Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes"

Transcription

1 Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes US Centers for Disease Control and Prevention (CDC) Centers for Medicare & Medicaid Services (CMS) Health Resources and Services Administration (HRSA)

2 Agenda Centers for Disease Control and Prevention (CDC) Wanda D. Barfield, MD, MPH, FAAP, Captain, USPHS, Director Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services (CMS) Stephen Cha, MD, MHS, Chief Medical Officer, Center for Medicaid and CHIP Services (CMCS) Health Resources and Services Administration (HRSA) Michael C. Lu, MD, MS, MPH, Associate Administrator, Maternal and Child Health Bureau (MCHB) Michael D. Kogan, PhD, Director, Office of Epidemiology and Research, MCHB 2

3 Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes

4 CDC s Division of Reproductive Health (DRH) Priority Areas Strategic Partnerships: Infant Health Sudden Unexpected Infant Death (SUID) Prevention Preterm Birth Prevention Women s Health Family Planning Methods, Services & Utilization Chronic Disease Prevention in Women of Reproductive Age Pregnancy Health Maternal Mortality & Complications of Pregnancy Teen Pregnancy Prevention Partnerships strive to move science to practice Optimal Reproductive Health for a Healthy Future 4

5 DRH Strategic Areas of Focus Specific targets to measure the impact of our efforts: Chronic Disease Prevention & Health Promotion of Women of Reproductive Age: Advance integration of chronic disease prevention and health promotion within health care services in programs serving women of reproductive age Teen Pregnancy Prevention: Develop and promote evidence-based programs, policies, and practices for preventing unintended teen pregnancy Family Planning Methods, Services, and Utilization: Develop and promote the evidence base for quality family planning services and methods Maternal Mortality and Complications of Pregnancy: Identify and review maternal deaths and complications of pregnancy to inform prevention efforts Infant Morbidity and Mortality: Involves Preterm Birth and Unexpected Infant Death (SUID) Prevention, and investigates causes of death and consequences of morbidity during infancy Global Reproductive Health: Improve maternal and newborn health through training, surveillance, or monitoring, and measurement; and to build capacity in global maternal and child health epidemiology 5

6 CDC and Federal Partners on the Prevention of Teen/Unintended Pregnancy Three Ways We Are Working Together Family Planning Expansions Long Acting Reversible Contraception (LARC) Performance Measurement 6

7 Connection Between Family Planning (FP) and Medicaid Medicaid is the largest public payer of publicly funded FP services Covers 75% of costs Family planning covered at higher rate than other services The Federal program covering 90% of costs 30 states expanded Medicaid eligibility for family planning Most basing eligibility solely on income These expansions occur through two mechanisms: Waivers (n=19) State Plan Amendment (n=11) Family planning expansions are focus of a Healthy People (HP) 2020 objective: FP-14 Increase the number of States that set the income eligibility level for Medicaidcovered family planning services to at least the same level used to determine eligibility for Medicaid-covered, pregnancy-related care Increase the number of States that set the income eligibility level for Medicaid-covered family planning services to at least the same level used to determine eligibility for Medicaid-covered, pregnancy-related care 7

8 DRH Activities: Family Planning Expansions Reviewed existing evaluations of state family planning waiver programs Identified need for more uniformity of measures across states, especially for program participation and key outcomes Documented need for publicly funded planning in post- Affordable Care Act (ACA) period Analysis of Massachusetts data showed continued need for publicly funded family planning services (Morbidity and Mortality Weekly Report (MMWR) 2014;63:59 62) Modeling unmet need for family planning services nationwide, based on Massachusetts experience (in progress) Estimated the potential number of Medicaid preterm births averted by family planning, by year and state (in progress) Included adoption of a family planning expansion as sole indicator of progress in CDC s 2014 Prevention Status Report for teen pregnancy prevention 8

9 Example of DRH Collaboration: Long-Acting Reversible Contraception (LARC) Long-acting reversible contraception (LARC) includes intrauterine devices (IUDs) and contraceptive implants LARC can help reduce rates of teen/unintended pregnancy and save $$ Offering LARC in the immediate postpartum period, while the woman is still in the hospital after delivery: Is safe (CDC 2010, Grimes 2010) Removes barriers to access and the American College of Obstetricians and Gynecologists (ACOG) recommends it Is acceptable to many women (e.g., 50% of teens in Colorado were using a LARC 2-6 months after delivery; CDC 2013) High typical effectiveness Should be first-line recommendations for all adolescents (ACOG, 2012) 9

10 Postpartum Insertion of LARC (continued): Perceived barriers to immediate postpartum insertion of LARC included: Global hospitalization fee No inpatient code for LARC Perception CMS/Medicaid did not want to cover it CDC s role in helping to remove barriers Raise CMS headquarters (HQ) awareness of the issue Promote awareness of South Carolina s strategy for removing barriers Inform other states about the issue (via Have You Heard, Maternal and Child Health (MCH) epidemiologist assignees, Title X grantees, ACOG, etc.) Form a Community of Practice Support a Learning Collaborative to address implementation challenges Conduct an economic evaluation 10

11 Performance Measures: Contraceptive Services CMS/HQ recommends performance measures to states There are currently no measure of contraceptive services CDC validating 2 performance measures for contraceptive services % contraceptive clients using a most or moderately effective method of contraception % contraceptive clients using LARC CDC s MCH Epidemiologist assignee in Iowa piloting the measures using Medicaid claims data Goal: CMS/HQ recommends to state Medicaid programs that they use these performance measures 11

12 Performance Measures at the State Level through Pregnancy Risk Assessment Monitoring System (PRAMS) CDC s PRAMS Collects state-specific data, population-based data on maternal attitude and experiences before, during, and shortly after pregnancy New PRAMS questionnaire revision (2016): Address national initiatives such as Healthy People (HP) 2020, the Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality, Preconception Health, etc. Assess uptake of health insurance coverage and women s preventive health services in the ACA» Contraception methods and related counseling» Sexually Transmitted Infection (STI) counseling and HIV screening/counseling» Breastfeeding support, supplies, counseling» Domestic violence screening» Gestational diabetes screening Apply science to practice framework by collecting data that can inform implementation of clinical guidelines, program strategies, and policies 12

