Lead Agency/Program Director: Holy Cross Medical Center/ Colleen Durocher, MA
Counties Served: Colfax, Taos, and Union
Partners: Holy Cross Medical Center, Miners Colfax Medical Center, Union County General Hospital, and Questa Health Center. They also work with Taos First Steps (home visiting program), Lovelace Health System, and the Medical Assistance Division of the New Mexico Human Services Department.
MHLIC Coach: Tanisa Adimu
Outcome Measures: Adolescent pregnancies; Access to prenatal care; Early-identification of high-risk pregnancies; maternal mortality; low birth weight; neonatal abstinence syndrome; breastfeeding rates; access to postpartum support.
Goals:
Develop a sustainable network approach to coordinate maternal and obstetrics care within a rural region
- Develop ROAMS (Rural OB Access and Maternal Services) Network and focus on addressing access, workforce, and Medicaid reimbursement
- Expand education and care coordination
- Leverage regional telehealth resources and equip each facility with OB telehealth capabilities
- Employ family navigators, community health workers, and other home visitors in school and home settings
- Equip home visitors with telehealth technologies to support patient care
Increase the delivery and access of preconception, pregnancy, labor and delivery, and postpartum services
- ROAM clinical team (including OB, NPs, and other clinical providers) will rotate between facilities weekly
- Midwives and other advanced practice clinicians will form base of care. High-risk patients will be referred to OBs
Develop sustainable financing models for the provision of maternal and obstetrics care
- Sharing providers between facilities and maximizing the skills of mid-level providers/advanced practice practitioners
- Expanding Medicaid coverage/reimbursement to family navigators and CHWs
- Identifying new and innovative payment models and initiatives (e.g., covering hotel costs for women who live far from facilities)
- Conduct market share loss assessment and develop strategies to attract patients with private insurance
Improve maternal and neonatal outcomes