Public/Private Partnerships that Work: Working With Hospitals to Reduce Health Disparities Among Women and Infants

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Public/Private Partnerships that Work Working
With Hospitals to Reduce Health Disparities Among
Women and Infants

• Eleanor Padgett
• District of Columbia Department of Health
• 2004 CityMatCH Conference
• Portland, Oregon
• September 14, 2004

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District of Columbia Infant Mortality Rate
1992-2001
Source District of Columbia Department of Health
State Center for Health Statistics Administration
2003
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Core Public Health Services Delivered by the
Maternal and Family Health Administration
Direct Health Care Services Title V CSHCN
Program
Enabling Services HEALTHLINE Transportation,
Health Start Case Management
Maternal and Family and Family Health
Administration
Infrastructure Building Services 5 year
Citywide Needs Assessment, MCH Information
Systems Community Capacity Building
Population-based Services Newborn Metabolic and
Hearing Screening
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District of Columbia Newborn Initiative
A STRATEGIC HEALTHCARE INITIATIVE OF THE District
of Columbia to ensure the maximum possible health
for infants and mothers
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Strategic Goals of the Newborn Initiative

• Prevention and early support services
• Integrated case management
• Information sharing
• Assessing reducing risk
• Meeting the needs of newborns, mothers and
  families

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Why Do We Need This Newborn Initiative?

• Urban Issue Comparison to other urban areas
• Closing the Gap
• Part of approach comprehensive permeate system
• Recommendations from the Infant/Child Fatality
  Review Committee

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Partnerships D.C. Birthing Hospitals
Maternity Centers
Howard University Hospital Greater Southeast
Community Hospital Washington Hospital
Center Georgetown University Hospital George
Washington University Hospital Providence
Hospital District of Columbia Developing Families
Birthing Center Sibley Hospital Childrens
National Medical Center
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Elements to be Achieved

• Stable infant
• Family than can provide the necessary care
• Identification of appropriate support services,
  other professionals and specialists if needed

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Role of the Discharge Planner

• Evaluate, educate, and coordinate
• Communication link between the hospital,
  Department of Health and other community health
  organizations
• Track and Monitor

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Items Included on the Hospital Reporting Form

• Maternal Medical Risk Factors
• Maternal Insurance Status
• Infants Birthweight
• Infants Medical Risk Factors
• Infants Discharge Status
• Infants Feeding Status at Discharge
• Birth Defects
• Family Risk Factors
• Participation in Government Programs
• Referrals to other agencies

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Maternal Insurance Status Among District of
Columbia Residents Seen In the Discharge Planner
Program
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Presence of Select Maternal Medical Risk Factors
Among District of Columbia Residents Seen In the
Discharge Planner Program
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Presence of Select Maternal Medical Risk Factors
Among District of Columbia Residents Seen In the
Discharge Planner Program continued
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Presence of Select Infant Medical Risk Factors
Among District of Columbia Residents Seen In the
Discharge Planner Program
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Infant Feeding Status at Discharge From the
Hospital Among District of Columbia Residents
Seen In the Discharge Planner Program
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Presence of Select Family Risk Factors Among
District of Columbia Residents Seen In the
Discharge Planner Program
Source District of Columbia Hospital Discharge
Planner Database 2003 - 2004
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Benefits of Discharge Planning Program

• Early identification of high risk infants and
  their families
• Better understanding of social and physical
  environmental impact on health
• Public/Private partnership

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Acknowledgements

• District of Columbia Birthing Hospitals and
  Maternity Center
• Hospital Discharge Planners
• Robin Diggs - George Washington University MPH
  Candidate Department of Health Graduate Intern

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For more information on the program please
contact
District of Columbia Department of
Health Maternal and Family Health
Administration 825 North Capitol Street NE 3rd
Floor Suite 3101 Washington, D.C.
20002 [phone]