Maternal and Child Health in Ohio: 2010 and Beyond

Cuyahoga County CFHS Consortium

2009 Fall Meeting

Jo Bouchard, MPH, ChiefBureau of Child and Family Health Services

Ohio Department of Health

Overview: Learn about …

MCH priorities as result of statewide needs assessment

New/innovative programs/initiatives addressing key MCH priorities.

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Objectives: Learn about …

Plans for the 2011 grant cycle for the Child and Family Health Services Program (CFHS).

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Ohio’s MCH Block Grant Needs Assessment (NA)

Title V requires statewide needs assessment every 5 years

Goal is to identify need for:Preventive and primary care services for

pregnant women, mothers, infants, children and Children with Special Health Care Needs (CSHCN)

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Ohio’s MCH Block Grant NA

Multi-year processEngage stakeholdersAssess needs and identify desired outcomesExamine strengths and capacitySelect prioritiesDevelop action planMonitor progress

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Ohio’s MCH Block Grant NA

Top Priorities – Children Increase access to adequate and culturally

appropriate prevention, early identification and treatment services.

Prevent unsafe behaviors such as substance use, risky sexual behaviors, violence and the behaviors most likely to cause intentional and unintentional injuries and illness.

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Ohio’s MCH Block Grant NA

Top Priorities – ChildrenProvide family-centered services and

education to support child/family health.Recognize and reduce the negative impact of

social determinants of health.Reduce environmental exposures that

contribute to chronic illness, injury and disability.

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Ohio’s MCH Block Grant NA

Top Priorities – CSHCN Increase the number of standardized medical

homes. Increase capacity for the medical home to

screen, diagnose and access comprehensive medical and non-medical specialty services through use of evidence-based tools.

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Ohio’s MCH Block Grant NA Top Priorities – CSHCN

Provide families with the support and networks they need to participate in all aspects of family care.

Enhance the system of reimbursement for basic primary care services, and provide incentives for innovative service delivery.

Improve capacity to collect and utilize available CSHCN data to drive future decision making.

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Ohio Infant Mortality Task Force

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Purpose: To take a

fresh look at infant

mortality and disparities

in Ohio and make

recommendations to

address these

challenges.

Ohio Infant Mortality Task Force

Process: The task force, supported by ODH, held 4 plenary sessions and many committee meetings & conference calls throughout spring and summer 2009.

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Task Force Recommendations

Recommendation I: Provide comprehensive reproductive health services and service coordination for all women and children before, during and after pregnancy.

Recommendation II: Eliminate health disparities and promote health equity to reduce infant mortality.

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Task Force Recommendations (continued)

Recommendation III: Prioritize and align program investments based on documented outcome and cost effectiveness.

Recommendation IV: Implement health promotion and education to reduce preterm birth.

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Task Force Recommendations (continued)

Recommendation V: Improve data collection and analysis to inform program and policy decisions.

Recommendation VI: Expand quality improvement initiatives to make measurable improvements in maternal and child health outcomes.

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Task Force Recommendations (continued)

Recommendation VII: Address the effects of racism and the impact of racism on infant mortality.

Recommendation VIII: Increase public awareness on the effect of preconception health on birth outcomes.

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Task Force Recommendations (continued)

Recommendation IX: Develop, recruit and train a diverse network of culturally competent health professionals statewide.

Recommendation X: Establish a consortium to implement and monitor the recommendations of the Ohio Infant Mortality Task Force.

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For more information, visit the task force’s Web site:

http://www.odh.ohio.gov/odhPrograms/cfhs/imtf/imtf.aspx

Statewide collaboration to support initiatives that achieve measureable improvements in children’s health care and outcomes through improvement science.

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OHIO Initiatives

Concerned About Development Ohio Perinatal Quality Collaborative Addressing the Childhood Obesity

Epidemic Solutions for Patient Safety Chapter Quality Network – Asthma

Program

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Preconception Health for Adolescents Action Learning Collaborative

Ohio is one of 6 states selected to participate in ALC sponsored by AMCHP

Promote reproductive health across an individual’s lifetime by promoting preconception health strategies for adolescents.

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Action Learning

Ohio’s ALC Project Strategy

Disseminate evidence-based interventions address risk factors related to reproductive health that effect preconception health of teens.

Inform new statewide public health/school health alliance, serves as advisory body to the SPI.

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Child and Family Health Services Child and Family Health Services ProgramProgram

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Challenges We Face in FY2011Challenges We Face in FY2011

Federal & State Budget Cuts

Political Perceptions of Public Health

Competing Priorities Health Disparities Needs Exceed

Resources

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CFHS Priority IssuesCFHS Priority Issues

Birth Outcomes – Disparities Preconception/

Interconception Health Social/Emotional Health Child Fatality Review SIDS Overweight Children Childhood Lead Poisoning Childhood Immunizations

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CFHS Priority PopulationsCFHS Priority Populations Low-income women,

children and families in racial and ethnic groups that are disproportionately affected by poor health outcomes

Geographic areas and populations of highest need

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CFHS Funded Components CFHS Funded Components FY09FY09

71 grantees were funded for the Community Health Assessment Component

63 grantees were funded for the Child and Adolescent Component

43 grantees were funded for the Perinatal Component

21 grantees were funded for the Family Planning Component

13 grantees were funded for the OIMRI Component

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FY2011 CFHS Grant ProcessFY2011 CFHS Grant Process

Feb. 2010: RFP released

April 2010: due to ODH

July 2010: NOA to subgrantees

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Cuyahoga County CFHS ProgramHistory of Partnership

MetroHealth Center for Community Health

Northeast Ohio Neighborhood Health Services, Inc. (NEON)

University Hospitals Case Medical Center

Cleveland Regional Perinatal Network

Center for Adolescent Health - Case Western Reserve University

Fairview Hospital School-based Health Center

Cuyahoga County CFHS

Components – CHA, C&AH, PN, OIMRI Serve women, infants, children,

adolescents of Cuyahoga County Conduct Community Health Assessment Provide Monitoring and Evaluation of

Program Components

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CFHS Accomplishments

Successful CFHS Consortium Greater Cleveland.localhealth.info website Ohio Women’s Wellness Symposium Wellness Policy Program

CFHS Accomplishments

THANK YOU!

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