Search Results: MCHLine

Annotation: This issue brief analyzes state Medicaid coverage of evidence-based perinatal services that can improve maternal and infant health outcomes, particularly during the postpartum period. The document examines coverage across four categories of services including alternative models of care delivery, whole-person wraparound care, mental and behavioral health support, and lactation support beyond the hospital. It finds wide variation in Medicaid coverage of these evidence-based perinatal services across states, with only 11 states requiring and reimbursing maternal depression screening during well-child visits and significant differences between Medicaid expansion and non-expansion states. The analysis emphasizes that despite growing recognition of postpartum care importance, state variation in Medicaid coverage likely influences maternal health outcomes and worsens place-based disparities.

Contact: Health Research and Policy Center, American Institutes for Research , 1400 Crystal Drive, 10th Floor, Arlington, VA 22202-3289,

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Keywords: Evidence based medicine, Health policy, Medicaid, Perinatal care, Postartum care, Reimbursement, State MCH programs, Statistics

Annotation: This online resource outlines the “Plan for Appropriate Tailored Healthcare in Pregnancy (PATH)" recommendations developed by an independent panel of maternal care experts convened by the University of Michigan and the American College of Obstetricians and Gynecologists (ACOG). Based on a review of existing evidence, the site provides how-to guidance on prenatal care delivery and links to related resources for providers. An embedded 90-minute webinar presents an overview of ACOG's Redesigning Prenatal Care initiative and a roadmap to engage communities in the process.

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

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Keywords: Evidence based medicine, Guidelines , Maternal health, Pregnancy, Prenatal care, Professional education

Annotation: This systematic review addresses healthcare for postpartum individuals within 1 year after pregnancy. It addresses the comparative benefits and harms of (1) alternative strategies for postpartum healthcare delivery, and (2) extension of postpartum health insurance coverage or improvements in access to care. The target audience includes policymakers, Ob/Gyn's, Midwives, maternal-fetal medicine specialists, family medicine clinicians, primary care physicians, nurse practitioners, and other providers of care or support for postpartum individuals.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Document Number: 23-EHC010.

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• Executive Summary

Keywords: Evidence based medicine , Health insurance, Healthcare delivery, Postpartum care, Prevention services

Annotation: This is a systematic review of risk factors associated with maternal morbidity and mortality in the U.S. during the prenatal and postpartum periods, including social and structural determinants of health. The focus is primarily on research that examines factors to which pregnant and birthing people have been exposed and that may underlie poor perinatal health outcomes. The U.S. Office of Disease Prevention requested the review to inform the November 29 – December 1, 2022 Pathways to Prevention workshop cosponsored by the National Institutes of Health’s Office of Research on Women’s Health, the National Heart Lung and Blood Institute, the National Institute of Minority Health and Health Disparities, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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• Executive Summary

Keywords: Evidence based medicine, Literature reviews, Maternal morbidity, Maternal mortality, Racism, Risk factors, Social determinants of health

Annotation: This resource provides information on the importance of breastfeeding and the role of hospitals in breastfeeding success. It describes a program to encourage adoption of five evidence based maternity care practices that have been found to increase breastfeeding rates. Contents include current breastfeeding rates in Kansas, participating hospitals, endorsements, a hospital application agreement and form, and program logos and branding materials.

Contact: United Methodist Health Ministry Fund, P.O. Box 1384, 100 East First, Hutchinson, KS 67504-1384, Telephone: (800) 369-7191 Secondary Telephone: (316) 662-8586 E-mail: [email protected] Web Site: http://www.healthfund.org Available from the website.

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Keywords: Breastfeeding, Evidence based medicine, Health promotion, Hospital accreditation, Infant health, Kansas, Maternal health, Model programs, State programs

Annotation: This systematic review presents evidence on the benefits and harms of screening for eating disorders in adults and adolescents; the accuracy of screening tools; and the benefits and harms of interventions for eating disorders that were screen detected or not previously treated for populations and settings relevant to primary care in the United States. PubMed/MEDLINE, the Cochrane Library, PsyINFO, and other sources were searched through December 18, 2020; additional literature, outside experts, and reviewers, were consulted through January 1, 2022.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Adolescent health, Anorexia nervosa, Behavior disorders, Bulimia, Eating disorders, Evidence based medicine, Feeding disorders, Literature reviews, Screening, Treatment

Annotation: This patient safety bundle provides actionable steps that can be adapted to a variety of health care facilities and resource levels to improve the quality of care and outcomes for patients with perinatal mental health conditions. It provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. Components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Mental health, Perinatal care, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: This guide presents an overview of the telehealth landscape, describing the need, benefits, and challenges using this modality to address serious mental illness (SMI) and substance abuse disorders (SUD) among adults. It reviews the literature and research findings related to this issue, examines emerging and best practices, discusses gaps in knowledge, and identifies challenges and strategies for implementation. The guide is part of the Evidence-Based Resource Guide Series--a comprehensive set of modules with resources to improve health outcomes for people at risk for, experiencing, or recovering from SMI and/or SUD. It's designed for practitioners, administrators, community leaders, and others considering an intervention for their organization or community.

