Toward Improving Birth Outcomes Toolkit: Best Clinical and Administrative Practices for Medicaid Health Plans

QualityTool

Toward Improving Birth Outcomes Toolkit: Best Clinical and Administrative Practices for Medicaid Health Plans

Description

This toolkit offers a structured approach for addressing quality improvement in prenatal care and a collection of “lessons learned” by health plans serving Medicaid members. It will help health plans review common barriers that Medicaid plans face in improving birth outcomes, develop strategies to overcome these barriers, review clinical and administrative strategies that other health plans have implemented, and measure incremental and long-term change.

This toolkit addresses the following topics:

  • How will this toolkit benefit your health plan?
  • Measuring for success: A process improvement strategy
    • How to approach process improvement
    • A brief guide to the model for improvement
  • A typology for improvement
  • Identification: How and when does the health plan find out if a member is pregnant?
  • Stratification: How can a plan obtain and use health risk information about pregnant members?
  • Outreach: How can a plan reach and deliver services to pregnant members if they do not seek care?
  • Intervention: What activities can be implemented to respond to member risk factors and improve the potential for healthier newborns?
  • Communicate to create change
    • Identify your audiences
    • Define your messages
    • Use communication tools creatively
    • Measure effectiveness of communications
  • Appendixes: Tools developed by Medicaid health plans

Developer:

Center for Health Care Strategies, Inc.

Funding Sources:

Center for Health Care Strategies, Inc.

History

Release Date: 2001
Original Summary: April 2006
Last Updated: 05/19/08

QualityTool Classification

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