Public Health

  • Medicaid Strategies to Promote Increased Access to Long-Acting Reversible Contraception (LARC)

    Posted May 24, 2016 by Tamara Kramer; Karen VanLandeghem, MPH

    Unplanned pregnancies can present a tremendous challenge for many women, healthcare payers and the community, and are associated with a number of negative health outcomes, such as delayed prenatal care and premature births. Efforts like the Centers for Medicare and Medicaid Services’ (CMS) recent guidance and the Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN) have improved maternal and infant health outcomes, while also highlighting the $10 billion cost burden Medicaid expends on unplanned births.

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  • Innovations and Inspirations for Improving Children’s Health: May 2016

    Posted May 19, 2016 by Josh Grant

    Across the United States, organizations and government agencies are creating new approaches to improve children’s health. Because we support innovation for helping children lead healthier lives, we’ve highlighted some of the most exciting initiatives we’ve seen in the last few weeks. Read on to learn how some groups are addressing critical health needs.

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  • Putting the Cross-Sector Gears in Motion: How 3 Best Babies Zones Are Moving Towards Cross-Sector Action to Reduce Disparities in Infant Mortality

    Posted May 17, 2016 by Monica Barr

    The Best Babies Zone (BBZ) Initiative has been working on the social determinants of health for four years. In 2012, BBZ was launched to address the social, economic and environmental factors that contribute to poor birth outcomes. With funding from the W.K. Kellogg Foundation, three small pilot “zones” were launched in Cincinnati, OH, New Orleans, LA, and Oakland, CA. In these cities, a lead organization connects and convenes partners from across sectors, creating possibilities for innovative projects that address the root causes of infant mortality in that community.

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  • Rhode Island Targets Social Factors to Achieve Health Equity

    Posted May 05, 2016 by Rachel Kremen

    While a higher percentage of Rhode Islanders have health insurance compared to the U.S. average, achieving health equity has been a challenge for the state—especially for its infant mortality rate. Now, the Rhode Island Department of Health is targeting key social factors that impact infant mortality in minority groups, including education, income and stress. The Rhode Island Commission for Health Advocacy and Equity was created in 2011 to address the inequity, by bringing together state agencies to focus on the social determinants of health—typically defined as the wider set of forces and systems shaping the conditions of daily life. Aligning the efforts of those inside and outside the state is also key.

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  • Medicaid Strategies to Promote Full-Term Births

    Posted May 03, 2016 by Tamara Kramer

    Reducing the rate of pre-term birth is a major priority for state health agencies and a growing concern for state Medicaid programs. Medicaid agencies provide coverage for over half of the nation’s births each year and pay for a higher rate of premature or low-birth weight babies than the private insurance market (10.4 percent versus 9.1 percent). Pre-term birth, a birth that occurs prior to 37 weeks of gestation, is the leading cause of infant mortality in the United States. Early delivery is associated with a host of long-term health issues for the infant, including sight and hearing loss, cerebral palsy and developmental and intellectual disabilities.

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  • A New Primer for PCPs on Starting a Healthy Weight Clinic

    Posted April 21, 2016 by Josh Grant

    Developed as part of the Mass in Motion Kids Learning Collaborative, NICHQ’s new Healthy Weight Clinic Guide teaches providers how they can develop, implement and maintain community-based pediatric healthy weight clinics. The Healthy Weight Clinic Guide is an opportunity for healthcare providers, families and children to address obesity together and promote healthy living.

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  • Using Telementoring to Improve Care for Patients With Sickle Cell Disease

    Posted April 19, 2016 by Sonya Spillmann, RN

    In the United States, nearly 100,000 people have the inherited red blood cell disorder sickle cell disease (SCD), yet access to knowledgeable providers throughout their lifespan is one of the biggest challenges for these patients. With a desire to narrow this disparity, groups of SCD experts are teaching healthcare providers how to capably manage patients with SCD by harnessing the power of technology, including telementoring.

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  • Trends in Sickle Cell Disease Focus on Therapeutic Treatments, Care Transitions and Global Health

    Posted April 07, 2016 by Cindy Hutter

    Since NICHQ was named the National Coordinating Center for the Sickle Cell Disease Treatment Demonstration Program (SCDTDP) in 2010 there have been increases in the number of providers prescribing disease modifying therapies, such as hydroxyurea to treat patients with sickle cell disease (SCD), better care in emergency departments, along with increases in the number of patients receiving regular care with providers knowledgeable about treating SCD. As the project enters into a new phase, we recently sat down with Suzette Oyeku, MD, MPH, medical director for NICHQ’s sickle cell work to learn more about the project’s evolution and learnings.

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  • Delaware Hones in on Medical-Legal Partnerships to Reduce Infant Mortality

    Posted April 05, 2016 by Wendy Loveland

    A pregnant woman living in poverty faces stress that often has negative consequences for her and her baby’s health, including infant mortality. Unmet housing needs, lack of access to quality healthcare, financial insecurity, immigration status and family stability are just some of the social determinants of health affecting pregnant women. Many of these stressful situations require legal aid, but healthcare and the law have historically worked separately. The Delaware team participating in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN), led by NICHQ, is working to develop medical-legal partnerships (MLPs) to address these stressors in an integrated way and improve health outcomes for women and babies.

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  • Just Download It: Wyoming Discovers Novel Way to Help Pregnant Mothers

    Posted March 29, 2016 by Cindy Hutter

    Wyoming is improving its birth outcomes one downloader at a time. An interactive mobile app—Due Date Plus—that the state Medicaid office developed for pregnant women is redefining prenatal education and transforming how Medicaid meets the needs of its pregnant population.