Contact: U.S. Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane , Rockville, MD 20857, Telephone: (877) SAMHSA-7 Secondary Telephone: (877) 726-4727 E-mail: Web Site: https://www.samhsa.gov Document Number: PEP21-06-02-001.

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Keywords: Evidence based medicine, Mental health, Mental illness, Professional education, Resources for professionals, Substance abuse, Substance use disorders, Telecommunication, Telemedicine

Annotation: This resource provides clinical preventive services recommendations related to tobacco smoking cessation in adults including pregnant women. Topics include behavioral and pharmacotherapy interventions. Contents include the full recommendation statement; supporting documents including the final research plan, evidence review, and evidence summary; a clinical summary; and related information for consumers and health professionals.

Contact: U.S. Preventive Services Task Force, 540 Gaither Road, Rockville, MD 20850, Telephone: (301) 427-1584 Web Site: http://www.uspreventiveservicestaskforce.org Available from the website.

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Keywords: Adults, Evidence based medicine, Literature reviews, Pregnant women, Preventive health services, Smoking cessation, Tobacco use

Annotation: This report focuses on highlighting evidence-based policies that can be implemented to address the root causes of disease. The report identifies and reviews five policy areas: access to healthcare, economic mobility, affordable housing, safe and healthy learning environments for children, and health-promoting excise taxes. Based on an extensive review of the evidence, the report recommends federal and state-level policies to improve health outcomes, advance health equity, and reduce healthcare spending. The report concludes that America's chronic disease and health disparities crisis require policy interventions targeting structural racism and the social determinants of health.

Contact: Trust for America's Health, 1730 M Street, N.W., Suite 900, Washington, DC 20036, Telephone: (202) 223-9870 Fax: (202) 223-9871 E-mail: [email protected] Web Site: http://healthyamericans.org

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Keywords: Evidence based medicine, Government financing, Health care disparities, Health policy, Health status disparities, Model programs, Policy analysis, Policy development, Taxes

Annotation: This toolkit compiles evidence-based and promising models and resources to support rural communities implementing maternal health programs across the United States. The modules in the toolkit contain resources and information focused on developing, implementing, evaluating, and sustaining rural programs to address the factors that affect and influence maternal health, such as health status, health behaviors, access to health care and social services, and quality of health care.

Contact: Rural Health Information Hub, School of Medicine and Health Sciences, 501 North Columbia Road Stop 9037, Room 4520, Grand Forks, ND 58202-9037, Telephone: (800) 270-1898 E-mail: [email protected] Web Site: https://www.ruralhealthinfo.org

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Keywords: Access to health care, Evidence based medicine, Health care disparities, Health status disparities, Maternal health, Model programs, Rural health, Rural populations, Women

Annotation: This systematic review was conducted to support the United States Preventive Services Task Force in updating its 2014 recommendation on daily low dose aspirin use during pregnancy for individuals at increased risk for preeclampsia. The report reviewed updated evidence on the effectiveness and potential harms of daily aspirin use during pregnancy to prevent morbidity and mortality associated with preeclampsia. Data sources included MEDLINE, PubMed, Embase, and the Cochrane Collaboration Registry of Controlled Trials; results were limited to studies published between January 2013 and July 2019. The reviewed studies showed that daily aspirin use in pregnancy for individuals at increased risk for preeclampsia consistently led to beneficial effects on perinatal mortality, preterm birth, fetal growth restriction, and preeclampsia diagnosis.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Pregnant women, Drugs, Evidence based medicine, High risk groups, Literature reviews, Maternal health, Perinatal care, Preeclampsia, Pregnancy, Pregnancy complications, Pregnancy outcomes, Preventive health services

Annotation: This systematic review updates the 2012 evidence review used to inform the United States Preventive Services Task Force recommendations on the benefits and harms of screening for gestational diabetes mellitus. Since gestational diabetes mellitus is mostly asymptomatic, screening for it during pregnancy could identify women who could benefit from treatments to reduce the adverse consequences of this condition. Data sources included MEDLINE, Embase, and CINAHL between 2010 and May 2020; other sources included ClinicalTrials.gov, reference lists of primary studies and systematic reviews through June 2021. The results of this review showed that screening tests can identify women with gestational diabetes at or after 24 weeks of gestation and treatment is associated with improvement in various maternal and neonatal outcomes without serious harms.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Diabetes mellitus, Evidence based medicine, Gestational diabetes, Literature reviews, Pregnancy, Pregnancy complications, Pregnancy outcomes, Pregnant women, Screening