13 Data Linkage and Use Training Purpose Train states to obtain and link Medicaid and Vital Statistics data for surveillance, performance monitoring, quality improvement purposes Timeline Linked data will allow for measurement of various maternal and child health indicators, including the C-section and low birth weight rate measures in the CMS Core Set of Children s Health Care Quality Measures December 2013 September 2014 Project Components Web-trainings (every 4th Monday of the month at 12:30 p.m. ET) for all participants; in-person training for analysts; collaborative state project Participants Teams of state colleagues from relevant departments (e.g. public health, Medicaid) 13

14 Medicaid Moving Forward Stephen Cha, MD, MHS Chief Medical Officer, Center for Medicaid and CHIP Services Centers for Medicare & Medicaid Services

15 Medicaid/CHIP The Center for Medicaid and CHIP Services is the nation s largest insurer: almost 60 million rely on Medicaid and CHIP Joint state-federal program 48% of births One of every four children Largest payer of mental health services More low-income adults to come 15

16 Medicaid Moving Forward A few of the ways we re seeing a new Medicaid Program 16

17 Delivery and Payment Reform Seamless set of services across silos for: Better Care, Better Health, Lower Costs 17

18 Improving Data and Information on Medicaid & CHIP Birth Outcomes Core Set of Maternity Measures for Medicaid and CHIP Timeliness of Prenatal Care Frequency of Ongoing Prenatal Care Behavioral Health Risk Assessment (for Pregnant Women) Well-Child Visits in the first 15 months of life Postpartum Care Elective Delivery Antenatal Steroids Cesarean Rate (for 1 st pregnancy) Percentage of Live Births Weighing less than 2,500 grams Partnered with CDC to conduct training for states on data linkage and use of state Vital Records, Medicaid claims and Title V data to facilitate collection of relevant Medicaid quality measures Initial states for training: AZ, GA, KY, IN, MA, ME, MI, MS, NM, NV, OK, SD, WV and WY Conducted analysis of Medicaid and private insurance birth outcomes and hospital costs using the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) data 18

19 Strong Start for Mothers and Newborns: Two Strategies to Improve Birth Outcomes The Strong Start initiative has two different but related strategies: 1. Reducing Early Elective Deliveries Testing a nationwide public-private partnership and awareness effort to spread the adoption of best practices that can reduce the rate of early elective deliveries before 39 weeks for all populations 2. Enhanced Prenatal Care Approaches Testing the effectiveness of specific enhanced prenatal care approaches to reduce preterm births for high-risk women enrolled in Medicaid and CHIP 19

20 Strategy 2: Enhanced Prenatal Care Approaches 1. Group Care Group prenatal care that incorporates peer-to-peer support in a facilitated setting for three components; health assessment, education and support 2. Birth Centers Comprehensive prenatal care facilitated by midwives and teams of health professionals including peer counselors and doulas. Focus includes building relationships with patients 3. Maternity Care Homes Enhanced prenatal care at traditional prenatal sites expanding access and continuity, care coordination, and content 4. Home Visiting - CMS is partnering with the Administration for Children and Families (ACF) and HRSA on a 4 th model - evaluating HRSA s Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) 20

21 Improving Birth Outcomes: Expert Panel Expert Panel on Improving Maternal and Infant Health Outcomes in Medicaid and CHIP Convened by CMCS contractor in June 2012 co-chaired by Mary Applegate, MD and James Martin, MD FACOG Met for one year to identify strategies to improve birth outcomes 21

22 Improving Birth Outcomes: Summary of Expert Panel Strategies Data Measurement and Reporting Enhanced Maternal Care Management Effective Reproductive Enablers Perinatal Payment Strategies Improve measurement of the timing and content of postpartum care Assure use of progesterone treatment for women at high risk for preterm birth through improved screening, tracking and policies Implement reimbursement and new policies to promote LARC Unbundle global based obstetric fee schedules Adopt contraception and family planning measures Coverage for continuous doula support during labor Improve rates and content of adolescent well-care visits through measurement, data infrastructure & incentives Adopt blended payment for Cesarean and vaginal deliveries Coverage for comprehensive prenatal care (i.e., including physical, mental, social services) for women with chronic medical conditions through 90 days postpartum Provide coverage and provider incentives to increase rates of wellwoman visits Include obstetric services in valuebased payment incorporating maternal and neonatal regionalization where appropriate Payment, program and policy actions to support breastfeeding Reimbursement and service delivery policies that engage adolescents, their parents and physicians to promote mental, physical & reproductive care Develop mechanism for designating high risk pregnancies & risk adjusted payments Education & other supports for identification and treatment of maternal mental health conditions Reimburse qualified educators for childbirth education Programs and policies for screening, referral and treatment of women with substance abuse disorders 22

23 Next Steps Launch a Maternal and Infant Health Initiative, building on Expert Panel Strategies Define strategic goals Engage states, providers and beneficiaries Leverage federal partnerships Technical Assistance Quality Measurement 23

24 For more information visit Medicaid.gov: Maternal and Infant Health Care Quality Topics/Quality-of-Care/Maternal-and-Infant-Health-Care-Quality.html 24

25 Transforming the State System Development Initiative (SSDI) Grant Program and the Title V Performance Measure System Michael D. Kogan, PhD Michael C. Lu, MD, MS, MPH US Department of Health and Human Services (HHS) Health Resources And Services Administration (HRSA) Maternal And Child Health (MCH) Bureau

26 SSDI and the Block Grant Examples of current state accomplishments using SSDI funding: Real time data: Provisional rates of infant mortality in Florida and Ohio Geographic Information Software (GIS): Teen pregnancy in California & Rhode Island KIDSNET databook Data Linkage: Linked birth/death records, Medicaid, WIC, and Newborn Screening in Alaska, Louisiana, New York, and West Virginia 26

27 First Steps Identify what s working well with the SSDI program and where are the gaps Working well: Provides basic infrastructure for MCH Epidemiologist Funds needed staff, e.g., program analyst or epidemiologist Helps support data linkages and emphasis on informatics Gaps: Unevenness in capacity Lack of standardization 27

