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Welcome. Perinatal Continuum of Care Tulsa County 2007. From Community Service Council of Greater Tulsa’s Community Profile 2007. Family Health Coalition. Established in 1987 to improve access to prenatal care 109 members from 60 agencies, businesses, government and consumers

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Perinatal Continuum of Care Tulsa County 2007

From Community Service Council of Greater Tulsa’s Community Profile 2007

family health coalition
Family Health Coalition
  • Established in 1987 to improve access to prenatal care
  • 109 members from 60 agencies, businesses, government and consumers
  • Local health system plan articulates with the Oklahoma State Department of Health 5 Year Plan for Maternal and Child Health (Title V)
  • Conducts on-going assessments and system evaluation
  • Conducts policy advocacy
  • Conducts resource and grant development
slide4

Family Health Coalition

Steering Committee

Social Marketing

Access Committee

System Evaluation

Community HealthNet

Tulsa Hispanic

Resource Association

slide5

Reduction in Fetal & Infant Mortality

Improved Access to Prenatal Care

Reduction in Low Birth-Weight Babies

Reduction in Preterm Deliveries

Tulsa’s Perinatal Health Care System Works

Outreach(Babyline & Free Pregnancy Testing)

Case Management (Healthy Start, Children First & Healthy Families)

Client Education(Prenatal, Sexuality & Social Marketing)

Provider Training

Services

Family Planning

Prenatal Care

Labor & Delivery

Pre-conceptual Care

Inter-conceptual Care

Psycho-social Screening

Risk Appropriate Referrals

Translation

Behavioral Health Treatment

Prenatal Health Care Providers

Indian Health Care Resource Center

Tulsa Health Department

OU (OB/Gyn & Family Medicine)

Planned Parenthood

OSU (OB/Gyn & Family Medicine)

Morton Comprehensive Health Center

Office of Child Abuse Prevention Funding(Federal Money

Healthy Start Funding(Federal Money

Graduate Medical Educational Funding (Federal Money

Medicaid Funding(Blend of Federal & State Monies

GQHC/330 Funding(Federal Money

Title V Funding(Federal Money

Title XFunding(Federal Money

WIC Funding(Federal Money

Indian Health Service (Federal Money

Philanthropy

Corporate Giving

Contributions.

Family Health Coalition

outcomes and process objectives
Reduce fetal and infant mortality

Reduce low birth weight and very low birth weight infants

Reduce prematurity

Increase access and continuity in prenatal care

Reduce need for high risk obstetrical care

Reduce rate of no or late prenatal care

Increase access and continuity of family planning

Reduce unintended pregnancy

Reduce teen birth rate

Increase capacity of CBO to provide prenatal and intraconceptional care

Increase research and services in women’s health

Outcomes and Process Objectives
assessment
Assessment
  • Review of Linked Birth and Death Certificate Data 1991-2000(Tulsa Health Department, 2004)
  • Analysis of Feto-Infant Mortality 1996-2000(Tulsa Health Department, 2004)
  • Assessment of Reproductive Indicators in Women of Minority Race and Ethnicity in Eastern Oklahoma(Planned Parenthood of Arkansas and Eastern Oklahoma, 2005)
  • Barriers to Help-Seeking for Economically Disadvantages Parents and Children in Tulsa(Oklahoma State University, 2006)
  • Barriers to Early Prenatal Care: PRAMS 2000-2003(Oklahoma State Department of Health, April 2007)
assessment1
Assessment
  • Babyline 1990-2004 Trend Report(Community Service Council, 2006)
  • Administrative Analysis of Prenatal Data Final Report(Oklahoma Foundation for Medical Quality, 2006)
  • Tulsa County Profile 2007(Tulsa Health Department, 2007)
  • Community Profile of Tulsa County 2007(Community Service Council, 2007)
  • Preliminary Findings 2004 Infant Deaths(Tulsa Health Department, 2007)
tulsa s perinatal system capacity

Client

Outreach Case Finding

Free Pregnancy Testing

Planline/Family Planning

Babyline/RiskAssessment/Case Management Referral

Low and Moderate Risk Care

CHC

IHCRC

Morton

OSU OB/GYN

OU Family Med

PP

THD

High Risk Care

Deliveries

Hillcrest

Southcrest

OSU

Med Ctnr

Tulsa’s Perinatal System Capacity

Morton

Private Doctors

OSU

OU OB/GYN

Postpartum & Family Planning

Social Marketing

CHC

IHCRC

Morton

OSU

OU Family Med

PP

THD

evidence based strategies
Evidence Based Strategies
  • Outcome performance measures
  • Community coalitions
    • Collaborative, public-private partnerships
    • Consumer/client investments
  • Outreach and recruitment
  • Services (prenatal, family planning, women’s health)
  • Case management/Care coordination
  • Social marketing
  • Risk reduction education
  • Access to services and care
    • Child care
    • Transportation
    • Translation
navigating tulsa s perinatal system

Preconceptional & Interconceptional Care

  • Education
  • Babyline & Planline
  • Free Pregnancy Testing Program
  • Social marketing
  • Teen pregnancy prevention

Client

$1,464,730 annual

  • Service
  • Uninsured pool for prenatal care
  • High risk obstetrical care stabilized
  • Family planning for the uninsured

$2,173,980 annual

Outreach Case Finding

Free Pregnancy Testing

Planline/Family Planning

  • Access
  • Expansion of all 3 case management programs
  • Expansion of risk appropriate referrals (Housing, Grieving support, translation, smoking cessation, etc)

Babyline/RiskAssessment

$3,781,433 annual

  • Research
  • TFIMR
  • Women’s Health Research Center

Safety Net/ Low and Moderate Risk Care

Est. $12M endowed

CHC

IHCRC

Morton

OSU OB/GYN

OU Family Med

PP

THD

$1,399,879 annual

High Risk Care

Deliveries

Hillcrest

Southcrest

OSU

Med Ctnr

Navigating Tulsa’s Perinatal System

Morton

$1,513,280 annual

Private Doctors

OSU

OU OB/GYN

$1,454,149 annual

Safety Net/Post-partum & Family Planning

Social Marketing

CHC

IHCRC

Morton

OSU

OU Family Med

PP

THD

wild cards
Wild Cards
  • HB 1804 Immigration Bill
  • Unborn Child Legislation
  • Medicaid for dental coverage during pregnancy
  • Decrease in Title V funding
slide21

HIPAA barrier on transfer of medical records at 36 weeks

Risk Factors for Infants

  • Hispanic culture and self-pay
  • Inadequate Medicaid global fee
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