CSD2 - Driving Better Pregnancy Care Through Targeted Data, Automation and Health-Center Workflows

Session Description: This session describes a partnership with the CDC Foundation, two large health center-controlled network (HCCN) partners, and the participation of 10 affiliated member health centers to use patient-level quality data from the electronic health record and data warehouse to enable innovations in pregnancy and postpartum care. The program has three aims: to support care teams in closing care gaps around pregnancy and postpartum care; to improve care processes that contribute to quality measures and value-based care arrangements; and to improve communication to care teams and patients. HCCNs support health centers in their efforts to follow patient outcomes and support care delivery activities around pregnancy. This program engages health centers in human-centered design to identify opportunities to support more streamlined care coordination around the key evidence-based care objectives for pregnancy and postpartum care. Health centers in this effort have benefited from pregnancy and postpartum care episode implementation and interface navigators and express lanes to move from care gaps to action. To date, more than 100,000 pregnancies have been involved in the implementation of pregnancy data support actions in these networks. This program aligns to and discusses the financial and workforce benefits of care teams and utilization alignment to advance the long-term sustainability of health center pregnancy and postpartum care. The health centers and HCCNs will focus their care innovations on specific interventions at different health centers that have addressed barriers to care, patterns of utilization, and infrastructure issues which enable care teams to act in real time.