1. BABY ME – Tobacco Free Program An Evidence-Based Effort to Impact Prenatal Smoking Rates in Indiana August 19, 2014

3. Save the BABIES! 1.The NEED 2.The PROGRAM 3.The Partnerships … …It’s WORKING Indiana BABY & ME – Tobacco Free Program

4. Indiana 2010-2012, Prenatal Smoking Percentages In 2012, 16.5 % of women in Indiana reported smoking during their pregnancy. (Two times higher - National average) Smoking Rates: Hoosier women - 7.1 % Women on Medicaid - 27%. Source: Indiana State Department of Health, Maternal & Child Health Epidemiology Division

5. Source: Indiana State Department of Health, Maternal & Child Health Epidemiology Division [ June 30, 2014 ] United States Original: Centers for Disease Control and Prevention National Center for Health Statistics Indiana Original Source: Indiana State Department of Health, PHPC, ERC, Data Analysis Team

6. Smoking During Pregnancy  Increases  Premature births  Low-birth rates  Placental abruptions & stillbirths  Risks of SIDS  Reduces  Blood flow and oxygen to baby  Risk of future health and behavioral problems

7. BABY & ME – Tobacco Free Program  Evidenced-Based Prenatal/Postpartum Program  Researched from 2006 – 2009 NY State Dept. of Health  2011 Results, 70% + quit rate, at 6 months postpartum  Core Program Components:  Provides 4 prenatal sessions  12 Monthly postpartum visits  Provides FREE Diapers,  12 months Postpartum  Tested at every visit

8. Indiana’s Program Oct 2013 – Sept 2014: Enroll 300 Women Enrollment goal met: April 2014 Quit rate of 70% (as of June 2014) Oct 2014 – Expansion to include partners 8

9. Local Program: Union Hospital, Terre Haute Inter-Professional approach Outreach to other clinics Partnership with surrounding counties Carrie Evans, Coordinator Baby and Me - Tobacco Free Program Union Hospital Family Medicine 1530 N. 7th St., Suite 200 Terre Haute, IN 47807 812-478-4136 caevans@uhhg.org

10. Inter-Professional Approach Faculty and Resident Doctors Behavioral Health Specialists Pharmacist Radiologist Social Workers

11. Outreach to Other Clinics Able to see clients from any OB practice Use of fax referral and word of mouth

12. Partnership In Surrounding Counties Subcontracting with agencies in: Parke/Vermillion Counties – Vermillion – Parke Community Health Center Chances and Services for Youth (Also able to reach Montgomery County) Owen County - New Beginnings Pregnancy Resource Center

13. First Year Success! 78 Women Enrolled 56% Quit 11% Reduced 64 Vouchers given to 22 women

14. Indiana’s Future Anthem BlueCross Blue Shield  4 additional locations  300 additional women served. ISDH  Data support & advisor March of Dimes  Promotion & training CVS/Caremark  Voucher processing 14

15. For more information: Indiana Dept HS Carolyn Runge, MPH, IBCLC Maternal Health Administrator MCH Division, ISDH 317-233-1374 crunge@isdh.in.gov crunge@isdh.in.gov BABY & ME – Tobacco Free Program Laurie Adams, Executive Director 716-484-3325 lauriea@windstream.net director@babyandmetobaccofree.com www.babyandmetobaccofree.org