Pregnancy Medical Home
In April 2011, the North Carolina Division of Medical Assistance in partnership with Community Care of North Carolina and the North Carolina Division of Public Health launched a new pregnancy medical home model of care, which is inclusive of Pregnancy Care Management (OBCM) services. Quality improvement is a cornerstone of this new program.
The goal of the pregnancy Medical Home model is to improve the quality of maternity care, improve birth outcomes and provide continuity of care. The model involves engaging obstetrical providers as Pregnancy Medical Homes and local healht departments as providers of Pregnancy Care Management services.
The overall model seeks to improve birth outcomes which will be measured by NICU length of stay, infant medical care costs in the first year of life, gestational age at delivery, rates of low birthweight and very low birth weight, and the primary cesarean section rate. Specific measures will determine to what extent the OBCM services are achieving project goals, including: the percent of completed risk screenings entered into the electronic database system; the number of women with priority risk factors who receive a pregnancy care management assessment; the number of women who worked with a care manager who received a postpartum referral for ongoing Medicaid eiligibility determination; the number of women who keep appointments for 17P injections; and the number of women who complete a postpartum clinical visit.
Information may be found on the Community Care of North Carolina website here.
Detailed information about this program including presentations and forms may be found on the NC Division of Medical Assistance website here.