The National Preconception Health + Health Care Initiative                                                                           February 2019
Preconception IM CoIIN TA Meetings
 
March 27th - 1-2pm ET:
Jaci Murphy leads a discussion about integrating preconception care into practice.
 
April 12th - 3-4pm ET:
Dr. Sonya Borrero leads a discussion about clinical/practical applications for a patient-centered approach to reproductive life plan.

Please mark your calendar. Details forthcoming.
Welcome to our new DATA Contractor Coach, Mary Webster! 
As we wish Lou Anne Stout a happy retirement, we are pleased to welcome Mary Webster, MSN, RN, CCM, CPHQ to the team. 
Mary R Webster, Sr. Program Director, Population Health Improvement Partners

Mary has over 13 years experience in quality improvement training, leadership, and coaching. She has worked with a variety of organizations including, Atrium Health/Carolinas, Levine Children's Hospital Pediatric Residency program, Community Care of NC, and the American Academy of Pediatrics. Mary has a particular love for coaching interprofessional work teams toward improved health outcomes. She is a registered nurse and currently certified as a case manager and professional in healthcare quality. Welcome, Mary!
Important
 Preconception Reads
Systematic Review of Interventions for Reproductive Life Planning. Journal of Obstetrics and Gynecology Neonatal Nursing. Jan 2019.

Pre-pregnancy Counselling , ACOG Committee Opinion developed with the American Society for Reproductive Medicine in collaboration with committee member Daniel M. Breitkopf, MD and ASRM member Micah Hill, DO.


March Calendar of Events
March 8th is International Women's Day! This year's theme is #BalanceforBetter. Click for social media messages to honor the strong women in your life online. Also use #BeBoldForChange. It is Women's History Month; here's some inspiration to celebrate the women you love.

Other notable preconception-related awareness initiatives in March include  Endometriosis Awareness  Month,  Epilepsy  Month, 
Nutrition Month,  March 10th is National Women and Girls HIV/AIDS Awareness Day, March 21st is International Day for the Elimination of Racial Discrimination,  March 30th is  Doctor's Day ,  March 31st is  Transgender Day of Visibility   #TDOV .
 

Be sure to mark your calendar for the year two IM CoIIN TA webinars organized by Abt Associates.

Topics include: 
Testing Part 2: Moving from Testing to Implementation - April 4th, 3:30-5pm ET

Improving Messaging around Infant Mortality and Health Equity - May/June

Maintaining Momentum and Addressing Project Fatigue - July/August

If you have any questions, please contact IMCoIIN@abtassoc.com or 888-239-2048.
Preconception Health Bi-weekly Updates
Are you signed up to receive the  CDC's bi-weekly updates on preconception and interconception health? The latest research, articles, new campaigns and resources will be sent straight to your inbox. Email  Cheryl Robbins  (ggf9@cdc.gov) with "subscribe." A great resource for everything happening in the industry, across the country - and world!
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Preconception CoIIN Year Two In Action! 
Preconception CoIIN Year Two Meeting was held January 17-18, 2019 at The American Hotel Atlanta Downtown. Over 70 health professionals and key stakeholders attended to launch year two of our CoIIN work. This month's newsletter will recap some resources shared at the meeting and highlight implementation across each of our pilot sites. Want to learn more? You can find Preconception IM CoIIN Meeting resources, presentations, and information  HERE. Our Year Two Meeting photos can be viewed  HERE.

During our time together all of the teams:  
  • Shared progress and preconception health best practices; 
  • Engaged in learning and dialogue on implicit bias and on women's health policy; 
  • Had the opportunity for project site collaboration and targeted technical assistance; 
  • Reviewed human-centered design and PDSA cycles as well as data metrics, collection, and submission processes; 
  • Connected and engaged within and across states and partners to build our CoIIN community. 
Meeting Presentations
While we weren't able to video the presentations given at the meeting, we can share all of the slides! To review what was covered each day  click here for the meeting program .
 
