Announcing a blog series on care model innovation

I am excited to begin blogging here about care model innovation. As a technology company, Maternity Neighborhood aims to develop the tools that make it easier to deliver care differently. Strategically, we align ourselves with the care models we think will grow rapidly as our healthcare system evolves to become more person-centered and value-driven.

 

For a school project, I am doing a deep dive on care model innovation in both maternity care and our broader healthcare system. I will look at several successful maternity care models, and also explore how payment reform can drive the expansion of these and other promising models. I figured if I am writing about these topics anyway, I would broaden the conversation by posting my analysis and reflections here. I invite comments and conversation.

 

Below is the curriculum I designed for myself. One caveat: There are very few learning resources listed from Childbirth Connection’s Transforming Maternity Care Project. I highly recommend all of their high-quality reports. I didn’t include them in my curriculum because I used to work for Childbirth Connection and am quite familiar with the material already. But if you’re reading along on this project, please check out those resources, too!

 

1. What is care model innovation? [Go to post] Learning Resources:

 

• Ramdas, K. et al. (2012). Four ways to reinvent service delivery. HBR
• Gawande, A. (2011). The hot spotters. The New Yorker.
• Berwick, D. (2013). H4 (Video of keynote at IHI on “health creation”). IHI National Forum.
• Bradley, E. & Taylor, L. The American Healthcare Paradox: Why Spending More is Getting Us Less? (selected chapters)

 

2. The case for care model innovation in U.S. maternity care [Go to post]
Learning Resources:

 

• Braveman, P. (2014) Why we need a vastly expanded version of maternity care. Presentation at Symposium: Using Data to Improve Maternity Care in California,
• Truven Health Analytics (2013). The Cost of Having a Baby in the United States.
• Mason, D. (2013). Transforming the costly travesty of U.S. maternity care. JAMA Forum.

 

3. Care models that work: Nurse-Family Partnership [Go to post] Learning Resources:

• Olds, D.L. et al. (2010). Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: Follow-up of a randomized trial among children at age 12 years. Archives of Pediatric and Adolescent Medicine, 164(5):419-424.
• Nurse-Family Partnership. (2010) Implementation Overview and Planning.
• Olds, D.L. et al. (2013). Improving the nurse-family partnership in community practice. Pediatrics, 132(2S), S110 -S117.

 

4. Care models that work: Doulas as community health workers [Go to Post]
Learning Resources:

• Health Connect One (2014). The Perinatal Revolution: New research supports critical role Community-Based Doula Programs can play in improving maternal and child health in underserved birthing populations.
• Choices in Childbirth (2014). Doula Care in New York City: Advancing the goals of healthcare reform. (forthcoming)
• Kozhimannil, K., Hardeman, R., Attanasio, L., Blauer-Peterson, C., O’Brien, M. (2013). Doula care, birth outcomes, and costs among Medicaid beneficiaries. American Journal of Public Health, 103(4): e113–e121.

 

5. Care models that work: Midwife-led maternity services [Go to Post] Learning Resources:

• Schroeder, E. et al. (2012). Cost effectiveness of alternative planned places of birth in women at low risk of complications: evidence from the Birthplace in England national prospective cohort study. BMJ 2012;344:e2292 doi: 10.1136/bmj.e2292
• Sandall, J. et al. (2013). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews.
• Interviews with individuals implementing innovative midwife-led models, TBD

 

6. Care models that work: Group Prenatal Care (CenteringPregnancy) [Go to Post] Learning Resources:

• Tilden, E. et al. (2014). Group prenatal care: review of outcomes and recommendations for model implementation. Obstetrical & gynecological survey, 69(1), 46-55.
• Centering Healthcare Institute. Centering Startup
• Interview with individuals planning and implementing CenteringPregnancy, TBD

 

7. Early examples of payment innovation in maternity care [Go to Post] Learning Resources:

• Catalyst for Payment Reform (2013). Using Education, Collaboration, and Payment Reform to Reduce Early Elective Deliveries: A Case Study of South Carolina’s Birth Outcomes Initiative
• Lally, S. (2013). Transforming Maternity Care: A Bundled Payment Approach. Integrated Healthcare Association
• Blue Cross/Blue Shield of South Carolina (2014). Supporting State Initiative, BlueCross and BlueChoice Expand Prenatal Coverage.
• California State Innovation Model Initiative (2014). Maternity Care Initiative for Health Plans and Hospitals.
• Nurse-Family Partnership. (2014). Social Impact Bonds.

 

8. More mature payment reform models: An overview
Learning Resources:

• Miller, H. (2014). Making the business case for payment and delivery reform. RWJF.
• Delbanco, S. (2014). The payment reform landscape (Series of 9 articles.) Health Affairs Blog.
• Feyman, Y. (2013). Payment reform: Flat facility fees and ACOs aren’t enough. Health Affairs Blog.

 

9. Driving community-based care through payment reform
Learning Resources:

• Maryland Department of Health and Mental Hygiene. (2014). A Community-Integrated Learning Health System for Maryland: The Maryland State Healthcare Innovation Plan
• Burton, A et al. (2013). Medicaid Funding of Community-Based Prevention: Myths, State Successes Overcoming Barriers and the Promise of Integrated Payment Models. Nemours.
• Bovbjerg, R., Eyster, L., Ormond, B., Anderson, T., Richardson, E. (2013). Opportunities for Community Health Workers in the Era of Healthcare Reform. Washington, DC: The Urban Institute.

 

10. The data infrastructure required for care model transformation
Learning Resources

• Center for Healthcare Quality and Payment Reform (2014). Measuring and assigning accountability for healthcare spending.
• National Quality Forum (2012). Patient reported outcomes in performance measurement.
• Roan, S. (2014). How data can boost the value of care. RWJF Aligning Forces for Quality.
• CCHIT (2013). A Health IT Framework for Accountable Care.