Search Results: MCHLine

Annotation: The purpose of this report is to provide technical assistance to individuals working to improve student performance in American public schools. Examples of specific techniques that address barriers to student learning and data to support these techniques are highlighted within this document. Areas covered include (1) enhancing classroom-based efforts to enable learning, (2) providing student and family assistance, (3) responding to and preventing crises, (4) supporting transitions, (5) increasing home involvement in schooling, and (6) outreach for greater community involvement and support. [Support in part by the Maternal and Child Health Bureau]

Contact: Center for Mental Health in Schools, UCLA School Mental Health Project, Box 951563, Los Angeles, CA 90095-1563, Telephone: (310) 825-3634 Secondary Telephone: (866) 846-4843 Fax: (310) 206-8716 E-mail: [email protected] Web Site: http://smhp.psych.ucla.edu Available from the website.

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Keywords: Academic achievement, Barriers, Community participation, Knowledge level, Learning, Mental health, Parent participation

Annotation: This report examines the use of technology to overcome barriers to learning. Topics include information systems management, multimedia aids to facilitate intervention, in situ and distance learning, and model programs and guides. A list of additional references is also included. [Funded in part by the Maternal and Child Health Bureau]

Contact: Center for Mental Health in Schools, UCLA School Mental Health Project, Box 951563, Los Angeles, CA 90095-1563, Telephone: (310) 825-3634 Secondary Telephone: (866) 846-4843 Fax: (310) 206-8716 E-mail: [email protected] Web Site: http://smhp.psych.ucla.edu Available from the website.

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Keywords: Barriers, Education, Information systems, Intervention, Learning, Mental health, Model programs, Technology

Annotation: This project attempted to improve the health status of children in families in which one or both parents have mental retardation by reducing the risks associated with lack of immunization, poor nutrition, undiagnosed medical or developmental problems, injuries, and inadequate early stimulation. Efforts included both direct services (such as immunization, screening, and home care programs) and a consultation and technical assistance program aimed at improving the accessibility of the service delivery system for these children. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB93-201051.

Keywords: Access to Health Care, Barriers to Health Care, Health Education, High risk children, High risk groups: Families, Mental Retardation, Parents, Parents with disabilities, Preventive Health Care, Primary Care

Annotation: This resource provides a geographic representation of child health in the United States. Contents include national and state-specific data on pediatric health care delivery at the Primary Care Service Area level. A range of maps is available including the number of children under age 18 per pediatrician, the number of children in linguistically-isolated households, median household income, the number of pediatric residents and fellows, and estimated vaccine coverage rates. An interactive mapping tool is available to members of the American Academy of Pediatrics.

Contact: American Academy of Pediatrics, 345 Park Boulevard, Itasca, IL 60143, Telephone: 800/433-9016 Secondary Telephone: 202/347-8600 E-mail: https://www.aap.org/en/pages/contact-us/contact-national-headquarters/ Web Site: https://www.aap.org Available from the website.

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Keywords: Access to health care, Children, Data sources, Geographic regions, Health care disparities, Immunization, Integrated information systems, Interactive media, Language barriers, Low income groups, Patient care planning, Pediatricians, Statewide planning, Work force

Annotation: These 12 case studies report on cutting-edge programs and innovative approaches to address the leading causes of death and disease in cities.

Contact: National Association of County and City Health Officials, 1100 17th Street, N.W., Seventh Floor, Washington, DC 20036, Telephone: (202) 783-5550 Fax: (202) 783-1583 E-mail: [email protected] Web Site: http://www.naccho.org Available from the website.

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Keywords: Barriers, Case studies, Cities, Data sources, Health status, Health status disparities, Healthy People 2020, Public health infrastructure, Systems development

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 article from Grantmakers In Health (GIH) describes a collaborative effort by funders to address gaps in postpartum care following the extension of Medicaid coverage from 60 days to 12 months after birth. The piece discusses how a workgroup of funders—including Pritzker Children's Initiative, Merck for Mothers, and Community Health Acceleration Partnership—formed in 2023 to identify opportunities for improving postpartum care systems. The article includes a visual diagram that illustrates the multi-layered challenges in postpartum care on three levels: individual, community, and system. This concentric circle diagram shows how issues such as standards of care, access to quality care, care fragmentation, and policy misalignment (at the system level) interact with community-level challenges like administrative burden and workforce shortages, as well as individual-level factors including awareness of needs, social and economic barriers, and fear of medical debt. Through stakeholder interviews, the workgroup discovered significant fragmentation of services and the absence of comprehensive care standards beyond the traditional six-week postpartum period. In response, the funders issued a request for proposals aimed at creating a centralized hub to catalog and connect postpartum care initiatives, with the goal of developing comprehensive standards and addressing what they term the "postpartum cliff."

