Online Program

Reducing determinants of adverse birth outcomes through case management of Healthy Start Southeast Chicago participants

Monday, November 2, 2015 : 8:50 a.m. - 9:10 a.m.

Chika Elechi-Onicha, M.Sc, MPH, Department of Community Health, Healthcare Consortium of Illinois, Dolton, IL
Celeste Garcia, Department of Community Health, Healthcare Consortium of Illinois, Dolton, IL
Shaffdeen Amuwo, Ph.D, MPH, UIC School of Public Health, University of Illinois at Chicago, Chicago, IL
Background: Case management is one of healthy start core services that involves completing participant’s risk assessments to determine level of risk and coordination of care that promote maternal and child birth outcomes. This study evaluates impact of case management in increasing health screenings, risk reduction and prevention counseling and referrals for treatment rates among participants.

Methods: Data of healthy start participants (n= 4668) enrolled from (2009-2013) were abstracted from Electronic Medical Records (EMS), case manager’s intake forms and logbooks. Program evaluation using time-series method was used to evaluate impact of case management on maternal and child health of participants. Descriptive analysis of all data was performed using SPSS 11.0

Results: Participants were 100% case managed. Risk assessment for determinants of adverse pregnancy outcome showed that participants were 51.40%, 11.19% and 36.53% high risk, medium risk and low risk respectively. Prenatal participants were screened, counseled and referred for treatment for illicit drug use (99.6%, 99.6%, 10.2%), Alcohol use (99.6%, 99.5%, 4.4%), Tobacco use (98.9%, 99.6%, 19.1%), HIV (98.8%, 99.8%, 1.4%) and other STDs (98.9%, 99.5%, 21%) respectively. Infant participants were also screened and referred for treatment for drug exposure (95.3%, 1.2%), Alcohol exposure (95.3%, 0.7%), HIV exposure (95.1%, 0.4%), Growth and developmental delay (95.1%, .5%) and Asthma (95.2%, 1.4%).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Conclusion: Case managed prenatal and infant participants have approximately 100% access to screening, counseling and referral services that improves birth outcome. Care coordination, early detection and treatment of adverse health determinants has measurable and sustainable impact on maternal and child health.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Assess the impact of case management of maternal and child health

Keyword(s): Case Management, Birth Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Bachelors of Science (B.Sc) in Biotechnology and Biochemistry and Masters of Science (M.Sc) in Medical Biochemistry. I also recently earned a Master of Public Health (MPH) degree with (GPA 4.0) from Chicago State University. As a Research Specialist for Healthcare Consortium of Illinois under the Healthy Start Southeast Chicago program, I worked with the evaluator to assess the impact of Healthy Start Southeast Chicago program on maternal and child health outcomes.
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.