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 November/December 213


FROM THE PRESIDENT

By Millie Jones, MPH

As the year comes to a close and I am approaching the end of year one of my two-year presidency, much energy is spinning in my head and it is not all "sugarplums." 2013 has been a year of change and challenges: sequestration, state and federal budget constraints, health reform, defining the future of Title V, personnel changes, and, perhaps of greatest impact, unimaginable losses in some of our communities and of family, friends and colleagues. [more]


FROM THE CEO

By Barbara Laur, MS

We have been very busy here at AMCHP over the last several months. Our main priority is the upcoming January conference -- we look forward to seeing you all in D.C. soon! AMCHP strives to make our conference the annual showcase event for MCH professionals. We recognize the difficulties you face in getting travel approved and taking time away from the office and family. [more]

FEATURES

MIECHV Helps States Increase Collaboration and Evidence-Based Practice Implementation

By Joan Wightkin, DrPH 
Assistant Professor, Department of Community and Behavioral Health, Louisiana State University Health Sciences Center

The May/June Pulse on evidence-based practice (EBP) included many valuable topics ranging from the integration of quality improvement and epidemiology; "promising" practices and the AMCHP Innovation Station; the Florida redesign of their Healthy Start Program toward a more research-informed and evidence-based intervention; and the Home Visiting Research Network informing home visiting policy and practice. Title V leaders faced with the difficult decisions for allocating limited Title V funds benefited from this information. [more]


MIECHV Technical Assistance Coordinating Center

By Valeri Lane, Ph.D. 
Project Director, MIECHV Technical Assistance Coordinating Center, ZERO TO THREE

The legislation that makes the MIECHV program possible includes a provision for technical assistance to grantees in administering programs or activities conducted with grant funds. Through a contract with the Health Resources Services Administration (HRSA), the MIECHV Technical Assistance Coordinating Center (TACC) is one entity responsible for the delivery of this technical assistance (TA). [more]


Improving Access to Medical Home Programs for Hispanic Children with Special Health Care Needs by Utilizing Community Health Workers

By Myra Rosen Reynoso, PhD 
National Center for Ease of Use of Community-Based Services

Data from the National Survey of Children with Special Health Care Needs (CSHCN) indicates that the reported prevalence rate of Hispanic children with special health care needs has risen from 8 percent to 11 percent over the past few years. In addition, recent parental reports indicate that only 32 percent of Hispanic CSHCN have medical homes, which is the model for delivering the highest quality of primary care that is accessible, comprehensive, family-centered and culturally effective (medicalhomeinfo.org). [more]


Medical Home and Health Information Technology

By Carolyn McCoy, MPH 
Senior Policy Manager, AMCHP

Title V programs play a key role in states as the locus for MCH activities. One of key activities within this role is working toward ensuring universal access to a medical home. States even report annually on the number of children and youth with special health care needs who have a medical home. [more]

Integrating Home Visiting Programs and the Family Centered Medical Home to Improve Child and Family Health Outcomes

By Carolyn McCoy, MPH 
Senior Policy Manager, AMCHP

Veronica Helms, MPH 
Program Manager, Child & Adolescent Health, AMCHP

Recent discussions in the field of child and family health have focused on the intersection of home visiting (HV) programs and the family centered medical home (FCMH). Such systems integration initiatives have the potential to decrease redundancy and promote effective systems of care for MCH populations. [more]


Medical Home Access among Children with Special Health Care Needs: Findings from the 2011-12 National Survey of Children's Health

By Reem M. Ghandour, DrPH, MPA 
Michael D. Kogan, PhD 
Jessica J. Jones, MPH
Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration

For two decades, the American Academy of Pediatrics (AAP), MCHB at HRSA, service providers, policymakers, and advocates have championed the medical home model to improve the delivery of children's health care. This model is characterized by the compassionate delivery of easily-accessible, comprehensive, continuous, culturally effective, coordinated medical services in partnership with patients and families. Research has shown that children fare best with respect to the accessibility, timeliness and quality of health care when provided in such a setting. [more]


Supporting Maternal and Child Health by Involving Fathers on Home Visits

By Haji Shearer
Director of the Fatherhood Initiative, The Children's Trust

What do fathers have to do with maternal and child health? A lot! According to research, infant and child mortality, duration of breastfeeding, and many other classic MCH indicators, are significantly impacted by the involvement of a child's father. So why aren't we discussing father involvement more in the field of maternal and child health? [more]


Promoting the National Home Visiting Research Agenda: An Update from the Home Visiting Research Network

By Kay M. Gonsalves, MSPH
Home Visiting Research Network Coordinator, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health

This is a very exciting time to work in the field of home visiting research. The ACA invests an unprecedented $1.5 billion in home visiting through grants to states, territories and tribal organizations. Most of this funding is dedicated to the development or expansion of services. However, a portion of this funding is designated for home visiting research to strengthen the role of home visiting as part of the system of services for expectant families and families with young children. [more]


Pregnancy Medical Homes 

By Carolyn McCoy, MPH 
Senior Policy Manager, AMCHP

North Carolina, one of the leading states in implementation of pregnancy medical home defines services provided in a pregnancy medical home as managed care services to provide obstetric care to pregnant Medicaid beneficiaries with the goal of improving the quality of maternity care, improving birth outcomes, and providing continuity of care. The pregnancy medical home is kept abreast of missed appointments, specialist visits and emergency department visits. [more]

 

Register Today!


