Transforming the US Birth Experience BETSY MCNAMARA CONSULTANT TO - - PowerPoint PPT Presentation

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Aug 24, 2023 45 likes •339 views

The Transforming Birth Fund Transforming the US Birth Experience BETSY MCNAMARA CONSULTANT TO THE TRANSFORMING BIRTH FUND Grantmakers in Health, March 2014 What is a Donor Advised Fund? Donor gives money to the NH Charitable Foundation

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BETSY MCNAMARA CONSULTANT TO THE TRANSFORMING BIRTH FUND Grantmakers in Health, March 2014

The Transforming Birth Fund Transforming the US Birth Experience

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What is a Donor Advised Fund?

 Donor gives money to the NH Charitable Foundation  Has ongoing say in what grants are made  Most administrative and financial operations

managed by the NH Charitable Foundation

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My role

Issue expert Solicit proposals Review proposals Recommend funding Be the face of the Transforming Birth Fund

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Vision

All women have access to the level of maternity care they want and need, and maternity care systems support them in doing so.

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“OUR SYSTEM IS SET UP AS THOUGH YOU HAVE AN ORAL SURGEON PROVIDING ROUTINE TEETH CLEANINGS.”

DR. MICHAEL KLEIN, OB

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Transforming Birth Fund Leverage Points:

Media Impacting Policy and Practice Supporting the Movement Research and its Dissemination Individual change makers

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Elective Inductions

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 Image of Jazz game

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0% 5% 10% 15% 20% 25% 30% 35% Jan '01 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan '02 Feb Mar Apr May Jun Jul Elective Deliveries

Elective Labor Inductions: Less than 39 Weeks Gestation

Source: Intermountain Health Care Institute for Health Care Delivery Research

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Commonwealth Fund Case Study: Intermountain Health Care

Data Changes in Practice Improved Outcomes & Lower Cost

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Our maternity model costs us

43% 57%

Payers of Maternity Care

Medicaid Private Insurers or Consumers

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Insert Times Logo here

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US Maternity Costs Are Rising

$- $5,000 $10,000 $15,000 $20,000 $25,000 $30,000

2004 2010 Commercial Insurance Payments for Birth by Type 2004 & 2010 Vaginal Birth Cesarean Birth

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Enforce Evidence-Based Practices

Adhering to Evidence based practices lead to the triple aim

 Improve outcomes  Improve quality  Lower cost

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Grantee Highlights

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Grantee: Yale University School of Nursing

Decreasing Cesarean Section Rates through Promoting Primary Vaginal Birth

Holly Powell Kennedy, PhD, CNM, FACNM, FAAN YALE Department of OB/GYN Grand Rounds January 17, 2013

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Obstacles to First-time Vaginal Birth

 Perception that cesarean is “normal”  Cost and quality of Childbirth Education  Fear of litigation  Time & patience  Lack of respect for woman’s decisions  Inconsistent respect and/or power

differentials among clinicians

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Supports to First-time Vaginal Birth

 Women’s confidence & desire for vaginal birth  Childbirth Education is an expectation &

affordable or free

 Patience  Women’s sense of power  Strong respect, collaboration and teamwork

among clinicians

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Study Conclusions

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Grantee: Childbirth Connection

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No More Elective Inductions before 39 weeks

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Cesarean Rates have stopped growing but still too high

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Grantee: MAMA Campaign

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Cost Comparison

 2011 Birth Center Vaginal Birth

Cost: $2,277

 2011 Hospital Vaginal Birth with No

Complications Cost: $10,657

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