Transcript Center for Maternal & Infant Health

UNC Center for Maternal
and Infant Health
Presentation to the Dean of the School of Medicine
August 2, 2007
Sarah Verbiest, MSW, MPH, DrPH(C), Executive Director
John Cotton, MD, Co-Director, Pediatrics
Kathryn Menard MD, MPH, Co-Director, Obstetrics
What We Do
Clinical
Service
Health
Services
Research
Statewide
Programs
& Policies
Perinatal Care Coordination
 Fetal anomalies & complex infants
 Perinatal multidisciplinary care conference
 Treatment plan, coordination with specialists,
local providers, and community resources
 Education, counseling, support
Center has over 7 years
experience providing complex
prenatal & pediatric care
management. The Center has
served over 4,000 mothers,
babies and families.
Special Services
 Maternal Transport

Includes resident education and community
provider communication
 Special Infant Care Clinic

Fosters coordination among over a dozen
subspecialties and community pediatricians
 Perinatal Hospice
 Patient Education Services Committee
 Postpartum Care Clinic
Infant Patients Served By County
2006-07


89 complex infants (followed for a year, up 33%)
352 high-risk infants/toddlers
Prenatal & Transport Patients Served By County
2006-07
 288 prenatal patients with fetal anomalies
 317 maternal transports
 300 community providers (includes pediatricians)
Clinical Service and Research:
Health Informatics
 Manage perinatal database
Monthly QI reports to hospital
 NICU Annual Report
 OB Monthly Report
 64 data requests for research
 Other database management
 Pericare, Genetics
 Newborn Screening
 Webmaster for www.mombaby.org
 17P order forms and DVD
 Hospital Locator
 Algorithms
 National Preconception Curriculum
 NICU Family Board

Health Outcomes Research:
Postpartum Prevention Plus Program
 Reduce the risk of recurring poor birth
outcomes by improving the health of high-risk
mothers.
 Mothers of NCCC infants and mothers who
had a fetal or infant demise
 Funded by the March of Dimes and the
Dean’s Investments for the Future Fund
Research Dissemination:
Reducing Recurring Preterm Birth
 Advisory Committee
 Coordinated distribution to 240 women at 30
clinics by 78 providers across NC in 5 months
 Secured Medicaid Reimbursement
 Education to providers statewide
 Patient & Provider Materials
Research Dissemination: 17P Impact
Key
= Physicians who prescribed 17P
= Women who have received 17P
= Videoconference Sites
February-June 2007
Presentations & Publications

National Perinatal Social Work Conference


National Summit on Preconception Health



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The Postpartum Plus Prevention Program: Interconception Care for Mothers of Preemies: A Preliminary Report
(poster – Shores, Verbiest, Menard, Brown)
Taking Action in North Carolina: the Development of a Statewide Preconception Health Plan (Brown, Mullenix,
Verbiest, Long-Valentine)
The Postpartum Visit: A Missed Opportunity for Preconception Care (Verbiest)
The Policy & Finance of Preconception Care: Commercial and Public Payers Reimbursement Patterns at UNC
(Menard, Felton, Boggess, Verbiest)
American Public Health Association and NC/SC Perinatal Association


UNC Perinatal Hospice: A Pathway to Integrated Care (Welborn, Rentrope, Crenshaw)
Reducing the Risk of Recurring Preterm Birth: The North Carolina 17P Project (Verbiest, Menard, Holliday)
Baby Love Conference: Helping Families Copes with Birth Defects – from Prenatal Diagnosis to the First
Birthday (Welborn)

NACCHO National Webcast: Preconception Health and Healthcare – Highlights from North Carolina
(Verbiest)

September 2007 NC Medical Journal Community Health Educators’ Roles in Improving Patient Education
(Auger,Verbiest)

Looking Back, Moving Forward: North Carolina’s Path to Healthier Women and Babies (Verbiest)
Programs and Policy:
Preconception Health Promotion
 National CDC Committee
 NC Action Plan
 Planning Major Request to
Launch a Statewide
Campaign


SCHIP expansion to high
risk moms for one year
postpartum
GDM PP Management
NC Health Policy Leadership
 NC Institute of Medicine – Steering
Committee for the Health Literacy Task Force
 NC Perinatal Association – Board Member

Statewide Communications/Website
 Child Fatality Task Force – Leadership Team


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Perinatal Health Committee
SIDS/Safe Sleep Subcommittee
Breastfeeding Policy Workgroup
Programs and Policy:
Leaders in Quality
 Coordinated North Carolina MFM Network
Meeting – May 2007


Develop a clinical, public health, research and
policy agenda, strengthen ties among MFM
specialists in NC, and foster a greater spirit of
collaboration and advocacy
MFM Network Communication
 Partnership with the California Maternal
Quality Care Collaborative
 Participated in Perinatal Quality Collaborative
Planning Efforts