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Merck for Mothers PresentationNational Healthy Start Association Spring Conference
Sunday March 30, 2013
Baltimore Healthy Start, Inc.
Merck for Mothers PresentationNational Healthy Start Association Spring Conference
Healthy Women→Healthy Moms
The Problem of Maternal Mortality in Maryland
Project Goals:
The overarching goal of the Healthy Women → Healthy Moms project is to develop a set innovative strategies that reduce maternal morbidity and mortality in Baltimore, Maryland by focusing on the effective prevention and management of those chronic diseases that are the greatest contributors to maternal death and disease in Maryland.
Targeting Women Across the Life CourseThe project will form the plans for a continuum of care for preconception, prenatal, postpartum, and interconception women.
Community Health Home Community Medical Home
Recruitment
Intake & Assessment
Community
Care Coordination*
Clinical Care
Coordination**
Social Support
Preconception
Prenatal PostpartumInterconception
Standardized Clinical PracticesFor Chronic Disease Mgm’t
Innovative Prenatal & Family Planning Care
* Non-clinical Interventions **Clinical Interventions
A Community Care Coordination Model for Reducing Maternal Mortality and Morbidity in Baltimore City
Every Women will haveA Woman’s Health Advocate and A Reproductive Wellness Plan
Every Strategy will be Evidence-based or evidence-informed
The Evidence Framing the HW→HM Model The Life Course Perspective The Impact of Peer Support Programs Increasing Access to Family Planning The Effectiveness of Community Health Workers The Impact of Shared Data The Findings of the Community Child Health Network Study The Benefits of Fully Engaging the Impacted Community Deming’s CQI Process The Care Coordination Measures Atlas
Non-Clinical Interventions
Community Care CoordinatorsWomen’s Health AdvocatesCDC Reproductive Life Plan Belly Buddies- prenatal peer support modelMedical Nutrition Therapy- diet, exercise, nutrition plan LESS Stress- Male InvolvementCommunity Education and Awareness
Community Engagement and EducationPublic Awareness Campaign- Media/ Messaging/ Products
Partner/Stakeholder Input and Framing ProcessAnnual Community Action ForumHW→HM Maternity Hotline
Clinical InterventionsStandardized Care ModelsClinical Care CoordinatorModified Schedule of Well Woman CareModified Family Planning ProgramCenteringPregnancyOh Happy Days- group mental health model Healthy Hearts- Cardio Management Model
Developing a New Reimbursement Model
Payment model can drive efficiency and qualityMust be tailored to the actual scope of services
included in program and needs to support coordination among providers
Spectrum of potential options
FFS FFS/shared savings
Shared savings and losses (withhold)
Bundled payment Capitation
Data and Evaluationmdlogix platformCare Coordination Measures Atlas Community Care Coordination PathwaysCDC Program Evaluation Framework
Alma Roberts, MPH, FACHEPresident and CEO
Baltimore Healthy Start, Inc. 2521 North Charles Street
Baltimore, Maryland 21218410-396-7318, ext. 231