Improving Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home

Author:

Schilling Lisa M.1,Fraumeni Brittney R.1,Nacht Amy S.2,Abraham Alison G.3,Bauguess Hannah D.1,Matesi Gregory1,Fringuello Melanie E.2,Rashidyan Leah2,Billups Sarah J.4

Affiliation:

1. Department of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO

2. Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO

3. Department of Epidemiology, University of Colorado School of Public Health, Aurora, CO

4. Department of Clinical Pharmacy, University of Colorado School of Pharmacy, Aurora, CO

Abstract

Current maternal care recommendations in the United States focus on monitoring fetal development, management of pregnancy complications, and screening for behavioral health concerns. Often missing from these recommendations is support for patients experiencing socioeconomic or behavioral health challenges during pregnancy. A Pregnancy Medical Home (PMH) is a multidisciplinary maternal health care team with nurse navigators serving as patient advocates to improve the quality of care a patient receives and health outcomes for both mother and infant. Using bivariate comparisons between PMH patients and reference groups, as well as interviews with project team members and PMH graduates, this evaluation assessed the impact of a PMH at an academic medical university on patient care and birth outcomes. This PMH increased depression screenings during pregnancy and increased referrals to behavioral health care. This evaluation did not find improvements in maternal or infant birth outcomes. Interviews found notable successes and areas for program enhancement.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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