Fitzhugh Mullan Institute for Health Workforce Equity’s Post

In a first-of-its-kind study, supported by the Patient-Centered Outcomes Research Institute (PCORI), AcademyHealth’s Evidence-Informed State Health Policy Institute and the University of Pittsburgh are pairing the perspectives and lived experiences of doulas and Medicaid beneficiaries with Medicaid claims data. Working with six Medicaid programs, their university research partners, and eight doula programs, this project leverages an innovative distributed research network to advance racial equity in severe maternal morbidity and improve pregnancy and postpartum health outcomes in Black, Indigenous, and people of color (BIPOC) communities. Learn more about Project DREAM (Doula Research for Equitable Advances in Medicaid Pregnancy Health) here: https://lnkd.in/dRTUd85A

Day 2 at the Future of Maternal Care Summit was packed full with some more crucial topics in maternal care.... starting with a fantastic panel discussion on healthcare system adoption and adaption featuring: 🎤 Lori-Ann Satran, Associate Vice President of Women's, Infants & Children, HonorHealth 🎤 Rosemond Sarpong Owens, CDM/MPH, Director, Health Equity Integration, Blue Cross and Blue Shield of Minnesota 🎤 Ericka Gibson, Physician Program Director, Perinatal Safety & Quality, Permanente Medicine 🎤 Rachel Sheehan, Corporate Director of Women's and Newborn Services, UHS Key points discussed included: ➡ Integration of doulas are key, we need to incentivize them to get training and reimburse them. ➡We need to implement now not just innovate, just because we build new systems doesn't mean they will be ready to go, we need to incentivize physicians, doulas etc and even the birthing people themselves to use new processes. ➡ The population of pregnant people is changing, we often see birthing people over 35 with more comorbidities and so there is a need to update systems to reflect changing populations. ➡ We need to include rural health in research and interventions.

This past year, our PPI researchers coauthored many peer-reviewed articles. In case you missed them, we’ve compiled a list of our five most popular! • Observational Analysis of a Generalized, Health Plan-led Community Health Worker https://lnkd.in/eNEuV6ew • Clinical and Healthcare Utilization Outcomes During the 6 Months Following COVID Infection in Children https://lnkd.in/esjWjMVw • Using Publicly Available Health Plan Pricing Data For Research And App Development https://lnkd.in/gd6JwgA2 • Health Related Social Needs and Whole Person Health: Relationship Between Unmet Social Needs, Health Outcomes, and Healthcare Spending Among Commercially Insured Adults https://lnkd.in/e-7T2pqy • The Association Between Hypertensive Disorders During Pregnancy and Maternal and Neonatal Outcomes: A Retrospective Claims Analysis https://lnkd.in/eYrpspbQ

New research- will be presented at the Canadian National Perinatal Research Meeting 4th June [Poster #123]  3-6pm (N Tower, 3rd flr Sheraton Wall Center Compared to the majority (white Population) #Indigenous people (including First Nations, Metis, and Inuit) have ---27% lower odds of experiencing high-quality respectful care (top 33%) ---66% higher odds of being in the bottom 33% of the Respect Index  As #income level drops, so does the quality of care Working on data visuals. It's satisfying to see the graphs perfectly illustrate the story that the multi-year study had set out to answer. Here is one on equity in the Canadian healthcare system: Unfortunately, there is evidence of significant disparities in the quality of care. Used a scale created from patients' answers to 7 questions on the maternity care they received, such as the degree of coercion and asking permission before examinations. plotting results from two logistic multivariate regressions: - Blue dot: Odds of having a score in the top 33% of the respect scale. - Red dot: Odds of having a score in the bottom 33%. Think of the black dotted line as the best-case scenario where the odds of receiving high-quality, respectful healthcare are the same for everyone, regardless of race, culture, background, or income level. The further a group is from this line, the greater the disparity. If a group is above the black line, its odds are higher (>1). It's quite disheartening to see the results. #canadahealth #perinatal #maternitycare #CIHR

Developing a perinatal expansion table for the OMOP common data model #OHDSISocialShowcase Lead: Alicia Abellan Team: Edward Burn, Nhung Trinh, Theresa Burkard, Sergio Fernández Bertolín, Eimir Hurley, Clara Rodríguez Casado, Elena Segundo Martín, Daniel Morales, Hedvig Marie Nordeng, Talita Duarte Salles-Salles Background: Many healthcare databases have detailed information related to the perinatal period. Algorithmsexist which derive basic perinatal information from most data sources (e.g. dates, mode of delivery, pregnancy outcome) as well as mother-child linkage. Yet, more granular information especially on the infant (anomalies, weight etc.) will not be captured, but is important for perinatal research. Especially for rare outcomes, but also to compare results between countries network studies are key. Since the current Observational Medical Outcomes Partnership common data model (#OMOP CDM) lacks the necessary vocabulary to accommodate detailed perinatal information, our aim was to develop and test the implementation of a perinatal expansion for the OMOP CDM to provide a structure to store detailed pregnancies, linked infants and related clinical information. Learn more: https://lnkd.in/e6_u2p5A #JoinTheJourney

This month, we will dedicate our channel to discussing children's health and well-being! And today, we invite you to explore the immense value of business analytics in addressing respiratory challenges pediatric hospitals face. 1. Track Treatment To identify the effectiveness and compare the treatment to a group of patients to find more effective ways to treat the illness. 2. Readmissions Trends to dig down why they happen and improve the treatment process and onboarding. By leveraging data to track treatment outcomes, reduce readmissions, and gain insights into population health, hospitals can optimize care strategies and enhance the well-being of their young patients. 3. Population Health To see trends and track specific measures related to children's respiratory care. Embracing data-driven approaches empowers healthcare professionals to make informed decisions that lead to improved patient outcomes and a healthier future for children. #pediatricmonth #businessanalytics #trinexus

Maternal and perinatal outcomes in twin pregnancies following assisted reproduction: a systematic review and meta-analysis involving 802 462 pregnancies https://lnkd.in/dt3uAdq4 #twins #ivf

It is enlightening how entrepreneurs, investors, and policymakers realize the importance of having specialized care for women at different stages of their lives, from early adulthood to pregnancy, postpartum, menopause, and senior years. More importantly, digital health innovators who are offering physical health services do not separate physical health from mental health and try to collaborate to provide holistic care (although, at this point, it may be redundant to call the bundle of physical and mental health "holistic care" – we should call it care). We are honored to work with the Partum Health team and the rest of this coalition to develop new data-driven, evidence-based perinatal care. #WomensHealth #PerinatalCare #MaternalHealth #DigitalHealth #Mentalhealth #AI

This insightful article sheds light on the challenges faced by rural communities in Michigan when it comes to accessing essential maternal healthcare. WJRT, Inc. ABC12's recent coverage reveals the significant impact of medical care deserts on new and expecting mothers, emphasizing the heightened risk for certain groups in these areas. Dr. Adeeba Khan, MD at CMU Health in Saginaw, underscores the importance of bridging the healthcare gap, particularly for pregnant women and new mothers who often face barriers in reaching healthcare providers. The disparities in access to education, information, and economic factors in rural areas contribute to rising maternal death rates, making it imperative for us to address these issues collectively. #maternalmortality #accesstocare #ruralhealthcare #healthdisparities #healthliteracy https://lnkd.in/eVYDGfbP

Racism profoundly impacts not only children’s health but also people’s health into adulthood. This is an impactful study that really allows healthcare providers to check their own personal bias and the need to look at pediatric care through a health equity lens. #healthequity #healthcare #healthandwellbeing