1. Public/Private Partnerships that Work: Working With Hospitals to Reduce Health Disparities Among Women and Infants Eleanor Padgett District of Columbia Department of Health 2004 CityMatCH Conference Portland, Oregon September 14, 2004

3. Source: District of Columbia Department of Health State Center for Health Statistics Administration 2003 District of Columbia Infant Mortality Rate 1992-2001

4. Direct Health Care Services – Title V CSHCN Program Enabling Services – HEALTHLINE Transportation, Health Start Case Management Infrastructure Building Services – 5 year Citywide Needs Assessment, MCH Information Systems Community Capacity Building Population-based Services – Newborn Metabolic and Hearing Screening Maternal and Family and Family Health Administration Core Public Health Services Delivered by the Maternal and Family Health Administration

5. A STRATEGIC HEALTHCARE INITIATIVE OF THE District of Columbia to ensure the maximum possible health for infants and mothers District of Columbia Newborn Initiative

6. Prevention and early support services Integrated case management Information sharing Assessing & reducing risk Meeting the needs of newborns, mothers and families Strategic Goals of the Newborn Initiative

7. Urban Issue – Comparison to other urban areas Closing the Gap Part of approach comprehensive permeate system Recommendations from the Infant/Child Fatality Review Committee Why Do We Need This Newborn Initiative?

8. Howard University Hospital Greater Southeast Community Hospital Washington Hospital Center Georgetown University Hospital George Washington University Hospital Providence Hospital District of Columbia Developing Families Birthing Center Sibley Hospital Children’s National Medical Center Partnerships: D.C. Birthing Hospitals & Maternity Centers

10.  Stable infant  Family than can provide the necessary care  Identification of appropriate support services, other professionals and specialists if needed Elements to be Achieved

11.  Evaluate, educate, and coordinate  Communication link between the hospital, Department of Health and other community health organizations  Track and Monitor Role of the Discharge Planner

12. Items Included on the Hospital Reporting Form Maternal Medical Risk Factors Maternal Insurance Status Infant’s Birthweight Infant’s Medical Risk Factors Infant’s Discharge Status Infant’s Feeding Status at Discharge Birth Defects Family Risk Factors Participation in Government Programs Referrals to other agencies

13. Maternal Insurance Status Among District of Columbia Residents Seen In the Discharge Planner Program Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

14. Presence of Select Maternal Medical Risk Factors Among District of Columbia Residents Seen In the Discharge Planner Program Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

15. Presence of Select Maternal Medical Risk Factors Among District of Columbia Residents Seen In the Discharge Planner Program continued… Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

16. Presence of Select Infant Medical Risk Factors Among District of Columbia Residents Seen In the Discharge Planner Program Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

17. Infant Feeding Status at Discharge From the Hospital Among District of Columbia Residents Seen In the Discharge Planner Program Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

18. Presence of Select Family Risk Factors Among District of Columbia Residents Seen In the Discharge Planner Program Source: District of Columbia Hospital Discharge Planner Database 2003 - 2004

19. Benefits of Discharge Planning Program Early identification of “high risk” infants and their families Better understanding of social and physical environmental impact on health Public/Private partnership

20. Acknowledgements District of Columbia Birthing Hospitals and Maternity Center Hospital Discharge Planners Robin Diggs - George Washington University MPH Candidate Department of Health Graduate Intern

21. For more information on the program please contact: District of Columbia Department of Health Maternal and Family Health Administration 825 North Capitol Street NE 3rd Floor Suite 3101 Washington, D.C. 20002 (202)442-5925