Search Results: MCHLine

Annotation: This paper presents a prevention model to reduce problem behavior in adolescents by identifying risk factors and protective factors in an adolescent's environment and targeting gaps between the two at all stages of the adolescent's environmental system—individual, family, peers, school, work, and community. The paper reviews current research on risk and protective factors that influence the well being of youth and suggests implications of this research for developing comprehensive community based prevention programs.

Contact: National 4-H Council, 7100 Connecticut Avenue, Chevy Chase, MD 20815, Telephone: (301) 961-2800 E-mail: [email protected] Web Site: http://www.fourhcouncil.edu Available from the website.

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Keywords: Adolescent behavior, Community programs, Environmental influences, Models, Prevention programs, Protective factors, Risk factors

Annotation: This document describes seven science-based approaches in adolescent pregnancy, HIV, and sexually transmitted infection prevention. Topics include assessment, health education and behavior change theory, logic models, science-based programs, adaptation and fidelity, characteristics of promising programs, and process and outcome evaluation. Additional topics include the benefits of using science-based approaches, ten steps for getting to outcomes, and training and technical assistance.

Contact: Healthy Teen Network, 1501 Saint Paul Street, Suite 124, Baltimore, MD 21202, Telephone: (410) 685-0410 Fax: (410) 687-0481 E-mail: [email protected] Web Site: http://www.healthyteennetwork.org Available from the website.

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Keywords: Adolescent pregnancy prevention, Assessment, Behavior modification, HIV, Health behavior, Health education, Methods, Models, Outcome evaluation, Prevention programs, Process evaluation, Sexually transmitted diseases

Annotation: This document for local policymakers and practitioners provides guidance on implementing a community school strategy. It outlines a rationale for the community school as a primary vehicle for increasing student success and strengthening families and community. The document also defines specific results that community schools seek -- both in terms of how they function and in relationship to the well being of students, families, and communities. Contents include the community schools vision, guiding principles, logic model, and framework for student success. Conditions for learning and indicators of capacity are also addressed.

Contact: Institute for Educational Leadership, 4301 Connecticut Avenue, N.W., Suite 100, Washington, DC 2008-2304, Telephone: (202) 822-8405 Fax: (202) 872-4050 E-mail: [email protected] Web Site: http://www.iel.org Available from the website.

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Keywords: Communities, Development, Education, Families, Leadership, Learning, Models, Program improvement, Schools, Students, Teaching

Annotation: This report describes the maternal mortality review process in the state of New Mexico, presents key findings on pregnancy-associated deaths in the state for the period 2015-2018, and provides recommendations from the Review Committee aimed at reducing maternal deaths. The data indicates cause of death, race/ethnicity, place of birth, type of insurance, and other factors.

Contact: New Mexico Department of Health, 1190 South Saint Francis Drive, Santa Fe, NM 87505, Telephone: (505) 827-2613 Fax: (505) 827-2530 E-mail: [email protected] Web Site: https://nmhealth.org

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Keywords: Committees, Maternal death, Maternal mortality, Models, Prevention, Research, State programs, Statistics

Annotation: This toolkit explains how to implement two-generation postpartum care, combining dyadic care with behavioral health support and aid for social needs for postpartum families up to two years after birth. It outlines the UI Health Two-Gen model developed at the University of Illinois Health System since 2020, which addresses physical, behavioral, and social needs of both mothers and infants during well-child visits. The toolkit describes key components including primary care delivery, behavioral health services, care management, patient education, lactation consultation, visit co-scheduling, comprehensive screenings, and care team meetings. It provides practical implementation suggestions for healthcare organizations with varying resources, addressing funding considerations and sharing patient satisfaction data. The toolkit emphasizes how innovative approaches to postpartum care can help address the maternal health crisis, particularly leveraging the Medicaid Postpartum Extension being implemented in multiple states.

