Search Results: MCHLine

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: This web page from the South Carolina Department of Public Health addresses the state's high maternal mortality rate, which ranks 8th in the United States, noting that nearly 90% of pregnancy-related deaths—the majority of which occur in the postpartum period—are preventable. The site highlights stark disparities, with the mortality rate for non-Hispanic Black women being nearly double that of non-Hispanic White women, and lists the top three leading causes as Infections, Mental Health Conditions/Substance Use Disorder (SUD), and Embolism. The site includes an illustrated list of the urgent maternal warning signs developed by the Council on Patient Safety in Women's Health Care. The page also links to the Tracking Reproductive Health Dashboard and a booklet for new parents.

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Keywords: Data, Maternal mortality, Postpartum care, Prevention, South Carolina, State health agencies, State initiatives

Annotation: This report provides information on the link between poor oral health and chronic disease and on efforts of the National Association of Chronic Disease directors (NACDD) to develop a national framework for medical-dental integration (MDI) and discusses NACDD's work with five states (Colorado, Connecticut, North Dakota, South Carolina, and Virginia) on projects whose purpose was to document successful approaches for increasing the effectiveness of state oral health and chronic disease collaborations with dental clinics and community providers to screen for chronic conditions such as hypertension, pre-diabetes, and diabetes. Each project is discussed, along oral health outcomes for each state and future directions. zzz

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Keywords: Chronic illnesses and disabilities, Colorado, Connecticut, Diabetes, Hypertension, North Dakota, Oral health, Service coordination, Service integration, South Carolina, State programs, Virginia

Annotation: This issue brief examines the implementation of Medicaid/CHIP postpartum coverage extensions from 60 days to 12 months after pregnancy in five states. Based on interviews with 37 maternal health stakeholders, the authors identify key challenges and opportunities to maximize the impact of these extensions on maternal health outcomes. The report finds that while eligibility systems are functioning, limited communication about extended coverage and barriers to accessing care may reduce effectiveness. The authors recommend specific actions to improve implementation, including expanding education about extended coverage, improving quality of postpartum care, supporting continuity of care with a focus on equity, strengthening managed care organization accountability, and monitoring implementation progress. This policy analysis emphasizes that while extending coverage is necessary for improving maternal health outcomes, additional delivery system reforms are needed to address persistent racial and ethnic disparities and ensure coverage translates into access to quality care throughout the postpartum year.

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Keywords: Barriers, Children's Health Insurance Program, Health care delivery, Health care reform, Health equity, Maternal health, Medicaid, New Jersey, New Mexico, Ohio, Policy development, Postpartum care, Quality Assurance, Quality improvement, South Carolina, State initiatives, and Virginia

Annotation: This report highlights findings from the Improving Postpartum Care Affinity Group, a quality improvement initiative convened by the Centers for Medicare & Medicaid Services from April 2021 to April 2023. Nine states participated in the affinity group to develop and test interventions addressing the high rates of preventable maternal mortality and morbidity in the United States, with nearly two-thirds of maternal deaths occurring during the postpartum period. The report describes how state teams used data-driven approaches to identify disparities and quality improvement opportunities, select measures to monitor their projects, and evaluate intervention impacts. It presents four main categories of interventions tested by participating states: targeted case management services for high-risk beneficiaries, postpartum cardiac care including blood pressure monitoring and cardiomyopathy protocols, support from doulas and community health workers with home visiting programs, and beneficiary and provider education and support tools. The document includes specific examples from states such as South Carolina's pilot addressing gaps in behavioral health screening, Georgia's work to improve provider use of postpartum visit codes, and Texas's blood pressure cuff distribution program for hypertensive beneficiaries.

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Keywords: Data analysis, Georgia, Kansas, Kentucky, Maternal morbidity, Maternal mortality, Missouri, Models, Oklahoma, Postpartum care, Prevention, Quality improvement, South Carolina, State initiatives, Texas, Wyoming

Annotation: This fact sheet provides parents with information about South Carolina’s school oral health program, which includes a dental sealant component and a fluoride treatment (gel, foam, or varnish) component. Definitions of sealants and fluoride treatment are provided, along with information on how children can take part in the program. The fact sheet has English on one side and Spanish on the other.

