Presentation on theme: "Evelyn Delgado, Assistant Commissioner"— Presentation transcript:
1Healthy Texas Babies: A Stakeholder-Driven Approach to Infant Mortality Reduction Evelyn Delgado, Assistant CommissionerDivision for Family and Community Health ServicesTexas Department of State Health Services
2Infant Mortality Rate (IMR) Low Birth Weight (LBW) Preterm Birth (PTB) Birth Outcomes DataInfant Mortality Rate (IMR)Texas: 6.1* African Americans: 9.9Low Birth Weight (LBW)Texas: 8.5 African Americans: 14.0Preterm Birth (PTB)Texas: 13.2 African Americans: 17.1Maternal Age**Less than 20: 13.5% of TX births; LBW 9.6; PTB 14.9Greater than 40: 2% of TX births; LBW 12.3; PTB 18.6US Context – IMR: 6.6; LBW: US 8.2; Preterm birth US 12.3 – UNDERLINED are rates that are higher in Texas than the US.African Americans – We see major disparities between African Americans and other groups. Rates for IMR, LBW and PTB in whites and Latinas are similar.Re: Maternal Age – Main points: While Teens make up a larger proportion of the births (in yellow: 13.5%), the outcomes for babies born to mothers over 40 are worse (in yellow), though preterm birth is worse than the state average for both groups.*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.
3What is Healthy Texas Babies? Healthy Texas Babies (HTB) is an initiative to decrease infant mortalityGoals of Healthy Texas Babies Initiative:Provide local partnerships and coalitions with major roles in shaping programs in their communitiesUse evidence-based interventionsDecrease preterm birth rate by 8% over 2 yearsSave ~ $7.2 million in Medicaid costs over 2 years
4Simultaneous Policy Actions Legislature passed three related perinatal health billsHB 1983 – Eliminates Medicaid payment for elective inductions and c-sections before the 39th weekHB 824 – Creates an outreach campaign to promote fathers' involvement with their children before birthHB 2636 – Creates a council to study neonatal intensive care unit regionalizationLegislature appropriated $4.1 million in General Revenue funds to DSHS funding the Healthy Texas Babies initiative
5What We Have Accomplished So Far NICU RegionalizationDissemination of NICU & OB survey under direction of HHSCHHSC convening NICU council using materials developed by workgroup39-Weeks initiativeMedicaid rules change for reimbursement of non-indicated pre-39 week deliveriesMarch of Dimes and WIC collaborationDevelopment of web-based well-woman curriculum for WIC participants
6What We Have Accomplished So Far Increased public awareness of the issueHealthy Texas Babies website & media campaignTools, best practices and community updatesText4baby – DSHS is lead outreach partner for TexasFatherhood initiativesWIC is distributing Office of the Attorney General “Maps for Dads” publication in all WIC sitesDSHS, OAG working on development of fatherhood survey
7Distribution of HTB Information & Funds Fund local initiatives led by coalitions of stakeholders and government organizationsProvider educationCommunity Health Worker/Promotor(a) trainingsDSHS Grand Rounds SeriesTexas Health Steps moduleIn-person trainings statewide
8Moving forward Expand Expert Panel membership Multi-agency Work Group develops additional deliverablesLink to faith community, academic community, etc.Implement programming based on NICU & OB Survey results, results of fatherhood survey and other data collection activitiesAlign HTB objectives with existing programs at the state and local levels
9National Perspective ASTHO Presidential Challenge DHHS – HRSA Best Practice Subcommittee for ASTHO Healthy Babies ProjectDHHS – HRSARegion 4 & 6 Infant Mortality SummitBig 5 – March of DimesAMCHP Action Learning CollaborativeHHS Secretary’s Advisory Committee on Infant MortalityMain points: Multiple opportunities for visibility for this issue at the local level (working with providers, community members) up to the national level.ASTHO Presidential Challenge – Impetus for states to focus on this issue, with Texas serving as a model. Dr. Lakey and other DSHS & HHSC staff participating on Healthy Babies Best Practice Subcommittee.DHHS-HRSA – Region 4 & 6 Infant Mortality Summit to receive technical assistance from HRSA. Collaborative effort among state partners, ASTHO, AMCHP & HRSA on the national stage.Big 5 – March of Dimes invited Evelyn and Rebecca to participate with other Big 5 states to look at data collected and practice change results of the initiative.AMCHP Action Learning Collaborative - looks at role of racism and social determinants of health in the context of infant mortality and data-driven responses (AMCHP, CityMatCH).HHS Advisory Committee on Infant Mortality – feeds into other multistate and federal agency efforts to establish best practices in national programming.
10For more information or to get involved in the Healthy Texas Babies Initiative: Aisling McGuckin RN, MSN, MPHTexas Department of State Health ServicesOffice of Title V & Family Health(512)Thank you