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  • Better Care for High-Risk Babies: Improving Perinatal Regionalization in Illinois

    Posted March 10, 2016 by Elizabeth Baker

    An ongoing effort from the Illinois team involved in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN) is to get 90 percent of very preterm infants in Illinois delivered in Level 3 perinatal facilities. These facilities feature neonatal intensive care units (NICUs), where a combination of leading-edge technology and specially trained staff can vastly improve health outcomes for high-risk babies.

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  • 4 Strategies for Building a Public Health Social Movement

    Posted March 03, 2016 by Cindy Hutter

    Forget the old marketing tactic of shouting loud and often. Mario Drummonds, MS, LCSW, MBA, the CEO of Strategy Interactions, and a participant in the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN), shares four strategies for building a public health social movement to increase state and national attention on your healthcare issue.

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  • South Carolina Finds Winning Strategy to Reducing Unintended Pregnancies in its Medicaid Population

    Posted March 01, 2016 by Wendy Loveland

    In South Carolina, half of all pregnancies in 2010 were unintended, primarily due to either lack of or failed contraceptives. Within the South Carolina Medicaid population, almost 79 percent of women defined their pregnancy as unintended. This is particularly troubling because births resulting from unintended pregnancies are linked to adverse maternal and child health outcomes and myriad social and economic challenges. To reduce this percentage, South Carolina Medicaid began a policy change in 2012 aimed at increasing the use of immediate postpartum inpatient insertions of long-acting, reversible contraceptives (LARCs).

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  • New CDC Data Shows More Work Needed to Curb Smoking During Pregnancy

    Posted February 19, 2016 by Sabrina Selk

    It has been more than 50 years since the Surgeon General’s report on the adverse health impacts of smoking. However, maternal smoking during pregnancy remains a persistent problem that healthcare and public health professionals have been unable to eliminate.

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  • How Kansas is Leveraging the Infant Mortality CoIIN to Accelerate Improvement

    Posted February 11, 2016 by Cindy Hutter

    Collaborative Improvement and Innovation Networks (CoIINs) offer many tools and resources for their participants. From driver diagrams to measurement strategies to change packages and collaboration tools, the underlying supports for accelerating change are all there. A participant just needs to reach out and embrace them.

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  • States Use Home Visiting Programs to Spread Safe Sleep Messages

    Posted November 18, 2015 by Cindy Hutter

    The growing demand for maternal and child health services and support, coupled with stagnant or shrinking resources, is causing state health departments to find creative ways to do more with less. Many states are leveraging home visiting programs as a convenient way to spread important information and strategies related to safe sleep practices, a key component of infant mortality reduction efforts.

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  • Battling Prematurity to Ensure a Fighting Chance for Every Baby

    Posted November 10, 2015 by March of Dimes

    Every year, about 380,000 babies are born too soon in the United States. Our preterm birth rate of 9.6 percent places the U.S. among the worst of high resource nations. Preterm birth is the leading cause of newborn death and babies who survive an early birth often face serious and lifelong health problems. November is the time to focus the spotlight on the problem of prematurity during Prematurity Awareness Month and World Prematurity Day Nov. 17.

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  • Bringing the APHA Poster Session to You

    Posted November 05, 2015 by Cindy Hutter

    NICHQ staff members were thrilled to see so many familiar faces at the American Public Health Association Annual Meeting in Chicago earlier this week. The meeting’s theme was “Health in All Policies.” We couldn’t agree more that the environments in which people learn, live, play and work have a tremendous impact on their health.

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  • Inspiring Change through Motivational Interviewing

    Posted September 08, 2015 by Rachel Kremen

    Helping people make a long-term, healthy lifestyle choice doesn’t have to be daunting. The key lies in motivating—not indoctrinating—the client. Motivational interviewing is a style of communication for helping someone explore and resolve their ambivalence to change.

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  • Find Success and Mirror It - Can It Be That Simple?

    Posted December 12, 2014 by Elissa Faro, PhD

    Childhood malnutrition. Infant mortality. Childhood obesity. Health inequalities and disparities. These are just some of the most demanding problems facing those who work to improve child health. However, these big issues are often seemingly intractable. How do you move the needle when previous efforts have yielded such meager results? One answer may lie in the concept of positive deviance.

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  • Incorporating Quality Improvement in Public Health

    Posted November 11, 2014 by Lloyd Provost, MS

    From my recent experience at the Infant Mortality Summits, a meeting of the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality, it seems that the time is ripe for the widespread growth of quality improvement (QI) strategies in the public health arena.

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  • Contradicting Assumptions About Infant Mortality Rates: How Far Upstream?

    Posted November 04, 2014 by Charles J. Homer, MD, MPH

    Learning often begins when facts contradict our assumptions. While attending the kickoff summits of the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality in July, I became aware of at least two facts that contradicted my previous assumptions: (1) that infant mortality rates for non-Hispanic blacks are higher in the upper Midwestern states than they are in the deep South and (2) that the declines in infant mortality in several southern states over the past decade have been steeper than anywhere else in the country.

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  • Living the Life of a Sickle Cell Warrior

    Posted September 15, 2014 by Fatima Oyeku

    In support of National Sickle Cell Awareness Month, NICHQ invited Fatima Oyeku, a woman living with sickle cell disease, to share her perspective. “Maybe I'm just being overly optimistic, but I honestly think SCD could be eradicated if more people knew their trait status and have the opportunity to make an informed decision about having children,” she says.

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  • Overcoming the Epidemic of Compassion Fatigue

    Posted June 05, 2014 by Lauren Smith, MD, MPH

    Given the many priorities and important issues that are competing for our collective attention, how do we break through the cacophony of dire statistics and grave warnings about so many “epidemics?"

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