Search Results: MCHLine

Annotation: This issue brief provides background information on rural healthcare access and focuses attention on the need for national, state, and community-based organizations to collaborate on developing an action plan to improve access to maternal health care and improve outcomes for rural women and their babies. It addresses the challenges that rural women face before, during, and after pregnancy and highlights promising approaches and opportunities to improve maternal health care in rural communities. Six case studies address several factors contributing to problems accessing maternal health care in rural communities, including workforce shortages and access to care challenges associated with social determinants of health. They illustrate efforts to stabilize rural hospital obstetrical services, regionalization and coordination of care, quality improvement initiatives, training and guideline development, provider recruitment and retention strategies, and expansion of care models

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov

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Keywords: Barriers, Case studies, Health care access, Health equity, Maternal health, Rural health, Rural population, Statistics

Annotation: This report builds upon the 2022 report and continues to identify counties where a woman’s access to maternity health services may be limited or absent. It describes policy solutions and actions; gives summary data about maternity care deserts with a map showing each county in the U.S. and its level of access to maternity care; characteristics of maternity care deserts; information about and maps of hospitals, birth centers, providers, midwives and doulas; health insurance coverage; perinatal regionalization and risk-appropriate levels of care; and the covid-19 pandemic and access to maternity care.

Contact: March of Dimes, 1275 Mamaroneck Avenue, White Plains, NY 10605, Telephone: (914) 997-4488 Secondary Telephone: Web Site: http://www.marchofdimes.com Available from the website.

• 2022
• 2022 Spanish

Keywords: Access to care, Infant health, Maternal health, Perinatal health, Pregnant women, State surveys, Statistics

Annotation: This report examines the availability of obstetric care in rural areas in the United States and recommends ways that access to such care can be improved. It focuses on the hospitals and clinicians that provide delivery services and describes (1) the availability of hospital-based obstetric services in rural areas, (2) stakeholder perspectives on factors that affect such availability, and (3) stakeholder perspectives on efforts federal agencies, states, and others could take to increase such availability. Various perspectives from a diverse group of stakeholders (provider associations, patient advocacy groups, researchers, federal agencies, obstetric clinicians and organizations representing different racial and ethnic groups) are presented.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 E-mail: [email protected] Web Site: http://www.gao.gov Available from the website.

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Keywords: Maternal health, Obstetrical care , Obstetrics, Rural health, Rural hospitals

Annotation: This report provides a summary of the activities that the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) implemented as part of its Rural Maternal Health Initiative between June 2019 and November 2021. Aimed at rural health stakeholders, the report highlights federal initiatives to improve maternal health outcomes and focuses on collaborative opportunities to advance rural maternal healthcare equity and reduce healthcare disparities across the country. i

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov

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Keywords: Access to health care, Health equity, Maternal health, Rural health, Rural population

Annotation: This web-based tool helps states and other jurisdictions create standardized assessments of levels of maternal and neonatal care. CDC LOCATeSM is based on the most recent guidelines and policy statements issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: https://www.cdc.gov/cdc-info/forms/contact-us.html Web Site: http://www.cdc.gov

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Keywords: Gestational age, High risk pregnancy, Perinatal care, Reproductive health, Risk appropriate care, Statistical data

Annotation: This report discusses how the Departments of Health of three states (Alaska, New Mexico, and Montana) are strengthening access to risk-appropriate care for American Indian / Alaska Native (AI/AN) communities. Initiatives and recommendations include increased data collection, promoting people-centered and culturally approtriate care, and collaborating with community organizations.

Contact: Association of State and Territorial Health Officials, 2231 Crystal Drive, Suite 450, Arlington, VA 22202, Telephone: (202) 371-9090 Fax: (571) 527-3189 Web Site: http://www.astho.org

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Keywords: Alaska natives, High risk pregnancy, Native Americans, Perinatal care, Racism, Reproductive health, Risk appropriate care, Social bias

Annotation: This report describes strategies for implementing regionalized risk-appropriate maternal care across the United States through a levels of maternal care (LoMC) classification system. It examines key implementation components including facility assessment and verification, establishment of regional care networks, maternal transport systems, quality improvement processes, and data monitoring approaches. The report highlights challenges faced by rural facilities, the role of telemedicine, and the importance of addressing health equity in maternal care systems. Using case studies from various states and health systems, it provides specific recommendations for building sustainable LoMC systems nationally, including establishing a coordinating center, expanding funding mechanisms, and improving payment structures for obstetrical care.