Contact: UI Health Two Generation Clinic , University of Illinois Hospital , 1740 West Taylor Street , Chicago, IL 60612, Telephone: (866) 600-2273 Web Site: https://hospital.uillinois.edu/primary-and-specialty-care/primary-care-services/two-generation-clinic

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Keywords: Behavioral medicine, Child health, Illinois , Intergenerational programs, Local programs, Maternal health, Models, Postpartum care, Social services

Annotation: This report summarizes the second meeting of the U.S. Health and Human Services Department's Secretary's Postpartum Maternal Health Collaborative, held January 10, 2025. The document describes how six states (Iowa, New Mexico, Minnesota, Maryland, Massachusetts, and Michigan) implemented evidence-based practices over a 10-month period to reduce postpartum morbidity and mortality. Three states focused on mental health and substance use disorders while three addressed cardiovascular conditions. The report details specific state-level initiatives, including improved screening, care coordination, and follow-up processes, highlighting successful cross-sector collaborations between state health departments, Medicaid agencies, healthcare facilities, and community organizations. Key insights include the importance of standardizing care pathways while tailoring patient engagement strategies, leveraging quality improvement initiatives, and investing in data infrastructure. The document concludes with lessons learned about the benefits of cross-state collaboration and federal technical assistance in implementing facility-level changes that can improve maternal health outcomes.

Contact: Milbank Memorial Fund, 645 Madison Avenue, 15th Floor, New York, NY 10022-1095, Telephone: (212) 355-8400 Fax: (212) 355-8599 E-mail: [email protected] Web Site: http://www.milbank.org

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Keywords: Collaboration, Conference proceedings, Iowa, Maryland, Massachusetts, Maternal health, Michigan , Minnesota, Models, New Mexico, Postpartum care, Quality improvement

Annotation: This starter kit contains resources to help health centers better understand health equity as a broad framework to explain and address structural factors, social determinants of health, and health disparities. The kit includes a collection of innovative strategies, as well as examples of data and measures to track and evaluate health equity efforts. A 13-minute video offers an overview of the starter kit as well as tips for easily navigating through the available tools and resources.

Contact: Health Outreach Partners, 405 14th Street, Suite 909, Oakland, CA 94612, Telephone: (510) 268-0091 Fax: (510) 268-0093 E-mail: http://outreach-partners.org/contact Web Site: http://outreach-partners.org/

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Keywords: Community health centers, Community organizations, Health equity, Models, Outreach, Social determinants of health

Annotation: This resource for professionals provides actionable guidance that encourages collaboration across diverse sectors to address and improve inequities and maternal health outcomes. It provides examples of partnerships that leverage new ideas and resources, including innovative approaches to gathering and using data; highlights policies and practices that are improving the health and well-being of birthing people and children across the United States; and includes stories from birthing people and women about their pregnancy and childbirth experiences. Graphics and sample text for social media posts are also provided.

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: Prenatal care, Advocacy, Childbirth, Colllaboration, Community action, Data, Health equity, Maternal health, Models, Policy, Pregnancy, Resources for professionals

Annotation: This report examines how state and territorial health agencies can advance sustainable financing for community health worker (CHW) programs as COVID-19-related grant funding expires and new Medicare and Medicaid reimbursement opportunities emerge. It presents strategies for state/territorial health agencies to establish clear CHW policies, support effective implementation of Medicaid and Medicare CHW policies, help community-based organizations develop sustainable funding models, and align CHW training and certification programs with financing opportunities. The report includes examples from multiple states' approaches to CHW program sustainability and provides detailed appendices on state staffing structures, relevant federal grants, and CHW-related strategies in state health improvement plans.

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: Community health workers, Financing, Health agencies, Medicaid, Medicare, Models, Policy development, State initiatives

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: This guide provides detailed instructions for implementing a multilingual, person-centered decision aid for routine labor induction in prenatal care settings. It presents both web-based and paper versions of a decision support tool developed by Partner to Decide, a nonprofit organization, with funding from the Maternal Health Learning and Innovation Center. The guide outlines implementation options, necessary resources, and evaluation strategies for healthcare providers adopting the tool, which supports shared decision-making for pregnant people considering labor induction between 39-42+ weeks with no medical indication. It includes step-by-step quality improvement processes, example workflow charts, sample medical record documentation language, and strategies for addressing common implementation challenges. The document contains substantial appendices with worksheets for systems analysis and example implementation flowcharts to help healthcare settings customize the tool's adoption to their specific needs.

