Community-Based Regionalization in Action: The Manhattan Regional Perinatal Forum

2009 Maternal and Child Health 2009 Maternal and Child Health Federal/State Partnership MeetingFederal/State Partnership Meeting

MMake ake CChange hange HHappen: Investing in appen: Investing in Healthy Families Across the LifespanHealthy Families Across the Lifespan

Community-Based Community-Based Regionalization in Action: Regionalization in Action:

The Manhattan Regional The Manhattan Regional Perinatal ForumPerinatal Forum

October 26, 2009October 26, 2009

Mario Drummonds, MS, LCSW, MBAMario Drummonds, MS, LCSW, MBA

CEO, Northern Manhattan Perinatal Partnership, CEO, Northern Manhattan Perinatal Partnership, Inc.Inc.

Co-Director, Manhattan Regional Perinatal Co-Director, Manhattan Regional Perinatal ForumForum

Manhattan RPC’sManhattan RPC’s

• Mt. Sinai/ NYUMt. Sinai/ NYU

• Bellevue Hospital Center (HHC)Bellevue Hospital Center (HHC)

• Columbia Presbyterian (NYPH)Columbia Presbyterian (NYPH)

• NY Weill Cornell (NYPH)NY Weill Cornell (NYPH)

New York City Regional Perinatal Forum Structure

• Five Borough Specific ForumsFive Borough Specific Forums

• NYC Vicinity (LI, Westchester)NYC Vicinity (LI, Westchester)

• New York Citywide Steering CommitteeNew York Citywide Steering CommitteeLocal DOHLocal DOH

CBO’sCBO’s

RPC co-chairsRPC co-chairs

Representatives from all 5 boroughsRepresentatives from all 5 boroughs

Borough Specific Forums

• Manhattan – 4 RPC’sManhattan – 4 RPC’s

• Bronx – 3 RPC’sBronx – 3 RPC’s

• Staten Island – 1 RPCStaten Island – 1 RPC

• Brooklyn – 3 RPC’sBrooklyn – 3 RPC’s

• Queens – 1 RPCQueens – 1 RPC

Manhattan Regional Perinatal Manhattan Regional Perinatal Forum (MRPF)Forum (MRPF)

• Co – chairpersonsCo – chairpersons• RPC Director - Dr. Randi Wasserman RPC Director - Dr. Randi Wasserman

• Director, BHC RPCDirector, BHC RPC

• Perinatal Network Director - Mario Perinatal Network Director - Mario Drummonds, MS, LCSW, MBA Drummonds, MS, LCSW, MBA • Executive Director, Northern Manhattan Executive Director, Northern Manhattan

Perinatal PartnershipPerinatal Partnership


• General MembershipGeneral Membership• MD’s – Neos/ObsMD’s – Neos/Obs

• RN’S/PractitionersRN’S/Practitioners

• MidwivesMidwives

• CBO – NMPP/MODCBO – NMPP/MOD

• Third party payersThird party payers• NYCDOH & NYSDOH Staffers NYCDOH & NYSDOH Staffers

Manhattan Regional Perinatal Forum (MRPF)

Structure of General MeetingsStructure of General Meetings• QuarterlyQuarterly• Rotate among RPC’s and NMPP Rotate among RPC’s and NMPP

headquartersheadquarters• Reports from sub- committees and Reports from sub- committees and

citywide steering committeecitywide steering committee• New and old businessNew and old business• Educational/CBO presentationEducational/CBO presentation


Examples of Educational ComponentExamples of Educational Component• Post Partum DepressionPost Partum Depression• The “Baby Mama’s Club”The “Baby Mama’s Club”• Environmental Issues in InfancyEnvironmental Issues in Infancy• Hospital Closings in NY StateHospital Closings in NY State• Reducing Infections in Hospital Settings Reducing Infections in Hospital Settings • Adolescent Interconceptional Care Adolescent Interconceptional Care • Quality Assurance in NICU Quality Assurance in NICU


Sub-CommitteesSub-Committees

• Steering CommitteeSteering Committee

• Education - Dr. K. Hendricks- MunozEducation - Dr. K. Hendricks- Munoz

• Data – Dr I. Holtzman/ M. DrummondsData – Dr I. Holtzman/ M. Drummonds


• Steering CommitteeSteering Committee• Small group that represents the RPC’s and the Small group that represents the RPC’s and the

committees within Manhattancommittees within Manhattan

• Meets quarterlyMeets quarterly• Committee and citywide committee reportsCommittee and citywide committee reports• Set agenda for the upcoming MRPF meetingSet agenda for the upcoming MRPF meeting

