merck for mothers presentation - national healthy start spring conferen… · merck for mothers...

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

alma.roberts@baltimorecity.gov