Contact: Alliance for Innovation on Maternal Health, 409 12th Street, S.W., Washington, DC 20024, E-mail: [email protected] Web Site: https://saferbirth.org/

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Keywords: Classification, Perinatal care, Reproductive health, Risk appropriate care, Risk factors

Annotation: [This issue of the Commonwealth Fund's "Transforming Care" focuses on regional partnerships that aim to bolster access to maternity care in rural communities. Included are descriptions of regional model programs aimed at expanding the maternity workforce in rural areas, ramping up maternity telemedicine programs; and creating perinatal collaboratives and provider networks.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org

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Keywords: Arkansas, Maternal health, Maternal health care, Missouri, Model programs, New Mexico, Rural health, Utah

Annotation: The report summarizes proceedings from the public health event that took place in Washington, DC. in June 2019 that focused on improving material health care in rural communities. The "interactive conversation" was hosted by the Centers for Medicare & Medicaid Services in collaboration with other agencies and nonprofit organizations. Included are summaries of forum speeches, panel discussions, and feedback from attendees and key stakeholders. The expert panel discussions focused on the current state of rural maternal healthcare in the United States; the advancement of systems of maternal healthcare in rural America; and the improvement of policies that impact rural maternal health. The objectives of the event were to (1) present an overview of the state of maternal healthcare in rural communities, with a focus on access to maternal health services before, during, and after pregnancy; (2) address disparities in maternal health outcomes and opportunities to achieve health equity; (3) share existing promising practices and areas of opportunity to improve access to maternal health services; and (4) develop priorities and next steps for a plan of action to inform options to reduce disparities and improve access to maternal health services, the quality of care provided, and maternal health outcomes in rural communities.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov

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Keywords: Access to health care, Interagency cooperation, Maternal health, Maternal health services, Meetings, Proceedings, Public health, Rural health, Service coordination

Annotation: This obstetric care consensus for health professionals underscores the need to reduce maternal morbidity and mortality, including existing disparities, by encouraging the growth and maturation of systems for the provision of risk appropriate care specific to maternal health needs. Co-written by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine, the consensus provides standard definitions and outlines the required capabilities and type of health care providers needed for base care (Level I), specialty care (Level II), subspecialty care (Level III) and regional perinatal health centers (Level IV).

Contact: American College of Obstetricians and Gynecologists, 409 12th Street S.W. DC 20024-2188 (street address), P.O. Box 96920, Washington, DC 20024-9998, Telephone: (202) 638-5577 Secondary Telephone: (800) 673-8444 E-mail: [email protected] Web Site: http://www.acog.org Document Number: 9.

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Keywords: Guidelines, Health care systems, Maternal health, Perinatal care, Professional education, Regional planning

Annotation: This document provides key information to identify perinatal health issues and help guide decision-making by the Washington State Department of Health and the Department of Social and Health Services. The indicators were derived from Washington State birth, fetal death, and death certificate data, the First Steps Database, and the Pregnancy Risk Assessment Monitoring System. The report includes highlights, a list of areas of concern, and series of key indicator tables. A list of sources is included.

Contact: Washington State Department of Health, Office of Maternal and Child Health, Assessment Unit, P.O. Box 47835, Olympia, WA 98504-7835, Telephone: (360) 236-3533 E-mail: [email protected] Available from the website.

• 2018 Data

Keywords: Breastfeeding, Cesarean section, Infant health, Infant mortality, Low birthweight, Medicaid, Perinatal health, Pregnancy, Smoking during pregnancy, Statistics, Washington, Women', s health