Maternity Disease Management: Raising Expectations and Improving Outcomes

Front Cover
Healthcare Intelligence Network, 2006 - Medical - 54 pages
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," HINs 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 2006 audio conference, "Maternity Disease Management: Assessments, Guidelines and Monitoring To Meet Positive Expectations."Table of Contents * Case Study: Maternity Management at Monroe o New Programs Address Cost Concerns o A Prototype for Prenatal Care o Getting Physicians on Board o Maximizing Community Outreach o The Benefit of Multimodal Interventions o Streamlining the System o Quality Improvement Takes Time o Is the Program Worth the Cost? o Analyzing ROI for Disease Management o Plans for Program Expansion o Eliminating Healthcare Disparities * Case Study: Health Management Corporation Makes the Case for Maternity Management o Incorporating Education into Continuous Care o Quick Tips for Member Engagement o Optimizing Program Efficiency o Managing High-Risk Populations o Collaborating with Providers o A Quantifiable Return o Overcoming Barriers to Effective Outreach o Communication Facilitates Change * Case Study: PacifiCare Behavioral Health Defines PPD Symptoms and Demographics o Distinguishing Despondency from Depression o Identifying Postpartum Depression o Symptoms, Diagnosis and Treatment o Clinical Recommendations o Preventing Postpartum Depression o Assessing Impact of Outreach o Developing Trends and Treatments o The Challenges of Working with Resistant Providers * Q&A: Ask the Experts o Scheduling Follow-Up Care o Home Visits o Getting Physicians on Board o Maintaining Healthy Habits Postpartum o Round-the-Clock Care o Overcoming Claims Lags o Contacting High-Risk Populations o Stratifying Medicaid Populations o Targeting Specific Populations o Consumer Toolkits o Aligning Physician Reimbursement with Budget Capacity o Making Contact with Members o Identification by Self-Assessment * Glossary * For More Information * About the Authors

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