WE WELCOME Maryland Maternal Health Task Force ce -- --March ch - PowerPoint PPT Presentation

WE WELCOME Maryland Maternal Health Task Force ce -- --March ch 30, 2020 Webinar-- --

Dr. Nicole Warren Associate Professor Jo Johns Hopkins Sc School l of Nursin ing

Ms. Courtney McFadden Deputy Director Prevention and Health Promotion Administration Ma Maryland Depart rtme ment of of Hea Health th

Several New Maternal Health Programs in Maryland & Corresponding Funding Agencies 2020 Maryland Title V Maternal and Child Health Services Needs Assessment

Dr. Joshua Sharfstein Professor & Vice Dean for Public Health Practice and Community Engagement Joh Johns Hop opkins Bloom oomberg g Sc School ool of of Public Health Ms. Michelle Spencer Associate Scientist & Associate Director, Bloomberg American Health Initiative Joh Johns Hop opkins Bloom oomberg g Sc School ool of of Public Health

Dr. Andrew Satin Professor & Chair Gynecology and Obstetrics Jo Johns Hopkins Sc School l of Medic icin ine

Ms. Jheanelle Wilkins Maryland House Delegate District 20 – Montgomery County

Ms. Colleen Wilburn Title V Director Chair, Maryland Maternal Health Task Force Ma Maryland Depart rtme ment of of Hea Health th

Maryland Maternal Health Task Force ce Co Colleen Wilburn, , MPA

Task Force Objectives • Identify gaps in o state maternal health data o delivery of and access to quality perinatal health services o health policies for pregnant and postpartum women • Develop a 5-year Strategic Plan to improve maternal health in Maryland building on o 2020 Maryland Title V Needs Assessment o workplans of on-going maternal health programs in the state o maternal health data (e.g. Maryland Maternal Mortality Review) • Engage, support and monitor implementation of maternal health programs in the state of Maryland • Assist with dissemination of maternal health program findings and lessons learned in Maryland and beyond • Develop a Sustainability Plan to ensure continuity of work towards improving maternal health in the state of Maryland

Title V: Maternal and Child Health Services Block Grant Enacted as part of the 1935 Social Security Act to assist states with extending health services to women and children. Provides funding for services that promote the health and well being of women, infants, children, including those with special health care needs and adolescents. Maryland receives approximately $12 million annually with the state matching approximately $8 million for the program. Every five years, states are required to complete a Needs Assessment to determine priorities for the next five-year period.

Title V Needs Assessment Process Steering Committee Meeting 1 Public Forums CYSHCN Planning Sessions Steering Committee Meeting 2 Maternal/Infant Health and Child/Adolescent Health Planning Sessions Steering Committee Meeting 3 Public Comment Period Finalization and Submission of Needs Assessment

Title V National Performance Measures 2021-2025 • Risk Appropriate Perinatal Care • Breastfeeding • Preventive Dental Care-Pregnancy • Smoking Pregnancy • Low Risk Cesarean Delivery • Safe Sleep • Medical Home • Adolescent Well-Visits • Transitions to Adult Care

Task Force Membership • 48 invited & confirmed members • Aimed for representation of o organizations serving pregnant and postpartum women in the state Ø government & Maryland legislature Ø state/county/city health agencies Ø birthing hospitals Ø community groups & organizations Ø multidisciplinary review committees Ø payers Ø professional organizations Ø universities o minority racial, ethnic and nativity groups o variety of counties • Only one representative from each organization o aimed to select those who represent multiple stakeholders • List of Task Force members will be publicly available March 31, 2020 o check mdmom.org

Birthing Hospitals State/County/City Health Agencies Anne Arundel Medical Center Calvert County Department of Health Holy Cross Hospital Charles County Department of Health Howard County General Hospital Harford County Department of Health Johns Hopkins Hospital Maryland Association of County Health Officers Johns Hopkins Bayview Medical Center Maryland Behavioral Health Administration Mercy Hospital Maryland Department of Health Peninsula Regional Medical Center Maryland Health Services Cost Review Commission St. Joseph’s Hospital Maryland Health Care Commission Maryland Home Visiting Consortium & Family Support Payers Maryland Hospital Association Amerigroup Maryland Institute for Emergency Medical Services Systems CareFirst Maryland Maternal Child Health Bureau Maryland Medicaid Program Community Groups & Organizations Maryland Mental Health Association of Maryland Asian-American Center for Frederick Maryland Office of Health Care Quality Baltimore Healthy Start Maryland Office of Minority Health Birthers Supporters United Maryland Patient Safety Center House of Ruth Maryland State Medical Society (MedChi) Mommy Up Maryland Title V Program Motherland Co Maryland Vital Statistics Administration Nzuri Malkia Birth Collective Prince George's County Child Resource Center Multidisciplinary Maternal & Infant Health Committees The Bloom Collective Maryland Fetal and Infant Mortality Review TurnAround, Inc Maryland Maternal Mortality Review Committee Maryland Maternal Mortality Review Stakeholder Group Professional Organizations Academy of Family Physicians Universities American College of Obstetrics & Gynecologists Johns Hopkins University American College of Nurse Midwives University of Maryland Association of Women's Health, Obstetric and Neonatal Nurses University of Maryland, Baltimore County National Association of Social Workers Society for Maternal and Fetal Medicine

