Minnesota Panel Presentation Region V Infant Mortality Summit, Chicago, IL March 21, 2013 Susan Castellano, MCH Director Community and Family Health Division Minnesota Department of Health

Background – Minnesota Overall rate 5.4: lowest in Region, 10 th in U.S. Was 4.8, best in the nation, we’ve lost ground High rate of disparity: Large population of foreign-born Mothers, with very different infant mortality rates: 2 White4.5 Hispanic4.6 African American10.7 American Indian9.4 Maternal Natality U.S. BornForeign Born Blacks50% Hispanic67%33% Asian78%22%

Key Activities – Minnesota EHDI – Eliminating Health Disparities Grants SHIP – Statewide Health Improvement Program: Tobacco, Nutrition/Obesity Family Planning, PREP, Family Home Visiting, WIC Infant death investigation guidelines Healthy Babies are Worth the Wait 3

Successes – Minnesota African American and American Indian infant mortality review Partnership with SIDS Center Dept. of Human Services: elective induction and standard delivery rate policies, MMD Perinatal Project 4

Challenges – Minnesota Disparities, disparities, disparities Foreign-born population Social determinants of health Development of targeted evidence based approaches Fetal and Infant Mortality Review (FIMR) Coordination of resources, data privacy Measuring the impact of specific efforts 5

Wish List – Minnesota Every pregnancy is an intended pregnancy Learn best practices from other states, especially those effective in reducing disparities Be like OPQC! Data demonstrating which interventions are most effective given limited resources Coordinated systems Resources: FHV, education and more 6