5.14.19 policy workgroup slidedeck - march of dimes workgroup_slidedeck.pdfmay 14, 2019 · slide 3...
TRANSCRIPT
Slide 1
PREMATURITY COLLABORATIVE
POLICY WORKGROUP
May 14, 20194:00-5:00 PM ET
Slide 2
GENERAL HOUSEKEEPINGPlease note the following: All participants will be muted on entry
To speak to the group, remember to unmute yourself:1. If you are connected through the computer audio, click the mic in the lower left hand
corner of your screen to unmute and mute.2. If you are connected through the phone press *6 to unmute and mute
Be sure to mute yourself when you are not speaking
Please do not place call on hold
Use the chat box, if you would like a moderator to call on you or share your comments with the group
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AGENDA FOR TODAY’S MEETINGWelcome – Cindy Pellegrini, SVP Public Policy and Government Affairs, March of Dimes and Andrea Kane, Vice President Policy & Strategic Partnerships, Power to Decide Doula SupportNortheast perspective: Erin Jones, JD, Regional Director of Advocacy and Government Affairs, March of Dimes, MA, NY and the NortheastWashington State perspective: Christy Curwick Hoff, MPH, Council Manager, WA State Governor’s Interagency Council on Health Disparities & Dila Perera, MSW, MPH, Executive Director, Open Arms Perinatal ServicesMinnesota perspective: Akhmiri Sehkr-Ra, Chief Family Development Officer, Cultural Wellness CenterClosing Business
• Upcoming meetings• Call to Action• Next meeting on June 18th 4-5pm ET/ 1-2pm PT
Adjourn
MARCH OF DIMES
SUPPORTING DOULA COVERAGE LEGISLATION AND POLICY EFFORTS IN THE NORTHEAST
Erin E. Jones JDRegional Director Advocacy and Government Affairs, Northeast Region
April 16, 2019 [email protected]
PRESENTATION OUTLINE
• Why Doulas?• Opportunities for increasing integration of doula care in statewide
maternity care system• Current States with legislation pending• Fully collaborative policy development approach
EVIDENCE: DOULAS & BIRTH OUTCOMES
• 2014 ACOG Obstetric Care Consensus: Safe Prevention of the Primary Cesarean Delivery
• 2017 Cochrane review of 26 trials of continuous labor support and doula care involving over 15,000 women in 17 different countries
• 2017 ACOG Committee Opinion on Approaches to Limit Interventions During Labor and Birth
• Cost-effectiveness analysis and modeling literature
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BENEFITS OF DOULA CARE
• Improved health outcomes for moms and babies• Increased spontaneous vaginal birth• Shorter duration of labor• Decreased use of analgesia, instrumental vaginal birth,
and low five-minute Apgar score
• Reduced c-sections• C-sections contribute to risk of maternal morbidity and
mortality
• Fewer reports of patient dissatisfaction with birth experience
• Lower healthcare costs
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BENEFITS OF DOULA CARE AMONG MEDICAID RECIPIENTS AND COMMUNITIES OF COLOR
• Improved health outcomes for moms and babies• Lower rates of preterm birth and low birth weight
• Reduced c-sections• C-sections contribute to risk of maternal
morbidity and mortality• Patient reports of feeling highly valued and having
had a voice in consequential childbirth decisions • Improved health literacy• Improved patient-provider communication• Increased social support
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INDIANA
NEW JERSEY
CONNECTICUT New York
Massachusetts
Rhode Island
Key Areas/Components of Legislation:
- Definition of a Doula
- Pre-Existing Category
- Establish a Registry
- Certification
- Payments
- Establish Rules and Regulations
- Amendments
DOULA LEGISLATIONMaternal Mortality and Morbidity Movement
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-Legislative Process and Advocacy Education/Guidance
-Collaborative Approach – doulas, legislators, advocates, agencies, and health care
-Active Listening, Engaged Conversation
-Repository for Feedback
-Held in MA, CT, RI, (NY)
DOULA TOWN HALLS
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Increase
Doula
Access and
Use
EDUCATION
Licensure/Certification (CMS Requirement)
NOT medical or healthcare providers
Diversity within Medicaid population
Medicaid Reimbursement Rates and Payment System
Community Health Worker
Medicaid Value-Based Payment Models
EDUCATION Licensure/CertificationMaintain Fidelity to Doula ProfessionDiversity – both in women served and DoulasWorkforce Development-sustainable living wage, cost-effective training and educationReimbursement Rates and Payment SystemsCommunity Health Worker Model (?)
