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.
Strategies for Effective Leadership in Health Improvement Efforts
Effective leadership can make or break a quality improvement effort. And that’s a lot of pressure for any one individual. To help, we’re sharing three key strategies on effective leadership from Gwen Webber-McLeod, president and CEO of Gwen Inc. and expert in leadership development.
Make Perinatal Regionalization Work for Your State
Perinatal regionalization can improve health outcomes for mothers and babies, creating a stronger system of care. But communication and process barriers can get in the way. Here, Dr. Christopher Glantz, MD, MPH, provides strategies for developing a regionalization system that empowers affiliate hospitals as true partners in collaboration.
Launch an Early Childhood Parent Academy
Interested in developing free, accessible lessons that empower parents around early childhood development? An early childhood parent academy—a structured set of courses covering key topic areas that parents need to know about early childhood development—does just that. Click in for a curriculum and strategies on how to launch one in your state.
Conversations Can Stop Sleep-Related Infant Deaths
To help reduce sleep-related infant deaths, Founder of the Global Infant Safe Sleep Center, Stacy Scott, PhD, MPA and a team of experts compiled a list of tactics and examples to support infant safe sleep conversations. Each strategy responds to a real-life example from health professionals across the country.
Keeping Families Together Improves Children’s Health Outcomes, from Borders to Communities
Thousands of children were recently separated from their families on the Texas border. Too many children have undergone the trauma of preventable family separation, which cannot be undone. NICHQ's new Chief Health Officer, Elizabeth Coté, MD, MPA, has witnessed the devastating effects of caregiver-child separation in communities across the country and across the world. In this article, she speaks up about the harm of that separation and urges us to remain vigilant about keeping families together.