisciplinary learning community that analyzes a public health problem and implements program and policy solutions. Core components of the Every Mother ALC include in-person and virtual technical assistance, peer to peer site visits between teams, and a Translation Support Sub-award of $30,000 to help fund implementation of community recommendations based on MMSS data and analysis. Additionally, these six states will be given the exciting opportunity to serve as pilot test sites for a new maternal mortality data system. This data system, created by the Centers for Disease Control and Prevention, Division of Reproductive Health, is designed to serve multiple purposes including: storing abstracted data elements; supporting the development of case summaries; storing committee review determinations and producing an analytic file. Eligibility requirements States, territories or urban centers who have identified Maternal Mortality Review (MMR) committee members and who are currently reviewing maternal deaths on a regular basis are eligible to apply to the Every Mother Initiative ALC. When applying, please self-select from the following two categories the option that best 1 World Health Organization, 2010. Trends in maternal mortality: 1990 2008, estimates developed by WHO, UNICEF, UNFPA, and The World Bank. Geneva, Switzerland. 2 Callaghan, WM, Creanga, AA, Kuklina, EV, 2012. Severe maternal morbidity among delivery and postpartum hospitalizations in the United States. Obstetrics & Gynecology, 120(5), 1029-36. 3 Amnesty International, 2010. Deadly delivery: The maternal health care crisis in the USA. London, UK 2

describes the status of your state program: emerging review or established review. For the purposes of the Every Mother Initiative: an emerging review is any committee that has been holding active reviews for fewer than three years an established review is any committee that has been holding a review for more than three years and has documented successful translation of one or more recommendations into clinical or public health actions. AMCHP s goal in identifying these two levels of MMR programs is to pair three emerging reviews with three established reviews to promote peer to peer mentoring opportunities. In addition, the ALC teams must include multidisciplinary members from MCH program staff, health department staff, MCH epidemiology staff and organizational members (such as American Congress of Obstetricians and Gynecologists,, Association of Women s Health, Obstetric, and Neonatal Nurses, Society for Maternal-Fetal Medicine, American College of Nurse-Midwives, etc). The six teams will work together from August 2013- October 2014, and are expected to participate in the following activities: 1. Team level action planning and activity implementation 2. Bi-monthly distance learning events, including webinars and facilitated conference calls (tentatively seven calls in a 15 month cycle). 3. Attend one in-person kick off meeting in early September 2013. 4. Peer-to-peer mentor collaboration between participating ALC teams (possibly including a peer-to-peer site visit where ALC members will travel or host members of another ALC team). 5. Develop a plan for the Translation Support Sub-award of $30,000 and implement data to action activities by September 2014. 6. Opportunity to serve as beta testers for a new maternal mortality surveillance system. What can teams expect from AMCHP? Teams can expect full support from AMCHP, including facilitation of the entire process from start to finish. Specific support AMCHP will offer teams includes: Technology (conference call lines and online meeting technology) for virtual technical assistance delivery. Travel funding for 5 members of the team to attend the in-person kick-off meeting. Support in facilitating Peer-to-Peer relationships between pairs of emerging and established MMRs, which will include travel support for one MMR in each pairing to conduct a site visit of their peer MMR (direction of site visit will be determined at later date). A sub-award of $30,000 to help fund translation of recommendations into public health actions. A forum to network, share ideas and problem solve with colleagues nationwide working on maternal mortality. Assistance and support from AMCHP and CDC in operationalizing the Guidelines for Maternal Death Review Process, which will be generated from the CDC Maternal Mortality Initiative completed in July 2013. Information from leading national experts in the field of maternal mortality. 3

The Every Mother Initiative Tentative Timeline The timeline below has been provided to help teams develop their proposals. A final timeline and work plan will be developed by the selected teams in partnership with AMCHP. RFA Released May 28 th, 2013 RFA Orientation Call June 6 th, 2013 3:00-4:00 pm EST Applications Due June 28 th, 2013 11:59 pm EST Teams Announced July 23 rd, 2013 Team Orientation Call July 31 st, 2013 2:00-3:00 pm EST In-Person Meeting September 2013 Specific dates TBD 4

