1. The Future of Prenatal Care Centering Healthcare Institute Tanya Munroe, Regional Director

5. Where is Centering? 425+ sites 50,000+ moms/year

6. 17 Indiana Centering Sites Community Health Network The Jane Pauley Community Health CenterIndianapolis Deaconess Family Medicine ResidencyEvansville Eskenazi Health Centers Blackburn Health CenterIndianapolis Outpatient Care Center (OCC)Indianapolis Forest Manor Health CenterIndianapolis Pecar Health CenterIndianapolis Westside Health CenterIndianapolis Franciscan Alliance St. Francis Health Family Medicine CenterIndianapolis Gary Community Health Center - Community HealthNetGary Indiana Women’s PrisonIndianapolis Indiana University Health Ball Memorial Hospital Family Medicine ResidencyMuncie Maple City Health Care CenterGoshen Memorial Hospital of South Bend Memorial Neighborhood Health Center - Central ClinicSouth Bend Open Door Health ServicesMuncie Parkview Physicians Group OBGYNFort Wayne Prima Bella Women's Health, PCValparaiso St. Vincent The Midwife Center - St. Vincent Anderson RegionalAnderson

7. CHI’s work Facilitation Training & Support Materials Consultation for System Redesign & Sustainability QA via Site Approval Data Collection & Reporting via CenteringCounts Policy and Advocacy *Statewide consortium established w/ Department of Health, Eskenazi Health & March of Dimes

8. Better Care Better Health Lower Cost

9. -33% -47% Preterm Birth Reductions Randomized control trial Ickovics, et al 2007 Retrospective cohort study Picklesimer, et al 2012

10. Preterm birth < 37 weeks by race Retrospective cohort study Picklesimer, et al 2012 7.4% 12.4% 7.5% 9.8% P=0.002P=0.097

11. Preterm Birth MOD GOAL 5.5 % CHI RATE 6.8 % US RATE 11.4 % CHI data based on practice sites reporting on ~11K women through CenteringCounts as of 12.31.15 and US data source: CDC Low Birth Weight HP2020 GOAL 7.8 % CHI 6 % US 8 % Breastfeeding CDC GOAL 82 % CHI 86 % US 77 %

12. Potential Cost Savings National perspective – 2013 PTB rate 11.4% – Cost per PTB $54,149 – Cost burden of more than $22 Billion Potential for Indiana – 2013 PTB rate 11.0% – Indiana Approved Sites reporting PTB 6.2% in Centering – Potential cost savings of $215 Million

13. Health assessment happens in the group space

14. Patients engage in self-care activities

15. Each session has a plan, but emphasis may vary

16. Groups are facilitated to be interactive

17. There is time for socializing

18. Groups are conducted in a circle

19. Group members are consistent

20. Group size is optimal for interaction

21. There is ongoing evaluation

22. Join the conversation at centeringconnects.org More info at centeringhealthcare.org tmunroe@centeringhealthcare.org (857) 284-7570 ext. 102