2016 ohio pregnancy assessment surveygrc.osu.edu/sites/default/files/inline-files/2016...• 2016...
TRANSCRIPT
2 0 1 6 O h i o P r e g n a n c y A s s e s s m e n t S u r v ey
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Presentation Objectives
• Describe the Ohio Pregnancy Assessment Survey (OPAS) methodology
• Present key findings from the 2016 OPAS with an emphasis on: o Comparisons across important subpopulations o Historical trends in key outcomes o Areas of data collection unique to OPAS
Presentation Overview
3
• OPAS Overview • Methodology • Key Findings
o Pre-pregnancy o Prenatal o Postpartum
• Current Statewide Initiatives and Future Directions
• Dashboard Demonstration
Ohio Pregnancy Assessment Survey (OPAS)
• Statewide, ongoing, targeted population-based survey o Utilizes a modified version of the Centers for Disease Control and
Prevention (CDC) Pregnancy Risk Assessment Monitoring System (PRAMS) methodology to collect information and attitudes from residential women who recently gave birth in Ohio
• OPAS combines the CDC’s Phase 8 core questions with Ohio Department of
Health and Ohio Department of Medicaid requested items
• Available in English and Spanish • 2016 OPAS data collection occurred between August 2016 and May 2017
o 2017 OPAS data collection complete o 2018 OPAS data collection in process
• Larger sample and more timely data compared to PRAMS
OPAS Data Collection Goals
• Identify groups of women and infants at high-risk for health problems
• Monitor changes in health status • Measure determinants of health for the Maternal and
Infant Health (MIH) initiatives • Provide information for state health equity efforts • Measure progress towards goals in improving the
health of mothers and infants • Measure progress in Ohio’s MIH initiatives • Investigate emerging issues in the field of reproductive
health
OPAS Complements other Ohio Data
• OPAS Limitations o Sample survey (n=3,386)
compared to claims data o Self-reported data (not
diagnoses or based on claims)
• OPAS Strengths o Representative of
resident women who gave birth in Ohio
o Utilizes demographic
data from the birth certificate
OPAS Methodology
2016 Questionnaire
• 106 Questions o PRAMS Phase 8 Core Questions o Select PRAMS Phase 8 Standard Questions o Zika Module
OPAS Sampling
• Stratified sample by birthweight and Ohio Equity Institute (OEI) counties (Cuyahoga, Franklin, Hamilton, other OEI, and rest of Ohio) o The OEI is an initiative to improve birth outcomes and
reduce racial disparities in infant mortality • Oversample
o Low-weight births o OEI counties
• Sampling weights calculated to allow for statewide and select OEI county estimates
OPAS Survey Design
• Three modes: o Paper survey delivered by mail
o Computer-assisted web interview o Computer-assisted telephone interview
OPAS Survey Design
12
• Overall sample size: 3,386 respondents o Mail: 2,612 o Telephone: 255 o Web: 519
• Response rate: 31.4% o Survey response rates declining nationally o Lower incentives than in previous PRAMS surveys
2016 OPAS Key Findings
Demographic Characteristics
14
Mother’s Characteristics
Weighted Proportion (95% CI) Number of Respondents*
Age
<18 years 1.5 (0.9 - 2.6) 29
18-24 years 27.0 (24.2 - 30.0) 505
25-34 years 58.0 (55.1 - 60.9) 2,190
35+ years 13.5 (11.9 - 15.2) 662
Race
Non-Hispanic White 71.5 (69.0 - 74.0) 2,519
Non-Hispanic Black 16.3 (14.3 - 18.6) 429
Hispanic 5.5 (4.3 - 6.9) 174
Other Non-Hispanic 6.7 (5.5 - 8.1) 259
*Number of respondents will not always sum to sample total due to missing responses
Data Source: 2016 OPAS
Demographic Characteristics (cont’d)
15
Mother’s Characteristics
Weighted Proportion (95% CI) Number of respondents*
Education
High School or Less 32.3 (29.5 - 35.1) 778
Some College 33.4 (30.7 - 36.3) 883
4-Year Degree or More 34.3 (31.9 - 36.8) 1,711
Married 54.5 (51.6 - 57.4) 2,445
*Number of respondents will not always sum to sample total due to missing responses
Data Source: 2016 OPAS
Demographic Characteristics (cont’d)
16
Mother’s Characteristics
Weighted Proportion (95% CI) Number of respondents*
Prenatal Care Health Insurance
