1. CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health Oregon MothersCare Web-based Tracking Interface (WTI)

2. CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health 2 Developed in 2000 (Thanks, Nurit!) Acts as the Front Door to obtaining prenatal care and services, along with OHP. Patient Navigation/Case management services. Oregon MothersCare

3. 3 OMC Services Pregnancy Testing OHP application assistance / Expedited OHP approval Prenatal needs assessment & referral to PNC Referral for maternity case management/home visiting services, WIC, Dental care, and other prenatal services as needed CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

4. 4 Expedited application process for Oregon Health Plan Oregon MothersCare appointment Referrals to: MCM WIC Dental Care Tobacco Cessation Alcohol Tx DV Advocates CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health Early prenatal care

5. 5 Klamath Open Door Lane Lincoln Linn Malheur Marion Morrow North Central Opening Doors, Washington County Salem Hospital Samaritan Hospital Silverton Health Community Outreach Clinic Santiam Hospital Treasure Valley Womens Clinic Wallowa Baker Benton Clackamas Columbia Coos Crook Curry Deschutes Douglas Grant Hood River Jackson Jefferson Josephine OMC sites are in several county health departments, hospitals and clinics CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

6. 6 Improving OMC data transfer and tracking Reducing time from OMC appointment to OHP approval/Improving OMC-OHP Processes Reducing time between OMC first contact and Prenatal Appointment OMCs Quality Improvement Process CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

7. 7 Trong Nguyen ASTHO Quality Improvement process (Association of State and Territorial Health Officials ) Performance Management Program Web-based Tracking Interface CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

8. 8 OMC tracking forms Each site sends a one-page tracking form to the state OMC office for each client. Problems: Required faxing and maintaining reams of paper documents All information had to be manually input from paper forms into a database Required OMC staff to call/email local sites to get any missing information CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

9. 9 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

10. 10 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

11. (CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health 11 Clients served in 20114,279 Fax sheets8,558 Reams of paper at 500 sheets per ream 17 Number of reams per tree16.67 Trees saved per year 1.03

12. 12 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

13. OMC Staff Contacted for Corrections on Forms (Enter) DEPARTMENT (ALL CAPS) (Enter) Division or Office (Mixed Case) 13

14. 14 Trong: WTI Interface Description FileMaker Pro How local sites input data CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

15. 15 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

16. 16 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

17. 17 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

18. 18 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

19. 19 Valerie: Training Video Manual CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

20. 20 QI Swim lane diagram - OMC client tracking CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

21. 21 Month of September 2012 Participating counties: Clackamas County Community Health Division Linn County Public Health Klamath Open Door Family Practice Coos County Public Health Jackson County Public Health Services Lane County Public Health CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health Pilot Testing

22. Feedback and Improvements 22 Conference call meetings with counties Which browser to use? Moving from field to field Printing records Sites with custom forms Added features requested Survey of pilot sites CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

23. 23 Reactions to the new system CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

24. CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health 24 Full WTI Implementation January 2, 2013

25. CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health 25 OMC staff: Log data Track paper forms Organize QA Manage data for 26 sites Lots of communication with sites Reduced staff time on data entry Staff can focus on QA, troubleshooting, fielding questions Local sites more accountable for their own data BEFORE AFTER

26. OMC Missing Data Jan 2012 – Mar 2013

27. Thanks to… Cate Wilcox Lydia Emer Matt Gilman Spencer Soderlind Marnie Mason Meuy Swafford Shawn Messick Britt Parrott Nurit Fischler Consulting OMC Counties OMC Team in MCH 27 CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health

28. 28 Comments? Questions? CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health