DSRIP UPDATE: Supporting Maternal and Child Health; Reducing Premature Births

Medicaid Client-Serving Partners Implementing
Centering Pregnancy, Community Health Worker Programs

Millennium Provides Funding, Support per Key DSRIP Initiative

Niagara Falls Memorial Medical Center’s women’s services offers high quality health and wellness services for women of all ages.

The Delivery System Reform Incentive Payment Program (DSRIP) primary objective is to promote community-level collaborations and focus on system reform; specifically, to achieve a 25 percent reduction in statewide avoidable hospital use over five years.

Recent Millennium DSRIP project highlights contributing to this goal include significant advancement of initiatives linked to the primary effort to provide “Support for Maternal and Child Health; Reduce Premature Births”.


Sandy McDougal, RN, Population Health Manager/Nurse Healthcare Coach

In specific, under the leadership of Sandy McDougal, RN, Population Health Manager/Nurse Healthcare Coach, with assistance from Ebony White, Community Health Worker, Millennium – in close collaboration with partner teams – has achieved the implementation of “Centering Pregnancy” and “Community Health Worker” programs at the following partner locations serving Medicaid clients:

Centering Pregnancy Program
• Niagara Falls Memorial Medical Women’s Health Center in partnership with “P3 Center For Teens, Moms and Kids”
• Kaleida Health’s Kensington OB/GYN Center

Community Health Worker Program
• Buffalo Prenatal–Perinatal Network
• Jericho Road Community Health Center – Priscilla Project
• Niagara Falls Memorial Medical Center
• Universal Primary Care

“Both of these initiatives directly serve underserved Medicaid clients,” explained Sandy McDougal. “Our primary role has been to provide funding and implementation support to our partners who really have done most of the work.”

 

Centering Pregnancy
According to Sandy, “Centering Pregnancy” is an innovative and evidence-based model of care that serves as an alternative to traditional one-on-one doctor/patient care by enabling pregnant women with similar due dates to join together in a group with their healthcare providers.

By attending appointments at the same time, they receive all the components of prenatal care, including health assessment, along with interactive education and community building in the form of facilitated discussions and learning sessions focused on pregnancy, birth and newborn care, to name just a few of the topics covered.

“We have worked to fund and assist the startups following the Centering Health Institute guidelines,” said Sandy. “We are also continuing to support additional Facilitator training to help the clinics sustain their efforts.”

To date, Millennium-assisted “Centering Pregnancy” programs are up and running at:

Niagara Falls Memorial Medical Women’s Health Center in partnership with “P3 Center For Teens, Moms and Kids” which initiated Niagara County’s first “Centering Pregnancy” Program thanks to the vision of Sheila Kee, Executive Vice President and Chief Operating Officer, and program leadership of Karen Vilardo, Program Coordinator

Kaleida Health’s Kensington OB/GYN Center under the leadership of Julie Szumigala, MD, FACOG.

Sheila Kee, Executive Vice President and Chief Operating Officer; and Karen Vilardo, Program Coordinator

Julie Szumigala, MD, FACOG

 

Community Health Worker Program


Millennium Community Health Worker Ebony White shares an Enhanced Patient Services success story in a brief video: “Finding The Light…”

As a Community Health Worker on Millennium’s Enhanced Patient Services Team, Ebony White knows first-hand the profound positive impact one-on-one engagement can make in a Medicaid client’s healthcare journey.

“While this work isn’t for the faint of heart given some of the situations, we need to put ourselves in to,” said Ebony, “the benefit of knowing you are making a significant difference in that client’s life is a great reward.”

Partners, who with Millennium’s assistance, are deploying Community Health Workers to provide direct assistance to pregnant or mothering women include:

Buffalo Prenatal–Perinatal Network under the leadership of Marixa Sanchez, CHW Program Manager. BPPN also most recently added a program to help mothers experiencing post-partum depression. (Click Here for the feature story by WBFO’s Avery Schneider.) 

Priscilla Project – Jericho Road Community Health Center led by Sondra Dawes, Senior Case Manager

Niagara Falls Memorial Medical Center

Universal Primary Care in Olean, NY led by Mary Beyth, RN, Program Manager

Tahawna Roberson (left) and Marixa Sanchez, CHW Program Manager Buffalo Prenatal–Perinatal Network, (right) hug each other after a chance-encounter on the streets of Buffalo’s 14215 zip code. (Photo courtesy Avery Schneider / WBFO NEWS)

Sondra Dawes, Senior Case Manager, Priscilla Project – Jericho Road Community Health Center; Mary Beyth, RN, Program Manager, Universal Primary Care

“Community Health Workers provide direct support to the moms and their babies and are very familiar with additional resources they can then refer their clients to,” added Sandy. “They enable community- based organizations, primary care practices and hospitals to operate programs that benefit the community by making a positive impact on reversing the poor outcomes trend related to maternal child and health.”

 

PARTNER/RESOURCE WEB SITES

Buffalo Prenatal–Perinatal Network
https://bppn.org/

Centering Health Institute
https://www.centeringhealthcare.org/

Jericho Road Community Health Center
https://www.jrchc.org/programs/priscilla-project-buffalo/

Kaleida Health’s Kensington OB/GYN Center
https://www.buffalobaby.org/obgyncenters/locations.asp

Niagara Falls Memorial Medical Women’s Health Center in partnership with “P3 Center For Teens, Moms and Kids”
https://nfmmc.org/programs-services/womens-obgyn/women-planning-pregnancy-parenting-center.php

Universal Primary Care
https://www.upchealth.net/obgyn

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The Erie County Medical Center (ECMC) is the lead entity in the Millennium Collaborative Care Performing Provider System.

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