• Develops and executes MRPF Regional Develops and executes MRPF Regional Action PlanAction Plan


Education CommitteeEducation Committee

• AIM: Improve pre-conception health in teensAIM: Improve pre-conception health in teens

• Collaboration with NYC public schoolsCollaboration with NYC public schools

• Train the trainers program and standardize Train the trainers program and standardize

curriculumcurriculum

• March of Dimes grant – (first grant given to a March of Dimes grant – (first grant given to a

forum)forum)

• Title 9 Health education trainers for NYC Public Title 9 Health education trainers for NYC Public

Middle SchoolsMiddle Schools


Data Committee IssuesData Committee Issues• Delay in obtaining real-time vital statistics for Delay in obtaining real-time vital statistics for

almost two yearsalmost two years

• No real reliable and valid data for program No real reliable and valid data for program planning or addressing perinatal service gapsplanning or addressing perinatal service gaps

• Need to standardize the training and behaviors Need to standardize the training and behaviors of hospital data entry staff collecting and of hospital data entry staff collecting and entering data into the EBC system to improve entering data into the EBC system to improve quality of data entered and used.quality of data entered and used.

DATA COMMITTEE WORK SHEET:DATA COMMITTEE WORK SHEET:

OBJECTIVEOBJECTIVE ACTIVITIESACTIVITIES TIME TIME FRAMEFRAME

PERSON(S) PERSON(S) RESPONSIBLERESPONSIBLE

METHOD(S) METHOD(S) OF OF EVALUATIONEVALUATION

Standardize data Standardize data collection tools, collection tools, including birth including birth certificates, among certificates, among Manhattan hospitals Manhattan hospitals and community-based and community-based organizationsorganizations

Participate as key Participate as key members in the members in the NYC Citywide Data NYC Citywide Data CommitteeCommittee

Beginning Beginning late 2004late 2004

Ian HolzmanIan HolzmanDavid BatemanDavid BatemanMario Mario DrummondsDrummonds

-Meeting -Meeting minutesminutes-Reports to -Reports to MRPF Steering MRPF Steering CommitteeCommittee

NY Citywide Data CommitteeNY Citywide Data Committee

Overall GoalsOverall Goals• To address citywide issues of quality, To address citywide issues of quality,

collection, training and distribution of collection, training and distribution of datadata

• To provide a forum for collaboration To provide a forum for collaboration between the RPC’s, CBO’s and the between the RPC’s, CBO’s and the NYC DOH-MH Bureau of Vital NYC DOH-MH Bureau of Vital Statistics on Citywide data issuesStatistics on Citywide data issues

MRPF Data CommitteeMRPF Data Committee

• Spring 2004 Citywide Conference with Spring 2004 Citywide Conference with the NYC Bureau of Vital Statisticsthe NYC Bureau of Vital Statistics• Validity and usefulness of EBC DataValidity and usefulness of EBC Data• Access to EBC DataAccess to EBC Data• Universality of data related issues across Universality of data related issues across

the citythe city• Establishment of a NYC Citywide Data Establishment of a NYC Citywide Data

CommitteeCommittee


• 18 members including all 5 boroughs, 18 members including all 5 boroughs,

8 RPC’s, BVS and HHC.8 RPC’s, BVS and HHC.

• Met on Nov 16, 2005 with Dr. S. Met on Nov 16, 2005 with Dr. S.

Schwartz ( NYC BVS)Schwartz ( NYC BVS)

• Planning of citywide pilot project to Planning of citywide pilot project to

address validity of dataaddress validity of data

NY Citywide Data NY Citywide Data Committee Pilot Project Committee Pilot Project

• 6 RPC’s6 RPC’s

• BVS Quarterly reports for reviewBVS Quarterly reports for review

• Six specific fields to compareSix specific fields to compare

• Random review of 1% of all deliveries in Random review of 1% of all deliveries in

each RPCeach RPC

• Fairly accurateFairly accurate

Harlem Prenatal Care Entry Harlem Prenatal Care Entry Data SetData Set

Entry into Prenatal Care for Live Brith in NYC, 2000-2007 Entry into Prenatal Care for Live Brith in NYC, 2000-2007

