262496 Findings from the Healthy Start Interconception Care Learning Community

Wednesday, October 31, 2012 : 11:30 AM - 11:50 AM

Lisa J. LeRoy, PhD, MBA , U.S. Health Division, Public Health and Epidemiology, Abt Associates, Cambridge, MA
Kay Johnson, MPH, EdM , Johnson Group Consulting, Hinesburg, VT
Deborah Klein Walker, EdD , US Health Division, Abt Associates, Inc., Cambridge, MA
Vonna Drayton, DrPH , US Health Division, Abt Associates, Inc., Bethesda, MD
Sarah Ball, MPH, ScD , US Health Division, Abt Associates, Inc., Cambridge, MA
Meredith Pustell , Domestic Health Division, Abt Associates, Cambridge, MA
Alice Lee , U.S. Health Division, Public Health and Epidemiology, Abt Associates, Cambridge, MA
Juliann DeStefano, RN, MPH , Dhsps, HRSA, Rockville, MD
Johannie Escarne, MPH , Maternal and Child Health Bureau(MCHB) , Divison of Healthy Start and Perintal Services (DHSPS), Health Resources and Services Administration (HRSA), Rockville, MD
Kimberly Deavers, MPH , Maternal & Child Health Bureau, Division of Healthy Start & Perinatal Services, U.S. Dept of Health & Human Services, Health Resources & Services Administration, Rockville, MD
Issues: In 2005, the Health Resources and Services Administration (HRSA) Division of Healthy Start and Perinatal Services (DHSPS) required Healthy Start projects to provide interconception care due to its importance in improving maternal and infant outcomes. In 2008, HRSA/DHSPS invested in a large-scale, three-year quality improvement (QI) project, to both improve interconception care services and to incorporate QI techniques into management practices.

Description: The Institute of Healthcare Improvement (IHI) Learning Collaborative Model (usually implemented in clinical settings) was adapted for Healthy Start community-based service organizations. One of the most complex and innovative quality improvement collaboratives sponsored by the federal government, it included 100 Healthy Start teams organized into 15 Learning Collaboratives working on an improvement such as strengthening partnerships, using evidence-based tools, or improving staff skills, in the area of case management, family planning, healthy weight, maternal depression, primary care, or screening assessment.

Lessons Learned: A readiness survey found significant changes in Project Director perceptions over time, e.g. “The majority of my respected peers are dedicated to making this change work” (33% increase.) Preliminary data for 64 teams indicated that 32 held staff trainings for a total of 398 staff trained, 10 pursued community linkage activities leading to 49 established partnerships, and 22 incorporated evidence-based tools into services, of which 15 teams screened a total of 1,171 women. Qualitative data indicated that teams adopted systematic approaches to change and encouraged peer-to-peer learning and accountability. Recommendations: Quality improvement techniques can be more creatively and broadly utilized to improve public health services.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Describe lessons learned from implementing a quality improvement project across all 100 Healthy Start Projects. 2. Discuss adaptions of the quality improvement process for community- based public health organizations.

Keywords: Maternal and Child Health, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Director and oversee all aspects of the initiative.
Any relevant financial relationships? No

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.