IN MEMORIAM: Loretta "Deliana" Fuddy

Deliana and I served on the AMCHP board for several years as members of the executive committee. She was a thoughtful, engaged member of AMCHP and I always marveled at her ability to manage east coast timed meetings with a Pacific Island body clock. Deliana leaves a legacy of public health policy and practice that will continue to benefit the health and well-being of mothers, youth and children for decades. My thoughts are with her family, friends and coworkers. [more]


VIEW FROM WASHINGTON

By Brent Ewig, MHS
Director, Public Policy & Government Affairs, AMCHP

As 2013 winds down, we at AMCHP are looking over the MCH policy horizon to determine our 2014 federal policy agenda. In addition to the expected budget battles and need to continue defining a vital role for Title V MCH programs in an ACA environment, one of the anticipated centerpieces for next year’s agenda will be advocating for congressional reauthorization of the MIECHV program. We’ve even begun laying the groundwork this year and are working with a strong coalition to ensure broad support in 2014.[more]


REAL LIFE STORY

What is a Medical Home?

By Mallory Cyr
MPH Candidate, Boston University School of Public Health

Medical home is a buzzword heard frequently in the world of MCH. The reality, however, is that many people do not have a full understanding of what a "medical home" really is.

Once you throw more words into the alphabet soup, like health home, ACO, HMO (and the list goes on), good luck keeping track of what anyone is talking about! This muddled framework of what the ideal health care system is supposed to look like can be especially frustrating for youth, families, or the average consumer trying to gauge the quality of care they really have. [more]


SUCCESS STORY

Research to Improve the Nurse-Family Partnership in Community Practice: The Nurse Family Partnership Contraceptive Study

By Alan Melnick, MD, MPH and 
Marni Storey-Kuyl, RN, MS 
Clark County (WA) Public Health

Unintended and short interval pregnancies are associated with adverse health effects for women, children and families. Increasing access to effective contraceptives could prevent unintended pregnancy and, if provided soon after delivery, could reduce short-interval unintended pregnancy.
[more]


MEMBER TO MEMBER

We asked members the following question: What is the relationship of Title V and your state Medicaid department in coordinating and funding home visiting services?

Stephanie Trusty, BSN
Nurse Clinician, Iowa Department of Public Health

In Iowa we have 21 local Title V Maternal Health agencies selected through a competitive bid process and contracted by the Iowa Department of Public Health (IDPH) to provide services to pregnant and postpartum women in all 99 counties. Through the request for proposal process, local Title V agencies received state and federal Title V funds and are designated by Iowa Medicaid as a "Maternal Health Center." [more]

Michael D. Warren, MD, MPH, FAAP
Director, Division of Family Health and Wellness, Tennessee Department of Health

The Tennessee Department of Health (TDH) is the recipient of the MIECHV funds for Tennessee. MIECHV funds have been used to expand the availability of evidence-based home visiting programs in the most at-risk counties in Tennessee. Additionally, the MIECHV program has prompted us to explore opportunities for further developing our early childhood infrastructure, which includes a spectrum of services for children and families. [more]

Lauri Kalanges, MD, MPH
Acting Director, Office of Family Health Services, Deputy Director, Office of Family Health Services, Virginia Department of Health

The Virginia Title V program at Virginia Department of Health has been collaborating with the state Medicaid office, Department of Medical Assistance Services (DMAS), to provide home visiting for at-risk pregnant women and high-risk infants in the agency's local health departments. In Virginia, this home visiting program, called Baby Care, has served high-risk pregnant women and infants up to age two for more than 25 years. [more]


GET INVOLVED

2014-2016 Act Early State Systems Grants Request for Applications
Through funding from the Centers for Disease Control and Prevention (CDC) National Center for Birth Defects and Developmental Disabilities, AMCHP will facilitate a competitive award process of up to $20,000 over two years, to seven state teams led by either the Title V program or a member of the Association of University Centers on Disabilities network, to support the collaboration of Act Early Regional Summit Project teams and to further activities. [more]

2014-2016 Act Early State Systems Grants Request for Applications
Through funding from the Centers for Disease Control and Prevention (CDC) National Center for Birth Defects and Developmental Disabilities, AMCHP will facilitate a competitive award process of up to $20,000 over two years, to seven state teams led by either the Title V program or a member of the Association of University Centers on Disabilities network, to support the collaboration of Act Early Regional Summit Project teams and to further activities. [more]

For more ways to get involved, click here.

WHO'S NEW

New MCH Leaders

See a list of new MCH leaders. [more]

DATA AND TRENDS

Learn a life course context for early childhood health here.

RESOURCES

View and download home visiting and medical home resources here.

BOARD OF DIRECTORS

Meet the AMCHP Board of Directors.

AMCHP STAFF

Meet the AMCHP staff.

CALENDAR

AMCHP Events

AMCHP 2014
Jan. 25-28
Washington, DC

MCH Events

Family USA's Health Action 2014
Jan. 23-25
Washington, DC

National Summit on Quality Home Visiting
Jan. 29-30 , 2014
Washington, DC

AcademyHealth 2014 National Child Health Policy Conference
Feb. 5
Washington, DC

Racial Justice or Just Us? in Birth and Breastfeeding
Mar. 4-6
Washington, DC

15th Annual NHSA Spring Conference
Mar. 29-31, 2014
Washington, DC

2014 Preparedness Summit
Apr. 1-4, 2014
Atlanta, GA

CityMatCH Leadership & MCH EpidemiologyConference
Sept. 17-19, 2014
Phoenix. AZ