Day 1: 


 


Day 2:



Many thanks to David de la Cruz for kicking off the meeting with a HRSA Maternal and Child Health Bureau welcome. We would like to acknowledge and thank Nicole Fehrenbach and Cheryl L. Robbins for sharing updates from the Centers for Disease Control and Prevention. We appreciate Dr. Diana Ramos' updates about Women's Preventative Services Initiative as well as Angela Aina's sharing about the Black Mamas Matter Alliance.
Resources Shared & Discussed

Electronic Nicotine Delivery Systems (ENDS) Resources: 
TheTruth campaign has consumer education materials, as well as a texting service for e-cigarette updates. Sign up here. 

The CDC has e-cigarette fact sheets, infographics, and more in English and Spanish here. This week, the CDC's Vital Signs report provided data about the uptick in tobacco use among adolescent in 2018 -- reversing years of progress of reducing tobacco use with vaping to blame.   National Youth Tobacco Surveys  found that the frequency in which high school e-cigarette users were using e-cigarette products increased by nearly 40% between 2017 and 2018.

Well Woman and Quality Care Resources:
The Women's Preventive Services Initiative (WPSI) is a federally supported collaborative program led by The American College of Obstetricians and Gynecologists (ACOG) to review and recommend updates to the current Women's Preventive Services Guidelines.
Download the Recommendations for Well Woman Care - Well Woman Care Chart. WPSI has a patient trifold available for download or print.

CityMatCH's Well-Woman Toolkit addresses barrier to well-woman care using response, recommendation, adn resources. You can access  best practices and resources, broken down by consumer, health provider, and health department/community organizer. 
 
One Key Question® supports women's power to decide by helping to transform their health care experience. The notion behind One Key Question® is simple: It asks all health providers and champions who support women to routinely ask, "Would you like to become pregnant in the next year?" From there, the provider or champion takes the conversation in the direction the woman herself indicates is the right one, whether that is family planning, preconception health, prenatal care, or other needs. One Key Question offers training and technical assistance to provider networks, community organizations, and others interested in being certified as a One Key Question® provider or institution. 

Power to Decide's  Reproductive Well-Being Place-Based Toolkit, developed by the Power to Decide Expert Panel (you can also find a  Summary of Toolkit Feedback). 

Suggested Policy Listservs to Subscribe:
After listening to the preconception health policy updates, she shared the importance of picking a few policy updates we are interested in reading. She offered a few policy newsletters that you may be interested in subscribing:
National Partnership for Women and Families
National Women's Law Center
AMCHP Policy Alert / Update
SisterSong Policy and Program Updates
March of Dimes' Monthly Policy Group 
MomsRising Text or Email Alerts
Human Centered-Design Resources:

Human-Centered Design and Performance Improvement: Better Together, NEJM Catalyst, Ioulia Kachirskaia, PhD, Kedar S. Mate, MD & Estee Neuwirth, PhD, Kaiser Permanente Design Consultancy, Institute for Healthcare Improvement (IHI)

Communications Support: 
One-on-one consulting available for public relations, social media, digital marketing, community engagement, graphic design needs. Email or connect your communications contact with SuzanneW@med.unc.edu. 

Patient Support Tools: 
Care Women Deserve (CWD) has a plethora of easy to understand consumer information about women's preventive services/Affordable Care Act (ACA). Their website offers a variety of patient education resources such as  recommendation and coverage information,  FAQ,  office posters and  shareable graphics for patients. 

LatinaSana is a great resource if you are looking for preconception health materials in Spanish.

Interested in trying a text messaging service? The LA County Department of Public Health has a preconception health text messaging service, LA FAMILIA. LA FAMILIA text messaging program focuses on family planning, active living, maintaining a healthy weight, improving nutrition, reducing stress, and addressing abuse. Each message links here to the FAMILIA website, which has more information, apps, blogs, and videos related to that topic. Subscribers receive three healthy living texts each week for three months. AVAILABLE IN ENGLISH OR SPANISH. To join, text LAFAMILIA to 55000.
ABOUT HRSA IM CoIIN PRECONCEPTION PROJECT: This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UF3MC31239-Providing Support For The Collaborative Improvement and Innovation Network (CoIIN) To Reduce Infant Mortality. The grant amount totals $1,494,993. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.