QI PROGRAMS / MOC IV

Healthy Mom Healthy Family (Interconception Care)

The Healthy Mom, Healthy Family program addresses the health of moms between pregnancies. Ohio is the first state to focus on improving the health of mom’s during pediatric well child visits using this model in a broad quality improvement learning collaborative, with the goal of improving positive outcomes for both mom and baby!

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General Information

  • HMHF has completed 3 QI waves with 45 practices in Ohio!
  • Did you know…?
    • Women often stop their medical care for the first 18-24 months after a child is born
    • Moms may minimize their own health concerns, not realizing they affect newborn health outcomes
    • Pediatricians are viewed by families as the trusted advocate for their child’s health
    • Maternal depression is worse during a pandemic and disproportionately exaggerated in disadvantaged populations
    • Providing multivitamins with folic acid to women of childbearing age increases consumption of daily multivitamins from 25 to 70 percent
    • About 75% of women who stop smoking in pregnancy resume within 1 year after delivery
    • The most crucial period for modifying birth outcomes is before a woman becomes pregnant
  • Optimal care of a pediatric patient includes ensuring that parents and caregivers are healthy, too. 77% of mothers take responsibility for taking their children to doctor appointments, but more than half of them received little or no health counseling for themselves each year.
  • The Healthy Mom, Healthy Family project provided practices with tools and training to more fully screen mothers for health risks at infant well-child visits. This project empowered pediatricians and healthcare providers to discuss 4 behavioral risks affecting future outcomes: family planning/birth spacing; smoking cessation; multivitamin use; and maternal mental health.

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History

  • In 2018 the Ohio AAP partnered with the March of Dimes in Ohio to bring education on the IMPLICIT (Interventions to Minimize Preterm and Low Birth Weight through Continuous Improvement Techniques) ICC model to pediatric healthcare providers in Ohio. IMPLICIT aims at improving maternal health and future birth outcomes by screening mothers during their infant’s well child visits.
  • Following successful regional trainings, the program expanded to include partnership with the Ohio Department of Health and Government Resource Center of the Ohio Colleges of Medicine. Through this partnership the Healthy Mom, Healthy Family program was established by funding from ODH as part of the Health Resources and Services Administration State Maternal Health Innovation Grant that ODH was awarded in 2019. Over the course of five years and three QI waves by 2024, the program engaged 45 practices in work to improve the outcomes of infants and mothers in their practice.
  • Program Outcomes:
    • Ohio is the first state using this model in a broad quality improvement learning collaborative.
    • Participants in the pilot wave have shown consistent screening for over 80% of families in the first few months of the program.
    • Educational trainings showed the ability to improve provider confidence in discussing the focus areas in one training, and lead to commitments to changes in practice for more than 70% of participants.

Literature and Resources

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $8,288,888 and an award totaling $7,670,233 with 0% percentage financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

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