State ofNevada Department ofHealth and Human...
Transcript of State ofNevada Department ofHealth and Human...
--~-- Brian Sandoval Richard Whitley
Governor Director
State ofNevada Department ofHealth and Human Services
National Governors Association Learning Network on Improving Birth Outcomes Nevada
Division of Public and Behavioral Health Amy Roukie MBA Administrator ~
August 4 2017 tR~i ~
4
t ~~
~ - Nevada Department of ~~-~ Health and Human Services I)bull
~ DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
National Governors Association Learning Network on Improving Birth Outcomes Nevada
Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health programs
christinaturnerhealthnvgov
Background NATIONAL
bull Nevada began participation in the National Governors Association (NGA) Learning Network on Improving Birth Outcomes in 2013
bull Seeks to align existing programs and coordinate activities across public and private agencies to accelerate the pace of improving birth outcomes statewide
bull Identify the magnitude of adverse birth outcomes in Nevada including modifiable risk factors of preterm births low birth weight infant mortality and assess racial and ethnic disparities
Program Overview
bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes
bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs
bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality
Collaboration
bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health
Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter
bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance
Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
4
t ~~
~ - Nevada Department of ~~-~ Health and Human Services I)bull
~ DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
National Governors Association Learning Network on Improving Birth Outcomes Nevada
Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health programs
christinaturnerhealthnvgov
Background NATIONAL
bull Nevada began participation in the National Governors Association (NGA) Learning Network on Improving Birth Outcomes in 2013
bull Seeks to align existing programs and coordinate activities across public and private agencies to accelerate the pace of improving birth outcomes statewide
bull Identify the magnitude of adverse birth outcomes in Nevada including modifiable risk factors of preterm births low birth weight infant mortality and assess racial and ethnic disparities
Program Overview
bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes
bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs
bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality
Collaboration
bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health
Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter
bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance
Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Background NATIONAL
bull Nevada began participation in the National Governors Association (NGA) Learning Network on Improving Birth Outcomes in 2013
bull Seeks to align existing programs and coordinate activities across public and private agencies to accelerate the pace of improving birth outcomes statewide
bull Identify the magnitude of adverse birth outcomes in Nevada including modifiable risk factors of preterm births low birth weight infant mortality and assess racial and ethnic disparities
Program Overview
bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes
bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs
bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality
Collaboration
bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health
Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter
bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance
Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Program Overview
bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes
bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs
bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality
Collaboration
bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health
Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter
bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance
Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Collaboration
bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health
Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter
bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance
Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Goals of the Improving Birth Outcomes Learning Network
bull Goal 1 Promote Maternal Child and Adolescent Health
bull Goal 2 Expand Healthcare Access
bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Goal 4 Extend Gestational Periods
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
----
Goal 1 Promote Maternal Child and Adolescent Health
bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures
bull Collect and analyze data
bull Increase community and education awareness
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Current Activities Workgroup 1 bull Collect and analyze data
bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses
bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits
bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness
about preconception and interconception health
bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs
bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question
bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of
focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing
bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits
bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts
bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Goal 2 Expand Access to Healthcare
bull Expand access to healthcare including behavioral health for women pregnant women and infants
bull Expand the use of telehealth
bull Provision of mental health assessments
bull Increase access to family planning
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Current Activities Workgroup 2 bull Expand the use of telehealth
bull Work with Medicaid to expand eligibility for telehealth services
bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage
bull Partner with universities to increase enrollment in programs supporting telehealth workforce development
bull Promote increased provider awareness of telehealth
bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments
bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services
bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics
bull Partner with Project ECHO to develop and implement modules on family planning and related issues
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been
successful
bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)
bull Home Visiting programs have added mental health assessments to their curriculum
bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning
services
bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco
bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts
bull Increase awareness and resources available to healthcare providers
bull Increase awareness and resources available to partner agencies
bull Increase awareness and resources available to the public
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers
bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses
bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum
bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse
bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant
women with substance misuse issues
bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting
healthy moms and healthy babies
bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies
bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health
nurses and behavioral health nurses
bull A provider toolkit is under review and will be distributed statewide in October 2017
bull A reimbursement guide will be included in the provider toolkit
bull Non-traditional partners including retailers and pharmacies will receive awareness materials
bull Public facing information will be shared in October 2017 with restaurants and bars
bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Goal 4 Extend Gestational Periods
bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies
bull Promote supportive reimbursement policies
bull Increase public awareness
marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Activities of Workgroup 4 bull Develop model policies
bull Request hospitals provide examples of their Early Elective Delivery Policy
bull Create a template outlining the criteria for early delivery
bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members
bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement
bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods
bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature
delivery and benefits of full term gestation
bull Partner with public and community-based agencies to promote full-term birth information dissemination
bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait
bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters
bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center
bull Technical Assistance was provided to non-qualifying hospitals
bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters
bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH
Program Contacts
bull Beth Handler MPH Bureau Chief Child Family and Community Wellness
bull bhandlerhealthnvgov bull httpdpbhnvgov
bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program
bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)
l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH