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Minnesota Panel Presentation. Region V Infant Mortality Summit, Chicago, IL March 21, 2013 Susan Castellano, MCH Director Community and Family Health Division Minnesota Department of Health. Background – Minnesota. Overall rate 5.4: lowest in Region, 10 th in U.S.
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Minnesota Panel Presentation Region V Infant Mortality Summit, Chicago, IL March 21, 2013 Susan Castellano, MCH Director Community and Family Health Division Minnesota Department of Health
Background – Minnesota • Overall rate 5.4: lowest in Region, 10th in U.S. • Was 4.8, best in the nation, we’ve lost ground • High rate of disparity: • Large population of foreign-born Mothers, with very different infant mortality rates:
Key Activities – Minnesota • EHDI – Eliminating Health Disparities Grants • SHIP – Statewide Health Improvement Program: Tobacco, Nutrition/Obesity • Family Planning, PREP, Family Home Visiting, WIC • Infant death investigation guidelines • Healthy Babies are Worth the Wait
Successes – Minnesota • African American and American Indian infant mortality review • Partnership with SIDS Center • Dept. of Human Services: elective induction and standard delivery rate policies, MMD Perinatal Project
Challenges – Minnesota • Disparities, disparities, disparities • Foreign-born population • Social determinants of health • Development of targeted evidence based approaches • Fetal and Infant Mortality Review (FIMR) • Coordination of resources, data privacy • Measuring the impact of specific efforts
Wish List – Minnesota • Every pregnancy is an intended pregnancy • Learn best practices from other states, especially those effective in reducing disparities • Be like OPQC! • Data demonstrating which interventions are most effective given limited resources • Coordinated systems • Resources: FHV, education and more