Presentation on theme: "Evelyn Delgado, Assistant Commissioner"— Presentation transcript:
1 Healthy 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
2 Infant 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.
3 What 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
4 Simultaneous 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
5 What 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
6 What 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
7 Distribution 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
8 Moving 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
9 National 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.
10 For 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