Case Studies Show Improved Birth Outcomes and Cost Savings
C-sections financed by Medicaid, on average, cost nearly $5,000 more than vaginal births. With state Medicaid agencies financing nearly half of all births each year, improving birth outcomes is a priority.
A 50-state environmental scan of strategies to improve women’s access to high quality preventive and perinatal care—released earlier this year in coordination with the National Academy for State Health Policy (NASHP)—mapped state Medicaid efforts to improve birth outcomes. The scan revealed numerous innovative initiatives, many providing healthcare cost savings, which are the focus of three new case studies.
- Oklahoma Case Study: The Oklahoma Health Care Authority focused its efforts on reducing elective C-sections without medical indication. As of 2016, Oklahoma had reduced the rate of primary C-sections without medical indication to 15.6 percent, resulting in substantial cost savings to the state. Read how
- Wisconsin Case Study: The Wisconsin Department of Health Services focused its efforts on reducing birth disparities through effective, comprehensive, coordinated and quality maternity care. The program results indicate an improvement in the rate of postpartum care visits from 61.4% in 2013 to 85.5% in 2015. Read how
- Tennessee Case Study: Tennessee’s Department of Human Services’ Division of TennCare (Medicaid) has implemented a perinatal episode of care that focuses on women with low to medium risk pregnancies. As a result, Tennessee has seen a 3.4 percent decrease in care cost, a total of about $4.7 million, in calendar year 2014-2015. (case study coming soon)
“These case studies demonstrate that states working to improve birth outcomes have an opportunity to forge successful cross-agency collaborations,” says NICHQ Executive Project Director Pat Heinrich, RN, MSN, CLE. “When collaborating partners, like state health departments and Medicaid, have a common aim and shared goals that is when we see the best results.”
Improving birth outcomes is an essential step in every child achieving their optimal health—NICHQ’s vision. Learn more about the multiple initiatives where NICHQ is working with states to encourage innovative system reform to support better outcomes for mothers and babies, while reducing overall healthcare costs.
Closing the Breastfeeding Disparity Gap: Methods for Improvement
When compared to all other racial groups, Hispanic mothers are most likely to supplement breastmilk with formula within the first two days of life. One hospital on the Texas-Mexico border, serving a nearly 100 percent Hispanic population, has introduced a variety of interventions aimed at closing the breastfeeding disparity gap, specifically as it relates to exclusive breastfeeding.
A Proactive Approach to Early Children’s Vision Screening
As part of the Improving Children’s Vision: Systems, Stakeholders & Support (ICV) initiative, NICHQ is helping three states to develop comprehensive, coordinated approaches to improving vision and eye health for children under age 5. Introducing a systems-level approach can best overcome geographic and economic obstacles, and navigate the various components of state and community health systems.
What Comes First? The Policy or the Change?
What happens if the process to introduce new policies impedes or delays the provision of higher quality, evidence-based care, such as new infant safety recommendations or a proposal for improved epilepsy diagnosis? In other words, what happens if policy becomes a barrier to change rather than a core driver?
How to Cope with Change Fatigue
To keep your change initiative moving forward on the right path it’s important to know the symptoms of fatigue and the right strategies for addressing them. To help, we’ve paired the common causes of change fatigue with proven strategies to keep your change efforts on track.
Building a Culture of Collaboration Within Multilevel Systems
Because children’s health is influenced by a great many factors, simultaneously engaging systems at the community, city, state and government level is essential for significant change. All too often we discover that two state agencies can be closely aligned on their goal, but working independently to reach it. When we work collaboratively instead, we’re able to pool, leverage and reinforce our resources for a common aim. A new e-course, NICHQ’s Essentials of Collaboration, provides strategies for healthy collaboration.
Scott Berns Shares Healthcare Improvement Strategies at HUBweek
NICHQ President and CEO Scott Berns, MD, MPH, FAAP, joined fellow healthcare innovators at HUBweek, Boston’s festival for the future. Here are some highlights from Berns' keynote speech sharing NICHQ’s unique approach to bridging silos in the healthcare community to create pathways for collaboration and innovation.