Task Force Observers • Observers are o persons invited by the Chair of the Task Force to observe and contribute to Task Force meetings on as needed basis o persons invited by the Coordinators of Task Force Workgroups to contribute to workgroup discussions on as needed basis • Names of Task Force Observers may be made public to o acknowledge their participation in Task Force meetings in Task Force Meeting Reports o acknowledge their contributions to Strategic & Sustainability Plans

Task Force Meetings, Plans & Reports • Bi-annual meetings during 2020-2024 o 1 st Meeting (2-webinar format) on March 30, 2020 & April 30, 2020 o 2 nd Meeting (September 2020) o generally, meetings in March & September every year • Work in 5 small groups o maternal health data o training innovation o quality improvement o telemedicine o policy • Develop and annually update o 5-year Strategic Plan (due September 2020) o Sustainability Plan (due September 2024) • Meeting reports following each meeting (2020-2024) o accessible to general public

Dr. Andreea Creanga Associate Professor & MDMOM Program Director Jo Johns Hopkins Bloomb mberg Sc School l of Public lic Healt alth

M Pr Program Overview MD MDMO MOM An Andreea Creanga, MD PhD

• 5-year program to improve maternal health in Maryland • Collaboration between o Johns Hopkins University o Maryland Department of Health o Maryland Patient Safety Center o University of Maryland, Baltimore County • Funded by the Health Resources and Services Administration o $10.3 million total funding based on annual performance reviews o similar funding received by 7 other states late 2019 • Coordinated by the Maryland Maternal Health Task Force

MDMOM.ORG

Non- Non- Non- Indicator All races Hispanic Hispanic Hispanic Hispanic 2018 White Black Asian Live births total 71,037 30,282 22,701 5,155 12,461 Maryland Vital Statistics Administration; Hurt et al, 2019

Non- Non- Non- Indicator All races Hispanic Hispanic Hispanic Hispanic 2018 White Black Asian Live births total 71,037 30,282 22,701 5,155 12,461 Percentage of live births by race and Hispanic origin --Maryland, 2018-- Non-Hispanic White 17.5 Non-Hispanic Asian 42.6 Non-Hispanic Black 32.0 Hispanic 7.3 Hurt et al, 2019

Non- Non- Non- Indicator All races Hispanic Hispanic Hispanic Hispanic 2018 White Black Asian Live births total 71,037 30,282 22,701 5,155 12,461 Percentage of births to women < 20 years 3.8 < 12 years education 12.6 unmarried 39.2 ≥ 4 th order birth 11.1 multiple pregnancy 3.5 late/no prenatal care 7.3 Hurt et al, 2019

Non- Non- Non- Indicator All races Hispanic Hispanic Hispanic Hispanic 2018 White Black Asian Live births total 71,037 30,282 22,701 5,155 12,461 Percentage of births to women < 20 years 3.8 2.2 5.0 0.5 6.8 < 12 years education 12.6 4.5 8.3 5.0 43.0 unmarried 39.2 23.9 59.3 6.3 53.3 ≥ 4 th order birth 11.1 8.8 13.4 4.5 15.3 multiple pregnancy 3.5 3.7 4.2 2.6 2.1 late/no prenatal care 7.3 4.4 9.8 5.8 10.2 Hurt et al, 2019

Non- Non- Non- Indicator All races Hispanic Hispanic Hispanic Hispanic 2018 White Black Asian Live births total 71,037 30,282 22,701 5,155 12,461 Percentage of births to women < 20 years 3.8 2.2 5.0 0.5 6.8 < 12 years education 12.6 4.5 8.3 5.0 43.0 unmarried 39.2 23.9 59.3 6.3 53.3 ≥ 4 th order birth 11.1 8.8 13.4 4.5 15.3 multiple pregnancy 3.5 3.7 4.2 2.6 2.1 late/no prenatal care 7.3 4.4 9.8 5.8 10.2 Hurt et al, 2019