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Maternal Child Health Case Management Program

Program Type: Promising Practice -Programs not formally evaluated (or formal evaluation is not yet complete) but identified by experts as programs with results suggesting efficacy and worthy of further study in broader pilot implementation efforts.

Description:
Coordination of services for health care and health education in rural Wyoming and especially within the Wind River Service Unit area are difficult to maintain without a proper case management program in place. There is a need to assess and coordinate community and health care resources related to Maternal Child Health especially those that are vulnerable and designated as high risk to ensure families are receiving adequate services. This designation could include: first time mothers, premature infants, and adolescent prenatal patients, those prenatal patients with co-morbid factors that may adversely affect the pregnancy outcome and a history of substance use during pregnancy or history of substance abuse, or any problems associated with psychosocial issues. Utilizing a case management model would allow better utilization and coordination of services. At the present time we do not know the adequacy of the prenatal care received by those women who go elsewhere and especially if these women fall into a high risk category and need to be sent to a hospital for delivery that offers a higher level of care for the mother and infant. It is also recognized that when women receive their prenatal care elsewhere they also continue their care and that of their children with the other providers. In light of the fact that these women deliver in the hospitals that are not an IHS facility, there is not complete documentation from the delivering hospitals concerning labor, delivery, recovery postpartum period, and newborn services provided. There is a great need for an improved Maternal Child Health Case Management program provided by Public Health Nurses to promote advocacy,to provide education & support for the prenatal and postpartum patient and her family especially those that are categorized as high risk, and ensure a collaborative effort and coordination of services are made with the patient, Wind River Service Unit, private providers, and hospital providers which can only positively impact the outcome and family as well as the entire community. We have put in place the MCH Case Manager, a family friendly centered education room, education material, incentives and equipment needed for home visits, or visits to the patients at a place where the patient is more comfortable, and a prenatal registry has been developed in order to track data to measure adequacy of prenatal care, and coordination of services and outcomes. We are presently in the early stages of the program with baseline data.

Age Group(s):
Infants, Toddlers, Adolescents, Adults

Site Type(s):
Community, Clinic/Health Center, Hospital, Home, School

Health Indicator(s):
Diabetes , Excessive Alcohol Consumption , Health Education , Healthcare Access , Immunization , Injury Prevention , Mental Health , Nutrition , Oral Health, Physical Activity , Substance Abuse , Tobacco Use , Violence

Service Area:
Billings

Keyword(s):
Bonding/attachment, Breastfeeding, Child abuse/neglect, Child development, Depression, Dietary guidelines, Drug abuse prevention, Environmental change, Family Planning, Gynecology/obstetrics, Health promotion and wellness, Infant feeding, Lifestyle coaching, Motivation, Overweight and obesity, Parenting skills training, Physical activity, Prenatal care, Sudden Infant Death Syndrome

Overall Cost: $114,000.00

Name: Janice Roman
Site or Location Name: Wind River Service Unit
Address:
Fort Washakie Health Center
P.O. Box 128
Fort Washakie, WY 82514
USA
Email: janice.roman@ihs.gov
Phone: 307-332-3521

Primary Contact Name: Janice Roman
Site or Location Name: Wind River Service Unit
Address:
P.O. Box 128
Fort Washakie Health Center
Fort Washakie, WY 82514
USA
Email: trina.nation@ihs.gov
Phone: 307-332-3521