Search Results: MCHLine

Annotation: This fact sheet provides information for managed care health plans on the importance of providing quality access to emergency medical care for children and what health plans can do to ensure this access. [Funded by the Maternal and Child Health Bureau]

Keywords: Emergency medical care for children, Managed care

Annotation: This project had two components: Part 1, based in the Department of Health's Office of Emergency Medical Services, coordinated project efforts and served as a focus for emergency medical services for children (EMSC) in the State, including children with special health needs and minority children and their families. Part 2 involved the State's emergency medical services (EMS) community in three subcontracts that addressed (1) training for emergency medical technicians, paramedics, physicians, and nurses; (2) pediatric trauma issues; and (3) pediatric illness issues. [Funded by the Maternal and Child Health Bureau]

Keywords: Databases, Education, Emergency Medical Services for Children, Injury Prevention, Preventive Health Care, Professional Education in EMSC

Annotation: This toolkit provides an overview of the Postpartum Alert Initiative, a maternal safety program that utilizes teal wristbands to identify postpartum patients needing heightened monitoring for complications in the critical six-week period after delivery. It outlines the urgent need to address maternal mortality in Nebraska, which ranks 17th nationally. The toolkit details key implementation steps for birthing facilities, including designating program leadership, training healthcare teams using provided educational resources, integrating wristband distribution into discharge workflows, and conducting quarterly patient follow-up for program evaluation. Patient education materials in English, Spanish, Arabic, and Karen are provided to participating facilities at no cost, in one-pager, postcard, and wallet card formats. The toolkit also includes resources for healthcare providers and emergency services to enhance recognition of postpartum warning signs.

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Keywords: Emergency medical services, Media campaigns, Nebraska, Postpartum care, Pregnancy complications, State initiatives

Annotation: This brief provides key findings from the State of Oral Health Equity in America 2024 Survey, a nationally representative survey of over 9,000 adults’ attitudes, experiences, and behaviors related to oral health. Information is included about dental visits in the past year by home-ownership status, planned dental visits in the coming year by income level, emergency department visits for oral health care by educational attainment, having a dental home by health insurance status, self-rated oral health by sexual orientation, importance attached to cultural humility in oral health care by race, and importance attached to diversity in oral health care by income level.

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Keywords: Behavior, Cultural competence, Educational attainment, Emergency medical services, Health equity, Health insurance, Income factors, Oral health, Oral health care, Sexual identity, Surveys

Annotation: In this episode of the AIM for Safer Birth podcast series, host Christie Allen is joined by Dr. Kristen Dillon, Chief Medical Officer at the Federal Office of Rural Health Policy within the U.S. Department of Health and Human Services (HHS). With an extensive background in public health, rural healthcare, and health policy, Dr. Dillon shares her journey from an urban upbringing in the San Francisco Bay Area to a dedicated career in rural medicine, including her experience overseeing Oregon's Pandemic Response Unit and working on health policy in Speaker Nancy Pelosi's office. Dr. Dillon discusses the unique challenges and solutions in providing quality maternity care in rural areas, the importance of telehealth and collaborative networks, and the critical role of emergency care providers. 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.

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Keywords: Access to health care, Collaboration, Emergency medical services, Federal initiatives, History, Maternal health, Policy development , Rural health, State initiatives, Telemedicine

Annotation: This infographic for consumers provides information about the safety of getting oral health care, including routine care and emergency care, during pregnancy.

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Keywords: Consumer education, Emergency medical services, Health care utilization, Oral health, Pregnant women, Safety

Annotation: The workbook outlines evidence-based practices for improving recognition of and response to obstetric hemorrhage, including hemorrhage risk assessments categorized as low, medium, and high risk that should be completed on admission, during labor, and post-delivery. It emphasizes the critical importance of quantification of blood loss using volumetric containers, weighing scales, or computerized image recognition rather than estimation, as postpartum hemorrhage occurs in about 40% of low-risk birthing people. The workbook presents the Alliance for Innovation on Maternal Health Patient Safety Bundle components, which include stage-based management plans, hemorrhage supply carts, immediate access to hemorrhage medications, standardized education for obstetric teams, multidisciplinary drills, and case review processes. It addresses Missouri-specific data showing obstetric hemorrhage as the fourth leading cause of pregnancy-related deaths from 2018-2020, with significant racial disparities in transfusion rates, and notes that between 54% to 90% of hemorrhage-related deaths are preventable. The workbook includes extensive resources for implementation including assessment tools, quantification worksheets, stage-based guidelines, simulation training materials, and patient debriefing forms, and provides trauma-informed guidance for supporting patients and families after hemorrhage events.

