Lead Agency/Contact: OK Department of Health, Maternal and Child Health Services/Joyce Marshall, MPH
Partners: OK Health Care Authority (OHCA, Medicaid), OK Hospital Association (OHA), March of Dimes, OK Family Network, OK Breastfeeding Center, OK Dept of Mental Health and Substance Abuse, University of Oklahoma Health Sciences Center, Tulsa and Oklahoma City-County Health Departments. Partners include ACOG, OK Medical Association, Society of Maternal Fetal Medicine Specialists, George Kaiser Family Foundation, Southern Plains Tribal Health Board, the Cherokee Nation, OK State University Center for Health Sciences, Perinatal Center, CHESS Health and Healthy Start
Related Initiatives & Collaboratives: OK Title V program; OK MMRC; Office of Perinatal Quality Improvement led efforts to reduce Cesarean Sections and facilitate hospital adoption of AIM bundles on post-partum hemorrhage and hypertension. OK Department of Mental Health and Substance Abuse-funded model at the University of Oklahoma Health Science Center (OUHSC) for care of substance-involved pregnant women.
MHLIC Coach: Sarah Verbiest, DrPH, MSW, MPH
Outcome Measures: Access to care, health insurance coverage, prenatal care, 1st trimester enrollment, postpartum visits, postpartum depression screening, SMM and MMR stratified by race, ethnicity and geography, actionable recommendations from the MMRC
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
- Existing Oklahoma Perinatal Quality Improvement Collaborative (OPQIC) serves as the MHTF to develop strategic plan
- Establish SMM support group for women
- Post-birth warning signs education with pregnant women and ED personnel
Improve the collection, analysis, and application of state-level data on maternal mortality and SMM
- Continue analysis of data collected from MMRC
- Annual Report
- Promote opioid prescribing guidelines for pregnant and postpartum women
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
- Increase access to prenatal care via 2 mobile health clinics for tribes with greatest need and 1 in rural NE OK
- Expand OUHSC clinic and telehealth model of specialty care/care coordination for substance-involved pregnant women
- Home-based services/patient education for Latina/African American women at risk of or having experienced SMM
- Expand access to high risk OB and mental health services via telehealth (using Project ECHO for provider ed) and e-referral system