The Minnesota Prenatal Care Coordination Project: Successes And Obstacles

Details

• Alternative Title:
  Public Health Rep
• Personal Author:
  Skovholt, C ; Lia-Hoagberg, B ; Mullett, S ; Siiteri, R K ; Vanman, R ; Josten, L ; McKay, C ; Oberg, C N
• Description:
  The Minnesota Prenatal Care Coordination Project was a statewide effort to present systematically education and technical support to providers as they implemented the Minnesota Prenatal Care Initiative for expanded services to high-risk women. Educational methods included holding 12 regional workshops throughout the State, one-to-one contacts by nurse consultants, and newsletters and a guidebook (manual) were distributed to reach community providers. Analysis of the implementation was conducted using site visits, interviews with providers, and reviews of medical records, claims data, and other project documents. Successes in the first year were a twofold increase in the numbers of Medicaid-enrolled women who received risk assessment and enhanced services, more than one-third increase in provider participation, greater collaboration among multidisciplinary providers at the community level, and improved communication between State and local health care agencies. Obstacles included provider resistance to changes in practice, dissatisfaction with the enhanced services package and level of reimbursement, and problems with implementation protocols. The project demonstrated that prenatal care providers will change; they will improve practices and collaboration as a result of personalized education and support.
• Subjects:
  Female Follow-Up Studies Health Personnel Health Services Research Humans Interinstitutional Relations Medicaid Medical Audit Organizational Objectives Pregnancy Pregnancy Outcome Prenatal Care Program Evaluation Public Health Administration Risk Assessment Risk Factors State Health Plans

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• Source:
  Public Health Rep. 109(6):774-781
• Pubmed ID:
  7800787
• Pubmed Central ID:
  PMCnull
• Document Type:
  Journal Article
• Funding:
  MCJ 276015/PHS HHS/U.S.
• Place as Subject:
  North America
• Volume:
  109
• Issue:
  6
• Collection(s):
  Public Health Reports
• Main Document Checksum:
  urn:sha256:95af08edd36c24d6ff99c1308961678000c30063da14e90a0eb76f086a6a9997
• Download URL:
  https://stacks.cdc.gov/view/cdc/64131/cdc_64131_DS1.pdf
• File Type:
  [PDF - 1.65 MB ]