Search Results: MCHLine

Annotation: The project's goals were to: (1) Develop and implement structures and processes in defined community areas to plan and implement a family-centered, community-based health care delivery system for children; (2) develop data system capacity and function statewide to ensure family-centered, community-based primary care services for children; and (3) share experiences in family-centered, community-based system change in the area of primary health care for children with other State, regional, and national maternal and child health providers. At the State level, strategies were directed toward developing a system of children's primary health care delivery that was family centered and community based. At the local level, child health steering committees in established projects were to continue to plan and implement child health system changes in their service areas. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Child Mortality, Community Based Health Services, Databases, Family Centered Health Care, Information Systems, Primary Care, Standards of Care, State Programs

Annotation: This handbook captures the values and beliefs of health care consumers in leadership positions in human services organizations. The handbook, which is available online only and may be printed, sets forth principles to help guide health care consumers as they assume leadership positions and provides guidance or negotiating issues that may come with their new roles. The handbook delineates eight fundamentals for practice and discusses each of them.

Contact: U.S. Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (888) 275-4772 Secondary Telephone: (877) 464-4772 Fax: (301) 443-1246 E-mail: [email protected] Web Site: http://www.hrsa.gov Available from the website.

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Keywords: Consumers, Health care, Leadership, Service delivery systems

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 Available from the website.

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• Program Website

Keywords: Adolescent health, Assessment, Health care systems, Program improvement, Quality assurance

Annotation: This brief reviews what has been accomplished to date in the development of the family voice in all child-serving systems including substance abuse, mental health, child welfare, juvenile justice, trauma support, education, and primary care. The review indicates what needs to occur to create true cross-systems collaboration supporting family involvement, so that youth and their families can fully access the service and supports they need to obtain and maintain optimum health.

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 Available from the website.

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Keywords: Child health, Child welfare, Collaboration, Families, Family centered care, Health care systems, Interagency cooperation, Parent professional relations, Service coordination, Service delivery systems

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: 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: These proceedings present information from a workshop convened to explore innovative practices and models for advancing oral health across the lifespan. Topics include a global perspective on improving oral health, an overview of U.S. federal oral health policies and programs, an overview of U.S. state-level oral health policies, supporting all people to improve their oral health, increasing access to oral health care, the role of public and private payers in improving access to and affordability of oral health care, oral health care for varying populations, dentistry in 2035, enhancing oral health research and innovation, and the potential for systems transformation.

Contact: National Academies Press, 500 Fifth Street, N.W., Keck 360, Washington, DC 20001, Telephone: (202) 334-3313 Secondary Telephone: (888) 624-8373 Fax: (202) 334-2451 E-mail: [email protected] Web Site: http://www.nap.edu Available from the website.

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Keywords: Access to health care, Costs, Dentistry, Health systems, Oral health, Policy, Research, World health

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 toolkit offers evidence-based guidance to help health professionals make health information easier to understand and act on, make health care easier to navigate, and increase support for people of all health literacy levels. Contents include 23 tools addressing the following five domains: path to improvement, spoken communication, written communication, self-management and empowerment, and supportive systems. Additional contents include resources such as sample forms, PowerPoint presentations, and assessment tools.

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 Available from the website. Document Number: AHRQ Publication no. 23-0075.

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Keywords: Communication, Empowerment, Forms, Health care systems, Health literacy, Patient care, Primary care, Resources for professionals, Self care, Social support

Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell discuss how acknowledging the need for change and understanding the difficulty of the journey are the starting points for positive transformation. With a focus on practical steps, they address how healthcare providers can engage with systems and structures already in place to promote equity. From engaging with quality departments and hospital teams to fostering a culture of transparency, they outline actionable strategies for both providers and institutions to create a future where safe and equitable births are the norm. This episode is part of the AIM for Better 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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• Series Link

Keywords: Childbirth, Health care reform, Health care systems, Health equity, Maternal health, Quality improvement

Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell address the common myths surrounding equity and improving quality of care within the healthcare system. They discuss whether clinicians are inherently racist and the complex interplay between individual intentions, systemic biases, and how equity and quality are inherently intertwined. emphasizing that trust and relationship-building are pivotal for achieving positive patient outcomes. Dr. Gillispie-Bell and Christie also challenge the notion of blaming patients for non-compliance with care, and emphasize that the onus is on the healthcare system to provide accessible and patient-centered care. They also tackle the misconception that socioeconomic status alone can explain maternal health disparities, and highlight the importance of acknowledging and dismantling systemic biases. This episode is part of the AIM for Better 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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• Series Link

Keywords: Health care systems, Health equity, Implicit bias, Maternal health, Physician patient relations, Racism

