--~-- Brian Sandoval Richard Whitley

Governor Director

State ofNevada Department ofHealth and Human Services

National Governors Association Learning Network on Improving Birth Outcomes Nevada

Division of Public and Behavioral Health Amy Roukie MBA Administrator ~

August 4 2017 tR~i ~

4

t ~~

~ - Nevada Department of ~~-~ Health and Human Services I)bull

~ DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH

National Governors Association Learning Network on Improving Birth Outcomes Nevada

Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health programs

christinaturnerhealthnvgov

4

t ~~

~ - Nevada Department of ~~-~ Health and Human Services I)bull

~ DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH

National Governors Association Learning Network on Improving Birth Outcomes Nevada

Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health programs

christinaturnerhealthnvgov

Background NATIONAL

bull Nevada began participation in the National Governors Association (NGA) Learning Network on Improving Birth Outcomes in 2013

bull Seeks to align existing programs and coordinate activities across public and private agencies to accelerate the pace of improving birth outcomes statewide

bull Identify the magnitude of adverse birth outcomes in Nevada including modifiable risk factors of preterm births low birth weight infant mortality and assess racial and ethnic disparities

Program Overview

bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes

bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs

bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality

Collaboration

bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health

Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter

bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance

Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology

Goals of the Improving Birth Outcomes Learning Network

bull Goal 1 Promote Maternal Child and Adolescent Health

bull Goal 2 Expand Healthcare Access

bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco

bull Goal 4 Extend Gestational Periods

----

Goal 1 Promote Maternal Child and Adolescent Health

bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures

bull Collect and analyze data

bull Increase community and education awareness

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Program Overview

bull The Improving Birth Outcomes Learning Network focuses on demonstrated best practices of states which have improved birth outcomes

bull Learn about coordinating activities across agencies statewide and options to accelerate the pace of improving outcomes and reducing costs

bull The goal is to assist states in developing implementing and aligning key policies and initiatives related to the improvement of birth outcomes measured by the incidence or preterm births and infant mortality

Collaboration

bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health

Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter

bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance

Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology

Goals of the Improving Birth Outcomes Learning Network

bull Goal 1 Promote Maternal Child and Adolescent Health

bull Goal 2 Expand Healthcare Access

bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco

bull Goal 4 Extend Gestational Periods

----

Goal 1 Promote Maternal Child and Adolescent Health

bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures

bull Collect and analyze data

bull Increase community and education awareness

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Collaboration

bull Core Leadership Team bull Office of the Governor Nevada Division of Public and Behavioral Health

Nevada Division of Health Care Policy and Financing Medicaid Managed Care Organizations and the March of Dimes Nevada Chapter

bull Additional Membership representation bull Nevada Attorney Generals Office Center for the Application of Substance

Abuse Technologies Primary Care Association University of Nevada Las Vegas Statewide Coalitions Title V Maternal Child Health Programs Substance Abuse Prevention and Treatment Agency and the Office of Public Health Informatics and Epidemiology

Goals of the Improving Birth Outcomes Learning Network

bull Goal 1 Promote Maternal Child and Adolescent Health

bull Goal 2 Expand Healthcare Access

bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco

bull Goal 4 Extend Gestational Periods

----

Goal 1 Promote Maternal Child and Adolescent Health

bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures

bull Collect and analyze data

bull Increase community and education awareness

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Goals of the Improving Birth Outcomes Learning Network

bull Goal 1 Promote Maternal Child and Adolescent Health

bull Goal 2 Expand Healthcare Access

bull Goal 3 Reduce Exposure to Alcohol Drugs and Tobacco

bull Goal 4 Extend Gestational Periods

----

Goal 1 Promote Maternal Child and Adolescent Health

bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures

bull Collect and analyze data

bull Increase community and education awareness

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

----

Goal 1 Promote Maternal Child and Adolescent Health

bull Integrate Life Course Perspective into educational outreach promoting maternal child and adolescent health including the consideration of lifetime and intergenerational experiences and exposures

bull Collect and analyze data

bull Increase community and education awareness

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Current Activities Workgroup 1 bull Collect and analyze data

bull The Maternal Child and Adolescent Health Section (MCAH) within the Division of Public and Behavioral Health (DPBH) is partnering with the Office of Public Health Informatics and Epidemiology (OPHIE) to gather data on birth spacing prenatal care visits high risk behaviors and chronic illnesses

bull MCAH is partnering with Women Infants and Children (WIC) to gather data on postpartum visits and wellness visits

bull Increase community education and awareness bull MCAH engages partners and stakeholders to increase community education and awareness

about preconception and interconception health

bull Information and resources are provided to the Nevada Childrens Medical Home Portal to promote healthcare services for women and families with special health care needs

bull Develop a campaign to educate Primary Care Physicians Managed Care Offices OBGYNs and other health professionals on the value of One Key Question

bull Include information on family planning birth spacing postpartum visits and wellness visits in the informational PINK Packet materials given to each woman after giving birth

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Workgroup 1 Accomplishments bull Preconception and lnterconception Health Promotion is an area of

focus for Title V involvement in the Infant Mortality Collaborative Innovation and Improvement Network and aligns with Title V measures Activities focus on family planning and birth spacing

bull Existing websites community partners and coalition activities promote initiatives focused on improving preconception and interconception health including family planning birth spacing postpartum visits and wellness visits

bull Education and awareness to promote One Key Question to health professionals continues to be part of Title V efforts

bull The Nevada Childrens Medical Home Portal launched in January 2017 and promotion has been embedded in all Title V subgrants

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Goal 2 Expand Access to Healthcare

bull Expand access to healthcare including behavioral health for women pregnant women and infants

bull Expand the use of telehealth

bull Provision of mental health assessments

bull Increase access to family planning

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Current Activities Workgroup 2 bull Expand the use of telehealth

bull Work with Medicaid to expand eligibility for telehealth services

bull Work with the Governors Office of Science Innovation and Technology to map existing services and identify gaps in coverage

bull Partner with universities to increase enrollment in programs supporting telehealth workforce development

bull Promote increased provider awareness of telehealth

bull Provision of mental health assessments bull Partner with Home Visiting to support provision of mental health assessments

bull Adapt standardized behavioral health assessments in participating clinics in collaboration with Community Health Centers Substance Abuse Presentation and Treatment Agency (SAPTA) and Rural Community Health Services

bull Increase access to family planning bull Leverage National Training Center resources to provide behavioral healthcare clinics

bull Partner with Project ECHO to develop and implement modules on family planning and related issues

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Workgroup 2 Accomplishments bull Partnering with universities to support telehealth has been

successful

bull Various trainings are provided through the University of Nevada Reno School of Medicine Project ECHO (httpunreduecho)

bull Home Visiting programs have added mental health assessments to their curriculum

bull Medicaid providers (Rural Health Clinics and Family Planning Clinics) have expanded their ability to provide and bill for family planning

services

bull Long Acting Reversible Contraceptives (LARCs) are a Medicaid covered benefit at the time of delivery allowing more women access to the most effective forms of birth control

Workgroup3 Reduce Exposure to Alcohol Drugs and Tobacco

bull Reduce negative birth outcomes resulting from maternal substance use through education prevention intervention and treatment efforts

bull Increase awareness and resources available to healthcare providers

bull Increase awareness and resources available to partner agencies

bull Increase awareness and resources available to the public

Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers

bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses

bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum

bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse

bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant

women with substance misuse issues

bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting

healthy moms and healthy babies

bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies

bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms

Activities of Workgroup 3 bull Increase awareness and resources available to healthcare providers

bull Screening Brief Intervention Referral to Treatment (SBIRT) training will be provided to the DPBH community health nurses and behavioral health nurses

bull Incorporate maternal substance misuse prevention and intervention training into the University of Nevada School of Medicine public health curriculum

bull Create a guide for clinicians clearly defining reimbursement for Medicaid-related services for maternal substance misuse

bull Increase awareness and resources available to partner agencies bull Define non-traditional partners and safety net providers who provide resources for pregnant

women with substance misuse issues

bull Increase awareness and resources available to the public bull Continue SoberMomsHealthyBabiesorg public service announcements PSAs) promoting

healthy moms and healthy babies

bull Advertise substance misuse prevention and treatment resources at food retailers and pharmacies

bull Explore providing peel off or window cling information cards to be voluntarily posted in food establishment restrooms

Workgroup 3 Accomplishments bull SBIRT trainings are offered throughout the State to community health

nurses and behavioral health nurses

bull A provider toolkit is under review and will be distributed statewide in October 2017

bull A reimbursement guide will be included in the provider toolkit

bull Non-traditional partners including retailers and pharmacies will receive awareness materials

bull Public facing information will be shared in October 2017 with restaurants and bars

bull The SoberMomsHealthyBabiesorg website was updated to include a location feature and quick call button PSAs continue statewide

Goal 4 Extend Gestational Periods

bull Decrease non-medically indicated early birth before 39 weeks bull Develop model policies

bull Promote supportive reimbursement policies

bull Increase public awareness

marchl~ofdimes working togolher fnr s1rnngar heolthlet babiEi

Activities of Workgroup 4 bull Develop model policies

bull Request hospitals provide examples of their Early Elective Delivery Policy

bull Create a template outlining the criteria for early delivery

bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members

bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement

bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods

bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature

delivery and benefits of full term gestation

bull Partner with public and community-based agencies to promote full-term birth information dissemination

bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week

HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait

bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters

bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center

bull Technical Assistance was provided to non-qualifying hospitals

bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters

bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center

Program Contacts

bull Beth Handler MPH Bureau Chief Child Family and Community Wellness

bull bhandlerhealthnvgov bull httpdpbhnvgov

bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program

bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)

l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH

Activities of Workgroup 4 bull Develop model policies

bull Request hospitals provide examples of their Early Elective Delivery Policy

bull Create a template outlining the criteria for early delivery

bull Share the delivery hospital policy with the Nevada Hospital Association to promote with its members

bull Promote supportive reimbursement policies bull Evaluate differences between Fee for Service and Global reimbursement

bull Create an evidence-based clinical pathway to link reimbursement to promote extended gestational periods

bull Increase public awareness bull Work with March of Dimes to promote public education about the risks of premature

delivery and benefits of full term gestation

bull Partner with public and community-based agencies to promote full-term birth information dissemination

bull Provide information to public officials and key stakeholders about the importance of full term births during Public Health Week

HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait

bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters

bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center

bull Technical Assistance was provided to non-qualifying hospitals

bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters

bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center

Program Contacts

bull Beth Handler MPH Bureau Chief Child Family and Community Wellness

bull bhandlerhealthnvgov bull httpdpbhnvgov

bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program

bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)

l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH

HEALTHY BABIESWorkgroup 4 Accomplishments are worth the wait

bull 2015-2016 DPBH March of Dimes and Nevada Hospital Association recognized 3 hospitals for reducing their early elective delivery rates to less than 5 for at least two consecutive quarters

bull St Marys Regional Medical Center Sunrise Childrens Hospital and University Medical Center

bull Technical Assistance was provided to non-qualifying hospitals

bull 2016-2017 DPBH March of Dimes and the Nevada Hospital Association recognized 12 hospitals for reducing their early elective delivery rates to less than 3 for at least two consecutive quarters

bull Banner Churchill Community Hospital Carson Tahoe Hospital Dignity Health St Rose San Martin and Sienna Hospitals Henderson Hospital Humboldt General Mountain View Hospital Northeastern Nevada Regional Hospital Renown Regional Medical Center Spring Valley Hospital Medical Center St Marys Medical Center and Summerlin Hospital Medical Center

Program Contacts

bull Beth Handler MPH Bureau Chief Child Family and Community Wellness

bull bhandlerhealthnvgov bull httpdpbhnvgov

bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program

bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)

l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH

Program Contacts

bull Beth Handler MPH Bureau Chief Child Family and Community Wellness

bull bhandlerhealthnvgov bull httpdpbhnvgov

bull Christina Turner Maternal and Infant Health Coordinator Title V Maternal Child Health Program

bull ch risti natu rnerhea Ith nvgov bull httpdpbhnvgovProgramsMaternal Child and Adolescent Health (MCH)

l bull middot Nevada Department of ~ ~middot~ Health and Human Services t)bull ~ i DIVISION OF PUBLIC AND ~ BEHAVIORAL HEALTH