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Keywords: Consumer education materials, Dental sealants, Fluorides, Oral health, Preventive health services, School age children, School health programs, South Carolina, Spanish language materials, State programs

Annotation: This webinar highlights two innovative telehealth programs developed to address mental health and substance use disorders during the COVID-19 pandemic. The first presentation by Dr. Rachel Whitman describes Rhode Island's 24/7 buprenorphine hotline, which provides telephone-based treatment for opioid use disorder without requiring video capability, making it accessible to vulnerable populations with limited technology access. The second presentation by Dr. Gwen Latendresse showcases Utah's project to implement universal electronic screening for perinatal depression in rural public health districts and provide telehealth group therapy sessions for women with mild to moderate symptoms. Both speakers emphasize how the pandemic accelerated telehealth adoption while simultaneously creating greater barriers to care access. They address equity concerns, highlighting the importance of audio-only options to reach marginalized populations, and discuss program outcomes, future goals, and lessons learned about expanding telehealth for behavioral health treatment.

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Keywords: Rhode Island, Utah, Telemedicine, Pregnant women, Postpartum women, Mental health, Substance abuse, Covid-19 (suggested keyword), Case studies, Infant health, Washington, New Mexico, Iowa, Arkansas, South Carolina, Northern Mariana Islands, Native Americans

Annotation: This video recording aims to explore comprehensive telehealth applications in maternal and child healthcare, particularly focusing on four key telehealth modalities and their potential to enhance care delivery. The content examines how various states have implemented telehealth solutions for both provider training and improving behavioral health services for maternal and child populations. Through comparative analysis of traditional care versus telehealth approaches and discussion of adoption factors, the presentation demonstrates practical strategies for state and territorial health agencies to effectively leverage telehealth technology in improving behavioral health outcomes for mothers and children.

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Keywords: Telemedicine, Substance abuse, Maternal health, Infant health, Mental health, Staff development, Case studies, Substance abusing mothers, Montana, Connecticut, New Hampshire, South Carolina,

Annotation: This progress report provides a summary of the project activities and accomplishments of the South Carolina Perinatal and Infant Oral Health Quality Improvement project during the 1-year project period ending in 2019. The report offers background on the project and information about project progress (including accomplishments), significant changes during the project period, and project evaluation. The project’s impact is also discussed. [Funded by the Maternal and Child Health Bureau]

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• PIOHQI Initiative Page

Keywords: Infant health, Oral health, Pregnant women, South Carolina, State programs

Annotation: This plan presents priorities for oral health in South Carolina during the period 2015–2020. Priorities discussed include strengthening public health infrastructure; improving access to oral health services for vulnerable populations; education and prevention; supporting the integration of public health priorities, as they relate to oral health, into higher education programs’ dental education; and policy and outreach. For each priority, recommendations are provided.

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• Entry Page

Keywords: Access to health care, Education, Oral health, Outreach, Prevention, Public health, Public policy, South Carolina, State programs

Annotation: This training contains five modules for health professionals and their staff about oral health and children. The modules cover tooth decay, caries risk assessment, anticipatory guidance, the benefits of fluoride and fluoridated water, and fluoride varnish and other strategies for integrating oral health care into primary care. [Funded by the Maternal and Child Health Bureau]

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Keywords: , Fluoride, Oral health, Professional education, Service Integration, South Carolina, State initiatives, Training materials

Annotation: These practice guidelines provide information on the oral health care of pregnant women in South Carolina. They contain data on infant mortality and preterm birth, oral health care and counseling utilization, and key findings from the South Carolina Pregnancy Risk Assessment Monitoring Systems (PRAMS) for 2012–2013. The guidelines also include recommendations for health professionals and for oral health professionals, referral forms for oral health care, and dentists’ reports for prenatal care professionals. [Funded by the Maternal and Child Health Bureau]

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Keywords: Disease management, Forms, Guidelines, Oral health, Oral health care, Pregnant women, Prevention services, Referrals, Resources for professionals, Service coordination, South Carolina, State programs

Annotation: This paper provides information about initiating interprofessional networks that integrate and coordinate person-centered oral health care in rural communities. Topics include oral health as a national issue with rural implications, interprofessional practice and the oral-systemic health connection, creating networks and a learning collaborative, state offices of rural health and medicaloral expanded care initiation, and challenges and opportunities for innovation. Examples from Colorado, Pennsylvania, and South Carolina are included.

