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Women Babies Families Communities The Baltimore City Healthy Start, Inc. Overview and Impact Helping Mothers Have Healthy Babies.

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Presentation on theme: "Women Babies Families Communities The Baltimore City Healthy Start, Inc. Overview and Impact Helping Mothers Have Healthy Babies."— Presentation transcript:

1 Women Babies Families Communities The Baltimore City Healthy Start, Inc. Overview and Impact Helping Mothers Have Healthy Babies

2 Vision To embrace our role as a leader in providing and coordinating services for pregnant, postpartum, interconceptional women and their babies living in vulnerable conditions in Baltimore City. Mission Baltimore City Healthy Start is committed to improving the health and well-being of pregnant, postpartum and interconceptional women, their babies, and families by providing comprehensive, supportive services in the communities where they live.

3 Baltimore City Healthy Start, Inc. One of the original 15 Healthy Start projects created in 1991 to address disparities in infant mortality (death of an infant before 1 st birthday). The only federally funded program of its kind in Maryland. Has served over 12,000 pregnant and postpartum women over its 17 years. The Lead Agency for the United Way of Central Maryland funded Success By 6® Program. Baltimores Lead Agency on a NIH funded national community- based participatory research study on the impact of stress and racism on birth outcomes. Direct Service * Community Collaboration * Research * Public Awareness

4

5 Healthy Start Program Success By 6® Initiative Healthy Babies Breastfeeding Program Substance Abuse Care Coordination Early Childhood Development In Home/In Center Family Planning Program Life Planning Institute Belly Buddies Prenatal Program Chrysalis House Healthy Start Program Outreach and Recruitment Case Management and Home Visiting Pregnancy Testing Prenatal Groups Postpartum Care Breastfeeding Education and Classes Family Planning and Interconceptional Care Parenting Groups Early Childhood Development Services Healthy Relationship Counseling Emergency Food & Clothing Pantries Family Advocacy Visual Lead Inspection Workforce Development/Employment Readiness Drop-In Child Care STD Testing, Counseling and Treatment HIV Testing and Referral Mental Health Screening and Treatment Substance Abuse Screening and Referral Transportation ProgramsServices

6 Service Area Current Healthy Start, Inc. Satellite Offices Home-Based Center-Based Mobile Delivery System*

7 Low Birth Weight Low Birth Weight Very Low Birth Weight Very Low Birth Weight Interconceptional Care Interconceptional Care STD STD The Healthy Start Impact On:

8 Percentage LBW (Maryland/Baltimore City/Healthy Start) Source: HHS-HRSA Baltimore City Healthy Start, Inc. Performance Report 2006-07

9 VLBW (Maryland / Baltimore City / Healthy Start Clients) Source: HHS-HRSA Baltimore City Healthy Start, Inc. Performance Report 2006

10 Facts to know: 623 Infants died in Maryland in 2007 Low Birth Weight Births-CY 2007 Infant Deaths CY2007 State of Maryland 9.18.0 Blacks in Maryland 13.914.0 Baltimore City 12.811.3 Blacks in Baltimore 15.115.5 Healthy Start * 8.55.3 *98% of Healthy Start Clients are African-American. Healthy Start clients accounted for 4% of Baltimore City births in 2007.

11 Interconception Care Rates of inter-pregnancy interval greater than 12 months among Healthy Start pregnant-enrolled clients for calendar year 2007. Pregnancy OutcomeConditionNumDenomPercent Live Birth>= 12 months10914575.2% (Outcome = 4)>= 24 months7414551.0% >= 36 months5414537.2% >= 48 months3714525.5% >= 60 months2214515.2% Miscarriage>= 12 months163151.6% (Outcome = 1)>= 24 months73122.6% >= 36 months63119.4% >= 48 months43112.9% >= 60 months1313.2% Stillbirth>= 12 months11100.0% (Outcome = 2)>= 24 months010.0% >= 36 months010.0% >= 48 months010.0% >= 60 months010.0% Elective Abortion>= 12 months102934.5% (Outcome = 3)>= 24 months62920.7% >= 36 months52917.2% >= 48 months42913.8% >= 60 months1293.4%

12 Impact on Sexually Transmitted Diseases (STD) 1993 urine samples were collected and submitted for Chlamydia Trachomatis (CT) and Neisseria Gonorrhoeae (GC) screening from September 1999 until March 2007. The overall prevalences of CT and GC for the study period were 10.1% (201/1993) and 2.8% (55/1993) respectively. The CT prevalence for 1999 was 18.2% with a decrease to 8.3% for 2006. The prevalence of GC significantly decreased from a high of 9.1% in 1999 to a low of 1.3% in 2006. Baltimore City Healthy Start has initiated a similar in- home screening for HIV/AIDS in October 2006.

