1. Indiana Panel Presentation Region V Infant Mortality Summit, Chicago, IL March 21, 2013 Bob Bowman, MS, MA, MS Interim Maternal and Child Health Director Director of Genomics and Newborn Screening Indiana State Department of Health

2. Background – Indiana Indiana much higher than the United States, Region V and the Healthy People 2020 Goal for Infant Mortality Indiana the same as the United States and Region V but higher than Healthy People 2020 Goal for Low Birthweight Indiana better than the United States and Region V for Premature Births (but has not reached the Healthy People 2020 Goal) ( National Vital Statistics Report, Vol. 60, No. 3 ) Indiana 3 rd worst in nation for both black infant mortality and white neonatal mortality ( National Vital Statistics Report, Vol. 60, No. 3 ) 2

3. Key Activities– Indiana Funding of Prenatal Care Coordinators ◦ Currently we are funding 12 Prenatal care coordination teams to provide outreach to low income, pregnant women at risk of a preterm or low birthweight baby Indiana Perinatal Quality Improvement Collaborative (IPQIC) ◦ Advising and assisting ISDH in the development, implementation and evaluation of perinatal programs and policy 3

4. Successes– Indiana Prenatal Care Coordinators in Lake County ◦ There are two prenatal care coordination teams funded in Lake County and over the past 9 years this has led to a drop in the infant mortality rate from 10.6 to 6.8 between 2002 and 2010 Decrease in Black Infant Mortality ◦ Since 2009 Indiana’s Black infant mortality rate has steadily decreased. ◦ 18.1 per 1000 in 2006 ◦ 16.1 per 1000 in 2009 ◦ 12.4 per 1000 in 2011 4

5. Challenges – Indiana Medicaid eligibility not occurring quickly enough Due to large hospital systems, it is difficult to regionalize services Decrease in infant mortality in the most populated counties but an increase in infant mortality in smaller counties 5

6. Wish List – Indiana We would like to see other states’ infant mortality plan Would like to hear “Lessons Learned” from other states that may be further along in the process Would like to know what other states identified as “low hanging fruit” 6