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Title V Technical Assistance Meeting
Trend Reversal: Uninsured rates tick upwards since passage of the Affordable Care Act
Resources for Promoting Healthy Behavioral and Emotional Development in Adolescents
Welcome to Pulse
Building Healthy and Resilient Communities Across Rhode Island
Heeding Lessons Learned from the Zika Response as We Prepare for Emerging Threats and Issues
From the President: Emerging Issues

 May/June 2015

Download a PDF of this issue.

FROM THE PRESIDENT

By Sam B. Cooper III, LMSW-IPR

As I am writing this, National Women's Health Week is drawing to a close. Traditionally, it begins with Mother's Day. Growing up in Houston, Dad and I were outnumbered by three younger sisters and a mother who seemed to have the ability to be in three places at once. Mom was well known for her uncanny ability for early identification of potential health hazards (i.e., homemade backyard obstacle course), for her amazing sense of just when that hug was most needed, and for her supportive words of encouragement to kids that were typically pushing the farthest corners of the envelope. [more]

FROM THE CEO

By Lori Tremmel Freeman, BS, MBA
Chief Executive Officer, AMCHP

This issue of Pulse is perfectly timed! We've just concluded celebrating Women's Health Week and Mother's Day and are eagerly looking ahead in a few short weeks to Father's Day. You'll read in this issue how states honored Women's Health Week as well as learn about the coinciding launch of new AMCHP publication, Health for Every Mother: A Maternal Health Resource and Planning Guide for States. What a wonderful time of year to recognize the role and importance of women and men's health and well-being to their children, families and communities! [more]

 

FEATURES

Capitalizing on Health Reform to Improve Preconception Health

By Atyya Chaudhry, MPP
Policy Analyst, Health Reform Implementation, AMCHP

AMCHP developed an issue brief focusing on preconception health and health care. Despite improvements in the past few decades, infant and maternal deaths remain high in the United States. Preconception health and health care provide an opportunity to care for the health of a woman before she becomes pregnant in efforts to improve birth outcomes for mother and child. [more]

 

Historical Initiatives to Improve Women's Health: The War on Poverty and the 50th Anniversary of Medicaid

By Stacy Collins, MSW
Associate Director, Health Reform Implementation

In his first State of the Union address on Jan. 8, 1964, President Lyndon Johnson announced a national "War on Poverty." At that time, while the country was in a period of relative post-war prosperity, nearly a quarter of all American families lived beneath the poverty line. "The War on Poverty" became the unofficial moniker for a host of legislative initiatives proposed and implemented by the Johnson Administration. [more]

 

The Well-Woman Visit in the Title V Performance Measurement Framework: Access, Content or Quality?

By Ashley Hirai, PhD
Senior Health Scientist, Office of Epidemiology & Research, Maternal and Child Health Bureau, HRSA

Andria Cornell, MSPH
Senior Program Manager, Women's Health, AMCHP

Carolyn McCoy, MPH
Senior Policy Manager, Health Reform Implementation, AMCHP

Why Include Well-woman Visits in the Title V Performance Measurement Framework?
In the new Title V performance measurement framework, states will select eight of 15 National Performance Measures (NPMs) that are most relevant to a given state's needs and priorities across six population domains. To better document the impact of Title V, states will be developing and tracking Evidence-based/informed Strategy Measures (ESMs) to improve their selected NPMs and related longer- term National Outcome Measures (NOMs). [more]

 

Health for Every Mother: A Unique Opportunity to Plan and Partner for Moms

By Brittany Argotsinger, MPH
Program Manager, Women's and Infant Health, AMCHP

With the 2015 transformation of the Title V MCH Services Block Grant, state Title V programs were charged with improving the health of women and mothers in new, more explicit ways. In addition to new outcome measures of maternal mortality and severe morbidity, all states are now accountable for improvements in one of two national performance measures within a new Women's and Maternal Health population domain... [more]

 

NAMD/AMCHP Support State-to-State Learning on the Overuse of C-Sections among Low-Risk, First-Time Mothers

