Search Results: MCHLine

Annotation: The goal of this demonstration project was to develop and implement a comprehensive health and safety curriculum in child day care settings to improve the health status of children. A comprehensive educational program was developed and presented in the day care setting with a positive parenting component, a children's component, and a day care worker component. This educational curriculum demonstrated positive changes in child health indicators, day care environment, and safety, and increased knowledge of child development, health, and safety issues on the part of parents and day care workers. [Funded by the Maternal and Child Health Bureau]

Keywords: Caregivers, Child Care, Child safety, Health Education, Immunization, Parents, Preschoolers, Rural Populations, Urban Populations

Annotation: This report describes a project to address the health needs of children in child care centers in the New Mexico counties of Rio Arriba and McKinley. Topics include parent and child care provider training in the areas of nutrition, oral health, physical fitness, mental health, and communicable disease prevention. [Funded by the Maternal and Child Health Bureau]

Keywords: Caregivers, Child Care, Dental Caries, Early childhood caries, Health Promotion, Immunization, Oral Health, Preschoolers, Rural Populations

Annotation: This project focused on developing a systematic approach to integrate medical, vocational, educational, psychosocial, and developmental services for adolescents with physical disabilities and/or chronic illness who are at risk in their transition to maturity. Project objectives were to (1) create an administrative structure at the State level and in two pilot sites for provision of an integrated continuum of health and education services; (2) enable service providers, through training and collaboration, to coordinate service planning for the target population; (3) enable the adolescent and family, through counseling and training, to function as their own "case manager"; and (4) monitor and evaluate the model to determine the feasibility for replication in Alabama and/or other states. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescents with special health care needs, Advocacy, Chronic illnesses and disabilities, Community-Based Health Care, Coordination of Health Care, Data Bases, Interdisciplinary Teams, Rural Population, Urban Population

Annotation: This project sought to achieve comprehensive, coordinated, community-based services for children with special health needs and their families through improved collaboration among parents and public and private agencies at all levels within the service delivery system. Activities included maintaining a network of States, facilitating coalitions within States, brokering technical assistance, organizing conferences, and developing materials on topics such as the financing of services, service provision to culturally diverse groups, rural services, and collaboration between mental health professionals and other health care providers. [Funded by the Maternal and Child Health Bureau]

Keywords: Child Care, Chronically Ill, Collaboration of Care, Community-Based Health Care, Families, Family-Based Health Care, Financing, Grandparents, Medicaid, Networks, Parent Support Groups, Parents, Rural Population

Annotation: This project sought to develop a statewide system of community-based, comprehensive care/case management and family support services. Program strategies included developing a training curriculum for the skilled delivery of home-based family support services by medical professionals, paraprofessionals, and parents; piloting a respite providers' network; providing statewide training on the provision of family support services; and developing and disseminating a statewide directory of trained family support service providers. [Funded by the Maternal and Child Health Bureau]

Keywords: 99-457, Case Management, Chronically Ill, Community-Based Health Care, Coordination of Health Care, Family-Based Health Care, Financing Health Care, Fragmentation of Services, L, P, Parents, Rural Population

Annotation: The overall goal of this project was to develop a replicable system of family-centered, community-based case management for children with special health care needs in a frontier State. Targeted communities were under 20,000 in population and served areas at least 50 miles from a level II facility. The project objectives were to: (1) Upgrade case management and assessment skills of local public health nurses; (2) develop family-centered, community-based case management programs that address the needs of the family and the child with special needs; and (3) develop community-based teams that empower families to actively participate in identifying and meeting educational, social, psychological, health, and financial needs for themselves and the child with special needs. [Funded by the Maternal and Child Health Bureau]

Keywords: Case Management, Chronically Ill, Community-Based Health Care, Education of Health Professionals, Families, Family-Centered Health Care, Public Health Nurses, Rural Populations

Annotation: This project provided a model program for American Indian families and the professionals who served them. The program goals were to identify cultural, systemic, institutional, and policy barriers that inhibit Native American family participation in the "Western" health care/case management system; improve case management by facilitating effective communication between Native American families and the non-Native American health care professionals who serve them; and increase Native American family participation in health care policy development and planning forums in order to promote changes that improve services for Native American children and families. Activities included developing a videotape illustrating effective cross-cultural communication strategies for non-Indian health care providers and training an Indian parent advocate to help families seen at IHS special pediatric clinics. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Case Management, Chronically Ill, Community-Based Health Care, Coordination of Health Care, Developmentally Delayed/Disabled, Family-Based Health Care, Indian Health Service (IHS), Low income groups, Parents, Rural Population

Annotation: This project established a model program for the coordination of early identification and assessment services for infants 0-3 years of age at high risk for major handicaps. It aimed to make appropriate developmental screening available as close as possible to the infant's home community, to provide the necessary developmental screening training to local health and educational service providers, and to provide the regional coordination for the many agencies and professional involved. [Funded by the Maternal and Child Health Bureau]

Keywords: Clinics, Coordination of Health Care, Early Intervention, Education of Health Professionals, High risk infants, Rural Population, Screening

