Using the <i>Blueprint for Advancing High‐Value Maternity Care</i> for transformative change

Kennedy, Holly Powell; Kozhimannil, Katy B.; Sakala, Carol

doi:10.1111/birt.12403

Cited by 13 publications

(21 citation statements)

References 19 publications

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“…Comparative effectiveness research is feasible using CMMI Strong Start data as other arms of the study included traditional medical settings that were physician‐led. The current system of high‐tech care drives high cost and poor quality . The midwifery‐led wellness model of care provided within birth center practices continues to demonstrate improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

Strong Start in birth centers: Socio‐demographic characteristics, care processes, and outcomes for mothers and newborns

Alliman

Stapleton²,

Wright³

et al. 2019

Birth

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Background A recent Center for Medicare and Medicaid Innovation report evaluated the four‐year Strong Start for Mothers and Newborns Initiative, which sought to improve maternal and newborn outcomes through exploration of three enhanced, evidence‐based care models. This paper reports the socio‐demographic characteristics, care processes, and outcomes for mothers and newborns engaged in care with American Association of Birth Centers (AABC) sites. Methods The authors examined data for 6424 Medicaid or Children's Health Insurance Program (CHIP) beneficiaries in birth center care who gave birth between 2013 and 2017. Using data from the AABC Perinatal Data Registry™, descriptive statistics were used to evaluate socio‐behavioral and medical risks, and core perinatal quality outcomes. Comparisons are made between outcomes in the AABC sample and national data during the study period. Results Childbearing mothers enrolled at AABC sites had diverse socio‐behavioral risk factors similar to the national profile. The AABC sites exceeded national quality benchmarks for low birthweight (3.28%), preterm birth (4.42%), and primary cesarean birth (8.56%). Racial disparities in perinatal indicators were present within the Strong Start sample; however, they were at narrower margins than in national data. The enhanced model of care was notable for use of midwifery‐led prenatal, labor, and birth care and decreased hospital admission. Conclusions Birth center care improves population health, patient experience, and value. The model demonstrates the potential to decrease racial disparity and improve population health. Reduction of regulatory barriers and implementation of sustainable reimbursement are warranted to move the model to scale for Medicaid beneficiaries nationwide.

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Section: Discussionmentioning

confidence: 99%

Strong Start in birth centers: Socio‐demographic characteristics, care processes, and outcomes for mothers and newborns

Alliman

Stapleton²,

Wright³

et al. 2019

Birth

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show abstract

“…The language barriers will challenge the migrant mother and her care providers from implementing this recommendation. Furthermore, Kennedy et al (2018) recommended the mother and family engagement into all aspects of maternity care, from planning to implementation until evaluation, to achieve meaningfully engage all childbearing women and families.…”

Section: Discussionmentioning

confidence: 99%

Needs of Migrant Arab Muslim Childbearing Women in the United Kingdom

2020

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Introduction: This study aims to examine the challenges faced by migrant Arab Muslim women in accessing maternity services and to suggest ways to improve the childbirth experience for them. Methodology: An interpretive ontological–phenomenological perspective guided by the philosophical tenets of Heidegger was used to examine the childbirth experiences of Arab Muslim women. Results: The sample size was 24 in-depth semistructured audiotaped interviews with eight women in the United Kingdom. The “Vulnerable Woman” was the main theme of our findings, which was discussed in five subthemes: language exclusion, discrimination and prejudice, bureaucracy and “stiff upper lip,” conflicting ideology, and the conventional as strange. Conclusions: Maternity care should be culturally competent and emphasize the importance of recognizing differences as well as creating trusting relationships. At the same time, midwives should be aware of the dangers of labeling women because of their cultural and religious beliefs.

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“…13 Using the framework presented within the blueprint, the Strong Start results can provide the research foundation and strategies for transformation of care for childbearing Medicaid beneficiaries. 13 Using the framework presented within the blueprint, the Strong Start results can provide the research foundation and strategies for transformation of care for childbearing Medicaid beneficiaries.…”

Section: For Actionmentioning

confidence: 99%

“…The National Partnership for Women and Families recently released a roadmap for high-value care detailing the blueprint for change. 13 Using the framework presented within the blueprint, the Strong Start results can provide the research foundation and strategies for transformation of care for childbearing Medicaid beneficiaries. Next steps for application of the results include leveraging endorsed national quality performance measures (eg, cesarean birth and breastfeeding), while highlighting the payment reform required to take birth centers to scale.…”

Section: For Actionmentioning

confidence: 99%

Strong start for mothers and newborns: Moving birth centers to scale in the United States

Jolles

Stapleton²,

Alliman

2019

Birth

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Using the Blueprint for Advancing High‐Value Maternity Care for transformative change

Cited by 13 publications

References 19 publications

Strong Start in birth centers: Socio‐demographic characteristics, care processes, and outcomes for mothers and newborns

Strong Start in birth centers: Socio‐demographic characteristics, care processes, and outcomes for mothers and newborns

Needs of Migrant Arab Muslim Childbearing Women in the United Kingdom

Strong start for mothers and newborns: Moving birth centers to scale in the United States

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