By Lindsey Browning, MPP
Policy Analyst, NAMD

As a major payer and market force in MCH, Medicaid agencies are essential to innovations that improve the health of pregnant women and their children. Recent efforts to curb early elective deliveries demonstrate the potential impact of these reforms. With the ongoing movement to pay for value rather than volume in Medicaid, states are identifying new ways to address birth outcomes and build on existing initiatives. [more]

 

Strategic Partnerships to Improve Women's Health Before, During and Beyond Pregnancy

By Keisher Highsmith, DrPH
Director, Special Initiatives & Program Planning & Evaluation, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration; Project Director for the Maternal Health Initiative and the Alliance for Innovation on Maternal Health: Improving Maternal Health and Safety Initiative

The rising number of maternal deaths and severe complications in the United States is an indicator of the fragmented public health and health care delivery system. The CDC reports that severe maternal morbidities have risen 50 percent in the last decade, from 7.2 to 17.8 per 100,000 live births, and estimates that 50 percent of maternal deaths are preventable. [more]

 

Partnerships to Strengthen and Leverage Preconception and Interconception Health

By Elaine L. Fitzgerald, DrPH, MIA                                            
Infant Mortality CoIIN Project Director, NICHQ                                                                                  
 
Sarah Verbiest, DrPH, MSW, MPH
Executive Director, UNC Center for Maternal and Infant Health; Senior Consultant, National Preconception Health and Health Care Initiative

The national Infant Mortality (IM) Collaborative Improvement & Innovation Network (CoIIN) officially launched in February 2015 with 53 U.S. states and jurisdictions participating in one or more of six learning networks. The learning network topics evolved after an iterative state-driven process to identify the strategies that jurisdictions prioritized most highly. Among the topics, promoting women's health before and between pregnancies was identified by 30 jurisdictions, making the Preconception and Interconception Care (PCC ICC) Learning Network the second largest learning network after safe sleep. [more]

 

Women Across New York City are Engaging Legislators and Mobilizing for Change

By Fajah Ferrer, Healthy Women, Healthy Futures Chair; Janice Minott, Co-Chair; Ekua Ansah-Samuels, Health Education/Program Coordinato; and Claudia Boykins, Engagement and Policy Director
Northern Manhattan Perinatal Partnership, Inc.

Pregnancy-related mortality in New York City is among the highest in the United States and has remained higher than the national average for the last 40 years. African American women in New York City are seven times as likely to suffer a maternal death as white women. For Hispanic women in New York City, the maternal mortality ratio is nearly twice as high as for non-Hispanic white women. [more]

 

Paired Practica in State Title V Agencies

By Arden Handler, DrPH, Deneen Long-White, PhD and Jaime Klaus, MA

For the second year, the National MCH Workforce Development Center is supporting the MCH Paired Practica program. The program supports MCH undergraduate students from the MCHB-funded Howard University Pipeline Program and MCH graduate students/recent graduates from the 13 schools of public health with MCH training programs as they participate in internships designed by state Title V agencies. Each graduate/undergraduate student pair works as a team to complete a scope of work related to health transformation. [more]

VIEW FROM WASHINGTON

Celebrating Moms & Improving Women's Health

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

Every year in the run up to Mother's Day, my two daughters and I revel in planning to celebrate my wife in high style. This year included production of about seven different hand colored cards along with homemade sea shell necklaces (from the girls) and a 90 minute visit to the spa (from me). It's small compensation for enduring a year of my corny jokes, I know. But seriously, taking time to celebrate the moms -- along with the grandmothers, sisters, aunts, and friends that make up an extended support network -- is an important expression of the gratitude we feel all year long. [more]

 

REAL LIFE STORY

Self Care for Parents of Children with Special Health Care Needs

By Tracie Hayward

Have you ever flown on an airplane, and heard the flight attendant say "In case of a decline in the cabin pressure, please put your mask on before assisting others."? Do you know why they say that? Because, as parents, we have a natural urge to help our children before we help ourselves! However, when you are the parent of a child with special health care needs, your role often extends beyond that of "just" a parent -- we are often our child's nurse, therapist, teacher and counselor all rolled into one. [more]