28 Standardized MCH dataset Purpose: To develop a consensus-based, common set of state MCH reporting measures, definitions, and data elements Importance: 1) Provide data comparability across state & local areas 2) Promote the sharing of data/analytic tools 3) Improve consistency of health data reporting 4) Support evidence-based policy development 5) Inform development of National Performance Measures 28

29 MCH Dataset Subgroup Methodology Objective Scoring Criteria 1. Data availability: i.e., about how many public health agencies in the 50 states and DC would have access to data for this indicator 2. Data Quality: i.e., the quality of the data that is available to measure this indicator 3. Simplicity: i.e., degree to which an indicator is simple to calculate and explain to professionals and the public 4. Public Health Impact: i.e., the potential public health impact of intervening on this indicator 5. Prediction i.e., the potential to predict an individual s health and wellness and/or that of their offspring 6. Connection to Wellness i.e., the degree to which this indicator has a connection to health and wellness based on current science 29

30 Expected Outcomes Greater collaboration across states vis-à-vis data analysis and what works programmatically Greater focus on developing infrastructure, quality improvement, and program effectiveness States will have a corpus of standardized data elements/indicators which are important for the work of any MCH department The corpus can be dynamic, i.e., new indicators can be incorporated using the same methodology, e.g., add life course indicators 30

31 Performance Measures for the Revision of the Title V Block Grant

32 Challenges A comprehensive examination of the Block Grant performance measures had not been done since 1995 There was not reliable data for some measures It was difficult to tie the national Title V measures to the State Title V programs Comparability across States was impossible for many measures because of different data sources 32

33 Goals of the Workgroup Design a transformed performance measurement system that could show the contributions of Title V programs more directly while still maintaining flexibility for the States and reducing their reporting burden 33

34 Proposed Solutions for Measurement Framework for a three tier structure for measures introduced: 1. National Outcome Measures 2. National Performance Measures 3. State-Initiated Structure / Process Measures National Outcome Measures and Performance Measures would be drawn from national data sources and prepopulated for States to analyze State-initiated Performance Structure/Process Measures would be developed by the States to measure strategies and activities of the Title V program toward the national measure 34

35 National Performance Outcome Measure: Health Domains Maternal/Women s Health: low-risk cesarean, preconception care Perinatal/Infant Health: perinatal regionalization, safe sleep, breastfeeding Child Health: developmental screening, early intervention, school readiness Adolescent/Young Adult Health: adolescent well visit, transition, bullying Life Course: insurance adequacy, medical home, immunization, nutrition and physical activities, oral health, smoking 35

36 Framework Measure Example National Outcome Measure: Infant Mortality and Sudden Unexpected Infant Deaths (SUID) National Performance Measure: Percent of infants placed to sleep on their backs; Percent of infants placed to sleep without soft bedding; Percent of infants placed to sleep alone without bed-sharing (Healthy People 2020 indicator) Possible State-Initiated Structure/Process Measures: 1) Percent of birthing hospitals that have adopted a safe sleep policy 2) Percent of birthing hospitals that have received formal training from the MCH Department 3) Implementation of public service announcements (PSA) to raise awareness of safe sleep broadly and/or through partner organizations 4) Use of data from Fetal and Infant Mortality Review (FIMR) or Child Death Review to inform programming efforts and preventive information 36

37 Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality Partnership among HRSA, Association of State and Territorial Health Officials (ASTHO), Association of Maternal and Child Health Programs (AMCHP), CDC, CityMatCH, CMS, March of Dimes, National Governors Association (NGA), National Institutes of Health (NIH) and the States Began in the 13 Southern States in January 2012, launching now in Region V, with national expansion by the end of 2014 States share best practices and receive technical assistance to make progress toward shared goals in common priority areas Keys to Success Collaborative learning Rapid cycle improvement Measurement system with real-time data Partnership and leadership 37

38 Regions IV & VI Infant Mortality CoIIN Strategy Team Aims and Data Sources By December 2013: Reduce non-medically indicated early elective delivery (< 39 weeks) by 33% (Birth Certificate, BC) Reduce smoking rate among pregnant women by 3% (BC) Increase to 90%, or 20% above baseline, mothers delivering Very Low Birth Weight (VLBW) infants at the appropriate level of care (BC) Increase safe sleep practices by 5% (Pregnancy Risk Assessment Monitoring System, PRAMS) Change Medicaid policy to increase number of women who receive interconception care (ICC) in 5-8 states (Medicaid-linked data) Title V SSDI supplement, and key federal partners CDC and CMS, are helping to improve data timeliness and quality 38

39 Accomplishments Early Elective Delivery: Overall 25% decline in early elective deliveries since 2011 baseline Smoking Cessation: Overall 8% decline in smoking during pregnancy since 2011 baseline Interconception Care: 7 out of 8 states documented Medicaid policy or procedure change to improve ICC access or content Perinatal Regionalization: significant engagement of partners and mobilization of teams in the states to address levels of care designations in context of 2012 American Academy of Pediatrics (AAP) guidelines Safe Sleep: collaborative learning sessions to share best practices and innovations are being conducted monthly 39

40 Thank You! 40

Performance Measurement Framework and Performance Measures for the Revision of the Title V Block Grant

Performance Measurement Framework and Performance Measures for the Revision of the Title V Block Grant Performance Measurement Framework and Performance Measures for the Revision of the Title V Block Grant Title V Performance Measures and Evaluation Since the 1998, States have reported annually on both

More information

On behalf of the Association of Maternal and Child Health Programs (AMCHP), I am

On behalf of the Association of Maternal and Child Health Programs (AMCHP), I am Christopher Kus, M.D., M.P.H. Association of Maternal and Child Health Programs, Public Witness Testimony House Labor, Health and Human Services and Education Appropriations Subcommittee March 13, 2013

More information

TITLE V OF THE SOCIAL SECURITY ACT MATERNAL AND CHILD HEALTH INFANT MORTALITY EFFORTS

TITLE V OF THE SOCIAL SECURITY ACT MATERNAL AND CHILD HEALTH INFANT MORTALITY EFFORTS TITLE V OF THE SOCIAL SECURITY ACT MATERNAL AND CHILD HEALTH INFANT MORTALITY EFFORTS Michele H. Lawler, M.S., R.D. Department of Health and Human Services Health Resources and Services Administration

More information

Iowa s Maternal Health, Child Health and Family Planning Business Plan

Iowa s Maternal Health, Child Health and Family Planning Business Plan Iowa s Maternal Health, Child Health and Family Planning Business Plan CHILD HEALTH Who we are... A public-private partnership that... Promotes access to regular preventive health care services for children

More information

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care 1 A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care Presentation by Kay A. Johnson, MPH, EdM Research Assistant Professor,

More information

MEMORANDUM. Dr. Michael Lu, Associate Administrator Maternal and Child Health Bureau, Health Resources and Services Administration

MEMORANDUM. Dr. Michael Lu, Associate Administrator Maternal and Child Health Bureau, Health Resources and Services Administration MEMORANDUM TO: Dr. Michael Lu, Associate Administrator Maternal and Child Health Bureau, Health Resources and Services Administration FROM: AMCHP Board of Directors DATE: February 14, 2014 RE: Final Recommendations

More information

Guidelines for States on Maternity Care In the Essential Health Benefits Package

Guidelines for States on Maternity Care In the Essential Health Benefits Package Guidelines for States on Maternity Care In the Essential Health Benefits Package Section 2707(a) of the Patient Protection and Affordable Care Act (ACA) requires that all new health insurance plans in

More information

National Outcome Measures and National Performance Measures Kansas Maternal and Child Health Services Block Grant 2016 Application/2014 Annual Report

National Outcome Measures and National Performance Measures Kansas Maternal and Child Health Services Block Grant 2016 Application/2014 Annual Report NOM # 1 2 3 National Outcome Measures and National Performance Measures Kansas Maternal and Child Services Block Grant National Outcome Measures Percent of pregnant women who receive prenatal care beginning

More information

Graduate Student Epidemiology Program

Graduate Student Epidemiology Program Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2015 Program Guide Submit your application

More information

Meena Abraham, DrPH, MPH Director of Epidemiology Services Baltimore City Health Department

Meena Abraham, DrPH, MPH Director of Epidemiology Services Baltimore City Health Department Meena Abraham, DrPH, MPH Director of Epidemiology Services Baltimore City Health Department 271 Neighborhood Statistical Areas 55 Community Statistical Areas 26 Zip Codes Characteristic Baltimore City

More information

Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals. Section 6 BENEFITS

Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals. Section 6 BENEFITS The Affordable Care Act: A Working Guide for MCH Professionals Section 6 BENEFITS In addition to expanding access to affordable health coverage options, the Affordable Care Act (ACA) makes several changes

More information

Graduate Student Epidemiology Program

Graduate Student Epidemiology Program Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2014 Program Guide Submit your application

More information

LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS MATERNAL AND CHILD HEALTH (MCH) BLOCK GRANT*

LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS MATERNAL AND CHILD HEALTH (MCH) BLOCK GRANT* LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS MATERNAL AND CHILD HEALTH (MCH) BLOCK GRANT* What is the MCH Block Grant? It is a grant from the U.S. government to State governments. The state must supply

More information

Graduate Student Internship Program

Graduate Student Internship Program Maternal and Child Health Information Resource Center Graduate Student Internship Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment

More information

Quality Maternity Care: the Role of the Public Health Nurse

Quality Maternity Care: the Role of the Public Health Nurse Quality Maternity Care: the Role of the Public Health Nurse Lori Webel-Edgar RN, MN Program Manager-Reproductive Health Simcoe Muskoka District Health Unit Barrie, Ontario session overview quality maternity

More information

National Infant Mortality Collaborative Innovation and Improvement Network (CoIIN)

National Infant Mortality Collaborative Innovation and Improvement Network (CoIIN) National Infant Mortality Collaborative Innovation and Improvement Network (CoIIN) Title X Grantee Meeting August 19, 2015 Sabrina Selk, ScD Senior Analyst Department of Applied Research and Evaluation

More information

Develop strategies to increase provider participation.

Develop strategies to increase provider participation. Critical Component: Access to Health Insurance and Medical Homes Goal 1: Comprehensive Medical Home for Mother and Child * A. Increase the percentage of mothers and children 0-5 who have access to a medical

More information

Dania Palanker Senior Health Policy Advisor National Women s Law Center December 5, 2012

Dania Palanker Senior Health Policy Advisor National Women s Law Center December 5, 2012 National Family Planning and Reproductive Health Association ACA Implementation: Health Insurance Exchanges Dania Palanker Senior Health Policy Advisor National Women s Law Center December 5, 2012 Why

More information

Affordable Care Act and Adolescents and Young Adults

Affordable Care Act and Adolescents and Young Adults Affordable Care Act and Adolescents and Young Adults Overview of Summit Welcome and Introductions Affordable Care Act 101 Affordable Care Act and Impact on Adolescents and Young Adults Federal Update on

More information

Statewide Risk Screening Program for Pregnant Women: SBIRT Program

Statewide Risk Screening Program for Pregnant Women: SBIRT Program Statewide Risk Screening Program for Pregnant Women: SBIRT Program Louisiana Community/State Collaborative Michael Kudla,, M.D., FACOG Mary Craig, RN, MSN, MS February 22, 2007 Objectives Participants

More information

Violence Assessment and Follow-up In Public Health Data Sets

Violence Assessment and Follow-up In Public Health Data Sets Violence Assessment and Follow-up In Public Health Data Sets Background Summer, 2012 This project was initiated to explore existing data on assessment of violence in the lives of women seeking services

More information

Graduate Student Epidemiology Program

Graduate Student Epidemiology Program Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2016 Program Guide Submit your application

More information

Insurance Reimbursement for Post-Pregnancy Long-Acting Reversible Contraception (LARC) Background Benefits of LARC

