addressing Extreme Prematurity
Eliminating Sleep-Related Deaths
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).
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.
Rita Horwitz, Better Health Partnership
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.
Lisa Matthews, Cuyahoga-Cleveland Ohio Equity Institute
Angela Newman White, Cuyahoga-Cleveland Ohio Equity Institute
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.
Melissa Federman, Center for Community Solutions and March of Dimes
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.
Celina Cunanan, Cuyahoga County CenteringPregnancy Coalition
Alison Tomazic, Cuyahoga County CenteringPregnancy Coalition
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.
Invest in Children, Bright Beginnings, ODH and ODM
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