10:40 - 10:45 amSaturday, September 17
Upper Lobby
Redesigning maternity and early child health towards integration and better value
Upper Lobby
Redesigning maternity and early child health towards integration and better value
Stanford University
Stanford University
Background Per capita health care spending in the US far exceeds any other country in the world, without better population health outcomes. This value gap extends to maternal and infant mortality, which... Read more

Description

Background 
Per capita health care spending in the US far exceeds any other country in the world, without better population health outcomes. This value gap extends to maternal and infant mortality, which is higher in the US than most other industrialized countries. The health of a mother and her child have significant impacts on each other, and these effects have lasting downstream costs to the health system and society. Despite these interdependencies, obstetric and pediatric care operate separately in the current system. The progression of US health care to a value based system provides a unique opportunity for blended models of maternity and pediatric care to address health for the maternal-child dyad. 

Methods 
Our multidisciplinary team of health care delivery design fellows, consisting of an obstetrician, pediatrician, midwife and health psychologist, worked to design a model of perinatal and early child care which provides improved outcomes and experience at a lower cost. To develop our model, we followed a regimented design thinking process consisting of six steps: immersion, literature review, observation, ideation, prototype, and test. We spoke with experts across disciplines, visited innovative sites around the country and performed a thorough literature review in order to understand this population’s needs. Next, we sought to more clearly define the observed needs and then ideated on potential solutions to address these needs. We prototyped our model and went through multiple iterations with a core group of expert mentors. Lastly, we presented our findings to potential partners who will adopt our model to test in their health delivery systems. 

Results  
We propose a new model to deliver value-based care for the maternal-child dyad. 
Key components of our model include: 

  1. Personalized prenatal and pediatric care for the family's needs to maximize health outcomes based on risk stratification. These include (i) technology enhanced routine care, (ii) comprehensive coordination for high medical risk patients, (iii) parenting skills home visiting and group prenatal care programs for socially at-risk families.
  2. Prioritize screening for maternal depression through the maternal and postpartum period with access to in-home cognitive behavioral therapy to improve the mother’s health and reduce the negative impacts on children’s wellbeing.
  3. Improve screening and referral systems for the mother around women’s health issues at pediatric visits. This addresses the current care gap we observed where mothers bring children to a pediatric provider, but often don’t seek care themselves even when they were identified to have new diseases during pregnancy. Conclusion: Using a human-centered design approach, we demonstrate a model for integrated maternal-child health care delivery, which we believe can improve outcomes for mothers and their children with lasting effects on both health and cost savings for the individuals and the country.
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text. captcha txt

Start typing and press Enter to search