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Family Health Administration Overview October 2011 Donna Gugel, MHS, Acting Director

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Family Health Administration Overview October 2011 Donna Gugel, MHS, Acting Director

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    1. Family Health Administration Overview October 2011 Donna Gugel, MHS, Acting Director

    2. 2 Family Health Administration (FHA) Programs With federal, state and special funds, including 20 federally funded grants, Family Health Administration works with communities to improve the health of all Marylanders, giving special attention to vulnerable populations in the areas of Maternal-child health Family planning & reproductive health Genetics and children with special health care needs Women, Infants & Children (WIC) Cancer control Tobacco use prevention Chronic disease & injury prevention Oral health Public health data, policy & planning Chronic rehabilitative facilities

    3. 3 Maryland Department of Health and Mental Hygiene Family Health Administration October 2011

    4. 4 Family Health Administration (FHA) A public health focus on maternal-child health and chronic disease prevention Mission To protect, promote and improve the health of all Marylanders and their families through community-based public health efforts, giving special attention to at-risk and vulnerable populations. Vision A future in which all Marylanders and their families enjoy optimal health and well-being. Values Diversity – Communication – Respect Strategic Approach FHA relies on the power of prevention and community partnerships to improve maternal and child health and prevent chronic diseases.

    5. 5 Family Health Administration (FHA) Aiming to improve health outcomes…Successes

    6. 6 Family Health Administration (FHA) Aiming to improve health outcomes…Successes

    7. 7 Family Health Administration (FHA) Aiming to improve health outcomes…Challenges

    8. 8 Family Health Administration (FHA) A diverse array of public health service programs that cover the life span Maryland Family Planning Program 144,531 family planning & reproductive health visits for 78,699 low-income, uninsured clients per year – served through a network of 80 sites statewide.

    9. 9 Family Health Administration (FHA) A diverse array of public health services that cover the life span Western Maryland Hospital Center Hagerstown, Maryland Mission – To give Marylanders a second chance for a quality of life through exceptional rehabilitation and healthcare services in a healing environment. FY 2009 Budget – $23 million FY 2008 ADC – 72 FY 2008 Kidney Dialysis – 38

    10. 10 Family Health Administration (FHA) A population health focus on systems of care Perinatal Collaboratives Collaborative efforts involving local health departments, community providers, hospitals, academic centers, MIEMSS, Maryland Patient Safety Center, and others to improve the perinatal system of care.

    11. 11 Family Health Administration (FHA) Moving toward data-based decision-making Pregnancy Risk Assessment Monitoring System (PRAMS) Ongoing, population-based CDC risk factor surveillance system designed to identify and monitor selected maternal behaviors that occur before and during pregnancy. Findings enhance the understanding of maternal behaviors and their relationship to pregnancy outcomes.

    12. 12 Family Health Administration (FHA) Future Issues – FY 2011 Babies Born Healthy In collaboration with multiple partners, FHA is committed to improving the State’s perinatal outcomes and reducing infant mortality through its Babies Born Healthy Initiative. Reducing infant mortality by 10% by 2012 is a Governor’s priority goal. This initiative focuses on prevention services, quality improvement, and perinatal data systems. Partnerships including those with the Maryland Patient Safety Center Perinatal Collaborative and the MIEMSS Maternal-Neonatal Transport System are of special interest and warrant continued support. Oral Health In response to Maryland’s dental crisis, DHMH convened a Dental Action Committee (DAC) in 2007 to assess the state of dental access and make recommendations for achieving a dental home for Maryland’s children. DAC recommendations focused on Medicaid financing and systems changes, public health initiatives, education initiatives, and scope of practice changes needed to strengthen the dental health delivery system. This has led to a Governor’s fiscal year 2009 dental initiative, with $2 million targeted to strengthening the dental public health infrastructure. FHA’s Office of Oral Health has taken the public health lead by establishing new dental clinics in underserved communities and expanding school-based dental health services. Federal Funding Family Health Administration depends on multiple federal funding sources in order to advance its mission. In fiscal year 2010, Maryland will receive additional federal stimulus dollars, as part of the new Communities Putting Prevention to Work project which will focus on Healthiest Maryland, including improving nutrition and physical activity, as well as tobacco use prevention. Other federal funding sources critical to FHA’s mission include the Title V Maternal-Child Health Block Grant, Title X Federal Family Planning Program, WIC, and CDC categorical grants. Advocating for increased federal funding and new State general dollars is needed to support these important public health prevention programs.

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