IHI Virtual Expedition: Triple Aim Approaches to Maternal and Infant Health
Session 2 Chat Log
Pat Heinrich: Pat Heinrich NICHQ
Janine Reisinger: Janine Washington State Hospital Association.
Cradle Cincinnati: Cradle Cincinnati
Barbara Carr: Barbara Carr, Mednax
Kristy Schmidt: Kristy Schmidt St Luke's Health System Boise ID
Elizabeth Patton: Elizabeth Patton and Pooja Mehta, Boston Medical Center, Boston University School of Medicine
Jennifer Farfalla: Jen Farfalla and Sara Miller, AMCHP
Kate Berrien: Kate Berrien, Community Care of North Carolina
Kelli Desmond: Kelli Desmond Presbyterian Rust Medical Center Rio Rancho NM
Ginger Duchesne: Ginger Duchesne, Presbyterian Rust Medical Center Rio Rancho NM
Susan Pinto: Susan Pinto, MIHS Phoenix, AZ
Leslie Gong: Oregon
Anna Jimenez: FamilyCare, Oregon
Luis Nava: Luis Nava Presbyterian Hospital Albuquerque NM
Kara Johnson: Kara Johnson, Providence Health, Oregon
Elizabeth Patton: Peer support in our substance use disorder & treatment pregnancy program
Alberta Griffin: Alberta Griffin State of Michigan
Susan Pinto: That is a great initiative especially with the focus on patient centered care and patient satisfaction!
Cherie Foster: Florida—don’t have report a pregnant using woman, after birth, reporting to anything more than marijuana, but I don’t think there is MANDATORY reporting
Cradle Cincinnati: Universal testing at birth
Kristy Schmidt: In Idaho, it is not mandatory to report women unless there are children that maybe at risk, we do report infants who test positive. We have an active project to expand services specifically partnering with community resources and Subutex treatment
Cradle Cincinnati:only at time of delivery
Kate Berrien: In North Carolina, we have some very good gender-specific treatment programs that allow women to bring children, but they are not well-connected to our OB provider community. We are working on this. There is no requirement - or ability - to report substance use during pregnancy.
Janine Reisinger: No requirement to report women during pregnancy, but CPS evaluation of newborn prior to hospital discharge may be indicated. Chemically using pregnant women programs exist, but only 3 in the state, with a 4th coming online in 2018.
Laurel Durham: Access to treatment services in Portland, Or for pregnant/parenting is challenge. We have a Project Nurture site in our health system (as do two other health systems) and this has been a tremendous asset, but still challenges and small "n" served in thsi program. Need in other areas of Oregon as well (rural) and these have unique challenges.
Tamara Rendon: NM does not require mandatory reporting for substances used during pregnancy. After delivery, positive exposures are reported.
Barbara Carr:No requirement during pregnancy in MO, always test infant with positive maternal test and any positive is reported (incl THC).
Kara Johnson: Oregon mandatory reporting after delivery even with marijuana even though it is legal.
Kristy Schmidt: In Idaho, childcare is quite limited although local methadone clinics do allow children in their waiting area, no chilldcare services though
Barbara Carr: Not aware of any.
Cherie Foster:Very limited childcare, essentially none in Florida
Janine Reisinger:Yes, one program that I know of.
Anna jimenez:Oregon has several residential placements that allow women and child during treatment. Project Nurture also allows mother/child to all groups
Kristy Schmidt: What was the process of engaging the midwives or other providers both locally and stte wide to implement these services?
Janet Walsh:How do you secure funding for integrated care?
Janine Reisinger: What is the payment model that supports your program? Medicaid, private insurance, red tape?
Kristy Schmidt: Thank you!
Elizabeth Patton: How are you funding navigator program?
Daisy Goodman: Thank you very much for your comments and questions!
Deborah Bamel:For those of you who would like Daisy's contact information, her email is