DOULASUPPORT NON-MEDICAL
MEDICAIDMEDICAL MODEL
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SUMMARY
Increased equitable access to doula care as one tool to reduce racial disparities in adverse maternal and infant health outcomesOpportunities for adequate and sustainable reimbursement by all payersInvestments in doula profession as workforce development and diversification opportunity
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THANK YOU
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CHRISTY CURWICK HOFF, MPHCOUNCIL MANAGERWA STATE GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES
PREMATURITY COLLABORATIVE—POLICY WORK GROUPMAY 14, 2019
OVERVIEW
About the Council
Adverse Birth Outcomes Recommendations
2019 Legislative Session Highlights
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES 16
Inequities in Adverse Birth Outcomes Advisory Committee
First Set of Recommendations
• Fund community-driven prevention programs
• Increase funding for Maternity Support Services
• Promote Equity in State Government
Second Set of Recommendations
• Medicaid reimbursement for doula care
• Support AIHC Maternal-Infant Health Strategic Plan
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES 18
2019 SESSION HIGHLIGHTS
• Medicaid Reimbursement for Doula Services
• Office of Equity Task Force
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES 19
Twitter/WAHealthEquityFacebook/WAHealthEquitywww.healthequity.wa.gov
THANK YOU
To request this document in an alternate format, please contact Kelie Kahler, Washington State Board of Health Communication Manager, at 360-236-4102, or by email at [email protected] users can dial 711
DILA PERERA, MSW, MPH EXECUTIVE DIRECTOROPEN ARMS PERINATAL SERVICES
AKHMIRI SEHKR-RACHIEF FAMILY DEVELOPMENT OFFICER CULTURAL WELLNESS CENTER
Slide 23
• Fact sheets/issue briefs
• Testimony/talking points
• Sample legislation
• Peer-reviewed literature and other research/studies
• Other
REMINDER: WE NEED YOUR POLICY RESOURCES
Slide 24
EQUITY IN ACTION: MOVING FROM THEORY TO PRACTICE
Registration is NOW OPEN! http://www.cvent.com/d/f6qd6k
Please reach out at the [email protected] questions!
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Slide 25
COLLABORATIVE MEETING SCHEDULE (all times are EST)COLLABORATIVE MEETING SCHEDULE (all times are EST)
2019 Jan Feb March April May June July Aug Sept Oct Nov Dec
Full Collaborative
131:00-2:30
222:00-3:30
181:00-2:30
141:00-2:30
Steering Committee
24 12:30-2:00
111:00-2:30
291:00-2:30
912:30-2:00
Health Equity 303:30-5:00
283:30-5:00
183:30-5:00
263:30-5:00
73:30-5:00
Clinical & Public Health Practice
303:30–5:00
1412:30-2:00
53:30-5:00
313:30-5:00
263:30-5:00
203:30-5:00
Policy 15 | 304-5 | 3:30
124:00-5:00
134:00-5:00
184:00-5:00
144:00-5:00
184:00-5:00
234:00-5:00
204:00-5:00
263:30-5:00
224:00-5:00
194:00-5:00
174:00-5:00
CommunicationsTBD
If you are interested in attending the full Collaborative or specific workgroup meetings please email us at [email protected] to receive the registration link and specific meeting information. This calendar is subject to change.
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In the chat box, you will see a link to a brief post-meetingsurvey that will take you less than 5 minutes to complete.Your feedback is very important to us. Thank you forparticipating!
The link for the survey is: http://marchofdimes.org/workgroup
Click on the Chat icon in your toolbox to access the survey link.
ADJOURN