Annotation: The goal of the project was to improve the functioning of special needs children and their families by providing locally based clinic and care coordination services in a rural area in Utah. The program objectives were to: (1) Involve parents of special needs children in developing a service plan for their child, (2) improve the implementation of service plans for rural special needs children, (3) improve coordination of services to rural special needs children, and (4) improve adequacy of services to these children. While maintaining current multidisciplinary clinic services, Children's Special Health Services worked through the local health department to place a nurse coordinator, secretary, social worker, and trained parent advocates in the local community. This team built upon existing local systems to improve the functional outcomes of the children. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Advocacy, Children with Special Health care Needs, Chronic Illnesses and Disabilities, Community Based Health Services, Parents, Rural Population, Service Coordination

Annotation: This project aimed to reduce postneonatal mortality rates associated with inadequate parenting skills and poor utilization of prenatal and child health care services. Activities included establishment of a resource mothers program in which church women were trained to assist pregnant women in negotiating the health care and social services systems, and implementation of a teen peer counselor program. The project also established self-sustaining local coalitions to monitor and address problems that contribute to poor pregnancy outcomes. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Adolescents, Blacks, Clergy, Community-Based Health Services, High risk groups, High risk pregnancy, Infant Mortality, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care, Religious organizations, Rural Populations

Annotation: This project was a partnership between families and their medical home to develop a demonstration model for care coordination for environmentally at-risk infants and toddlers in low-income culturally diverse urban and rural settings. The families were being served as part of the eligible population under P.L. 99–457, with an individualized family support plan (IFSP) developed for each family. The target population included many families of different ethnic origins. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Children with Special Health care Needs, Cultural Diversity, Families, Family Centered Health Care, Family Support Programs, Hawaiians, Health Promotion, Healthy Tomorrows Partnership for Children, Low Income Population, PL 99-457, Parents, Preschool Children, Primary Care, Rural Population, Service Coordination, Urban Population

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

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Keywords: Barriers, Case studies, Health care access, Health equity, Maternal health, Rural health, Rural population, Statistics

Annotation: This compendium presents programs designed to improve access to oral health care in rural communities and shares best practices on providing oral health care in these communities. Selected topic areas include integrating oral health into rural prenatal health to improve neonatal and maternal outcomes, integrating oral health care to improve health, school-based oral health, and teledentistry. Each topic area highlights specific programs and provides information on the program purpose, a program summary, and information on the program’s efficacy and impact.

• 2025 Edition
• 2020 Edition

Keywords: Access to health care, Health care delivery, Health care utilizatoin, Oral health, Programs, Rural population, Teledentistry, Training

Annotation: This report discusses the Medical Oral Expanded Care (MORE Care) Ohio pilot program, which aims to integrate oral health care into pediatric primary care settings and establish referral networks between medical practices and oral health practices in the state. The report provides background information on contributors to tooth decay and on More Care. It discusses program design and impact and presents a path toward improving integration to ultimately increase access to oral health care for children in Ohio. zzz

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Keywords: Access to health care, Dental caries, Dental hygiene, National programs, Ohio, Oral health, Primary care, Rural population, Service integration, State programs

Annotation: This report provides information on the cost and prevalence of emergency department (ED) visits for non-traumatic oral conditions (NTOCs). It offers an overview of problems associated with using the ED for oral health care. It presents statistical information on topics including the number of people who visited the ED for NTOCs in 2019, 2021, and 2022; the estimated total cost of visits; the rates of ED visits; the rate of visits by age groups; and the rate of visits by people living in different types of rural and urban areas.

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Keywords: Access to health care, Age factors, Costs, Data, Emergency medicine, Emergency room data, Income factors, Medicaid, Oral health, Rural population, Trends, Urban population

Annotation: This report presents recommendations from a taskforce convened to address maternal and infant health challenges in rural South Carolina. The document examines the significant barriers facing pregnant and postpartum women and their babies in rural areas of the state, including provider shortages, hospital closures, transportation challenges, and nonmedical drivers of health such as poverty and food insecurity. It reviews successful programmatic efforts including Family Solutions, Hello Family Pay for Success, and the Management of Maternal Diabetes initiative, as well as policy approaches from other southern states that have expanded practice authority for certified nurse midwives and strengthened workforce incentives. The report provides detailed recommendations organized into four categories: care delivery (including mobile maternity units and telehealth expansion), workforce development (addressing pay equity and training), training and education for providers and communities, and addressing nonmedical drivers of health through transportation and social support services. It includes extensive data on maternal mortality rates, provider distribution maps, and economic analyses of the costs associated with poor maternal health outcomes, along with definitions of key terms and comprehensive references.

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Keywords: Barriers, Infant health, Maternal health, Model programs, Postpartum care, Prenatal care, Rural health, South Carolina, State initiatives

Annotation: These case studies provide information about the processes that five states underwent to strengthen their Medicaid dental benefits for adults—from emergency-only to comprehensive benefits. The states are Kansas, Maine, Maryland, Utah, and Virginia. The case studies discuss each state’s challenges, strategies, and successes. And each case study includes lessons to strengthen access to oral health care for families with low incomes, people with disabilities, and residents of rural communities.

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Keywords: Health insurance, Kansas, Low income groups, Maine, Maryland, Medicaid, Oral health, Rural population, Special health care needs, State programs, Utah, Virginia

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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• Series Link

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

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.

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

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.

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