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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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Rural Maternal and Obstetrics Management Strategies (RMOMS) Programs

The RMOMS program focuses on developing financial models, telehealth and sustainable networks in rural areas to increase the delivery and access of preconception, pregnancy, labor and delivery, and postpartum services and thereby improve outcomes for mothers and their babies.

Missouri BPN

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Missouri BPN

New Mexico

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New Mexico

Texas

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Texas

State Maternal Health Innovation (MHI) Program

The state MHI programs will establish state Maternal Health Task Forces to create and implement a Title V-aligned strategic plan. They will improve the collection, analysis, and application of maternal mortality/morbidity data, and promote and execute innovation in maternal health service delivery.

Arizona

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Arizona
AZ Maternal Health Innovation (MHI) Program

Lead Agency: AZ Dept of Health Services, Bureau of Women’s & Children’s Health (BCWH) which houses Title V MCH Program
Lead Contact: Patricia Tarango, MS

Summary of Needs

Rural & racial disparities noted in MM, especially among American Indian (AI) & African American (AA) women. Births – 45% to white, non-Hispanic, 39-41% to Latina, 6-7% to AI; 5-6% to AA women. 22 recognized tribes; rural access is sub-optimal with workforce shortages. No consistent standards for best practices/QI among hospitals, including levels of care; gaps in awareness of prenatal and PP warning signs/risks among pts & providers. Poor data quality re: MM & SMM. Limited health equity efforts.

Partnering Organizations

  • Arizona Perinatal Trust
  • March of Dimes
  • AZ Governor’s Office
  • ACOG
  • AZ PHA
  • AZ Family Health Partnership
  • Navajo Nation Dept of Health
  • Inter-tribal Council
  • IHS
  • Other tribal partners
  • AHCCS (AZ Medicaid)
  • AZ Hospital/Health Care System
  • AZ Alliance of Community Health Centers
  • AZ First Things First
  • South Phoenix Healthy Start

Existing Partnerships or Initiatives

  • AZ Title V MCH Program
  • AZ MHTF
  • AZ Primary Care Office for workforce development
  • 3 state home visiting programs
  • AZ MMRC received Governor’s Breakthrough Project status commanding more attention & resources, along with the CDC MMRC grant;
  • State-funded Rural Prenatal Telemedicine Program (RPTP)

Illinois

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Illinois

Iowa

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Iowa

Lead Agency: Iowa Department of Public Health, Division of Health Promotion and Chronic Disease Prevention, Bureau of Family Health

Summary of Needs

Reduction in maternal mortality and SMM (state has experienced increase over last 3 years). Increase in OB/GYN workforce. Labor and delivery unit closures in rural areas. Lack of adequate reimbursement to obstetric providers. Long travel times to reach services (especially for rural populations). Increasing rates of chronic medical conditions, mental health disorders, and substance abuse in obstetric populations.

Partnering Organizations

  • University of Iowa Hospitals and Clinics
  • University of Iowa (UI)
  • Iowa Perinatal Health Collaborative
  • UI Workforce Development Program
  • Iowa Health Collaborative
  • Iowa Medical Society
  • Iowa Section of ACOG and ACNM, Biomedical Informatics group at UI
  • Blank Children’s Hospital – UnityPoint Health
  • Iowa State Senate
  • EndPreeclampsia
  • UI College of Nursing
  • UI Health Care
  • Governor of Iowa
  • United States Senate
  • Iowa Healthcare Collaborative

Existing Partnerships or Initiatives

  • Iowa Medical Society
  • Iowa Medicaid Enterprise
  • Iowa Hospital Association
  • Iowa ACOG
  • Association of Women’s Health Obstetrical and Neonatal Nurses (AWHONN)
  • CDC
  • Barriers to Prenatal Care Survey
  • PRAMS
  • Title V
  • Iowa OB Task Force
  • Iowa Statewide Perinatal Care Program (principal initiatives currently in effect)

Maryland

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Maryland

Montana

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Montana

New Jersey

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New Jersey

North Carolina

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North Carolina

Ohio

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Ohio

Oklahoma

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Oklahoma

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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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