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Maternity Disease Management: Raising Expectations and Improving Outcomes


Description: Maternity management programs can have a significant impact on containing healthcare costs and improving outcomes by reducing the number of premature deliveries and addressing postpartum depression (PPD).

In this special report, "Maternity Disease Management: Raising Expectations and Improving Outcomes," HIN’s expert panelists provide case studies of maternity management programs, highlighting information on pre- and post-natal assessments, clinical guidelines, monitoring techniques and outcomes.

Report contributors Christy L. Beaudin, PHD, LCSW, CPHQ, corporate director of quality improvement at PacifiCare Behavioral Health, Joseph Stankaitis, MD, MPH, chief medical officer at Monroe Plan for Medical Care and Thomas M. Smith, RN, MA, director, medical care management at Health Management Corporations, describe the efforts of three maternity disease management programs that identify and monitor at-risk mothers, target key cost drivers and improve clinical outcomes for this population.

This 54-page report is based on a fall 2005 audio conference, "Maternity Disease Management: Assessments, Guidelines and Monitoring To Meet Positive Expectations."


Contents: Case Study: Maternity Management at Monroe
New Programs Address Cost Concerns
A Prototype for Prenatal Care
Getting Physicians on Board
Maximizing Community Outreach
The Benefit of Multimodal Interventions
Streamlining the System
Quality Improvement Takes Time
Is the Program Worth the Cost?
Analyzing ROI for Disease Management
Plans for Program Expansion
Eliminating Healthcare Disparities

Case Study: Health Management Corporation Makes the Case for Maternity Management
Incorporating Education into Continuous Care
Quick Tips for Member Engagement
Optimizing Program Efficiency
Managing High-Risk Populations
Collaborating with Providers
A Quantifiable Return
Overcoming Barriers to Effective Outreach
Communication Facilitates Change

Case Study: PacifiCare Behavioral Health Defines PPD Symptoms and Demographics
Distinguishing Despondency from Depression
Identifying Postpartum Depression
Symptoms, Diagnosis and Treatment
Clinical Recommendations
Preventing Postpartum Depression
Assessing Impact of Outreach
Developing Trends and Treatments
The Challenges of Working with Resistant Providers

Q&A: Ask the Experts
Scheduling Follow-Up Care
Home Visits
Getting Physicians on Board
Maintaining Healthy Habits Postpartum
Round-the-Clock Care
Overcoming Claims Lags
Contacting High-Risk Populations
Stratifying Medicaid Populations
Targeting Specific Populations
Consumer Toolkits
Aligning Physician Reimbursement with Budget Capacity
Making Contact with Members
Identification by Self-Assessment

Glossary

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