153378 Evaluating a public health partnership to enhance prenatal care and improve birth outcomes in Bexar County, Texas

Tuesday, November 6, 2007

Theresa De La Haya, RN, MPH , Community Health and Clinical Preventive Programs, University Health System, Senior Vice President, San Antonio, TX
Linda Hook, RN, MSN, MSHP , Women's and Preventive Health Services, University Health System, Clinical Director, San Antonio, TX
Camerino I. Salazar, MS , Director Outcomes and Evaluation, Texas Diabetes Institute/University Center for Community Health, San Antonio, TX
A declining public health infrastructure, rising healthcare costs, and an increase in utilization of healthcare services, and demographic changes in the population have led public health entities (i.e., public hospitals, clinics and related research institutions) to recognize the importance of combining resources and expertise that will improve and strengthen the effective delivery of healthcare.

Provision of health services to women in particular remains of paramount importance in helping address national health priorities and reduce longstanding racial/ethnic disparities in women's health. Bexar County Hospital District d/b/a University Health System, in coordination with the San Antonio Metropolitan Health District and the University of Texas Health Science Center at San Antonio recently entered into a partnership to enhance preventive health and clinical services to the women of Bexar County, focusing initially in the provision of prenatal care. Key stakeholders and representatives from partner institutions formed a planning task force known as Joint Planning and Operations Council (JPOC). While the broad vision of JPOC is to enhance to access to healthcare, providing quality, efficient, and accessible prenatal care is considered a first-step in this collaborative venture.

Public health partnerships have the potential to leverage and combine resources (clinical expertise, infrastructure, and preventive services) needed to facilitate a continuum of care in the area of women health services. Examples include: pregnancy testing, prenatal care, labor and delivery, postnatal care and family planning. Through these activities, partnering institutions are developing the next generation of preventive and clinical care for women in Bexar County.

Learning Objectives:
1. Identify steps in which county, city and state agencies can effectively partner in planning, developing and implementing delivery of healthcare services. 2. Describe the process of utilizing a logic model as a requisite for evaluating a public health partnership. 3. Identify lessons learned from partner agencies in the areas of prenatal care, service utilization and positive evidence-based health outcomes for the patient population.

Keywords: Access and Services, Prenatal Care

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.