secretary’s advisory committee on infant mortality: astho update

Secretary’s Advisory Committee on Infant Mortality:

ASTHO Update

Paul E. Jarris, MD, MBAExecutive 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

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?

49 States Have Taken the PledgePledge to Reduce Prematurity by 8% by 2014

As of 10/5/2012

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

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?

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

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

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

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

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