First Year Cleveland

First Year Cleveland

Case Western Reserve University School of Medicine
Biomedical Research Building
11000 Cedar Avenue - 4th Floor Cleveland, OH 44106

Phone 216-368-4837
Home About Us FYC Action Teams Addressing Extreme Prematurity

FYC Action Teams

Priority Area: Addressing Extreme Prematurity

(Learn more about what we're doing in this priority area)

GOAL: By the end of 2020, the 2015 preterm birth rate of 14.9 percent will be reduced to less than 10 percent by the end of 2020 (14.9 percent represents City of Cleveland, March of Dimes data).

Action Team 4: Establish Learning Circles to identify and resolve issues contributing to infant deaths.

GOAL: Collect data and launch Learning Circles with local birth hospitals and researchers/experts to identify and resolve issues contributing to preterm births and infant deaths. 

Recent Accomplishments:  A baseline aggregate report of 2013-2017 data on infant deaths was completed in 2018 with three health systems. Since then, a fourth health system has engaged with Action Team 4 and this data is being assimilated with the original report. The final baseline report will be produced by Q3 2019. An in-depth chart review is underway collecting data (mother and infant) for extreme premature births in 2018 and 2019. Learning Circles dedicated to chart review findings will start in 2019.

Chair: 
Rita Horwitz, Better Health Partnership


Action Team 5: Educate expectant parents and improve access to treatments to help prevent premature birth and ensure healthy pregnancies.

GOAL:  Work with Ohio Department of Medicaid, Ohio Department of Health, The Academy of Medicine, Ohio Perinatal Quality Collaborative and local Ohio Equity Institute to improve access to eligible 17-P pregnant mothers by educating home visitors on 17-P; link, align and coordinate home visiting and faith-based programs with CenteringPregnancy, prenatal care clinics, and birth hospitals.

Recent Accomplishments:  A number of providers funded by the Ohio Equity Institute, including Cleveland Department of Public Health MomsFirst and Birthing Beautiful Communities, are providing home visiting services. The Cleveland Regional Perinatal Network screens and refers women identified as at risk for mental health issues, particularly perinatal depression, working through health care systems, home visiting programs and social service agencies.

Co-Chairs:
Lisa Matthews, Cuyahoga-Cleveland Ohio Equity Institute
Angela Newman White, Cuyahoga-Cleveland Ohio Equity Institute


Action Team 6: Increase public awareness of LARC and birth spacing guidelines.

GOAL: Work with providers to increase public awareness of birth spacing guidelines and access to long-acting reversible contraceptives (LARC). 

Recent Accomplishments: This team will begin work in 2019.

Chair: 
Melissa Federman, Center for Community Solutions and March of Dimes


Action Team 7: CenteringPregnancy Model.

GOAL: Increase the number of expectant moms being served through a CenteringPregnancy model. 

Recent Accomplishments:  Cuyahoga County practice sites supported by the Ohio Department of Medicaid in 2019 include University Hospitals Cleveland Medical Center, Cleveland Clinic, The MetroHealth System, Neighborhood Family Practice, Care Alliance and NEON. It is anticipated that 2,000 participants will be served in 2019.

Co-Chairs:
Celina Cunanan, Cuyahoga County CenteringPregnancy Coalition
Alison Tomazic, Cuyahoga County CenteringPregnancy Coalition


Action Team 8: Address social determinants of health.

GOAL: Address social determinants impacting expectant parents by serving over 4,000 pregnant mothers annually in results-driven interventions that address housing insecurity, employment, education, nutritional needs and early access to prenatal care and post care. 

Recent Accomplishments:  Cleveland Department of Public Health MomsFirst, MetroHealth Nurse Family Partnership, NEON Moms and Babies First, Birthing Beautiful Communities, and Fatherhood services are providing home visiting, education and support programs. 

Co-Chairs: 
Invest in Children, Bright Beginnings, ODH and ODM

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