Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceFirst comes data, then comes action: Chattanooga's experience after Perinatal Periodsof Risk analysisPRIMARY CONTACT:Kasey Decosimo, MPHHealth PlannerChattanooga-Hamilton County HealthDepartment921 E 3rd StreetChattanooga, TN, 37403Phone: () 423)209-8093Fax: () 423)209-8089Email: kaseyp@hamiltontn.govWebsite: http://health.hamiltontn.orgCATEGORYPreconception health and health careInfant mortality and morbidityFOCUSProgram Policy FocusISSUECO-PRESENTER(S)/AUTHOR(S):Sarah Stuart Chewning,SarahC@Hamiltontn.gov (Author)Jeannette Sebes McDonald,JeannetteM@HamiltonTN.gov (Author)Heather Burton, heathermburton@gmail.com(Author)The goal for the Chattanooga-Hamilton County Health Department’s Infant Mortality Prevention programis to fully implement all six stages of the PPOR approach, mobilizing data with community-based action.SETTINGThe PPOR approach was initiated by the March of Dimes River Valley Division and the Infant MortalityPrevention program in Chattanooga/Hamilton County, Tennessee.PROJECTIn order to fully utilize the data analysis conducted with PPOR, the March of Dimes and the InfantMortality Prevention Program in Chattanooga hosted two summits (targeting the medical community, theother social service providers and grassroots community groups) to share results of the PPOR dataanalysis and to mobilize the community into action. At the summit for social service providers andcommunity groups, focus groups were conducted to identify gaps in services, barriers, and ways toimprove collaboration to help reduce Hamilton County’s infant mortality rate. To continue the momentumcreated by the summits, a PPOR Action Workgroup was created with members from the medicalcommunity, social service providers, researchers, higher education, and community representatives toprovide recommendations for targeting prevention efforts and creating policy and systems change.ACCOMPLISHMENTS/RESULTSThe PPOR Action Workgroup used the PPOR analysis combined with focus group results to create shorttermand intermediate objectives and actions aimed at reducing the infant mortality rate. An 18-month30
2009 CityMatCH Urban MCH Leadership Conferencetimeline was created for two reasons: it is the remaining term of Tennessee’s Governor (who initiatedChattanooga’s Infant Mortality Prevention Program) and it provides recommendations until the localFetal Infant Mortality Review Team (starting July 2009) will be able to take the lead role for action.Based on importance and changeability, the PPOR Action Workgroup created three major objectives to:• Create Preconception Health campaigns targeting young women and medical providers.• Improve public transportation access for women accessing health care services.• Improve care coordination services among social service providers.Evaluation Plan:Results of the three objectives for action will be monitored by a process evaluation of marketing/campaign activities to change normative attitudes towards preconception health, transportation policies toincrease equitable access to healthcare resources, and care coordination activities and policies to increaseaccess to wrap around services.BARRIERS• Financial capital to implement changes.• Resistance towards change in health care delivery systems.• Full engagement from policy makers.LESSONS LEARNEDEarly on, the Infant Mortality Prevention program engaged stakeholders and community members toinitiate the PPOR approach. Those stakeholders and community members were vital in recruiting for thePPOR Action committee to make the recommended changes. The PPOR data analysis provided thedisparity gaps of infant mortality and risk factors, but the analysis is limited by information provided invital records and existing data. Qualitative data collection at the summit and with target women providedinsight into gaps and barriers in addressing infant mortality. Lastly, the feasibility of an 18-month actionperiod with short-term and intermediate objectives helped engage workgroup members.INFORMATION FOR REPLICATIONHealth Department staff time (local and State) was used to conduct the PPOR analysis and focus groupswith target women; sponsors paid for both summits; and a graduate student intern coordinated the summitfocus groups and analysis.Key partners included the Governor’s Office for Children’s Care Coordination, March of Dimes,Chattanooga Medical Society, Eastside Taskforce, Girls INC, Erlanger Health Systems,Southside/Dodson Avenue Community Health Centers, Re Start Chattanooga, La Paz de Dios, UTCollege of Medicine, Chattanooga State Community College, Ochs Center for Metropolitan Studies,BlueCross BlueShield Volunteer State Health Plan, and the Chattanooga-Hamilton County HealthDepartment.31
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