improving infant mortality in ohio - Maternal and Child Health ...

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many they each serve annually, how their infant mortalityrates compare with general community’s?2. Managed Care by Cincinnati Health Department (? Is thisan OIMRI program?).3. OIMRI (Ohio Infant Mortality Reduction Initiative)a. OIMRI (Ohio Infant Mortality ReductionInitiative): Although I am still learning about thisprogram, each time I hear about it the infantmortality data sounds pretty impressive. Are we ata point that we can look at each of the 14 OhioCounties that have OIMRI programs and compareat least 5 year IMR’s for OIMRI participants withtheir local cohorts?4. The participant counties include: Allen (Lima), Butler(Middletown), Clark (Springfield), Cuyahoga (Cleveland),franklin (Columbus), Hamilton (Cincinnati), Lorain(Elyria), Lucas (Toledo), Mahoning (Youngstown),Montgomery (Dayton), Richland (Mansfield), stark(Canton), summit (Akron), Trumbull (Warren) (Have weidentifiesd all of the programs, how long they have been inexistence, how many they each serve annually, how theirinfant mortality rates compare with general community’s?)a. How were these locations chosen?b. Seems that each of these programs is based on CaseManagement, including home visitation…is thiscorrect?c. If we have enough data to suggest that theseprograms work, then how do we spread them towider areas of the counties the programs alreadyexist in?d. Can Medicaid Managed Care adopt these models?f. Different models of care: Group Prenatal Care1. Centering Pregnancy: Can we review the impact ofCentering in Ohio? What is the IMR in Centeringprograms compared to other local programs serving asimilar cohort that is not Centering? Summarize the models of care in the Strong Smart application. Can we begin to investigate how strongly tying women’s care intothe Medical Care Home initiative might look. How all of this tiesinto however the Affordable Care Act is going to look in Ohio?Importantly, we want to ensure that women have access tohealthcare even when they are not pregnant, includingpreconception and interconception care without copay, whichwill provide an extraordinary opportunity to improve women’s
health not only during pregnancy, but before, between, andbeyond pregnancy and across their life course.8. Family Planning:a. Decrease unwanted/un-intended pregnancies, prolong inter-pregnancyintervalb. Medicaid Family Planning Expansion /State Planning Admendment A healthy pregnancy is a planned pregnancy and one that does notoccur too close to a previous birth (space at least 18-24 monthsapart). As of January 2012 Ohio became the (? 29, 30 th , or 31 st )State to offer a family planning waiver, known in Ohio as the StatePlanning Amendment (SPA). Ohio Medicaid’s recent expansionof eligibility for family planning services for men and women upto 200% of the FPL (federal poverty level) enables a whole newgroup of Ohioans to gain access to family planning services thatwill help plan pregnancies, which will result in healthier babies.To apply for Medicaid family planning services, apply online athttp://jfs.ohio.gov/OHP/consumers/Application.stm or contact yourlocal county department of job and family services:http://jfs.ohio.gov/County/County_Directory.pdf. Can we work with Medicaid and Managed Care Organizations tohelp ensure that women have seamless postpartum transition ontothis SPA w/o a hard stop between the postpartum end of theMedicaid coverage for their pregnancy and coverage forpostpartum SAP coverage of contraceptive services? Since womenwith private insurance do not have to re-apply to continue theirbenefits after delivering a baby, is there a way for us not to requirewomen paying for their births by Medicaid to have to re-applybefore they can take advantage of this benefit? How does the SPA influence the ACA coverage? How do we assure that ALL mothers who deliver babies haveaccess to family planning services, including those who deliver atCatholic Healthcare Centers where family planning services arenot as available? My interest is not to undermine CatholicDirectives or to interfere with the Catholic Church, but to becertain that the option of family planning services are available toeveryone whishing to access such services.1. I am not looking for any type of mandate here, but“community-level partnerships” that provide contraceptiveservices seamlessly/conveniently to women interested inreceiving them and to do so in a manner that respects theCatholic church.9. Policy:a. Should we look to legislatively “mandate” FIMR as a part of CFR Rationale: infant mortality accounts for 66% of all Childhooddeath in Ohio, so we should have a process that conducts more in-
Page 1 and 2: IMPROVING INFANT MORTALITY IN OHIOT
Page 3 and 4: 3. Continuing efforts to decrease r
Page 5 and 6: • Adopt a “uniform” safe slee
Page 7: http://www.surgeongeneral.gov/libra
Page 12 and 13: depth investigation of each infant
Page 14 and 15: esearch approach and based on a soc
Page 16 and 17: Committee; (8) Flint Odyssey House
Page 18 and 19: eport featured the Broome Team in a
Page 20 and 21: f. Design Systems approach in a def
Page 22 and 23: f. 90% of children referred to spec
Page 24 and 25: 1. Family and fatherhood: multi-lev
Page 26 and 27: 1. To measure positive (thriving) a

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