Contact: Grantmakers In Health, 1100 Connecticut Avenue, N.W., Suite 1200, Washington, DC 20036-4101, Telephone: (202) 452-8331 Fax: (202) 452-8340 Web Site: http://www.gih.org

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Keywords: Access to healthcare, Barriers, Collaboration, Funding, Health care reform, Library collection development, Medicaid, Policy, Postpartum care, Requests for proposals, Service delivery systems, Standards

Annotation: This guide for health center staff describes a set of interprofessional oral health core clinical competencies designed to foster integration of oral health care into primary care. The guide also provides information about three pilot projects’ experiences related to implementing the competencies. Contents include recommendations to inform planning, training systems, health information systems, clinical care systems, and evaluation systems.

Contact: National Network for Oral Health Access, 181 East 56th Avenue, Suite 410, Denver, CO 80216, Telephone: (303) 957-0635 E-mail: [email protected] Web Site: http://www.nnoha.org Available from the website.

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Keywords: Barriers, Clinics, Community health centers, Interdisciplinary approach, Oral health, Primary care, Program development, Service integration, Systems development

Annotation: This collection of online tools is intended to accelerate the work of communities, coalitions, and funders in strategically assessing their efforts, identifying opportunities, and committing to actions aimed at assuring conditions that lead to optimal births for all people. The tools include: (1) The Birth Equity Action Map, which describes actions needed by specific birth equity partners to improve birth and racial equity; (2) the Birth Equity Ecosystem Map, which visualizes the factors and conditions needed to achieve equitable outcomes; and (3) the Birth Equity Iceberg, which offers insights on the barriers that perpetuate inequitable outcomes and limit efforts to advance birth equity.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Barriers, Childbirth, Health care systems, Health equity, Racism

Annotation: This report highlights the common threads between housing and reproductive justice, emphasizing the importance of policy solutions that de-silo maternal health and address social and structural barriers. The first section describes how structural racism and structural disinvestment—including residential segregation, poor housing access and conditions, residential instability and gentrification, and the carceral apparatus—contribute to deleterious health outcomes among Black women and birthing people. The second section outlines how Black pregnancy is policed across the reproductive lifespan through forced evictions and displacement during pregnancy, double jeopardy of racism and discrimination in health care settings, and threatened Child Protective Services (CPS) involvement after birth. The third section highlights the status of housing reform in Washington, D.C. and potential opportunities for change. The report ends with Mamatoto Village’s housing justice framework, a summary of federal housing programs and policies, and links to annotated bibliography of key articles.

Contact: Georgetown University , Health Justice Alliance , 600 New Jersey Avenue, NW, Washington, DC 20001, Telephone: (202) 662-9000 Web Site: https://www.law.georgetown.edu/health-justice-alliance/

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Keywords: Barriers, Blacks, Civil rights, Federal programs , Housing, Housing programs, Maternal health, Policy development, Pregnancy, Racism, Social factors, Underserved communities

Annotation: This report provides information about a series of community listening sessions that Community Catalyst held with community members in three states. The purpose of the sessions was to gain a better understanding of community members' perspectives related to access to and experiences with oral health care. The report includes an overview of the methodology of these listening sessions, descriptions of key themes that arose, and recommendations for policy solutions to address the barriers community members identified.

Contact: Community Catalyst, 30 Winter Street, 10th Floor, Boston, MA 02108, Telephone: (617) 338-6035 Fax: (617) 451-5838 E-mail: [email protected] Web Site: https://www.communitycatalyst.org Available from the website.

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Keywords: Access to health care, Barriers, Community health, Oral health, Public policy

Annotation: This website describes a project that was developed from stakeholder concerns about the fragility of stable and adequate housing for families of children with chronic and complex conditions raised at the 2019 Levi Symposium hosted at the Berman Institute. The project is ongoing.

Contact: Johns Hopkins, Berman Institute of Bioethics , Deering Hal , 1809 Ashland Avenue, Baltimore , MD 20205, Telephone: (410) 614-5550 E-mail: [email protected]

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Keywords: Children with special health care needs, Financial barriers, Housing, Physical disabilities, State initiatives

Annotation: This guide presents an overview of inequities in access to health care and insurance coverage in the U.S. and highlights policy and accountability levers that advocates and other change-makers can use to advance equity. Among the topics addressed are providers and service delivery, financing, barriers to obtaining health insurance, barriers to accessing health care, disparities in coverage, accountability and oversight, and policies and actions that could lesson barriers. Links to additional sources of information are included.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org

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Keywords: Access to care, Barriers, Health care disparities, Health equity, Health insurance, Initiatives, Policy, Uninsured persons

Annotation: This guide presents an overview of the Children's Health Insurance Program (CHIP), including system inequities, and highlights policy and accountability levers that advocates and other change-makers can use to advance equity. Among the topics addressed are financing, providers and service delivery, barriers to accessing and maintaining CHIP coverage, barriers to accessing health care services in CHIP, accountability and oversight, and policies and actions that could lesson barriers. Links to additional sources of information are included.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org

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Keywords: Access to care, Barriers, Children', Health care disparities, Health equity, Initiatives, Policy, s Health Insurance Program

Annotation: This brochure provides information for consumers about dental visits. Topics include what do do after a dental visit, advocating for oneself during a visit, caring for oneself before and after a visit, how to address barriers to visiting the dentist, determining goals for a dental visit, how to prepare for a visit, and other ways to access oral health care. A companion guide for oral health professionals is also available.

