Lead Agency/Program Director: Bexar County Hospital District/ Anna Taranova, MD, MS, CCRP
Counties Served: Val Verde, Uvalde, Real, Zavala, Edwards, and Kinney
Partners: Bexar County Hospital District d.b.a. University Health System, UvaldeMemorial Hospital, Community Health Development Inc (an FQHC), and Val Verde Regional Medical Center.
MHLIC Coach: Tanisa Adimu
Outcome Measures: Access to care; patient volume; data capture and reporting; workforce proficiency; financial sustainability; LBW (and other clinical outcomes); quality of care; substance use; breastfeeding and other “healthy behaviors”
Goals:
Develop a sustainable network approach to coordinate maternal and obstetrics care within a rural region
- Develop Memorandum of Understanding (MOUs) w/ primary care provider groups and Emergency Room (ER) services
- Enhance perinatal case management
- Expand telemedicine activities beyond NICU services, to include OB care
- Expand availability of appointments and community awareness of services
- Conduct Community Health Needs Assessment
- Purchase and develop infrastructure for Telemedicine/Telehealth at partnering sites
Increase the delivery and access of preconception, pregnancy, labor and delivery, and postpartum services
- Install telemedicine/telehealth unit
- Design local database for data management and evaluation
- Train program staff to collect/submit data in RedCAP
- Create local process and outcome measures and quality assurance procedures
Develop sustainable financing models for the provision of maternal and obstetrics care
- Collaborate with payers (including Medicaid) to establish innovative payment and reimbursement structures
- Analyze cost effectiveness of implementing TX-RMOMS Health Network model
Improve maternal and neonatal outcomes
- Develop and implement Healthy Start case management program for rural communities.
- Retention of women and infants in health system