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: Decision making, Induced labor, Labor, Models, Patient care, Patient education, Patient satisfaction, Prenatal care

Annotation: In this podcast episode, host Christie Allen talks with renowned maternal health expert Dr. Elliott Main. A pioneering figure in maternal mortality review and quality care initiatives, Dr. Main discusses the history and evolution of the Alliance for Innovation on Maternal Health (AIM). Together, they explore the challenges and triumphs of addressing severe maternal morbidity and mortality in the U.S., the early groundwork that led to AIM, and the collaborative efforts that turned ideas into actionable tools. Dr. Main also shares his thoughts on the future of maternal health and the "one thing" he believes is critical to driving change moving forward. This 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: Collaboration, History, Initiatives, Maternal health, Maternal morbidity, Maternal mortality, Models, Resources for professionals

Annotation: This report summarizes key findings from the U.S. Health and Human Services Department's Postpartum Maternal Health Collaborative Expert Evidence Convening held in April 2024. The document synthesizes insights from four expert panels focused on reducing postpartum mortality, covering mental health and substance use disorder, community and social drivers of health, clinical care, and state-level policy opportunities. The report identifies seven key themes for state policy action, including enabling better care transitions with technology and patient-specific planning, providing resources before screening for social needs, ensuring cross-sector collaboration, incorporating community engagement, supporting quality improvement initiatives, implementing patient-centered care approaches, and investing in data infrastructure. Panel discussions revealed strategies such as implementing non-punitive child welfare policies, reimbursing integrated healthcare and telehealth services, extending postpartum coverage, bundling care incentives, and addressing systems barriers including access limitations, provider competency gaps, and cultural barriers that impact maternal health outcomes.RetryClaude can make mistakes. Please double-check responses.

Contact: Milbank Memorial Fund, 645 Madison Avenue, 15th Floor, New York, NY 10022-1095, Telephone: (212) 355-8400 Fax: (212) 355-8599 E-mail: [email protected] Web Site: http://www.milbank.org

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Keywords: Collaboration, Conference proceedings, Indiana, Maternal health, Mental health, Models, Pennsylvania, Postpartum care, Quality improvement, State initiatives

Annotation: This report presents recommendations for ensuring high-quality postpartum care during the full 12-month period covered by Illinois' Postpartum Medicaid Extension. It outlines the content of care delineated in the Illinois Medicaid contract for Managed Care Organizations, focusing on requirements for the extended postpartum period. The authors propose a comprehensive Postpartum Performance Measurement Dataset that would require MCOs to report on specific measures for the postpartum population, providing a clearer picture of care delivery through 12 months postpartum. They also recommend expanding the Women's Health section of the HealthChoice Illinois report cards and creating a separate Maternal Health section to help pregnant and postpartum people choose the best health plans. The report emphasizes the importance of monitoring MCOs and provider performance to ensure accountability for delivering high-quality care to postpartum persons, particularly given Illinois' maternal health crisis with rising rates of maternal morbidity and mortality inequities.

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Keywords: Illinois, Measures, Medicaid, Models, Postpartum care, Pregnant women, Quality Assurance, State Initiatives

Annotation: This action brief discusses the importance of prioritizing respectful maternity care, calling attention to the need to support dignity, autonomy, and companionship in pregnancy, birth, and postpartum care. The brief highlights five anti-discriminatory action steps highlighted in the White House blueprint for addressing the maternal crisis and links to a wide variety of programs and resources aimed at improving maternal health outcomes. Statistical data related to maternal maltreatment and a description of factors affecting progress are included

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, Federal programs, Health care disparities, Health equity, Initiatives, Maternal health, Models, Perinatal care, Quality improvement, Racial discrimination

Annotation: This brief shares facts about youth homelessness in America; discusses the effect that homelessness has on young people; reviews the nation's response to the lack of safe, stable housing for youth ages 13-25; and provides recommendations on what leaders can be doing to prevent and end housing instability among young people. Recommended approaches include: (1) developing a unified definition of youth homelessness; (2) focusing on prevention; (3) targeting funding to basic needs and other youth homelessness risks; (4) supporting cross-systems partnerships; (5) advancing equity; (6) elevating youth voices; (7) transforming the justice system response; and (8) helping young people leaving foster care prepare for adulthood.