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• Executive Summary

Keywords: Collaboration, Colorado, Community based services, Health care delivery, Information systems, Oral health, Oral health care, Pennsylvania, Program coordination, Provider networks, Rural environment, Rural health, Rural population, Service integration, South Carolina, State initiatives, Systems development, Technology, Work force

Annotation: This brief explores how six states (Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina) have responded to the U.S. Department of Health and Human Services’ Oral Health Strategic Framework. For each state, a summary of how the state is improving access to oral health care and advancing oral health interprofessional practice is provided.

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Keywords: Access to health care, Colorado, Iowa, New Mexico, North Carolina, Oral health, Pennsylvania, Service Integration, South Carolina, State programs

Annotation: This manual provides expectations and standards for programs that enter into a memorandum of agreement with the South Carolina Department of Health and Environmental Control, School-Based Dental Prevention Program. Topics include regulatory compliance, program operation, data management and monitoring, and reporting requirements. Supporting documents and educational resources are included.

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Keywords: Children, Dentists, Manuals, Oral health, Regulations, School age children, School based clinics, South Carolina, State programs, Training materials

Annotation: This website describes Upstate Cribs for Kids -- a regional program in South Carolina that aims to reduce the number of infant deaths due to unsafe sleeping environments. The site provides safe sleep education and materials to help families and caregivers avoid putting their children at risk due to unsafe sleep practices. Also included is a link to the online safe sleep video, Room to Breathe.

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Keywords: Infant death, Prevention, Regional programs, Risk factors, SIDS, Sleep position, South Carolina, State programs

Annotation: This report presents findings from an analysis of contraceptive use and pregnancy patterns among low-income adolescents on Medicaid in South Carolina. Conducted by the South Carolina Campaign to Prevent Teen Pregnancy and the South Carolina Budget and Control Board, the report reveals the percentage of teens who became pregnant who used no birth control, or less reliable forms of birth control, and suggests that offering a different type of birth control to teens on Medicaid might help delay pregnancy and childbirth. Based on longitudinal data from one to five years for each teen, the report compares and contrasts contraceptive use, birth control methods, and rates of pregnancy according to the participants' age and race. The report concludes with recommendations to help reduce the teen pregnancy rate among low-income adolescents. in South Carolina.

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Keywords: Adolescent pregnancy, Comparative analysis, Contraceptive use, Data, High risk adolescents, Low income groups, Prevention, South Carolina, State initiatives

Annotation: The purpose of this report is to raise awareness about oral health in South Carolina and to guide efforts to prevent and treat oral disease among South Carolina residents. The report provides information about the oral disease burden in the state, highlights groups at highest risk for oral health problems, and discusses strategies to prevent these problems from occurring and provide access to oral health care. Comparisons are made with national data whenever possible and to Healthy People 2010 objectives where appropriate.

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Keywords: , Access to health care, High risk groups, Oral health, Prevention, South Carolina, State initiatives, Treatment

Annotation: This resource guide is designed to give parents and other caregivers tips on oral hygiene and oral health care for children and youth with special health care needs. Topics include selecting and adapting a toothbrush, addressing challenges, providing good nutrition, encouraging safety, and going to the dentist. Contents also include information sheets for specific conditions, state and national organizations, and service information.

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Keywords: Adolescents with special health care needs, Children with special health care needs, Educational materials, Family support services, Learning activities, Oral health, South Carolina, State programs

Annotation: This series of reports describe federal funding for chronic disease prevention programs in six states (Alaska, Colorado, Idaho, New Hampshire, South Carolina, and Washington) and the potential impact on the individuals served by these programs if federal funds are reduced or eliminated. The report addresses programs and impacts in the following areas: breast, cervical, and colon cancer; diabetes; domestic violence and sexual assault; heart disease and stroke; oral health; and tobacco.

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Keywords: Accountability, Alaska, Block grants, Chronic illnesses and disabilities, Colorado, Idaho, New Hampshire, Program budgeting, Public health services, South Carolina, State programs, Washington