1. Central Ohio Hospitals’ Collaborative Infant Mortality Efforts
CMHA,

2. Scope of the problem

3. Scope of the problem

4. Place matters

5. Timeline of Activities
GCIMTF Report Issued June 2014; Lead Entities assigned to carry out the work
2015 Work:
Early elective deliveries
Safe sleep
2016 Work:
Very low birth weight infants
2017 Work:
Medical Legal Partnership
Tobacco cessation

6. 2015 IM Work Early Elective Deliveries
Establish a community standard and monitor performance, by hospital, to reduce early elective deliveries.
Develop and have adopted by each adult hospital system standards aimed at reducing the number of elective deliveries.
Hospitals submit on a quarterly basis the number of elective deliveries performed.
Provide education in prenatal clinics and to local OBs on the importance of delivering as close to 40 weeks as possible.

7. EED Community Standards
Sets community standard of 3% for EEDs
Calls for education of pregnant women in hospital-based clinics

8. 2014 Data

9. Provider, Community Education
Flyer created to educate moms
Flyer also sent to local OBs with letter from the COHC communicating new community standards

10. Results Community Goal set in 2015: 3.0%
FY 2016 EED Aggregate EED Rate: 0.58%

11. Feb. 15: Hospitals performed monthly audits of safe sleep practices
2015 IM Work Safe Sleep
Feb. 15: Hospitals performed monthly audits of safe sleep practices
Audits show items in crib as an area for improvement

12. Provider Education Educational campaign conducted July thru Dec 2015
Aimed at Front-line providers

13. Results
Campaign
2017
Q results: 95.2% of cribs bare

14. Patient Education
September 2016: Hospitals show video to all moms/parents who deliver
Safe sleep
Breastfeeding
Shaken baby

15. Visitor Education
December 2016: Hospitals display educational materials in maternity visitor waiting areas

16. Very Low Birth Weight Infants
COHC Board Approved Community Standards in December 2016:
Ensure that VLBW newborns are cared for in facilities that have consistently high volumes of these patients.
System specific plans for meeting objectives took effect January 2017.

17. Results

18. 2017 IM Work Medical Legal Partnership
What is a Medical Legal Partnership?
A Medical Legal Partnership (MLP) is a collaborative approach that brings legal aid services into the healthcare setting to address the social determinants of health among vulnerable populations.
The National Center for Medical-Legal Partnership reports that MLPs have been established in 291 health care institutions in 41 states.

19. Medical Legal Partnership
One-year pilot project: each hospital system has identified a prenatal clinic within their system to participate in the MLP program.
Mount Carmel St. Ann’s Prenatal Clinic
Nationwide Children’s Teen Pregnancy Clinic
OhioHealth Wellness on Wheels (WOW)
OSU Wexner Medical Center McCampbell Hall Prenatal Clinic
Step One is also participating

20. MLP Screening and Referral
Each clinic has adopt a high-risk screening tool, which is used by clinic intake staff to identify when a legal intervention may be appropriate.
Each clinic has developed a referral system to send cases to an MLP attorney, who follow ups with the individual patient.
An estimated 250 pregnant and postpartum women will receive access to a range of legal services.

21. Results
MLP Referrals

22. Results MLP client story:
Yasmin was referred to Legal Aid through the MLP because she was pregnant and her water had been shut off after her landlord passed away. After a week without water, Yasmin was prepared to pay the bill, but was unable to pay because the property was still in her landlord’s name. Legal Aid investigated the property and provided Yasmin with advice. Her water was restored.

23. 2017 IM Work Tobacco Cessation
Pilot project to strengthen hospitals’ tobacco cessation efforts
Using 5 A Model for Treating Tobacco Use and Dependence (the first 3 As)
Pilot will begin Jan. 1 at:
Mount Carmel West
Doctors
OSU Main NICU