Annotation: This brief describes the maternal health crisis in the United States, noting that the U.S. has the highest maternal mortality rate among high-income nations, with more than 80% of pregnancy-related deaths considered preventable. It explains how the crisis disproportionately affects people of color, particularly Black women who die at three to four times the rate of non-Hispanic White women from pregnancy-related complications. The document outlines key factors contributing to these disparities, including implicit and explicit racial bias, systemic bias, barriers for people with disabilities, limited access to healthcare facilities, lack of skilled providers, socioeconomic challenges, and domestic safety concerns. It presents the White House Blueprint for Addressing the Maternal Health Crisis, which identifies five goals and more than 50 action steps to improve maternal health, and introduces Evidence to Action Briefs developed by the Maternal Health Learning & Innovation Center to facilitate implementation. The brief includes detailed data visualizations depicting maternal mortality trends by race, ethnicity, geography, and causes of death, and features the ROOTT Framework that illustrates how structural and social determinants affect maternal health outcomes.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Barriers, Blacks, Data, Federal initiatives, Health care disparities, Health care systems, Maternal health, Maternal morbidity, Maternal mortality, Quality improvement, Service integration, Social determinants of health, Trends

Annotation: This tip sheet outlines strategies for health professionals in planning, developing, and implementing state and local efforts to ensure access to oral health care for children and adolescents with special health care needs. Topics include working with parents and other caregivers to provide oral hygiene care, work force issues, health care financing, the importance of dental and medical homes, and a review of state and local programs addressing these issues. [Funded in part by the Maternal and Child Health Bureau]

Contact: National Maternal and Child Oral Health Resource Center, Georgetown University, Washington, DC 20057, E-mail: [email protected] Web Site: https://www.mchoralhealth.org Available from the website.

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Keywords: Adolescents with special health care needs, Children, Children with special health care needs, Dental hygiene, Health care systems, Oral health, Oral health care

Annotation: This report focuses on aspects of Medicaid's mission to ensure access to high-quality health services and the program's future as a major health care payer driving health system change toward value. The report focuses on topics of interest to Congress, including Medicaid’s responsiveness during economic downturns; concerns about high rates of maternal morbidity and mortality; improving hospital payment policy for the nation's safetynet hospitals, and the integration of care for people who are dually eligible for Medicaid and Medicare.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: https://www.macpac.gov/contact-us/ Web Site: http://www.macpac.gov Available from the website.

• 2022
• 2021

Keywords: Access to health care, Adolescents, Children, Children', Costs, Financing, Health care reform, Health services delivery, Medicaid, Medications, Mental health, Oral health, Organizational change, Pregnant women, Reimbursement, Systems development, s Health Insurance Program

Annotation: This brief offers information about children and youth with special health care needs (SHCN) from the National Survey of Children’s Health 2019–2020. Information is provided on the prevalence of children and youth with SHCN, types of SHCN, unmet health care needs among children and youth with SHCN, and effective systems of care for this population.

Contact: U.S. Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 443-2170 Web Site: https://mchb.hrsa.gov Available from the website.

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Keywords: Adolescents, Children, Health care systems, Special health care needs, Surveys, Youth

Annotation: This brief provides an overview of key findings from Oral Health in America: Advances and Challenges that focus on opportunities to effect policy change to help achieve oral health equity and racial justice. Topics include the relationship between oral health, social inequities, and structural racism; progress toward reducing oral disease; policy changes to help improve the oral health care system and advance health equity; and strategies to improve the oral health of Americans.

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

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Keywords: Health care disparities, Health care systems, Health equity, Oral health, Public policy, Racism

Annotation: This roadmap presents four goals toward achieving oral health equity for young children in Colorado. For each goal, an introduction and context, a set of associated strategies, proposed actions for each strategy, a suggested timeline, a list of potential partners, and a workbook are included. The roadmap also includes information about Colorado’s early childhood oral health system, especially for communities of color, and information about related frameworks, plans, and recommendations.

Contact: Early Milestones Colorado, 1536 Wynkoop St #902, Denver, CO 80202, Telephone: (720) 639-9000 Web Site: https://earlymilestones.org/ Available from the website.

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Keywords: Children, Colorado, Health care systems, Health equity, Oral health, State information

Annotation: This review evaluates the effectiveness, use, and implementation of telehealth for women’s preventive services for reproductive healthcare and interpersonal violence (IPV). It examines patient preferences and engagement in telehealth and explores how this form of health care delivery affects health outcomes, particularly for those who are geographically isolated or in underserved settings or populations. The use of telehealth services during the COVID-19 pandemic is highlighted.

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 Available from the website.

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Keywords: Health care systems, Health care delivery, Health screening, Prevention services, Telecommunications, Telehealth, Telemedicine, Women', s health

Annotation: This brief includes information on the value-based care (VBC) model. Under this model, health professionals are paid based on the overall quality of care they provide, not on the number of services rendered or the number of patients served. The brief describes three models (fee for service, capitation or managed care, and VBC) and presents recommendations for VBC programs that provide children with oral health care. Challenges to developing a VBC system are addressed.

Contact: American Academy of Pediatric Dentistry, Research and Policy Center, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Secondary Telephone: (800) 544-2174 Fax: (312) 337-6329 E-mail: [email protected] Web Site: https://www.aapd.org/research/policy-center/ Available from the website.

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Keywords: Child health, Health programs, Managed care, Models, Oral health, Quality assurance, Service delivery systems