Contact: Annie E. Casey Foundation, 701 Saint Paul Street, Baltimore, MD 21202, Telephone: (410) 547-6600 Fax: (410) 547-6624 E-mail: [email protected] Web Site: http://www.aecf.org

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Keywords: Adolescents, Child welfare, Homeless persons, Homelessness, Housing, Initiatives, Models, Prevention, Statistics, Youth

Annotation: This issue brief explains how systems thinking principles can be used as a tool to help solve complex, seemingly intractable challenges and inequities in maternal and child health (MCH). Examples include the Iceburg model, as applied to reproductive health care; system support mapping, for use with the MCH workforce; and a conceptional model for preconception care using causal loop diagraming.

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: Interdisciplinary approach, Cooperation, Health equity, Methods , Models, Service delivery systems, Systems development

Annotation: This report provides recommendations developed by people who experienced being pregnant while dealing with housing instability and homelessness. A project of Healthy Parents Healthy Babies (an outgrowth of the Framework for an Equitable Homelessness Response) the report includes strategies to help reduce racial disparities, increase housing stability, and improve maternal health, birth outcomes, and child health associated with homelessness and extreme housing instability among women and families of color.

Contact: National Alliance to End Homelessness, 1518 K Street, N.W., Suite 410, Washington, DC 20005, Telephone: (202) 638-1526 Fax: (202) 638-4664 E-mail: [email protected] Web Site: http://www.endhomelessness.org

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Keywords: Homelessness, Housing, Initiatives, Models, Pregnant women

Annotation: This issue brief outlines policy issues and opportunities related to the prenatal-to-3 period in Medicaid coverage. It examines models of care that address both parent and child health needs during this critical developmental period, including home visiting programs, group care, and dyadic services. The brief focuses on four key policy areas: workforce development for community-based workers, payment reforms to expand coverage and reimbursement models, data collection and quality measurement needs, and delivery system innovations to integrate services. It provides specific recommendations for creating a national 5-year strategic plan to increase access to evidence-based maternal health services through Medicaid while reducing inequities and centering care in communities.

Contact: Institute for Medicaid Innovation, 1250 Connecticut Ave., Suite 700, PMB 5135, Washington, DC 20036, E-mail: [email protected] Web Site: http://www.medicaidinnovation.org

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Keywords: Child health, Health equity, Infant health services, MCH Services, Medicaid, Models, National programs, Policy, Strategic plan

Annotation: This article discusses the postpartum period as an opportunity for preventing maternal harm and death while improving health equity. It presents findings from the Institute for Healthcare Improvement's 90-day Innovation cycle identifying hospital interventions to improve postpartum care, particularly for Black women who experience 3.5 times higher maternal mortality rates than white women. The article outlines four key intervention areas: reducing variability in discharge education, offering implicit bias training, forming strategic partnerships, and promoting continuity of care across departments. The process map diagram visually represents the Innovation Team's research findings, highlighting current challenges and opportunities for improvement in postpartum care pathways. The article describes issues in discharge processes, post-birth warning signs, follow-up care models, and patient-centered design. It concludes with information about a Learning Community initiative with five birthing hospitals that began in January 2023, funded by Merck for Mothers.

Contact: Institute for Healthcare Improvement , 20 University Road, Seventh Floor , Cambridge , MA 02138, Telephone: (617) 301-4800 Secondary Telephone: (866) 787-0831 Fax: (617) 301-4830 E-mail: [email protected] Web Site: http://www.ihi.org

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Keywords: Quality improvement, Blacks, Health care disparities, Maternal health, Maternal mortality, Models, Postpartum care, Prevention, Statistics