Medicaid 41.4 (38.5 - 44.4) 949
Private/Employer 48.2 (45.3 - 51.0) 2,071
Other 7.1 (5.7 - 8.9) 193
Uninsured 3.3 (2.5 - 4.4) 88
Income
<=$32,000 44.6 (41.6 - 47.5) 1,044
$32,001-$57,000 16.7 (14.5 - 19.1) 455
$57,001+ 38.7 (36.1 - 41.4) 1,751
*Number of respondents will not always sum to sample total due to missing responses
Data Source: 2016 OPAS
Pre-Pregnancy Measures
Pre-Pregnancy Measures
• Behavioral health • Chronic conditions • OB/GYN visits • Discussion with provider about improving
health before pregnancy
Medicaid women were more likely to have pre-pregnancy depression and anxiety
19
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
16.4% 10.5% 24.9% 22.4% 15.4% 32.7% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
All Ohio Non-Medicaid Medicaid
Pre-
Preg
nanc
y Be
havi
oral
Hea
lth D
iagn
osis
Depression
Anxiety
No difference by Medicaid status in pre-pregnancy diabetes or hypertension
20
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
3.9% 3.1% 5.0% 6.2% 5.4% 7.0% 0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
All Ohio Non-Medicaid Medicaid
Pre-
Preg
nanc
y Ch
roni
c Con
ditio
n Di
agno
sis
Type 1 or 2 Diabetes
Hypertension
Medicaid women were less likely to have a pre-pregnancy OB/GYN visit
21
Data Source: 2016 OPAS Subpopulation: Women with a healthcare visit in the 12 months prior to pregnancy Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
66.6% 72.5% 57.2% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
All Ohio Non-Medicaid Medicaid
Pre-
preg
nanc
y O
B/GY
N v
isit
Medicaid women were less likely to discuss improving health before pregnancy with a provider
22
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
24.4% 27.8% 18.1% 0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
All Ohio Non-Medicaid Medicaid
Pre-
preg
nanc
y di
scus
sion
with
hea
lthca
re p
rovi
der
abou
t im
prov
ing
heal
th b
efor
e a
preg
nanc
y
Prenatal Measures
Prenatal Measures
• Prenatal care as early as wanted • Prenatal care topic discussions with providers • Tobacco, electronic cigarette and alcohol use • Home visitor during pregnancy
No difference by geography in women not receiving prenatal care as early as desired
25
16.1% 17.5% 14.1% 16.0% 13.3% 16.1%
All Ohio
0%
5%
10%
15%
20%
25%
CuyahogaCounty
FranklinCounty
HamiltonCounty
Other OEICounties
Non-OEICounties
All OEICounties
% N
ot R
ecei
ving
Pre
neta
l Car
e as
Ear
ly a
s Wan
ted
Data Source: 2016 OPAS Subpopulation: Women who received prenatal care
Medicaid women were more likely to not get prenatal care as early as desired
26
Data Source: 2016 OPAS Subpopulation: Women who received prenatal care Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
14.8% 11.1% 19.9% 0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
All Ohio Non-Medicaid Medicaid
% N
ot R
ecei
ving
Pre
neta
l Car
e as
Ear
ly a
s Wan
ted
No difference by Medicaid status in prenatal care discussions with providers
27
Among women who received prenatal care, % of women
asked by a health care provider about…
All Ohio
% (95% CI) Non-Medicaid
% (95% CI) Medicaid
% (95% CI)
Taking prescription medication
97.2 (96.3, 98.0)
97.1 (96.0, 98.1)
97.5 (96.3, 98.7)
Smoking cigarettes 96.5
(95.6, 97.4) 96.0
(94.8, 97.1) 97.5
(96.3, 98.8)
Drinking alcohol 96.0
(95.0, 97.0) 95.9
(94.7, 98.2) 96.5
(94.9, 98.2)
Data Source: 2016 OPAS Subpopulation: Women who received prenatal care Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
Differences by Medicaid status in prenatal care discussions with providers
28
Among women who received prenatal care, % of women
asked by a health care provider about…
All Ohio
% (95% CI) Non-Medicaid
% (95% CI) Medicaid
% (95% CI)
Feeling depressed* 78.0
(75.7, 80.3) 70.6
(67.4, 73.7) 88.3
(85.4, 91.3)
Drug use* 84.1
(82.2, 86.1) 78.9
(76.2, 81.6) 91.5
(88.8, 94.2)
Postpartum birth control plans*
79.2 (77.0, 81.5)
73.7 (70.8, 76.6)
86.9 (83.4, 90.3)
Intention to breastfeed* 92.4
(91.0, 93.9) 91.0
(89.2, 92.8) 94.7
(92.5, 97.0)
Data Source: 2016 OPAS Subpopulation: Women who received prenatal care; Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care * Significant difference, p<0.05
