secretary’s advisory committee on infant mortality: astho update
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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
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