13 Case Management Model Recruitment of Pregnant or Postpartum Client with Infant 6 months old or less Participant Identification Form is completed (PIF) Client is routed to interviewer Interviewer completes Enrollment Packet and assigns client to Case Management team and to NHA (Neighborhood Health Advocate) Interviewer submits enrollment packet to MIS MIS data enters applicable data from interview packet MIS submits enrollment packet to records clerk Records clerk establishes a chart and notifies the assigned Case Management team of the new repeat or reactivated client The Case Manager alerts the NHA of the new client. The NHA sends out an introductory letter

14 Case Management Model Within 10 days of the notification, the NHA conducts an orientation visit Within 14 days of the orientation visit, the CM conducts a care plan visit Home visits are conducted biweekly until client is exited from the program at 13 months old the family /infant is home visited once a month HIV Testing, Growing Great Kids, Family Planning, Mental Health Services, etc. Home visiting Checklists / Progress notes Checklist or submitted to High Nurse Specialist / Submitted to MIS High Risk Nurse Specialist submits reviewed checklist to MIS MIS enters applicable data and submits checklist, progress notes, etc. to the records clerk for filing Special procedures for the Certified Nurse Practitioner and ancillary staff are outlined in the Case Management Protocol.

15 How We Measure Success Baltimore City Healthy Start, Inc. Quality Dashboard

16 Quality Management System HR Services Office of Finance MIS Direct Services Centers Satellites Mobile Unit Data Application Process Procedures/Protocols Employees Employees Funders Auditors/IRS Software Hardware Data Entry Data Reporting Customers Management of Employees

17 Baltimore City Healthy Start Quality Dashboard Infant Mortality Very Low Birth Weight Rate Low Birth Weight Rate Interconceptional Interval Perinatal Depression Lead Levels Prenatal Care Rate Pediatric Medical Home Immunization Rate HIV/STD Outstanding Clinical Outcomes Efficient Procedural Processes

18 Collaborations

19 Success By 6 ® Historic East Baltimore Collaborative Greater West Baltimore Healthy Communities Collaborative In partnership with Parents, Community Representatives and Martin Luther King, Jr. Early Head Start * Center for Urban Families * Lees Blessed Family Daycare Walter F. Perkins Daycare Center * JHU Injury Free Coalition for Kids Coalition to End Childhood Lead Poisoning * Casey Family Services * The ARK Daycare Mercy Supportive Housing, Inc. * AMERIGROUP * Concord Baptist Church * Umoja Head Start Academy Save Another Youth/Stop The Violence Coalition * Tuerk House, Inc. * East Baltimore Development Inc. Ames Shalom Community, Inc. * Community Building & Partnership Enoch Pratt Free Library/North & Pennsylvania Avenues Branch ٠ Coppin Heights Community Development Corporation Coalition of Advocates for Poverty and Healthcare Solutions In partnership with Parents, Community Representatives and Martin Luther King, Jr. Early Head Start * Center for Urban Families * Lees Blessed Family Daycare Walter F. Perkins Daycare Center * JHU Injury Free Coalition for Kids Coalition to End Childhood Lead Poisoning * Casey Family Services * The ARK Daycare Mercy Supportive Housing, Inc. * AMERIGROUP * Concord Baptist Church * Umoja Head Start Academy Save Another Youth/Stop The Violence Coalition * Tuerk House, Inc. * East Baltimore Development Inc. Ames Shalom Community, Inc. * Community Building & Partnership Enoch Pratt Free Library/North & Pennsylvania Avenues Branch ٠ Coppin Heights Community Development Corporation Coalition of Advocates for Poverty and Healthcare Solutions

20 Healthy Start Clients with MCO Status 23.8% 24.9% 17.3% 24% 4.6% 1.5% 2.1% 1.8%

21 Chrysalis House Healthy Start Project Transitional Housing for Pregnant Ex-Offenders

22 Mobile Delivery System West Baltimore Expansion

23 Healthy Start Satellite Office Locations Allendale/Irvington/South Hilton Sacred Zion Full Gospel Baptist Church Morrell Park/Violetville St. Marks United Church Of Christ Dorchester/Ashburton The IVY Family Support Center Forest Park/Walbrook Women Accepting Responsibility

24 Cradle of Hope Campaign The Cradle of Hope Campaign is Baltimore City Healthy Starts public awareness initiative and fundraising program designed to inform and mobilize the citizens of our city, especially women, around the issues contributing to infant mortality, low birth weight and premature births.

25 Project Aware

26 He who has health has hope. He who has hope has everything. anonymous Arabic proverbHe who has health has hope. He who has hope has everything. anonymous Arabic proverb


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