Application procedure Submit all required application materials by email by June 28, 2013 to tcallahan@amchp.org Applications need to address the Components I-VI (described below). The page limit for Components I-IV is 5 single spaced pages; Components V & VI are stand-alone documents. To be considered eligible, applicants are required to complete and submit all required pieces. Applications received after the deadline, Friday, June 28 th, 2013, will not be considered. Please Note: You will receive notification of receipt of application no later than one week following submission. If you have not received a notification of receipt by July 8 th, 2013, please contact, tcallahan@amchp.org at email here. APPLICATION COMPONENTS I. CAPACITY Current Commitment: Include a description of current activities related to maternal mortality within your state and specifically within the convening health department. Also, please select the category that best describes your state review: 1) Emerging Review: any committee that has been holding active reviews for fewer than three years or 2) Established Review: any committee that has been holding a review for more than three years and has documented successful translation of recommendations into clinical or public health actions. If you are selecting established review please describe how your review recommendations have been translated into a clinical or public health action. Current Collaborations: Identify and offer examples of existing or potential partnerships for the maternal mortality activities highlighted above (under current commitment). II. EXPECTED BENEFITS Added value: Include specific ideas on the impact participation in the Every Mother Initiative will have for programs, partnerships, and collaborations in your state broadly; as well as specific descriptions of the added value participation will have on programs within the convening health department. Translation activities: Please provide an initial proposal of how your program will use the $30,000 Translation Subaward to fund activities translating recommendations or findings of the MMSS into community-based public health actions. III. OBSTACLES Barriers: Identify challenges (specific to your state) the overall team might experience and how these obstacles will be mitigated by the convening organization and/or the overall team. Please be specific, e.g., if time or money are barriers, discuss specifics about how they are barriers to this work. IV. TEAM OPERATIONS PLAN Roles and responsibilities: Describe in a few paragraphs how your team will work together to complete the team requirements of the initiative. the rationale for the selection of team members, the distribution of work among team members, and the mechanisms (where, how often) the team will be convened. V. COMMITMENT Letters of support: Provide a letter written from the convening health department leadership, with acknowledgement of the members of team, which clearly indicates a commitment to the team requirements (e.g. staff time, travel) throughout the duration of the project. Additional letters of commitment from other organizations included on the team roster are encouraged. 5

VI. TEAM ROSTER Clearly identify a team roster, including team co-leads. Co-leads will be the primary point of contact between AMCHP and the teams. Co-leads will also be responsible for on time submission of team action plans, progress reports, and any financial reports related to sub-award. Co-leads will also be expected to facilitate and develop coordination structure for all activities occurring within a team. Clearly identify how your team meets the requirements: a health department/title V MCH Program Staff (at least 1 required); (at least 1 required); Organizational Partner (at least 1 required); Additional Team members (up to 7 allowed). Travel funding will be limited to 5 team members for the in person meeting and 2-3 team members for the potential peer to peer site visits, but teams can finance additional travel on their own for up to 7 total team members. Provide detailed contact information of each team member and their expertise (see appendices A & B for examples and template). APPLICATION CHECK LIST 1 Does your application have the following required pieces? I. CAPACITY II. EXPECTED BENEFITS III. OBSTACLES IV. TEAM OPERATIONS PLAN V. COMMITMENT VI. TEAM ROSTER 1 Does your team include all the necessary team members included as required team members? I. STATE TITLE V/MCH PROGRAM STAFF REPRESENTATIVE II. MCH EPIDEMIOLOGY STAFF REPRESENTATIVE III. ORGANIZATIONAL REPRESENTATIVE IV. OVERALL, MULTIDISCIPLINARY REPRESENTATION SELECTION PROCESS Applications will be rated on the following evaluation criteria: Capacity 40 points Extent to which applicant identified a current commitment to maternal mortality among MCH partners within the state. Extent to which applicant has demonstrated current collaborations and partnerships related to maternal mortality. Applicant has met the criteria of their selected review category (emerging or established) Readiness- 40 points Extent to which applicant addresses the added value of participation in the Every Mother Initiative. Extent to which applicant identifies and offers effective ways to overcome barriers to participation in the Every Mother Initiative. Extent to which applicant describes a feasible, preliminary team operations plan. Team roster-15 points Extent to which applicant includes all required team members. Extent to which applicant includes all required information on various team members. Extent to which team roster represents a multidisciplinary team. Commitment 5 points Extent to which applicant provides letters of support for team members. 6

Appendix A: Example of chart detailing team composition. Please include the information you think best communicates why you have assembled your team. Overall Team Composition (at least 1 required); (at least 1 required); Organizational Partner (at least 1 required); Name & Title s (up to 7 allowed) Contact Information Relevant Expertise Co-lead 1. Jane Smith, MPH State Maternal Death Review Coordinator Jane is the manager of the maternal death review under the Title V program at the state health department. Co-lead 2. John Smith, PhD MCH Epidemiologist at Health Department John manages data and surveillance of MCH issues within the state. He holds an appointment at the State University in the Epidemiology Program. 3. Joe Smith, MD ACOG Member Representative 4. Jen Smith, PhD Nursing Manager at Hospital 5. Jess Smith, Behavioral Health Specialist Please limit your overall team to 7 members total. Joe is a practicing OB-GYN and also serves at the ACOG representative for the state. Jen is the Nursing Manager at a major birthing hospital in the area. Jess is a Behavioral Health Specialist. He has been practicing for twenty year. 7

Appendix B: Team Roster Template. Please include the information you think best communicates why you have assembled your team. Please limit your overall team to 7 members total. Consider including team members from additional state agencies or community partners. Name & Title Co-lead 1. Co-lead 2. Overall Team Composition MCH Program Staff (at least 1 required); (at least 1 required); Organizational Partner (at least 1 required); (up to 7 allowed) Contact Information Relevant Expertise 3. 4. 5. 6. 7. 8