Page Comparison

wanda

Has she been told that Informatics is taking this on?

More about partnreship support and nvaigating the hopstails

CHCs

They are alot more advanced than the PQC and MMRC think they are. CDC needed to hear from them on the meetings so they coul dhear what is going on.

September 5 is Wanda’s last day.

the CHCs in both states are doing more work and are moe impactdful than mmrc pqc and cdc thought that they’d be doing. If they were not doing wha tthey are doing, there would be more mortality than the nospital would see. They are seeing it first -pro-actively, where the PQC … are going to see in the future. The PQC needs to be more focus on what h project is going to be.

Florida - big focus is on birth certificates - accuracy, policy migth be pstuff about citzien etc. at the local elve lpeople have to come togethe to figur ei tout.

There is a disconnect between what the PQCs are doing … heatlh cetners can accept the 2pweek pp visit… hosps di dnot theink they could. So they did not try. The five chcs that are part of the partner in fla, they try to get them in within 7 bdays if high risk.

Some hopss have been sharing info with their health cetner - depends on zip code and county.

Most of teh efforst ar chart review…

CHCs are aware of htn, depression, getting that data is useful… PQC shares info but it is not getting ot the health center. We need to make sure info at hte state level gets disseminated to ALL service providers int eh estate, not just the hospitals… CHCs are doing a great job in the prenatal space - need to loook at disparity in teh pops to be servcied…

Primary: look at CHCs that have a good information exchange with the hospital - how did they get there, and then how to help the health centers in the state tell their story differently to build relationships with the hospitals.

• Survey strengths and develop partnership to hadn off and refer for where CHC cais not strong

• All have diff strategies - many are using midwives, others doulas, there is a lot of competition for OB/GYN who are priced out - it’s not by state, but by county and zip code.

JS: Dyad model- peer to peer? teaching model?

FL 45 days coveage post partum services

IL 365 days coveage post partum services

Who are the stars who can be good examples? Get Roger Chaufournier to give insights - is there leverage point with FTCA to provide service hours at health centers?

Partnership is important bewetn hosptial adn health center - how to get things unstcuk?

the MMR c ahst he data.

Mesage: CHCs are not competition.

Wanda has sent reports to KM and RY -

1. id high risk patients wwas not a primary compnoent - the CHCs know who their high risk patients are. Referrals to specialists and wait times is a problem.. they refer them, hoping the patient can be seen right away but the hosp can only schedule them 3-4 weeks and the CHCs follow up to try to get them to be seen. Out of the 45 CHCs only 8 are hosted by HCN. Only 2 of the ones in the project are in the HCN data warehouse.

2. Criteria for selection for sites -

What did health cetners say they needed in orde rto help? staffing challenges, bringing pp to light, higlighting, not getting reports MMRC did for their state. They only saw it when state showed - they’d like to see that informatoin. Bringing the focus from pre-natal to postpartum - bring them back in more frequently afterwards.

Key: CAre Coordinator (they dn’t use navitot0r)