Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes
|
|
- Evelyn Johnston
- 8 years ago
- Views:
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 Title V Performance Measures and Evaluation Since the 1998, States have reported annually on both
More informationOn 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 informationIowa 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 informationTITLE 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 informationA 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 informationMEMORANDUM. 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 informationNational 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 informationGraduate 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 informationGuidelines 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 informationPreventive 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 informationMeena 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 informationGraduate 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 informationGraduate 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 informationNational 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 informationQuality 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 informationLOUISIANA 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 informationDevelop 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 informationAffordable 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 informationViolence 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 informationMississippi 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 informationEarly 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 informationGraduate 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 informationVIRGINIA 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 informationStatewide 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 informationInsurance 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 informationDania 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 informationAna 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 informationHealth 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 informationDental 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 informationWelcome! 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 informationMaternal 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 informationThe 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 informationHow 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 informationMississippi 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 informationHealthy 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 informationIntimate 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 informationInnovative 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 informationWHEREAS, 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 informationKansas 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 informationMARYLAND 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 informationOBGYN 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 informationENSURING 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 informationRuSH: 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 informationThe 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 informationNationwide 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 informationIncorporating 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 informationChapter 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 informationNew 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 informationFlagship 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 informationWomen's Health and Finance
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 informationChallenges 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 informationPregnancy 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 informationGetting 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 informationChapter 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 informationMississippi 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 informationVirginia 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 informationAffordable 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 informationWATCH 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 informationMedicaid 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 informationJoan 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 informationVirginia 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 information9/8/2014 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 informationAccess 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 informationIf the Obama administration and key members
Guttmacher Policy Review GPR Winter 2009 Volume 12 Number 1 Family Planning and Health Care Reform: The Benefits and Challenges of Prioritizing Prevention By Rachel Benson Gold If the Obama administration
More informationSubmitted. 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 informationCare 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 informationFAMILY 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 informationSection 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 informationTeen 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 informationLEARNING 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 informationImpact 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 informationACNM 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 informationConnecticut 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 informationCMS 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 informationI. 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 informationHow To Help Early Childhood In New Jersey
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 informationPublic 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 informationCMS Quality Improvement Workshop Series QI 101 Webinar 1: Getting Started
CMS Quality Improvement Workshop Series QI 101 Webinar 1: Getting Started Karen LLanos, Center for Medicaid and CHIP Services Kamala D. Allen, MHS, Center for Health Care Strategies Jane Taylor, MBA, MHA,
More informationPUBLIC 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 informationSection IX Special Needs & Case Management
SPECIAL NEEDS & CASE MANAGEMENT Section IX Special Needs & Case Management Special Needs and Case Management 180 Integrated Care Management/Complex Case Management The Case Management/Care Coordination
More informationCapture 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 informationWho 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 informationCalifornia Diabetes and Pregnancy Program (CDAPP) Sweet Success
California Diabetes and Pregnancy Program (CDAPP) Sweet Success CDAPP Sweet Success Resource and Training Center INFORMATIONAL WEBINAR Thank you for attending today s webinar. We will begin shortly. The
More informationState Medicaid Coverage of Family Planning Services:
State Medicaid Coverage of Family Planning Services: Summary of State Survey Findings November 2009 The Kaiser Family Foundation Usha Ranji, M.S. Alina Salganicoff, Ph.D. The George Washington University
More informationTestimony 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 informationRural Health Advisory Committee s Rural Obstetric Services Work Group
Rural Health Advisory Committee s Rural Obstetric Services Work Group March 15 th webinar topic: Rural Obstetric Patient and Community Issues Audio: 888-742-5095, conference code 6054760826 Rural Obstetric
More informationExamples of Consumer Incentives and Personal Responsibility Requirements in Medicaid
TECHNICAL ASSISTANCE TOOL Examples of Consumer Incentives and Personal Responsibility Requirements in Medicaid Many states are incorporating policies into their Medicaid programs that seek to enhance beneficiaries
More informationCalifornia Fetal Infant Mortality Review
California Fetal Infant Mortality Review Maria A.L. Jocson, MD, MPH, FAAP Policy Development Branch Maternal, Child and Adolescent Health Division Center for Family Health California Department of Public
More informationFFY2016 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 informationLearning 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 informationMedicaid Health Plans: Adding Value for Beneficiaries and States
Medicaid Health Plans: Adding Value for Beneficiaries and States Medicaid is a program with numerous challenges, both for its beneficiaries and the state and federal government. In comparison to the general
More informationPatient Protection and Affordable Care Act (HR 3590) Selected Prevention, Public Health & Workforce Provisions
Patient Protection and Affordable Care Act (HR 3590) Selected Prevention, Public Health & Workforce Provisions Selected Prevention and Public Health Provisions Essential Health Benefits Requirements (Sec.
More informationPresentation 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 informationMaternity 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 informationPregnancy Care Program to Improve Maternal and Infant Health Outcomes
Pregnancy Care Program to Improve Maternal and Infant Health Outcomes Report to: Joint Fiscal Committee Agency of Human Services Douglas A. Racine, Secretary September 26, 2011 Introduction/Background
More informationHealthcare 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 informationFamily Health Dataline
October 1999 Vol 5, No 3 Corrected Feb. 2000 IN THIS ISSUE: In Alaska during 1996-97, 41% of live births were the result of unintended pregnancies. All racial, age, and education groups evaluated had high
More informationNo. 125 April 2001. Enhanced Surveillance of Maternal Mortality in North Carolina
CHIS Studies North Carolina Public Health A Special Report Series by the 1908 Mail Service Center, Raleigh, N.C. 27699-1908 www.schs.state.nc.us/schs/ No. 125 April 2001 Enhanced Surveillance of Maternal
More informationAn 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 informationAetna Life Insurance Company
Aetna Life Insurance Company Hartford, Connecticut 06156 Amendment Policyholder: Group Policy No.: Effective Date: UNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE PLAN GP-861472 This Amendment is effective
More information