Hear From Your Peer: Care Coordination & the Healthy Start Community

Are you interested in learning more about implementing care coordination services as part of your Healthy Start project? Please join the webinar to hear about models and tools relevant to working with Healthy Start participants. You will get guidance from MCHB and an expert in the field of perinatal Health, Dr. Kimberlee Wyche. Dr. Wyche will share her experiences and information that will assist you in enhancing the care coordination services provided by your project. Recommended audience is Healthy Start Project Directors, Project Managers, and Care Coordination Supervisors.

At the end of this webinar, participants will be able to:

  • Define Care Coordination
  • Recognize role of Care Coordination in the Healthy Start Program
  • Identify the variations in Care Coordination for different pregnant women, interconception women, and infants
  • Identify variations in format of service provision (e.g., Group Care, Individual Home Visits, Telephonic)
  • Identify information on implementing Care Coordination Protocols (e.g., staffing, caseloads).

Webinar Materials:

Case Management/Care Coordination

Ask the Expert: Stress, Depression, and Resilience

This webinar will present information on the impact and measurement of stress, depression, and resilience on pregnancy outcomes, especially for the populations served by Healthy Start sites. In this regard, the presentation will detail the context of contextual (toxic) stress and depression and elaborate on resilience as it mediates the toxic exposures for women before, during, and after pregnancy.

Participants will gain:

  • An understanding of the psychosocial and physiological aspects of stress and depression;
  • An understanding of how stress of all kinds impact the emotional and physical health of women during pregnancy; and
  • More awareness of the resilience practices that women employ to mediate the ill-effects of stress.

Webinar materials:

Case Management/Care Coordination Depression Health Equity Prenatal Care and Education

Healthy Start Collaborative Improvement & Innovation Network (CoIIN) Webinar

The Healthy Start (HS) Collaborative Improvement & Innovation Network (CoIIN) advises the HS EPIC Center and HS Program on policy and operational considerations. In advance of our first day-long planning session tentatively schedule for March 2015, this webinar will clarify:

  • Expectations of the CoIIN membership;
  • Priority issues to be addressed by the CoIIN; and
  • Operations of the CoIIN.

All Healthy Start CoIIN representatives are expected to attend.

Webinar Materials:

Case Management/Care Coordination Risk Assessment

Ask the Expert: The Value of Integrating Trauma Informed Care for the Healthy Start Community

Exposure to traumatic events is an extremely common occurrence in the U.S. In fact, most individuals, particularly women and girls, will experience multiple traumatic events as children and throughout their lives. These experiences have the potential to dramatically impact behavioral health which subsequently often translates into challenges with physical, mental and social well-being. In this brief introduction to these issues, we will present an overview of the prevalence of traumatic exposure and the relationship of trauma to health. In addition, we will provide basic introductory information and principles on the concept and implementation of Trauma-Informed Care (TIC). Understanding trauma and incorporating TIC principles into Healthy Start programs has the potential to prevent retraumatization and better engage participants in care and services. Please join the EPIC Center and Michelle Hoersch, Region V Coordinator for the Office on Women’s Health for a 60 minute Ask the Expert webinar which will cover the importance of integrating trauma-informed care specific to the Healthy Start community. Ms. Hoersch will also share valuable resources for learning more about the approach. During the webinar, you will have ample opportunity to ask Ms. Hoersch questions.

Following this webinar, participants will be able to:

  • Understand the terms “trauma exposure” and “adverse childhood experiences”
  • Be knowledgeable about the prevalence of various common traumatic events in the U.S.
  • Increase awareness of the relationship among exposure to traumatic events and behavioral, physical and mental health, and well-being
  • Be aware of the concept of Trauma-Informed Care (TIC) and basic principles of TIC and how to make simple adjustments to programming and service delivery to dramatically reduce risk of retraumatization and increase likelihood of improved engagement in care
  • Access trauma-informed care resources and training opportunities

Webinar Materials:

Case Management/Care Coordination Cultural Competence Depression EBP Implementation Participant Recruitment and Retention

Ohio Perinatal Quality Collaborative (OPQC)

The Ohio Perinatal Quality Collaborative (OPQC) is a statewide consortium of perinatal clinicians, hospitals, and policy makers and governmental entities that aims, through the use of improvement science, to reduce preterm births and improve birth outcomes across Ohio. OPQC uses monthly action period calls and face-to-face sessions with teams to review individual and aggregate data, learn from teams that have been successful at making changes and achieving improved outcomes, and apply the Model for Improvement to test specific strategies. OPQC was founded in 2007, and is seen as a national model in statewide perinatal improvement.

Case Management/Care Coordination Prenatal Care and Education Risk Assessment

Prenatal Plus Program

Prenatal Plus is a program that provides care coordination, nutrition and mental health counseling to Medicaid-eligible pregnant women in Colorado who are at a high risk for delivering low birth weight infants. The program uses the client-centered counseling approach with all participants to address a variety of issues that have been shown to have a negative impact on birth outcomes. The key health areas targeted by this program are healthy weight, smoking cessation and depression. The program has been demonstrated to decrease the rate of low-birth weight infants and resolve the risks putting women at risk of delivering low-birth weight infants.

Case Management/Care Coordination Depression Healthy Weight Tobacco Cessation

The Parent Child Assistance Program (PCAP)

Evidence-based home visitation case-management model for mothers who abuse alcohol and/or drugs during their pregnancies. PCAP’s goals are to assist substance-abusing pregnant women and mothers in obtaining treatment for substance abuse and staying in recovery, to ensure that children are in safe and stable home environments and are connected to health care, to connect mothers to community resources, and to prevent future births of alcohol and drug-affected infants. Piloted in Washington State, PCAP has been replicated in 7 states, and across Canada and New Zealand.

Alcohol/Drug Services Case Management/Care Coordination Home Visiting

Pathways Model

The Pathways Model employs community health workers who connect at-risk women to evidence-based care using individualized pathways designed to produce healthy outcomes. The model promotes timely, efficient care coordination through incentives. It prevents service duplication by using a Community Hub, a regional point of patient registration, and quality assurance to support a network of agencies involved in providing care to the target population. The first implementation of the model in Richland, Ohio, resulted in increased services to at-risk women and a decline in the rate of low-birth-weight babies.

Case Management/Care Coordination

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