Medicaid women were more likely to smoke during the past 2 years
29
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
26.0% 14.9% 41.6% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
All Ohio Non-Medicaid Medicaid
% w
ho re
port
ed sm
okin
g in
the
past
2 y
ears
Among women who smoked in the past 2 years, Medicaid women were more likely to smoke during the last three months of pregnancy
30
Data Source: 2016 OPAS Subpopulation: Women who smoked in the past 2 years Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
46.7% 25.1% 58.2% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
All Ohio Non-Medicaid Medicaid
Amon
g w
omen
who
smok
ed d
urin
g th
e pa
st 2
ye
ars,
% w
ho sm
oked
dur
ing
the
last
thre
e m
onth
s of
thei
r pre
gnan
cy
Among women who smoked electronic cigarettes during the past 2 years, half smoked electronic cigarettes in the 3 months prior to pregnancy
31
Data Source: 2016 OPAS Subpopulation: Women who smoked in the past 2 years
53.4% 17.5% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Elec
tron
ic C
igar
ette
UIs
e
Before Pregnancy
During Pregnancy
Among women who drank alcohol in the past 2 years, Medicaid women were less likely to drink during the last three months of pregnancy
32
Data Source: 2016 OPAS Subpopulation: Women who drank alcohol in the past 2 years Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
9.3% 10.9% 6.6% 0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
All Ohio Non-Medicaid Medicaid
Amon
g w
omen
who
dra
nk a
lcoh
ol in
the
past
2
year
s, %
who
dra
nk d
urin
g th
e la
st th
ree
mon
ths o
f th
eir p
regn
ancy
Women in Hamilton County were more likely to have home visitor during pregnancy
33
6.0% 5.8% 11.7% 6.0% 5.2% 6.8%
All Ohio
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
CuyahogaCounty
FranklinCounty
HamiltonCounty
Other OEICounties
Non-OEICounties
All OEICounties
% w
ith a
Hom
e Vi
sito
r dur
ing
Preg
nanc
y
Data Source: 2016 OPAS
Medicaid women were more likely to have a home visitor during pregnancy
34
6.1% 3.2% 9.9% 0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
All Ohio Non-Medicaid Medicaid
% w
ith a
Hom
e Vi
sito
r dur
ing
Preg
nanc
y
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
Postpartum Measures
Postpartum Measures
• Postpartum visit • Postpartum birth control use • Home visitor after delivery • Ever breastfed • Baby slept alone in a crib • Baby placed on back to sleep • Not returning to work • Feeling depressed
Most women report having a postpartum visit
37
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ith a
pos
tpar
tum
vis
it
Data Source: 2009-2015 PRAMS and 2016 OPAS
In most years, Medicaid women were less likely to have a postpartum visit
38
Data Source: 2009-2015 PRAMS and 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ith a
pos
tpar
tum
vis
it
Non-Medicaid
Medicaid
Some differences by race in postpartum visits
39
Data Source: 2009-2015 PRAMS and 2016 OPAS
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ith a
pos
tpar
tum
vis
it
Non-Hispanic White
Non-Hispanic Black
No difference by geography in postpartum birth control use
40
76.6% 76.7% 81.1% 80.7% 77.0% 78.9%
All Ohio
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
CuyahogaCounty
FranklinCounty
HamiltonCounty
Other OEICounties
non-OEICounties
All OEICounties
% R
epor
ting
Post
part
um B
irth
Cont
rol U
se
Data Source: 2016 OPAS
No difference by Medicaid status in postpartum birth control use
41
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
78.1% 79.6% 77.3% 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
All Ohio Non-Medicaid Medicaid
% R
epor
ting
Post
part
um B
irth
Cont
rol U
se
No difference by race in postpartum birth control use
42
Data Source: 2016 OPAS
78.1% 79.7% 74.3% 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
All Ohio Non-Hispanic White Non-Hispanic Black
% R
epor
ting
Post
part
um B
irth
Cont
rol U
se
Postpartum birth control tiers of effectiveness
43
