Secretary’s Advisory Committee on Infant Mortality: ASTHO Update

1. Secretary’s Advisory Committee on Infant Mortality: ASTHO Update Paul E. Jarris, MD, MBAExecutive Director November 15, 2012

2. ASTHO’s Healthy Babies Initiative Developments Spring 2010: State Health Officials in South commit to regional effort for infant mortalityand prematurity December 2010: Letter to Secretary Sebelius and meeting with HRSA Administrator Wakefield October 2011: David Lakey, MD (TX) issued ASTHO’s Healthy Babies Presidential Challenge to reduce preterm birth by 8% January 2012: HRSA Summit for Regions IV & VI March 2012: ASTHO-March of Dimes Partnership Launch July 2012: HRSA Collaborative Improvement and Innovation Network (CoIIN) February 2013: Region V CoIIN?

3. 49 States Have Taken the Pledge Pledge to Reduce Prematurity by 8% by 2014 As of 10/5/2012

4. 3 States Have Already Met Targets NH AK VT • 2012 Virginia Apgar Award • Ward B. Hurlburt, MD, MPH Chief Medical Officer and Director of Public Health • 2012 Franklin Delano Roosevelt Award • Jose T. Montero, MD, MPH Director, Division of Public Health Service • 2012 Virginia Apgar Award • 2012 Franklin Delano Roosevelt Award • Harry Chen, MD Commissioner of Health

5. Life of the President’s Challenge 2012 Healthy Babies 2013 Integration of Public Health and Primary Care 2011 Promoting Health Equity to Reduce Disparities 2014 Rx Drug Abuse/ Neonatal Abstinence?

6. Ongoing Efforts • AMCHP Compendium on Improving Birth Outcomes • NQF NPP Maternity Action Team • National Medical Association , National Hispanic Medical Association, ACOG Vaccine initiative • America’s Health Rankings Collaboratives • CMCS Expert Panel on Improving Maternal and Infant Health Outcomes in Medicaid/CHIP • NGA Expert Panel • March of Dimes Prematurity Campaign

7. State Success: Georgia • Used innovative strategy to identify six significant geographic cluster of infant mortality • One square mile cluster crossed four county lines; never been identified with traditional methods using county lines as cutoff points • Putting data into action: • Compared leading causes of infant death and the prevalence of modifiable risk factors for the state versus the identified clusters

8. State Success: Maryland • Goal: Reduce both total and black infant mortality in Maryland by 10% by 2012 • Improve the health of women and their pregnancies • Expand Maryland Medical Assistance program eligibility for family planning to include all women at or below 200% of the federal poverty level • Gain earlier entry in to prenatal care • Improve the quality of perinatal and post-delivery care • Develop standardized 34 hospital postpartum discharge process and follow up

9. Future Areas to Address • Standardized methodology for measuring goodness and fairness • Health Equity – Region V CoIIN , America’s Health Rankings • Medicaid Waivers • Rural and geographic disparities • Disparities in Native American population • Maternal smoking

10. ASTHO Resources • ASTHO President’s Challenge on Healthy Babies: http://www.astho.org/healthybabies/ • ASTHO Health Equity Videos: http://www.astho.org/Programs/Health-Equity/Health-Equity-Videos/