Entry into Prenatal CareEntry into Prenatal Care 20002000 20012001 20022002 20032003 20042004 20052005 20062006 20072007

No Prenatal CareNo Prenatal Care NN 816816 782782 749749 752752 670670 586586 650650 633633

%% 0.650.65 0.630.63 0.610.61 0.60.6 0.540.54 0.480.48 0.520.52 0.490.49

First TrimesterFirst Trimester NN 7511975119 7922779227 8331083310 8822288222 8855688556 8859588595 8952089520 9210292102

%% 59.8359.83 63.8863.88 67.7767.77 70.9570.95 71.3671.36 72.1972.19 71.3371.33 71.4271.42

Second TrimesterSecond Trimester NN 2908529085 2758727587 2615026150 2552025520 2578125781 2417724177 2530625306 2590625906

%% 23.1623.16 22.2422.24 21.2721.27 20.5220.52 20.7720.77 19.719.7 20.1620.16 20.0920.09

Third TrimesterThird Trimester NN 74077407 79577957 73807380 70487048 67816781 66056605 67746774 66646664

%% 5.95.9 6.426.42 66 5.675.67 5.465.46 5.385.38 5.45.4 5.175.17

Unknown, Not Stated, UncodableUnknown, Not Stated, Uncodable NN 1313613136 84708470 53485348 28032803 23112311 27622762 32563256 36563656

%% 10.4610.46 6.836.83 4.354.35 2.252.25 1.861.86 2.252.25 2.592.59 2.832.83

TotalTotal NN 125563125563 124023124023 122937122937 124345124345 124099124099 122725122725 125501255066

128961128961

14-Oct-0914-Oct-09

Bureau of Vital StatisticsBureau of Vital Statistics

Department of Health and Mental Department of Health and Mental HygieneHygiene


• Expanded role in monitoring Neonatal Expanded role in monitoring Neonatal Module of SPDSModule of SPDS• Similar issues to EBC dataSimilar issues to EBC data• Collaboration with ARPPN and rest of state Collaboration with ARPPN and rest of state

RPC’s RPC’s • Need to have a voice in statewide issues with Need to have a voice in statewide issues with

this databasethis database• Re-establishment of the statewide advisory Re-establishment of the statewide advisory

committee with equal representation from committee with equal representation from across the state.across the state.

Community-based Regionalization Community-based Regionalization Value-AddedValue-Added

NICU- Community-based PerinatalNICU- Community-based Perinatal Aftercare PlanningAftercare Planning

• Healthy Start Healthy Start

• Nurse Family PartnershipNurse Family Partnership

• Baby Steps Home Visiting ProgramBaby Steps Home Visiting Program

• TASATASA

• Community Health Worker ProgramCommunity Health Worker Program


NICU- Community-based Perinatal NICU- Community-based Perinatal Aftercare PlanningAftercare Planning

• CAPC- Sisterlink CoalitionCAPC- Sisterlink Coalition

• Foster Care Preventive Services, Foster Care Preventive Services,

• Infant Mortality Reduction InitiativeInfant Mortality Reduction Initiative

• Newborn Home Visiting ProgramNewborn Home Visiting Program


NICU- Community-based Perinatal NICU- Community-based Perinatal Aftercare PlanningAftercare Planning

• CPPSNCPPSN

• Early Head Start Early Head Start

• NYC Safe Sleep InitiativeNYC Safe Sleep Initiative

• NYC Breastfeeding InitiativeNYC Breastfeeding Initiative

23

Reducing Infant Mortality Throughout the USA by: Reducing Infant Mortality Throughout the USA by: Building Community-based Regional Systems of CareBuilding Community-based Regional Systems of Care

Linking Women to Health, Power and Love Across the Life SpanLinking Women to Health, Power and Love Across the Life Span

24

For more Information Contact:For more Information Contact:

Mario Drummonds, MS, LCSW, MBAMario Drummonds, MS, LCSW, MBA

Executive Director/CEOExecutive Director/CEO

Northern Manhattan Perinatal PartnershipNorthern Manhattan Perinatal Partnership

127 W. 127127 W. 127thth Street Street

New York, NY 10027New York, NY 10027

(347) 489-4769(347) 489-4769

[email protected]@msn.com

Community-Based Regionalization in Action: The Manhattan Regional Perinatal Forum

Documents

Transcript of Community-Based Regionalization in Action: The Manhattan Regional Perinatal Forum