Data Source: 2016 OPAS Subpopulation: Women who reported using a birth control method to prevent pregnancy High effectiveness: implants, intrauterine devices, sterilization; Medium effectiveness: injectable methods, path, pills, vaginal ring; Low effectiveness: condoms, rhythm method; Other method: other (write-in option), withdrawal, or abstinence
20.0% 47.1% 33.7% 29.7% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Post
part
um b
irth
cont
rol t
iers
of e
ffect
iven
ess
High Effectiveness
Medium Effectiveness
Low Effectiveness
Other Method
Women in OEI counties were more likely to have a home visitor after delivery
44
15.2% 25.2% 29.1% 12.7% 11.9% 18.7%
All Ohio
0%
5%
10%
15%
20%
25%
30%
35%
CuyahogaCounty
FranklinCounty
HamiltonCounty
Other OEICounties
Non-OEICounties
All OEICounties
% w
ith a
Hom
e Vi
sito
r aft
er D
eliv
ery
Data Source: 2016 OPAS
Medicaid women were more likely to report having a home visitor after delivery
45
15.6% 13.6% 18.9% 0%
5%
10%
15%
20%
25%
30%
35%
All Ohio Non-Medicaid Medicaid
% w
ith a
Hom
e Vi
sito
r aft
er D
eliv
ery
Data Source: 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
Increase in the percentage of women who ever breastfed
46
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ho e
ver b
reas
tfed
All Ohio
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was alive and living with them or whose baby was still in the hospital when surveyed
Medicaid women were less likely to ever breastfeed
47
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was alive and living with them or whose baby was still in the hospital when surveyed Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ho e
ver b
reas
tfed
Non-Medicaid
Medicaid
Little difference by race in the percentage of women who ever breastfed
48
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was alive and living with them or whose baby was still in the hospital when surveyed
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ho e
ver b
reas
tfed
Non-Hispanic White
Non-Hispanic Black
Medicaid women were less likely to be breastfeeding at 8 weeks
49
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was alive and living with them or whose baby was still in the hospital when surveyed
20%
30%
40%
50%
60%
70%
80%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ho w
ere
brea
stfe
edin
g at
8 w
eeks
Non-Medicaid
Medicaid
Little difference by race in the percentage of women who were breastfeeding at 8 weeks
50
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was alive and living with them or whose baby was still in the hospital when surveyed Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
20%
30%
40%
50%
60%
70%
80%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f wom
en w
ho w
ere
brea
stfe
edin
g at
8 w
eeks
Non-Hispanic White
Non-Hispanic Black
No difference by geography in the percentage of babies who slept alone in the past 2 weeks
51
Data Source: 2016 OPAS Subpopulation: Women whose baby was living with them (not still in the hospital)
58.4% 64.1% 68.9% 65.2% 63.9% 64.1%
All Ohio
50.0%
55.0%
60.0%
65.0%
70.0%
75.0%
CuyahogaCounty
FranklinCounty
HamiltonCounty
Other OEICounties
Non-OEICounties
All OEICounties
% o
f bab
ies
who
alw
ays s
lept
alo
ne in
the
past
two
w
eeks
Medicaid women were less likely to report that their baby slept alone in the past 2 weeks
52
Data Source: 2016 OPAS Subpopulation: Women whose baby was living with them (not still in the hospital) Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
64.0% 67.9% 59.6% 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
All Ohio Non-Medicaid Medicaid
% o
f bab
ies w
ho a
lway
s sle
pt a
lone
in th
e pa
st tw
o w
eeks
Increase in the percentage of babies placed only on their back to sleep
53
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was living with them (not still in the hospital)
40%
50%
60%
70%
80%
90%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f bab
ies p
lace
d on
bac
k (o
nly)
to sl
eep
All Ohio
Little difference by Medicaid status in the percentage of babies placed only on their back to sleep
54
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was living with them (not still in the hospital) Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f inf
ants
pla
ced
on b
ack
(onl
