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Maternal Health Learning and Innovation Center

Maternal Health Learning and Innovation Center

Accelerating innovative and evidence-informed interventions that improve maternal health and eliminate maternal health inequities

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North Carolina

Lead Agency/Contact: NC Department of Health and Human Services, Women, Infant and Community Wellness Section/ Rebecca A. Severin, MPH, CPH

Website: https://wicws.dph.ncdhhs.gov/indfam/innovation.htm

Partners: NC Office of Minority Health and Health Disparities; March of Dimes-NC Chapter; NC OB/GYN Society; NC Affiliate of American College of Nurse-Midwives, NC Area Health Education Center (AHEC) Program; AHEC Scholars; NC Alliance for Health Professions Diversity; 4th Trimester Project at UNC; NC Academy of Family Physicians; NC Institute of Medicine; Centering Consortium; MAHEC, Eastern AHEC, Vidant Health Foundation, Community Care of Lower Cape Fear, Atrium Health, and many others.

Related Initiatives & Collaboratives: Perinatal Systems of Care Task Force; State Maternal Mortality Review Committee; NC Title V; NC Institute of Medicine; Perinatal Health Strategic Plan; Preconception Health Strategic Plan

MHLIC Coach: Dorothy Cilenti, DrPH, MSW

Outcome Measures: Health insurance coverage; annual well-woman visits; receipt of prenatal care; first trimester prenatal care; Postpartum visit; screening for PPD; pregnancy-related deaths; severe maternal morbidity

Goals:

Establish a state-focused Maternal Health Task Force to create and implement a strategic plan that incorporates activities outlined in the state’s most recent State Title V Needs Assessment:

  • Build on existing Perinatal Systems of Care Task Force with focus on maternal health
  • Include at least one woman with lived experience from each perinatal care region to serve on the MHTF
  • Maintain collaboration with the larger work around improving the health of people of reproductive age in North Carolina by connecting the MHTF with the NC Perinatal Health Equity Collective.

Improve the collection, analysis, and application of state-level data on maternal mortality and SMM

  • NC Institute of Medicine (NCIOM) will publish annual report documenting progress on the maternal health strategic plan
  • Use Maternal Mortality Review Information Application (MMRIA) tool to support MMRCs review of maternal death
  • Aggregate data on SMM to be produced by State Center for Health Statistics to be shared with MHTF

Promote and execute innovation in maternal health service delivery, such as improving access to maternal care services, identifying and addressing workforce needs, and/or supporting postpartum and interconception care services, among others

  • Collaborate with March of Dimes – NC Chapter and NC AHEC to develop and lead implicit bias trainings for health care providers and health profession students
  • Fund two CBOs to pilot a CHW and Doula program in perinatal care regions 2 and 5
  • Provide start-up funds to support implementation of four new CenteringPregnancy sites in perinatal care regions 5 and 6
  • Implement key elements of ACOG postpartum bundle in clinics statewide (4th Trimester)
  • Partner with the Mountain Area Health Education Center, Inc to establish new clinical sites annually to offer telehealth services in perinatal care region 1.
  • Partner with the Eastern Area Health Education Center, Inc to implement a Perinatal ECHO Project to build provider capacity in perinatal care region 6.
  • Form statewide provider support network consisting of Obstetric, Family Medicine and Pediatric champions and Perinatal nurses to enhance communication and transition of care, and disseminate evidence-informed clinical practice throughout the 6 perinatal care regions in North Carolina.

Written by:
Suzanne Woodward
Published on:
July 9, 2020

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U7CMC33636 State Maternal Health Innovation Support and Implementation Program Cooperative Agreement. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.
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