PIBO Utilization Feedback Form

How are you improving birth outcomes?

Indicate by checking off in front of each recommendation those that were/are being used by your organization.

This information will help inform and guide ongoing work of the Coalition on a statewide and in local communities.

Question Title

* 1. Tier I: Addressing Socio-Economic Factors to Improve Birth Outcomes Recommendations

1A: Raise awareness among legislators, leaders and administrators about social determinants of perinatal health and the Life Course perspective

1B: Invest in preventing and mediating early life trauma and violence

1C: Identify opportunities to reduce stressors affecting families in the interconception period.

1D: Increase provider knowledge of community resources addressing social needs (housing, food, childcare, legal aid, and transportation)

1E: Identify and implement strategies aimed at reducing/eliminating institutionalized racism

1F: Create supportive housing initiatives for pregnant women and their families

1G: Integrate financial literacy into family planning and counseling services, as well as in other relevant programs serving MCH populations

Question Title

* 2. Tier 2: Changing the Context: Improving Health Outcomes by Making Healthy Choices the Easy Choice

Recommendations

2A: Establish and evaluate pilot projects involving holistic MCH medical home models

2B: Integrate mental health, oral health and wellbeing into hospital-based perinatal education models, group prenatal care, as well as home visiting programs

2C: Create trauma-informed environments for pregnant women, infants, and their families

2D: Establish a statewide community health worker system similar to the one in Massachusetts:

this can include models involving lay home visitors, community doulas, preconception peer educators, peer breastfeeding counselors, oral health, etc.

2E: Engage in a broad effort to change the language of mental health to reduce fear and increase

incidence of provider-patient communications about mental health needs, “stress”, “stressors”, and “stressful events/situations”

2F: Expand person-centered care model (PCCM) to include women’s health, including oral and

mental health, with a Life Course approach

2G: Expand state Husky to undocumented women and families

Question Title

* 3. Tier 3: Protective, Long-Lasting Protection to Individuals Recommendations

3A: Incentivize the provision of Life Course/preconception health (Pay for Performance for education, screening, referrals and treatment)

3B: Integrate Life Course education into provider training

Question Title

* 4. Tier 4: Ongoing Clinical Interventions: Evidence-Based Interventions within Clinical Settings

Recommendations

4A: Incentivize the provision of behavioral health services and oral health care (Pay for

Performance for education, screening, referrals and treatment)

4B: Integrate into provider training mental health, social stressors, and trauma education relevant to infants and families

4C: Increase access to midwifery care for all women considered low-risk (medically)

4D: Increase access to childbirth and postpartum doula services (Medicaid reimbursement; adding doula care to existing home visiting services)

Question Title

* 5. Tier 5: Education and Counseling: Individual or Public Educational Messages and Support

Recommendations

5A: Scale up (or continue investing) in fatherhood initiatives to increase social support within the family and home environment

5B: Integrate education and preconception and interconception health including mental and oral health, into hospital-based prenatal education models, group prenatal care, as well as home visiting programs

5C: Integrate mental health and well being into Department of Education school health curriculum

5D: Integrate Life Course education into Department of Education school health curriculum

5E: Engage in a broad effort to reduce mental health discrimination among families and communities and increase people’s awareness of the important connection between emotional well-being and physical well-being

5F: Raise consumer awareness about the midwifery model of care and available midwifery options.

PIBO Utilization Feedback Form

How are you improving birth outcomes?

Question Title

* 1. Tier I: Addressing Socio-Economic Factors to Improve Birth Outcomes Recommendations

Question Title

* 2. Tier 2: Changing the Context: Improving Health Outcomes by Making Healthy Choices the Easy Choice

Question Title

* 3. Tier 3: Protective, Long-Lasting Protection to Individuals Recommendations

Question Title

* 4. Tier 4: Ongoing Clinical Interventions: Evidence-Based Interventions within Clinical Settings

Question Title

* 5. Tier 5: Education and Counseling: Individual or Public Educational Messages and Support

Question Title

* 6. Emerging Issues

Question Title

* 7. Comments/Feedback

Question Title

* 8. Name

Question Title

* 9. Job Title

Question Title

* 10. Organization/Group

Question Title

* 11. Phone Number:

Question Title

* 12. Email

Question Title

* 13. Date