y) to
slee
p
Non-Medicaid
Medicaid
Some difference by race in the percentage of babies placed only on their back to sleep
55
Data Source: 2009-2015 PRAMS and 2016 OPAS Subpopulation: Women whose baby was living with them (not still in the hospital)
40%
50%
60%
70%
80%
90%
100%
2009 2010 2011 2012 2013 2014 2015 2016
% o
f bab
ies p
lace
d on
bac
k (o
nly)
to sl
eep
Non-Hispanic White
Non-Hispanic Black
Increase in the percentage of women not planning to return to work after pregnancy
56
Data Source: 2012-2015 PRAMS and 2016 OPAS PRAMS Subpopulation: Women who worked at a job for pay during pregnancy and did not quit/get laid off OPAS Subpopulation: Women who worked at a job for pay during pregnancy
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2012 2013 2014 2015 2016
% o
f wom
en n
ot re
turn
ing
to w
ork
afte
r pr
egna
ncy
All Ohio
Medicaid women were more likely to report that they will not return to work
57
Data Source: 2012-2015 PRAMS and 2016 OPAS PRAMS Subpopulation: Women who worked at a job for pay during pregnancy and did not quit/get laid off OPAS Subpopulation: Women who worked at a job for pay during pregnancy Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2012 2013 2014 2015 2016
% o
f wom
en w
ho a
re n
ot p
lann
ing
to re
turn
to
wor
k af
ter p
regn
ancy
Non-Medicaid
Medicaid
Little difference by race in the percentage of women not returning to work
58
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2012 2013 2014 2015 2016
% o
f wom
en w
ho a
re n
ot p
lann
ing
to re
turn
to
wor
k af
ter p
regn
ancy
Non-Hispanic White
Non-Hispanic Black
Data Source: 2012-2015 PRAMS and 2016 OPAS PRAMS Subpopulation: Women who worked at a job for pay during pregnancy and did not quit/get laid off OPAS Subpopulation: Women who worked at a job for pay during pregnancy
No difference in the women who reported feeling depressed after delivery
59
0%
5%
10%
15%
20%
25%
30%
2012 2013 2014 2015 2016
% o
f wom
en re
port
ing
feel
ing
dow
n or
dep
ress
ed
alw
ays/
ofte
n si
nce
thei
r new
bab
y w
as b
orn
All Ohio
Data Source: 2012-2015 PRAMS and 2016 OPAS
Medicaid women were more likely to report feeling depressed after delivery
60
Data Source: 2012-2015 PRAMS and 2016 OPAS Non-Medicaid includes women with private insurance, other insurance, or no insurance for their prenatal care
0%
5%
10%
15%
20%
25%
30%
2012 2013 2014 2015 2016
% o
f wom
en re
port
ing
feel
ing
dow
n or
dep
ress
ed
alw
ays/
ofte
n si
nce
thei
r new
bab
y w
as b
orn
Non-Medicaid
Medicaid
No difference by race in the women who reported feeling depressed after delivery
61
0%
5%
10%
15%
20%
25%
30%
2012 2013 2014 2015 2016
% o
f wom
en re
port
ing
feel
ing
dow
n or
dep
ress
ed
alw
ays/
ofte
n si
nce
thei
r new
bab
y w
as b
orn
Non-Hispanic White
Non-Hispanic Black
Data Source: 2012-2015 PRAMS and 2016 OPAS
Current Statewide Initiatives and Future Directions
ODH Initiatives
• Home visiting • Smoking Cessation • Safe Sleep Campaign • Breastfeeding Promotion • Infant Mortality Data Analytics Project
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ODM Initiatives
• Quality Improvement Projects o Progesterone o Smoke Free Perinatal
• Assessment of Barriers to Interventions to Prevent Prematurity
• MCP-funded community-based projects • PRAF 2.0 for early pregnancy notification, maintenance of
Medicaid eligibility, removal of barriers, and linkage to services for ALL pregnant women insured by Medicaid
• Enhanced maternal care guidance • Actionable data to focus efforts and to facilitate early
identification of high risk women
2016 OPAS Dashboard
OPAS Dashboard
• User-driven, real-time analytics o No programming required o No survey statistics knowledge required
• Allows: o filtering by geography o stratified (comparative) results
• Figures and tables can be copied/pasted
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2016 OPAS Dashboard Demonstration
OPAS Dashboard
• Please use the dashboard! • Please provide feedback!
o Your feedback helps drive new features and refinements
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Questions? Contact Us: [email protected]