Impacting Infant Mortality by Network Building in Lake County, Indiana Angie Martin, Director of Administration, HealthVisions Midwest and Network Coordinator Risë Ratney, Executive Director.
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Impacting Infant Mortality by Network Building in Lake County, Indiana Angie Martin, Director of Administration, HealthVisions Midwest and Network Coordinator Risë Ratney, Executive Director of Northwest Indiana Healthy Start and Chair of the MCH Network Don Barnes, President and CEO of HealthVisions Midwest Connie Leal, RN, IBCLC, Director of Maternal Child Health Program of Lake County, HealthVisions Midwest 2 Background and Overview Mission, Planning and Structure Successes/Challenges/Next Steps 3 HealthVisions Midwest (HVM) is the sponsoring organization Who is HealthVisions Midwest? We work in communities to: ◦ ◦ ◦ ◦ ◦ Advocate for the poor and powerless Nurture and foster leadership Develop and facilitate partnerships Address systemic community health needs Advance environmental health 4 Our Vision “Create healthy communities by empowering people to live a healthy life” 5 HealthVisions Midwest Backbone Structure St. Joseph Community Health Foundation Maternal Child Health Network of Lake County Fort Wayne, IN Covering Kids and Families of Indiana Lake County Coalition Bridges of Care Continuum of Care East Chicago, IN HealthVisions Midwest Gary, IN St. Catherine’s Hospital Genesis Outreach East Chicago, IN HealthVisions of Fort Wayne Fort Wayne, IN HealthVisions of East St. Louis Fort Wayne, IN East St. Louis, IL Allen County Health Disparities Coalition Ministerial Alliance Fort Wayne, IN East St. Louis, IL 6 In 2002, HVM was awarded a Title V Maternal Child Health grant to provide Prenatal Care Coordination services Target: medically and socially high-risk women in Lake County, with focus on East Chicago and Gary The Maternal Child Health Network of Lake County was developed out of this original grant 7 The Problem: A Silo Sea ◦ High minority populations with high poverty rates, language barriers, low or lack of access to health care and high infant mortality rates with Moms experiencing significant health disparities ◦ There were many clinical, community and social service organizations in Lake County that provided maternal child health services ◦ Everyone was working on their own agenda 8 The Silo Sea ◦ ◦ ◦ ◦ ◦ MCH organizations doing good work Competing for clients Competing for funding Replicating services Overlapping service areas 9 Development of the Network model Organizations to share information and expertise Work towards common goals, including systemic change Hired a full-time staff person to coordinate and support the Network project 10 Network Mission The purpose of the Network is to convene a team of local experts to assess data, recommend policy changes, implement best practices and educate parents and the public on methods to reduce/eliminate behaviors that contribute to fetal and infant deaths. 11 Partnerships and MOUs were developed with agencies/providers to become members Difficult due to competition and silo mentality Able to convene membership of 35 organizations, with 20 regularly attending 12 WIC Healthy Families-Mental Health America Lake County Minority Health Coalition Parents as Teachers Managed Care Organizations Health Departments Community Health Centers FQHCs Indiana University Northwest, School of Medicine, Genetics Methadone Clinic Promotores de Salud Maternal e Infantil/Great Beginnings/NATALE-PNCC programs Local hospitals Gary Maternal Child Health Clinic Healthy Start Purdue Extension-Nutrition Education Program Indiana Perinatal Network support/resource 13 Checked to see if the right people were at the table Met monthly for 1 hour over lunch Shared organizational events, changes, etc. Although there were successes, there were many missed opportunities due to a rigid silo mentality. 14 In 2012, the monthly meeting had become more of a sharing of individual events over lunch New Bylaws were developed Elections were held for officers and term limits were imposed A facilitated brainstorming session was held to flesh out direction for the group Four action groups were formed 15 Started educational sessions at Network meetings to broaden our knowledge base ◦ The North Central Sickle Cell Initiative ◦ The Lake County Black Breastfeeding Coalition ◦ The Division of Chronic Disease Prevention and Control and Office of Primary Care and Rural Health from the ISDH The Membership was reinvested and started working together again 16 Infant Mortality awareness campaign with billboard and movie theater ads “When the Bough Breaks” DVD Annual Perinatal Disparities conference Provider Education: ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Nutrition African Americans and Stress Physical Abuse and Child Abuse SIDS and SUIDS Substance Abuse and Addiction Safe Sleep from a Pathology Perspective Breastfeeding and Safe Sleep Lake County FIMR and Infant Mortality statistics 17 Safe Sleep campaign included: ◦ Local hospitals OB/GYN Department assessment ◦ Safe sleep kits distributed to providers to take back to their organizations and clients ◦ Facebook page https://www.facebook.com/babysleepthisway ◦ Safe Sleep commercial ads on local radio stations in English and Spanish 18 Local DFS offices were not promoting Presumptive Eligibility ◦ The Network developed a poster to place in DFS offices ◦ One phone call to a regional director allowed us to get informational posters placed in local DFS offices 19 The membership working together and trusting each other MOUs outside of the Network between member organizations Sharing of grant opportunities Shared problem resolution 20 Keeping the right people at the table Keeping members and action groups engaged year round Funding Capacity of volunteer members to support group Trust and eliminating the silo mentality 21 Moving to a neighborhood focus Collective Impact initiative in East Chicago Periods of Perinatal Risk Mental Health issues Faith-based community opportunity Gary’s Strong Cities, Strong Communities designation 22 Angie Martin, Director of Administration, HealthVisions Midwest and Network Coordinator Risë Ratney, Executive Director of Northwest Healthy Start and Chair of the MCH Network Don Barnes, President and CEO of HealthVisions Midwest Connie Leal, RN, Director of Maternal Child Health Program of Lake County, HealthVisions Midwest 23 The Maternal Child Health Network of Lake County For more information contact: Angie Martin, MCH Network Coordinator [email protected] 24