secretary’s advisory committee on infant mortality: astho update
DESCRIPTION
Secretary’s Advisory Committee on Infant Mortality: ASTHO Update. Paul E. Jarris, MD, MBA Executive Director November 15, 2012. ASTHO’s Healthy Babies Initiative Developments. Spring 2010: State Health Officials in South commit to regional effort for infant mortality and prematurity - PowerPoint PPT PresentationTRANSCRIPT
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Secretary’s Advisory Committee on Infant Mortality:
ASTHO Update
Paul E. Jarris, MD, MBAExecutive Director
November 15, 2012
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ASTHO’s Healthy Babies Initiative Developments Spring 2010: State Health Officials in South commit to regional effort for
infant mortality and prematurity
December 2010: Letter to Secretary Sebelius and meeting with HRSA Administrator Wakefield
October 2011: David Lakey, MD (TX) issued ASTHO’s Healthy Babies Presidential Challenge to reduce preterm birth by 8%
January 2012: HRSA Summit for Regions IV & VI
March 2012: ASTHO-March of Dimes Partnership Launch
July 2012: HRSA Collaborative Improvement and Innovation Network (CoIIN)
February 2013: Region V CoIIN?
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49 States Have Taken the PledgePledge to Reduce Prematurity by 8% by 2014
As of 10/5/2012
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3 States Have Already Met Targets 2012 Virginia Apgar Award
◦ Ward B. Hurlburt, MD, MPH Chief Medical Officer and Director of Public Health
2012 Franklin Delano Roosevelt Award◦ Jose T. Montero, MD, MPH Director, Division of Public Health Service
2012 Virginia Apgar Award 2012 Franklin Delano Roosevelt Award
◦ Harry Chen, MD Commissioner of Health
AK
VT
NH
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Life of the President’s Challenge
2011Promoting Health Equity to Reduce
Disparities
2012Healthy Babies
2013Integration of
Public Health and Primary Care
2014Rx Drug Abuse/
Neonatal Abstinence?
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AMCHP Compendium on Improving Birth Outcomes NQF NPP Maternity Action Team National Medical Association , National Hispanic Medical
Association, ACOG Vaccine initiative America’s Health Rankings Collaboratives CMCS Expert Panel on Improving Maternal and Infant
Health Outcomes in Medicaid/CHIP NGA Expert Panel
March of Dimes Prematurity Campaign
Ongoing Efforts
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Used innovative strategy to identify six significant geographic cluster of infant mortality ◦ One square mile cluster crossed four
county lines; never been identified with traditional methods using county lines as cutoff points
Putting data into action:◦ Compared leading causes of infant death
and the prevalence of modifiable risk factors for the state versus the identified clusters
State Success: Georgia
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Goal: Reduce both total and black infant mortality in Maryland by 10% by 2012 ◦ Improve the health of women and
their pregnancies Expand Maryland Medical
Assistance program eligibility for family planning to include all women at or below 200% of the federal poverty level
Gain earlier entry in to prenatal care◦ Improve the quality of perinatal
and post-delivery care Develop standardized 34 hospital
postpartum discharge process and follow up
State Success: Maryland
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Standardized methodology for measuring goodness and fairness
Health Equity – Region V CoIIN , America’s Health Rankings
Medicaid Waivers
Rural and geographic disparities
Disparities in Native American population
Maternal smoking
Future Areas to Address
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ASTHO President’s Challenge on Healthy Babies: http://www.astho.org/healthybabies/
ASTHO Health Equity Videos: http://www.astho.org/Programs/Health-Equity/Health-Equity-Videos/
ASTHO Resources