Insurance Reimbursement for Post-Pregnancy Long-Acting Reversible Contraception (LARC) Background Benefits of LARC Insurance Reimbursement for Post-Pregnancy Long-Acting Reversible Contraception (LARC) Shandhini Raidoo MD, Bliss Kaneshiro MD, MPH, Mary Tschann MPH, Reni Soon MD, MPH, Emmakate Friedlander MD, Jennifer

More information

Dental Public Health Activity Descriptive Report

Dental Public Health Activity Descriptive Report Dental Public Health Activity Descriptive Report Practice Number: 06005 Submitted By: New York State Department of Health Bureau of Dental Health Submission Date: January 2012 Last Updated: January 2012

More information

Mississippi State Department of Health. Fiscal Years 2014-2018. Strategic Plan

Mississippi State Department of Health. Fiscal Years 2014-2018. Strategic Plan Mississippi State Department of Health Fiscal Years 2014-2018 Strategic Plan Prepared in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Office of Health Administration

More information

Welcome! CDC Vital Signs Preventing Teen Pregnancy in the United States. Office for State, Tribal, Local and Territorial Support.

Welcome! CDC Vital Signs Preventing Teen Pregnancy in the United States. Office for State, Tribal, Local and Territorial Support. Welcome! Office for State, Tribal, Local and Territorial Support presents CDC Vital Signs Preventing Teen Pregnancy in the United States April 19, 2011 2:00pm 3:00pm EST Centers for Disease Control and

More information

Early Childhood Indicators Report

Early Childhood Indicators Report 2015 Early Childhood Indicators Report Carol Prentice, Prentice Consulting, 2012 Updated by Alaska Department of Health & Social Services, September 2013 Updated by Prentice Consulting, July 2015 Early

More information

State Medicaid Coverage of Perinatal Services:

State Medicaid Coverage of Perinatal Services: State Medicaid Coverage of Perinatal Services: Summary of State Survey Findings November 2009 The Kaiser Family Foundation Usha Ranji, M.S. Alina Salganicoff, Ph.D. The George Washington University Medical

More information

The Impact of the ACA and USPSTF Grade Change on Coverage of HIV Testing

The Impact of the ACA and USPSTF Grade Change on Coverage of HIV Testing The Impact of the ACA and USPSTF Grade Change on Coverage of HIV Testing Lindsey Dawson Public Policy Associate United States Conference on AIDS New Orleans, LA September 9, 2013 Coverage of Preventive

More information

RuSH: Sickle Cell Surveillance and Registry Program

RuSH: Sickle Cell Surveillance and Registry Program RuSH: Sickle Cell Surveillance and Registry Program CDR Althea M Grant, PhD Chief, Epidemiology and Surveillance Branch Division of Blood Disorders National Center for Birth Defects and Developmental Disabilities

More information

VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department of Health Executive Summary

VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department of Health Executive Summary VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department of Health Executive Summary May 2014 1 VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department

More information

Health Disparities in H.R. 3590 (Merged Senate Bill)

Health Disparities in H.R. 3590 (Merged Senate Bill) Health Disparities in H.R. 3590 (Merged Senate Bill) Definitions: Health disparity population is defined in the bill as defined in Section 485E (Sec. 931) Current Law: a population is a health disparity

More information

The WSHA Maternal Data Center (WSHA-MDC) Elliott Main, MD CMQCC Medical Director Anne Castles, MPH, MA MDC Project Manager

The WSHA Maternal Data Center (WSHA-MDC) Elliott Main, MD CMQCC Medical Director Anne Castles, MPH, MA MDC Project Manager The WSHA Maternal Data Center (WSHA-MDC) Elliott Main, MD CMQCC Medical Director Anne Castles, MPH, MA MDC Project Manager National Perinatal Reporting Activities Who? Center for Medicare Services (CMS)

More information

Overview. Florida Department of Health. Florida Department of Health. Services for Children and Youth

Overview. Florida Department of Health. Florida Department of Health. Services for Children and Youth Overview Established in 1996 by the Florida Legislature as a separate agency under the Governor State Health Office in Tallahassee 67 County Health Departments 22 Children s Medical Services area offices

More information

MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE FAMILY HEALTH ADMINISTRATION CENTER FOR MATERNAL AND CHILD HEALTH. Maternal Mortality Review Program

MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE FAMILY HEALTH ADMINISTRATION CENTER FOR MATERNAL AND CHILD HEALTH. Maternal Mortality Review Program MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE FAMILY HEALTH ADMINISTRATION CENTER FOR MATERNAL AND CHILD HEALTH Maternal Mortality Review Program 2010 ANNUAL REPORT Martin O Malley Governor Anthony

More information

Innovative State Practices for Improving The Provision of Medicaid Dental Services:

Innovative State Practices for Improving The Provision of Medicaid Dental Services: Innovative State Practices for Improving The Provision of Medicaid Dental Services: SUMMARY OF EIGHT STATE REPORTS: (Alabama, Arizona, Maryland, Nebraska, North Carolina, Rhode Island, Texas and Virginia)

More information

ENSURING STABLE AND CONTINUOUS HEALTH INSURANCE COVERAGE FOR CHILDREN WITH ASTHMA

ENSURING STABLE AND CONTINUOUS HEALTH INSURANCE COVERAGE FOR CHILDREN WITH ASTHMA About This Series In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing po 2 licy: The Elements for Improving Childhood

More information

Kansas Maternal and Child Health Service Manual

Kansas Maternal and Child Health Service Manual Kansas Maternal and Child Health Service Manual Bureau of Family Health Division of Public Health Kansas Department of Health and Environment Revised January 2015 Vision: Title V envisions a nation where

More information

WHEREAS, the Medicaid Program operates the Maryland Children s Health Program as a Medicaid expansion with the full benefit package and;

WHEREAS, the Medicaid Program operates the Maryland Children s Health Program as a Medicaid expansion with the full benefit package and; COOPERATIVE AGREEMENT between MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE TITLE XIX MEDICAID AGENCY, TITLE V MATERIAL AND CHILD HEALTH AGENCY AND THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR

More information

Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General

Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General Florida Department of Health Division of Disease Control Bureau of Epidemiology Chronic Disease Epidemiology Section Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General Florida

More information

Chapter 13: Transition and Interagency Agreements

Chapter 13: Transition and Interagency Agreements Healthy Start Standards & Guidelines 2007 Chapter 13: Transition and Interagency Agreements Introduction Transition is movement or change from one environment to another. Transition activities are a critical

More information

Healthy People 2020: Who s Leading the Leading Health Indicators?