Annotation: The Postpartum Discharge Patient Safety Bundle was revised in 2021 to incorporate respectful concepts and data collection tools. The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes during a critical period in which patients are at risk for maternal morbidity and mortality. It emphasizes the importance of establishing systems for scheduling timely postpartum visits, screening for risk factors, providing standardized discharge education about warning signs including mental health concerns, and ensuring patients receive a comprehensive discharge summary. It also highlights the importance of coordinated clinical pathways between inpatient and outpatient settings, trauma-informed care, and addressing biases that affect quality of care. Bundle components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: The database aggregates sample evidence-based/informed strategies that can be used as-is or adapted to develop Evidence-based or informed Strategy Measures (ESMs) for each of the MCH National Performance Measures (NPMs). The strategies are listed by National Performance Measure, from NPM 1-Well Woman VIsit throught NPM 15-Continuous and Adequate Insurance. [Funded by the Maternal and Child Health Bureau]

Contact: Strengthen the Evidence for MCH Programs, National Center for Education in Maternal and Child Health, Washington, DC Web Site: https://www.mchevidence.org/ Available from the website.

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Keywords: Evidence based medicine, Model programs

Annotation: This report summarizes factors influencing adolescent well-care performance in six top-performing state Medicaid programs. State Medicaid officials from the states with the highest adolescent well-care visit performance – RI, CT, TX, NY, NH, and MA – were interviewed to understand the factors contributing to their success.

Contact: National Alliance to Advance Adolescent Health, 1615 M Street, N.W., Washington, DC 20036, Telephone: (202) 223-1500 Fax: (202) 429-3557 E-mail: [email protected] Web Site: http://www.thenationalalliance.org/ Available from the website.

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Keywords: Adolescent health, Evaluation, Evidence based medicine, Health supervision, Medicaid, State programs, Well child care

Annotation: This training about standardizing the process of selecting teeth for dental sealant placement is geared toward oral health professionals. It comprises a PowerPoint presentation and pre- and post-tests. The training reviews evidence-based guidance for sealant use, addresses questions, and presents findings and recommendations. Examples of sound, cavitated, and noncavitated lesions on tooth surfaces and discussions about whether to select teeth for sealants are included.

Contact: Association of State and Territorial Dental Directors, 3858 Cashill Boulevard, Reno, NV 89509, Telephone: (775) 626-5008 Fax: (775) 626-9268 E-mail: [email protected] Web Site: https://www.astdd.org Available from the website.

• Presentation
• Quizzes

Keywords: Dental sealants, Evidence based medicine, Health education, Oral health, Training

Annotation: This textbook for clinicians, residents, students, and allied health professionals provides information and themes pertinent to dentistry for children at all ages. Contents include information about oral care from conception to age 3, ages 3–6, 6–12, and adolescence. Topics include the responsibilities of non-oral-health professionals related to infant oral health, the effect of oral disease on children, dental sealants, advances in tissue engineering, and the importance of assisting the pediatric patient to transition to an adult dental home. Citations from health literature and policies and clinical guidelines of the American Academy of Pediatric Dentistry and American Academy of Pediatrics are included. The book includes an expert consult website featuring case studies and procedural videos along with a fully searchable version of the text.

Contact: Elsevier Saunders, 3251 Riverport Lane, St. Louis, MO 63043, Telephone: (800) 545-2522 E-mail: [email protected] Web Site: http://www.us.elsevierhealth.com Document Number: ISBN 978-0-323-08546-5.

Keywords: Adolescent health, Adolescents, Age factors, Age groups, Child development, Child health, Children, Evidence based medicine, Infant health, Infants, Oral health, Oral health care, Pediatric dentistry, Preventive health services, Textbooks

Annotation: This webinar reviews new clinical content in the Bright Futures Guidelines and the associated Periodicity Schedule, and discusses how to use evidence to decide on content for your practice's health supervision visits and how to identify strategies, tools, and resources to maximize efficiency for health promotion and preventive services.

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.

• Webinar Only
• Bright Futures 4th Edition Webinars And Slide Decks

Keywords: Adolescent development, Adolescent health, Anticipatory guidance, Child development, Child health, Communities, Disease prevention, Emotional development, Evidence based medicine, Families, Guidelines, Health promotion, Health screening, Health supervision, Infant development, Infant health, Injury prevention, Mental health, Nutrition, Oral health, Pediatric care, Perinatal health, Physical activity, Preventive health services, Protective factors, Psychosocial development, Safety, Sexual health, Standards, Videos, Weight management

Annotation: This systematic review examines the benefits and harms of primary care-relevant interventions to prevent perinatal depression (i.e., depression during pregnancy and postpartum depression). Sources consulted for the review include MEDLINE, PubMED, PsyINFO, and the Cochrane Central Register of Controlled Trials; references of relevant publications and government web sites were also searched. The review looked at publications published in English between January 1, 2012, and February 6, 2018. The evidence review concluded that counseling interventions can be effective in preventing perinatal depression; a variety of other intervention approaches provided some evidence of effectiveness, but lacked a robust evidence base and need further research.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Evidence based medicine, Intervention, Literature reviews, Maternal health, Mental health screening, Postpartum depression, Pregnancy, Women', s health