Obstetrics/gynecology clinics offered electronic medical record–facilitated education, counseling, and support from a lactation consultant to low-income minority women, leading to a threefold increase in breastfeeding rates.
A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.
School-based health centers provide comprehensive reproductive and sexual health services to inner-city public school students, leading to enhanced access to contraception, prenatal care, and screening and treatment for sexually transmitted diseases.
An Arizona clinic for women refugees provides comprehensive, culturally sensitive care across the reproductive life span, leading to enhanced access to services, high patient satisfaction, greater awareness of breast cancer and mammography, and better planning for childbirth.
A partnership among a periodontist, hospitals, state-funded health clinics, and area dentists enhances access to comprehensive dental care and education about oral hygiene to thousands of low-income pregnant women.
A neonatal palliative care program supports and arranges needed services for families who experience the loss of a baby, generating very positive anecdotal feedback from those served.
Electronic alerts, patient education, and provider performance reports promote adherence to a guideline covering early elective inductions, leading to a significant decline in such inductions, shorter average labor, and fewer newborn complications.
A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.
A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.
A large multispecialty clinic launched a multidimensional campaign to increase influenza immunizations of pregnant patients, with key elements including educating providers and nurses about the safety and effectiveness of immunizations, publicizing the immunization rates of individual obstetricians' patients, and making vaccinations a part of standing orders; the program led to a dramatic increase in the immunization rate over a 10-year period.