1 / 10

Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction

Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction. Evelyn Delgado, Assistant Commissioner Division for Family and Community Health Services Texas Department of State Health Services. Birth Outcomes Data. Infant Mortality Rate (IMR)

arwen
Download Presentation

Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction Evelyn Delgado, Assistant Commissioner Division for Family and Community Health Services Texas Department of State Health Services

  2. Birth Outcomes Data • Infant Mortality Rate (IMR) Texas: 6.1* African Americans: 9.9 • Low Birth Weight (LBW) Texas: 8.5 African Americans: 14.0 • Preterm Birth (PTB) Texas: 13.2 African Americans: 17.1 • Maternal Age** Less than 20: 13.5% of TX births; LBW 9.6; PTB 14.9 Greater than 40: 2% of TX births; LBW 12.3; PTB 18.6 *Data is rate per 1000 live births in 2008 ,Texas Natality and Mortality Files, Texas Department of State Health Services; National Vital Statistics Reports, National Center for Health Statistics, 2000-2008, available at https://www.cdc.gov/nchs/products/nvsr.htm. **Data from March of Dimes PeriStats 2006-2008 averaged data.

  3. What is Healthy Texas Babies? • Healthy Texas Babies (HTB) is an initiative to decrease infant mortality • Goals of Healthy Texas Babies Initiative: • Provide local partnerships and coalitions with major roles in shaping programs in their communities • Use evidence-based interventions • Decrease preterm birth rate by 8% over 2 years • Save ~ $7.2 million in Medicaid costs over 2 years

  4. Simultaneous Policy Actions • Legislature passed three related perinatal health bills • HB 1983 – Eliminates Medicaid payment for elective inductions and c-sections before the 39th week • HB 824 – Creates an outreach campaign to promote fathers' involvement with their children before birth • HB 2636 – Creates a council to study neonatal intensive care unit regionalization • Legislature appropriated $4.1 million in General Revenue funds to DSHS funding the Healthy Texas Babies initiative

  5. What We Have Accomplished So Far • NICU Regionalization • Dissemination of NICU & OB survey under direction of HHSC • HHSC convening NICU council using materials developed by workgroup • 39-Weeks initiative • Medicaid rules change for reimbursement of non-indicated pre-39 week deliveries • March of Dimes and WIC collaboration • Development of web-based well-woman curriculum for WIC participants

  6. What We Have Accomplished So Far • Increased public awareness of the issue • Healthy Texas Babies website & media campaign • Tools, best practices and community updates • Text4baby – DSHS is lead outreach partner for Texas • Fatherhood initiatives • WIC is distributing Office of the Attorney General “Maps for Dads” publication in all WIC sites • DSHS, OAG working on development of fatherhood survey

  7. Distribution of HTBInformation & Funds • Fund local initiatives led by coalitions of stakeholders and government organizations • Provider education • Community Health Worker/Promotor(a) trainings • DSHS Grand Rounds Series • Texas Health Steps module • In-person trainings statewide

  8. Moving forward • Expand Expert Panel membership • Multi-agency Work Group develops additional deliverables • Link to faith community, academic community, etc. • Implement programming based on NICU & OB Survey results, results of fatherhood survey and other data collection activities • Align HTB objectives with existing programs at the state and local levels

  9. National Perspective • ASTHO Presidential Challenge • Best Practice Subcommittee for ASTHO Healthy Babies Project • DHHS – HRSA • Region 4 & 6 Infant Mortality Summit • Big 5 – March of Dimes • AMCHP Action Learning Collaborative • HHS Secretary’s Advisory Committee on Infant Mortality

  10. For more information or to get involved in the Healthy Texas Babies Initiative: Aisling McGuckin RN, MSN, MPH Texas Department of State Health Services Office of Title V & Family Health Aisling.mcguckin@dshs.state.tx.us (512) 776-2746 Thank you

More Related