Healthy People 2020: Who s Leading the Leading Health Indicators? Healthy People 2020: Who s Leading the Leading Health Indicators? Don Wright, MD, MPH Deputy Assistant Secretary for Disease Prevention and Health Promotion Who s Leading the Leading Health Indicators?

More information

Mississippi State Department of Health. Fiscal Years 2010-2014. Strategic Plan

Mississippi State Department of Health. Fiscal Years 2010-2014. Strategic Plan Mississippi State Department of Health Fiscal Years 2010-2014 Strategic Plan Prepared in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Office of Health Administration

More information

Intimate Partner Violence among Pregnant and Parenting Women: Local Health Department Strategies for Assessment, Intervention, and Prevention

Intimate Partner Violence among Pregnant and Parenting Women: Local Health Department Strategies for Assessment, Intervention, and Prevention ISSUE BRIEF June 2008 Intimate Partner Violence among Pregnant and Parenting Women: Local Health Department Strategies for Assessment, Intervention, and Prevention Introduction This issue brief illustrates

More information

Maternal and Child Health Issue Brief

Maternal and Child Health Issue Brief Maternal and Child Health Issue Brief Substance Abuse among Women of Reproductive Age in Colorado September 14 9 Why is substance abuse an issue among women of reproductive age? Substance abuse poses significant

More information

Incorporating Life Course, Social Determinants, and Health Equity into California s MCAH Programs

Incorporating Life Course, Social Determinants, and Health Equity into California s MCAH Programs Incorporating Life Course, Social Determinants, and Health Equity into California s MCAH Programs Shabbir Ahmad, DVM, MS, PhD Maternal, Child and Adolescent Health Program Center for Family Health California

More information

Challenges and Progress: Implementing HIV Screening in Health-Care Settings

Challenges and Progress: Implementing HIV Screening in Health-Care Settings Challenges and Progress: Implementing HIV Screening in Health-Care Settings Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV/AIDS,

More information

OBGYN Orientation & Billing Guide 9/22/2014

OBGYN Orientation & Billing Guide 9/22/2014 OBGYN Orientation & Billing Guide 2014 Welcome to Magnolia Health! We thank you for being part of or considering Magnolia s network of participating providers, hospitals, and other healthcare professionals.

More information

Medicaid ACO Pediatric Quality Measures and Innovative Payment Models

Medicaid ACO Pediatric Quality Measures and Innovative Payment Models Medicaid ACO Pediatric Quality Measures and Innovative Payment Models Select States Summer, 2015 Introduction Since the Medicaid program was implemented 50 years ago, it has undergone several evolutions

More information

How Health Reform Will Help Children with Mental Health Needs

How Health Reform Will Help Children with Mental Health Needs How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the

More information

Mississippi State Department of Health Title V. Healthy Start Regional Meeting Birmingham, AL August 1-2, 2016

Mississippi State Department of Health Title V. Healthy Start Regional Meeting Birmingham, AL August 1-2, 2016 Mississippi State Department of Health Title V Healthy Start Regional Meeting Birmingham, AL August 1-2, 2016 State Priority Needs Mississippi (SPN) SPN 1: Decrease infant mortality SPN 2: Increase access

More information

Affordable Care Act Policy and Implementation Briefing

Affordable Care Act Policy and Implementation Briefing HEALTHCARE.GOV Affordable Care Act Policy and Implementation Briefing Family Planning Council s Reproductive Health Conference April 27, 2012 Joanne Corte Grossi,, MIPP Regional Director U.S. Department

More information

DEFENSE HEALTH CARE. Availability and Quality Measurement of Women's Health Care Services in U.S. Military Hospitals

DEFENSE HEALTH CARE. Availability and Quality Measurement of Women's Health Care Services in U.S. Military Hospitals United States Government Accountability Office Report to Congressional Committees June 2016 DEFENSE HEALTH CARE Availability and Quality ment of Women's Health Care Services in U.S. Military Hospitals

More information

FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION (PART XII) February 20, 2013

FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION (PART XII) February 20, 2013 FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION (PART XII) February 20, 2013 Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of various provisions of the Affordable

More information

Flagship Priority: Mental Health and Substance Abuse

Flagship Priority: Mental Health and Substance Abuse 10 Colorado s winnable battles Flagship Priority: Mental Health and Substance Abuse ELEVATING HEALTH AND ENVIRONMENT Mental and emotional well-being is essential to shaping a state of health for Coloradans.

More information

Pregnancy Care Management Standardized Plan Working together to improve the health of mothers and babies.

Pregnancy Care Management Standardized Plan Working together to improve the health of mothers and babies. Working together to improve the health of mothers and babies. The Pregnancy Care Management outlines methods and standards for pregnancy care managers to follow, working together with Pregnancy Medical

More information

Nationwide Initiatives on Pregnancy-Related Depression

Nationwide Initiatives on Pregnancy-Related Depression Colorado Department of Public Health and Environment Nationwide Initiatives on Pregnancy-Related Depression A Summary of 16 Key Informant Interviews June 2013 Contents Introduction... 2 Background... 3

More information

New Jersey Home Visiting Initiative

New Jersey Home Visiting Initiative National Health Policy Forum Promoting Evidence-Based Interventions: Maternal, Infant & Early Childhood Home Visiting (MIECHV) A State Perspective on Home Visiting New Jersey Home Visiting Initiative Contact

More information

Getting from Good to Great in Home Visiting: Systems Coordination

Getting from Good to Great in Home Visiting: Systems Coordination Getting from Good to Great in Home Visiting: Systems Coordination PEW HOME VISITING CAMPAIGN WEBINAR SERIES A series of five webinars highlighting promising practices in administering state home visiting

More information

LEARNING WHAT WORKS AND INCREASING KNOWLEDGE

LEARNING WHAT WORKS AND INCREASING KNOWLEDGE About This Series In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing po 2 licy: The Elements for Improving Childhood