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Keywords: Emergency medical services, Hemorrhage, Missouri, Obstetric care, Obstetric complications, Postpartum hemorrhage, Quality improvement, State MCH Programs

Annotation: This web page from the Agency for Healthcare Research and Quality (AHRQ) provides clinical case scenarios and training materials for the AHRQ Safety Program for Perinatal Care, Phase 2. The scenarios illustrate 10 teamwork tools and strategies for improving care in obstetric hemorrhage and severe hypertension in pregnancy. The page includes two sets of education materials: (1) Tier 1 consists of eight short video-based emodules for each condition that introduce frontline clinicians to the teamwork tools and demonstrate their use; (2) Tier 2 provides PowerPoint slide sets with speaker notes to help Alliance for Innovation on Maternal Health (AIM) Team Leads disseminate the teamwork toolkit to frontline staff in their labor and delivery units, ideally through live workshops by a TeamSTEPPS master trainer.

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Keywords: Emergency medical services, Hemorrhage, Hypertension, Patient safety, Perinatal care, Postpartum care, Pregnancy complcations, Professional training

Annotation: These resources for oral health professionals provide guidance on immediate and urgent care for traumatic oral injuries, including fractures and luxations of permanent teeth, avulsion of permanent teeth, and traumatic injuries to primary teeth. Topics include diagnosis, treatment planning, follow-up care, and outcomes. Special considerations for trauma to primary teeth, immature versus mature permanent teeth, avulsion of permanent teeth, and patient/parent instructions are included. The guidelines are available in Arabic, Bahasa, Croatian, English, Farsi, French, German (Austrian), Greek, Hebrew, Hindi, Italian, Korean, Lithuanian, Mandarin Chinese, Nepali, Portuguese, Romanian, Spanish, Russian, Tamil (India), Turkish, Ukranian, Urdu, and VIetnamese.

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Keywords: Critical care, Emergency medical services, International health, Non English language materials, Oral health, Oral health care, Outcome and process assessment, Resources for professionals, Trauma care

Annotation: This document presents information from a survey conducted by Families USA of 14 states that cover emergency-only oral health services. Selected topics include what can be learned from states that offer emergency-only coverage, how responding states’ dental benefits differ, states in which managed-care plans provide adults with extra offerings, costs to states of paying for emergency department visits when appropriate oral health services are not available, the limited availability of alternative oral health care resources for adults, and the inadequacy of emergency-only dental care for individuals with serious medical conditions.

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Keywords: Costs, Dental insurance, Emergency medical services, Low income groups, Medicaid, Oral health, Oral health care, State programs, Surveys

Annotation: This report describes what is known about the availability of trauma centers for children and the outcomes for children treated at different types of facilities. The report also examines how, if at all, federal agencies are involved in supporting pediatric trauma care and how these activities are coordinated. Topics include the location of high-level pediatric trauma centers, the percentage of children who live within 30 miles of a high-level pediatric trauma center, and how well such centers work to lower mortality. Additional topics include federal interagency coordination to support hospital-based pediatric trauma care activities and training and resources available to physicians and nurses for pediatric trauma care. Examples are included.