Contact: National Network for Oral Health Access, 181 East 56th Avenue, Suite 410, Denver, CO 80216, Telephone: (303) 957-0635 E-mail: [email protected] Web Site: http://www.nnoha.org Available from the website.

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• Consumer And Professional Brochures

Keywords: Access to health care, Advocacy, Consumer education materials, Financial barriers, Oral health

Annotation: This article from Health Affairs Forefront examines lessons learned from California's experience with perinatal community health workers (CHWs) and provides recommendations for policy makers designing similar programs. It discusses how perinatal CHWs can help address disparities in maternal health outcomes by providing culturally appropriate support throughout pregnancy and postpartum periods. The authors, drawing from 15 years of experience in California's Medicaid system, outline key considerations including adequate reimbursement rates, payment flexibility for services provided in both clinical and community settings, program coordination to prevent inefficiencies, standardized data collection methods, and support systems to prevent CHW burnout. The document includes specific examples from programs at San Francisco General Hospital and Los Angeles County, and discusses implications for state Medicaid programs participating in CMS's new Transforming Maternal Health Model.

Contact: Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, E-mail: [email protected]

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Keywords: Barriers, California, Community health workers, Maternal health, Models, Payment, Perinatal care, Policy development, Postpartum care, Reimbursement, State programs

Annotation: In this podcast episode, host Christie Allen sits down with Dr. Andrea Greiner, a maternal-fetal medicine specialist at the University of Iowa, to discuss the unique challenges of rural maternity care. Dr. Greiner shares her experiences working at a perinatal regional center, offering insight into how larger facilities can support rural hospitals and providers. Together, they explore the importance of individualized care, the complexities of coordinating care across diverse healthcare settings, and the logistical hurdles rural patients face. The episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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: Access to health care, Barriers, Coordination, Maternal health, Perinatal health, Regional factors, Regional medical centers, Rural health

Annotation: In this episode of the AIM for Safer Birth podcast series, host Christie Allen continues her conversation with Dr. Tina Pattara-Lau, Maternal and Child Health Consultant at the Indian Health Service (IHS) as they explore the ongoing transformation of maternal health care within rural communities. Dr. Pattara-Lau delves deeper into the impact of culturally responsive care, the integration of traditional practices, and the expansion of telehealth services. They further discuss the strides being made in overcoming access barriers, fostering community trust, and implementing innovative care models tailored to the unique needs of American Indian/Alaska Native populations. The AIM for Safer Birth series dives deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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: Alaska natives, American Indians, Barriers, Community participation, Cultural sensitivity, Health care access, Initiatives, Model programs, Rural health

Annotation: Podcast host Christie Allen delves into the unique challenges and innovative solutions in rural and Indigenous maternal health care with Dr. Tina Pattara-Lau, Maternal and Child Health Consultant at the Indian Health Service (IHS). Dr. Pattara-Lau shares her experiences and insights on improving patient access to quality care through culturally safe practices, partnerships, and innovative models such as telehealth and community-based care. They discuss the systemic barriers, the importance of culturally safe practices, and the role of community partnerships in enhancing care for American Indian/Alaska Native populations, emphasizing the need for continuous quality improvement and sensitivity to cultural and traditional practices. This episode is part of the AIM series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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: Alaska natives, American Indians, Barriers, Community participation, Cultural sensitivity, Health care access, Initiatives, Model programs, Rural health

Annotation: In this season finale of AIM for Safer Birth 2024 podcast series, host Christie Allen is joined by Dr. Veronica Gillispie-Bell to reflect on key themes from the season, including rural maternity care, collaborative models, and the structural barriers impacting maternal health. They discuss the realities of hospital closures, the importance of integrating community birth centers, and the critical need for sustainability in quality improvement efforts. Dr. Gillispie-Bell shares insights on bridging gaps across disciplines, tackling systemic inequities, and how to keep patients' goals at the center of care. Plus, they dive into the transformative power of data and the lessons that can guide future improvements.

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: Barriers, Collaboration, Data, Health equity, Maternal health, Model programs, Rural health, Service integration