More information

Chapter 3: Healthy Start Risk Screening

Chapter 3: Healthy Start Risk Screening Introduction Healthy Start legislation requires that all pregnant women and infants be offered screening for risk factors that may affect their pregnancy, health, or development. The prenatal and infant

More information

MDHHS Winnable Battles

MDHHS Winnable Battles Michigan Department of Health & Human Services MDHHS Winnable Battles Social Determinants of Health Eden V. Wells, MD, MPH, FACPM Michigan Department of Health and Human Services Putting people first,

More information

Teen Sexual and Reproductive Health in New York City

Teen Sexual and Reproductive Health in New York City 1 Teen Sexual and Reproductive Health in New York City Citizens Committee for Children of NY Policy Briefing October 23 rd, 2013 Deborah Kaplan, DrPH, MPH, R-PA Assistant Commissioner Bureau of Maternal,

More information

Care Coordination under the Medicaid Benefit for Children and Adolescents

Care Coordination under the Medicaid Benefit for Children and Adolescents Care Coordination under the Medicaid Benefit for Children and Adolescents Tuesday, September 9, 2014 3:00 4:00 pm ET For audio, please listen through your speakers or call: 855-804-7579 Follow NASHP on

More information

WATCH OWCH Office of Women s and Children s Health

WATCH OWCH Office of Women s and Children s Health WATCH OWCH Office of Women s and Children s Health 150 N. 18th Avenue, Suite 320 Phoenix, AZ 85007-3242 Telephone: (602) 364-1400 Fall 2006 COMMUNITY HEALTH GRANTS The Office of Women s and Children s

More information

Olmsted County, Minnesota Maternal and Child Health Annual Report THE CURRENT CONDITION OF MATERNAL AND CHILD HEALTH IN OLMSTED COUNTY

Olmsted County, Minnesota Maternal and Child Health Annual Report THE CURRENT CONDITION OF MATERNAL AND CHILD HEALTH IN OLMSTED COUNTY , Minnesota Maternal and Child Health Annual Report 29-213 THE CURRENT CONDITION OF MATERNAL AND CHILD HEALTH IN OLMSTED COUNTY Population Report This page intentionally left blank 2 , Minnesota Maternal

More information

Women s Health Issues 18S (2008) S2 S9. POLICY AND FINANCE FOR PRECONCEPTION CARE Opportunities for Today and the Future

Women s Health Issues 18S (2008) S2 S9. POLICY AND FINANCE FOR PRECONCEPTION CARE Opportunities for Today and the Future Women s Health Issues 18S (2008) S2 S9 POLICY AND FINANCE FOR PRECONCEPTION CARE Opportunities for Today and the Future Kay Johnson, MPH, MEd a, *, Hani Atrash, MD, MPH b, and Alison Johnson, MPH b a Department

More information

CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA

CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA Course objectives Part I Federal and State Oral Health Programs Understanding Medicaid/Federal

More information

ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama

ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama The American College of Nurse- Midwives (ACNM) is the national organization representing the interests

More information

Submitted. 1 Report of the Secretary s Advisory Committee on Infant Mortality: Recommendations for HHS Action and Framework for a National Strategy

Submitted. 1 Report of the Secretary s Advisory Committee on Infant Mortality: Recommendations for HHS Action and Framework for a National Strategy Report of the Secretary s Advisory Committee on Infant Mortality (SACIM): Recommendations for Department of Health and Human Services (HHS) Action and Framework for a National Strategy Submitted January,

More information

FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW

FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW Family Health Services Division Overview Data Sources Life Course Perspective and Title V Priorities Population Overview Births Infant Mortality Chapter

More information

Public Health Services

Public Health Services Public Health Services FUNCTION The functions of the Public Health Services programs are to protect and promote the health and safety of County residents. This is accomplished by monitoring health status

More information

Virginia Title V 2011 Needs Assessment July 15, 2010. Office of Family Health Services Virginia Department of Health

Virginia Title V 2011 Needs Assessment July 15, 2010. Office of Family Health Services Virginia Department of Health Virginia Title V 2011 Needs Assessment July 15, 2010 Office of Family Health Services Virginia Department of Health 1 1. Process for Conducting the Needs Assessment... 3 Goals and Vision:... 3 Leadership:...

More information

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act.

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act. University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) Summary of Selected Tobacco, Prevention, and Public Health Provisions from H.R. 3590, the Patient Protection and Affordable

More information

Learning Objectives (Part 2)

Learning Objectives (Part 2) Learning Objectives Describe public health nutrition and differentiate it from clinical nutrition practice List organizations that employ public health/community nutrition personnel Locate and contact

More information

A Public Health Approach to Obesity in Postpartum Women Diana E. Ramos, MD,MPH

A Public Health Approach to Obesity in Postpartum Women Diana E. Ramos, MD,MPH A Public Health Approach to Obesity in Postpartum Women Diana E. Ramos, MD,MPH Director, Reproductive Health Los Angeles County Public Health 1 A Public Health Approach to Obesity in Postpartum Women Objectives:

More information

Connecticut s Medical Assistance Program

Connecticut s Medical Assistance Program Connecticut s Medical Assistance Program Olivia Puckett Council on Medical Assistance Program Oversight CSG-ERC Health Committee Meeting August 4, 2014 1 Agenda Council on Medical Assistance Program Oversight

More information

Section IX Special Needs & Case Management

Section IX Special Needs & Case Management Section IX Special Needs & Case Management Special Needs and Case Management 179 Integrated Care Management/Complex Case Management The Case Management/Care Coordination (CM/CC) program is a population-based

More information

Access to Care / Care Utilization for Nebraska s Women

Access to Care / Care Utilization for Nebraska s Women Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of

More information

Toronto, ON February 12, 2015

Toronto, ON February 12, 2015 Toronto, ON February 12, 2015 1 Associate Professor Family and Community Medicine, University of Toronto Ada Slaight and Slaight Family Director of Maternity Care, Department of Family Medicine, Mt Sinai

More information

Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby

Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby Background on Text4Baby Launched in February 2010 Initiative of the National Healthy Mothers Healthy Babies Coalition

More information

An Introduction to State Public Health for Tribal Leaders

An Introduction to State Public Health for Tribal Leaders The governmental public health system in the United States is comprised of federal agencies, state health agencies, tribal and territorial health departments, and more than 2,500 local health departments.