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Keywords: Access to health care, Emergency medical services for children, Federal agencies, Health care delivery, Injuries, Interagency cooperation, Outcome and process assessment, Pediatric care, Pediatric hospitals, Training, Trauma care, Trauma centers, Work force

Annotation: This resource is designed to assist states and communities in developing a coordinated response to the immediate and long term needs of infants and children affected by Zika virus (ZIKV), and their families. Contents include an overview of ZIKV, infection, and outcomes; systems of care as a public health approach for comprehensive care for infants and children exposed to ZIKV; and an overview of federal and state programs serving children affected by ZIKV. [Funded by the Maternal and Child Health Bureau]

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Keywords: Assessment, Child health, Community coordination, Comprehensive health care, Emergency medical services for children, Federal programs, Health care systems, Infant health, Infection control, Neonatal screening, Policy development, Population surveillance, Program coordination, Program planning, Quality assurance, Resources for professionals, Service coordination, Service integration, Special health care needs, State programs, Systems development, Virus diseases, Work force

Annotation: This guide for maternal and child health (MCH) programs and their partners provides a synthesis of program and policy recommendations and offers a framework to support states in identifying next steps. Contents include strategies and planning tools for strengthening maternal data systems, increasing the value of an investment in maternal health, enabling healthy living, improving access to care, ensuring high quality health care for women, and ensuring readiness and response to obstetric emergencies.

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Keywords: Access to health care, Emergency medical services, MCH programs, MCH services, Maternal health, Mothers, Policy development, Preventive health services, Program improvement, Program planning, Quality assurance, Systems development, Women's health services

Annotation: This website is a compendium of resources related to medical and public health issues of children in disasters and emergencies. Contents include links to journal articles and other documents and materials that may be useful in preparedness, mitigation, response and recovery activities. Resources are national or international in scope. Topics include natural disasters; chemical and biological agents, radiologicals and nuclear, and explosives (CBRNE); psychological and behavioral health; and special topics such as children with disabilities, school and care providers, hospital preparedness, resilience, and pandemics.

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Keywords: Child care, Communicable diseases, Databases, Disaster planning, Disasters, Emergencies, Emergency medical services for children, Hospitals, International health, Mental health, Resilience, Resources for professionals, Schools, Special health care needs

Annotation: This primer describes a structured system of care to ensure that all seriously ill and injured children receive the care they need, regardless of the local availability of health care resources. Topics include its evolution, components, and models, as well as unique considerations for systems development. Contents include general information about regionalization and pediatric specialty care; hospital regulations, mandates, and standards; and a summary, footnotes, and glossary. [Funded by the Maternal and Child Health Bureau]

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Keywords: Emergency medical services for children, Health care systems, Regional planning, Regional programs, Systems development

Annotation: This brief discusses the near doubling in numbers of visits to hospital emergency departments for dental emergencies between 1997 and 2007, as well as factors that may have contributed to the increase. The brief summarizes the problem and presents data, methods, results, and a discussion of findings and their implications.

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Keywords: Emergency medical services, Oral health, Oral health care, Statistics

Annotation: This toolbox provides information about what coalitions are and their role for Emergency Medical Services for Children projects. The toolbox provides links to resources for health professionals, database searches, example practices, and resources for families and caregivers. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Coalitions, Collaboration, Emergency medical services for children, Health services, Resource materials

Annotation: This toolbox provides information about what cultural competence is and the role of providing culturally and linguistically competent care for Emergency Medical Services for Children projects. The toolbox provides links to resources for health professionals, database searches, example practices, and resource for families and caregivers. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Collaboration, Cultural competence, Emergency medical services for children, Health services

Annotation: This toolbox features the work of Evaline Alessandrini, M.D., and her emergency medical care for children (EMSC)- targeted project about defining quality performance measures for EMSC. This project seeks to improve pediatric emergency care through the consensus identification of pediatric emergency care performance measures and associated elements of documentation. The toolbox provides links to resources for health professionals, database searches, example practices, and resource for families and caregivers. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Collaboration, Emergency medical services for children, Health services, Program evaluation, Quality assurance, Research

Annotation: This issue brief describes the increase in emergency room (ER) visits for childhood toothaches and other avoidable oral health ailments. Topics include the cost burden of oral health care services provided in the ER, increasing investments in children’s access to preventive oral health care, barriers to obtaining oral health care among individuals with low incomes, increasing the supply of providers, and increasing access to oral health services for children enrolled in Medicaid.

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Keywords: Access to care, Barriers, Children, Costs, Emergency medical services, Low income groups, Oral health