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Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction Evelyn Delgado, Assistant Commissioner Division for Family and Community.

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Presentation on theme: "Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction Evelyn Delgado, Assistant Commissioner Division for Family and Community."— Presentation transcript:

1 Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction Evelyn Delgado, Assistant Commissioner Division for Family and Community Health Services Texas Department of State Health Services

2 Birth Outcomes Data Infant Mortality Rate (IMR) Texas: 6.1*African Americans: 9.9 Low Birth Weight (LBW) Texas: 8.5African Americans: 14.0 Preterm Birth (PTB) Texas: 13.2African Americans: 17.1 Maternal Age** Less than 20: 13.5% of TX births; LBW 9.6; PTB 14.9 Greater than 40: 2% of TX births; LBW 12.3; PTB 18.6 * Data is rate per 1000 live births in 2008,Texas Natality and Mortality Files, Texas Department of State Health Services; National Vital Statistics Reports, National Center for Health Statistics, , available at https://www.cdc.gov/nchs/products/nvsr.htm. ** Data from March of Dimes PeriStats averaged data.

3 What is Healthy Texas Babies? Healthy Texas Babies (HTB) is an initiative to decrease infant mortality Goals of Healthy Texas Babies Initiative: Provide local partnerships and coalitions with major roles in shaping programs in their communities Use evidence-based interventions Decrease preterm birth rate by 8% over 2 years Save ~ $7.2 million in Medicaid costs over 2 years

4 Simultaneous Policy Actions Legislature passed three related perinatal health bills HB 1983 – Eliminates Medicaid payment for elective inductions and c-sections before the 39th week HB 824 – Creates an outreach campaign to promote fathers' involvement with their children before birth HB 2636 – Creates a council to study neonatal intensive care unit regionalization Legislature appropriated $4.1 million in General Revenue funds to DSHS funding the Healthy Texas Babies initiative

5 What We Have Accomplished So Far NICU Regionalization Dissemination of NICU & OB survey under direction of HHSC HHSC convening NICU council using materials developed by workgroup 39-Weeks initiative Medicaid rules change for reimbursement of non- indicated pre-39 week deliveries March of Dimes and WIC collaboration Development of web-based well-woman curriculum for WIC participants

6 What We Have Accomplished So Far Increased public awareness of the issue Healthy Texas Babies website & media campaign Tools, best practices and community updates Text4baby – DSHS is lead outreach partner for Texas Fatherhood initiatives WIC is distributing Office of the Attorney General Maps for Dads publication in all WIC sites DSHS, OAG working on development of fatherhood survey

7 Distribution of HTB Information & Funds Fund local initiatives led by coalitions of stakeholders and government organizations Provider education Community Health Worker/Promotor(a) trainings DSHS Grand Rounds Series Texas Health Steps module In-person trainings statewide

8 Moving forward Expand Expert Panel membership Multi-agency Work Group develops additional deliverables Link to faith community, academic community, etc. Implement programming based on NICU & OB Survey results, results of fatherhood survey and other data collection activities Align HTB objectives with existing programs at the state and local levels

9 National Perspective ASTHO Presidential Challenge – Best Practice Subcommittee for ASTHO Healthy Babies Project DHHS – HRSA – Region 4 & 6 Infant Mortality Summit Big 5 – March of Dimes AMCHP Action Learning Collaborative HHS Secretarys Advisory Committee on Infant Mortality

10 THANK YOU For more information or to get involved in the Healthy Texas Babies Initiative: Aisling McGuckin RN, MSN, MPH Texas Department of State Health Services Office of Title V & Family Health (512)


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