 

SUCCESS STORY

States Work to Improve Postpartum LARC Implementation

By Ellen Schleicher Pliska, MHS, CPH
Family and Child Health Director, ASTHO

Claire Mariel Rudolph, MPH, CHES
Senior Analyst, Maternal and Child Health, ASTHO

Unintended or mistimed pregnancies are associated with poor maternal and child health outcomes such as delayed prenatal care, prematurity, and negative physical and mental health effects for children. With 50 percent of pregnancies in the United States being unintended, it is paramount that women who want to prevent pregnancies have access to effective and reliable contraceptives. [more]

Forging a Comprehensive Birth Outcomes Initiative in Kansas

By Rachel Sisson, MS
Bureau of Family Health and Title V Director, Kansas Department of Health & Environment, Division of Public Health, Bureau of Family Health
 
Heather Smith, MPH
Special Health Services and Special Health Care Needs Director, Kansas Department of Health & Environment, Division of Public Health, Bureau of Family Health

The Title V MCH five-year needs assessment is designed to be an opportunity to review data, gather input from stakeholders, build capacity and identify priorities. The Kansas Department of Health and Environment (KDHE) spent the past year conducting the needs assessment with an approach focused on not only creating a meaningful, responsive action plan, but also building a strong platform to maximize resources, develop and sustain mutually reinforcing relationships, and deliver outcomes. [more]

 

MEMBER TO MEMBER
National Women's Health Week (NWHW) is a nationwide observance led by the U.S. Department of Health and Human Services Office on Women's Health (OWH) to empower women to make healthy choices.The 2015 NWHW was held May 10-16; during this week, the OWH and states and territories across the nation shared resources and hosted events to promote women's health and wellness. [more]

WHO'S NEW
See a list of new MCH leaders and AMCHP staff. [more]

 

GET INVOLVED

Emergency Preparedness and Response Resources for MCH Populations Webinar
The CDC Division of Reproductive Health (DRH) has responded to disasters for more than a decade, from the Sept. 11 attacks to the Ebola Virus outbreak in West Africa. In the aftermath Hurricane Katrina, the need for literature and resources to address critical questions regarding the impact of disasters for women of reproductive age, pregnant, and postpartum women became evident. [more]

National MCH Workforce Development Center Coffee Talk Series -- Check Out Video 3 Today! 
This series will be hosted by the National MCH Workforce Development Center Change Management core on three pertinent topics benefiting the Title V workforce. The series will consist of three archived 20-minute videos for AMCHP members to access bi-monthly at their leisure. [more]

Announcing Call for Abstracts and Save-the-Date: ACEs Southeastern Summit
The Adverse Childhood Experiences Southeastern Summit 2015: Building Resilient, Interdisciplinary Workforces, Communities & Families will be held Sept. 24-26 in Asheville, North Carolina. This conference will focus on the impact of adverse childhood experiences (ACEs) on early childhood development, long-term health behaviors and health outcomes in adulthood. [more]

Special Issue Call for Papers: Postpartum Health and Wellness
The Maternal and Child Health Journal is soliciting manuscript submissions to be considered for an upcoming issue on the theme of postpartum health and wellness. This important period in the reproductive life continuum provides a critical link between prenatal care and women's preventive health care as well as an essential opportunity to guide and support maternal role attainment, breastfeeding, mental health and healthy parenting. [more]

Prematurity Prevention Conference 2015
Participants from multiple disciplines will examine ways to enhance prematurity prevention efforts in the United States by sharing best practices for designing, implementing and evaluating programs and policies. The conference, held Nov. 17-18 in Arlington, VA, will be a forum for disseminating findings, sharing tools and resources, and engaging stakeholders in the effort to significantly reduce the U.S. preterm birth rate by 2030. [more]

 

DATA AND TRENDS
Learn facts about well-women visits here.

RESOURCES
View women's health resources here.

BOARD OF DIRECTORS
Meet the AMCHP Board of Directors.

AMCHP STAFF
Meet the AMCHP staff.

CALENDAR
Click here to see the AMCHP MCH Events Calendar.