More information

While health care reform has its foundation and framework at

While health care reform has its foundation and framework at CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION Policy Brief June 2010 The Patient Protection and Affordable Care Act at the State and Local Level While health care reform has its foundation and framework

More information

Mississippi State Department of Health. Fiscal Years 2012-2016. Strategic Plan

Mississippi State Department of Health. Fiscal Years 2012-2016. Strategic Plan Mississippi State Department of Health Fiscal Years 2012-2016 Strategic Plan Prepared in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Office of Health Administration

More information

The Influence of Effective Counseling on Flu Vaccinations among Women Before Delivery

The Influence of Effective Counseling on Flu Vaccinations among Women Before Delivery The Influence of Effective Counseling on Flu Vaccinations among Women Before Delivery Leticia Hernandez, PhD, MS Angel Watson, MPH, RHIA CityMatCH Leadership and Epidemiology Conference September 2016

More information

9/8/2014 EPIDEMIOLOGY PUBLIC HEALTH INTERVENTIONS FOR NEONATAL ABSTINENCE SYNDROME DISCLOSURE OBJECTIVES. No financial COI to disclose

9/8/2014 EPIDEMIOLOGY PUBLIC HEALTH INTERVENTIONS FOR NEONATAL ABSTINENCE SYNDROME DISCLOSURE OBJECTIVES. No financial COI to disclose PUBLIC HEALTH INTERVENTIONS FOR NEONATAL ABSTINENCE SYNDROME DISCLOSURE No financial COI to disclose Eric Reynolds MD MPH OBJECTIVES To discuss the epidemiology and current scope of the Neonatal Abstinence

More information

Capture of the Pediatric Core Measures from Electronic Health Records by Two Category A Grantees

Capture of the Pediatric Core Measures from Electronic Health Records by Two Category A Grantees Capture of the Pediatric Core Measures from Electronic Health Records by Two Category A Grantees Introduction: Pennsylvania s Category A portion of the CHIPRA Demonstration Grant includes two of the State

More information

PUBLIC HEALTH IMPROVEMENT PARTNERSHIP

PUBLIC HEALTH IMPROVEMENT PARTNERSHIP PUBLIC HEALTH IMPROVEMENT PARTNERSHIP PUBLIC HEALTH ACTIVITIES & SERVICES INVENTORY TECHNICAL NOTES HEALTHY FAMILY DEVELOPMENT Nurse-Family Partnership Nurse-Family Partnership is a voluntary program of

More information

Who Is Involved in Your Care?

Who Is Involved in Your Care? Patient Education Page 3 Pregnancy and Giving Birth Who Is Involved in Your Care? Our goal is to surround you and your family with a safe environment for the birth of your baby. We look forward to providing

More information

Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act

Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act A Federal Perspective David Williams, Ph.D. Objective of this presentation: To share the Federal

More information

FFY2016 Title V State Plan State Performance Measures (SPMs)

FFY2016 Title V State Plan State Performance Measures (SPMs) Table of Contents FFY2016 Title V State Plan State Performance Measures (SPMs) SPM 1: The degree to which the state MCH Title V program improves the system of care for mothers and children in Iowa... 1

More information

Healthcare Funding Trends. The Affordable Care Act

Healthcare Funding Trends. The Affordable Care Act The Affordable Care Act and Healthcare Funding Trends Elizabeth Burton, National Director Laura Lundahl, Area Grant Manager Healthcare Funding Trends The Affordable Care Act 2 ACA History March 2010 President

More information

Maternity Care Primary C-Section Rate Specifications 2014 (07/01/2013 to 06/30/2014 Dates of Service)

Maternity Care Primary C-Section Rate Specifications 2014 (07/01/2013 to 06/30/2014 Dates of Service) Summary of Changes Denominator Changes: Two additions were made to the denominator criteria. The denominator was changed to include patients who had: a vertex position delivery AND a term pregnancy of

More information

Testimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health.

Testimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health. Testimony of the American College of Nurse-Midwives at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health on the Improving Access to Maternity Care Act (H.R.1209) Wednesday,

More information

Joan Wightkin, DrPH jwight@lsuhsc.edu

Joan Wightkin, DrPH jwight@lsuhsc.edu Joan Wightkin, DrPH jwight@lsuhsc.edu Education 2002 DrPH, Maternal and Child Health, Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine 1978 MPH -

More information

Intrauterine Devices (IUDs): Access for Women in the U.S.

Intrauterine Devices (IUDs): Access for Women in the U.S. Intrauterine Devices (IUDs): Access for Women in the U.S. Intrauterine devices (IUDs) are one of the most effective forms of reversible contraception. IUDs, along with implants, are known as long-acting

More information

St. Vincent s Medical Center Southside Implementation Strategy

St. Vincent s Medical Center Southside Implementation Strategy St. Vincent s Medical Center Southside Implementation Strategy Implementation Strategy Narrative Overview St. Vincent s Medical Center Southside is a 313-bed comprehensive, acute care hospital. It was

More information

Zero to Three State Policy Action Team Meeting

Zero to Three State Policy Action Team Meeting Zero to Three State Policy Action Team Meeting Infant-Toddler Initiatives that Cross Services and Systems New Jersey s Central Intake System from Preconception to Age 8 May 21, 2014 Sunday Gustin, RN,

More information

Telehealth for High-risk Pregnancy

Telehealth for High-risk Pregnancy Thi sdocumentwasmadepos s i bl ebygr ant#g22rh251 6701 01f r om t heof ficef ort headvancementoft el eheal t h,heal t hres our cesandser vi cesadmi ni s t r at i on,dhhs. State Medicaid Best Practice Telehealth

More information

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas David Lakey, MD Commissioner, Department of State Health Services Lauren Lacefield Lewis Assistant Commissioner,

More information