Region IV and VI Infant Mortality Summit

Paul E. Jarris MD MBAAssociation of Sate and Territorial Health Officials

January 13, 2012

Thank You, HRSA!

Thank You!

Thank You !

Danny Bender - MS Susan Cooper – ASTHO Alumni (TN) Bill Hacker – ASTHO Alumni (KY) Suzanna Dooley - AR Norm Hess - MOD Lauren Ramos - AMCHP Ellen Pliska - ASTHO Kathy Vincent - ASTHO Chris Dang - conference planner

Planning Committee

Improve birth outcomes by reducing infant mortality and prematurity in the United States

Objectives: Focus on improving birth outcomes as SHOs

and state leadership teams work with state partners on health and community system changes

Create a unified message and strategy that builds on the best practices from around the nation

Develop clear measurements to evaluate targeted outreach, progress, and return on investment

ASTHO 2011 Presidential Challenge

6

GOODNESS:Reduce preterm births by 8% by 2014

(based on 2009 level)

FAIRNESS:Close the Racial Ethnic Gap

S.M.A.R.T. Goals

Implement state policy change to eliminate elective inductions and c sections prior to 39 weeks gestation◦ Hospital Policies◦ Payment – Medicaid (Waivers)◦ Individual, Provider Education

Improve access to care for all women o reproductive age including 17-P as clinically indicated

Develop and implement a regional campaign to address the following aspects of women’s health:◦ Life Course Health – preconception/pregnancy/inter-conception◦ Smoking cessation, especially for pregnant women◦ Chronic conditions – obesity and diabetes◦ Influenza immunizations for pregnant women

Safe Sleep

DRAFT STRATEGIES FOR A REGIONAL APPROACH TO REDUCING INFANT MORTALITY AND PREMATURITY

Policies Community Development and Resources Patient/Consumer Resources Health Care Improvements Data and Information to Drive Action Payment and Incentives

Scalable and Sustainable (be systematic!)

National Groups Federal, State, Local and Regional Groups Public and Private Groups

◦ Employers◦ Insurers◦ Consumer groups

Partner and Align! (The Stars Have!)

National Priorities PartnershipMaternity Action Team Roster

Childbirth Connection Physician Consortium for

Performance Improvement American Academy of Family

Physicians American Board of Obstetrics and

Gynecology American College of Nurse-

Midwives American Congress of

Obstetricians and Gynecologists

America’s Health Insurance Plans Association of State and Territorial

Health Officials Pacific Business Group on Health The Joint Commission March of Dimes

Association of Women’s Health, Obstetric and Neonatal Nurses

Hospital Quality Alliance Leapfrog National Association of

Medicaid Directors National Association of Public

Hospitals and Health Systems

National Committee for Quality Assurance

National Initiative for Children’s Healthcare Quality

National Partnership for Women and Families

Network for Regional Healthcare Improvement

Leapfrog Group 2010: target for

hospitals was a cesarean section and/or induction rate of less than 12% of the total number of non-medically indicated deliveries occurring between the 37th and 39th week of gestation.

2011, Leapfrog lowered the target to 5%

Major Employers◦ FedEx, UPS◦ General Motors, Toyota◦ Qwest, Sprint Nextel,

Verizon Major insurers

◦ Aetna◦ CIGNA◦ United Healthcare◦ WellPoint

Hospital Survey MOD Toolkit

Providing states with template for making the “economic impact argument”

Analysis of key components of successful Medicaid waivers

Coordinating with national partners Focus on health disparities

Next Steps for ASTHO with our Partners

What will you do by Tuesday?

Take Action!