Yvonne Malloy, MPP Director, AI/AN Women’s Health Programs The American College of Obstetricians and Gynecologists
Committee on American Indian/Alaska Native Women’s Health
Beginnings… Committee established April 17, 1970 Beryl Blue Spruce, FACOG Edward Zimmerman, FACOG Objective: to study and develop expertise in maternal and gynecologic health problems among AI/AN women in order to improve their health status The late Dr. Beryl Blue Spruce MD at work, circa 1967 (Photo courtesy of Dr. Harry Roitman MD)
Today... 25 members include ACOG Fellows, liaisons, and IHS Chief Clinical Consultants (CCCs)
On-site Peer Review Tour of patient care and supporting facilities Meetings with facility leadership, WH providers and community representatives ACOG continuing education offered on-site QA/QI medical records review; standardized data reporting to teams Closeout on site and with Area and IHS HQ 2017-2018 focus on opioid use in Great Plains and Billings areas
• Additional scope of work dedicated to continuing education, training, guidance for the IHS on opioid dependence in pregnant and non- pregnant AI/AN women Phoen oenix ix • Phoenix Area • Phoenix Indian Medical Center – full-scope, Area Ar ea S Site around 500 births/year Visit & & • Whiteriver – a rural site with a birthing center model but no cesarean delivery capability and Commi mittee 40 births/year • Hopi Health Center – small rural hospital that Meet eting has been on long-term divert for 2-3 years with 5 deliveries per year in the ER • Native Health – an urban health outpatient clinic • The Committee will provide individual site and area-wide recommendations February 4-6, 2019
Recommendations to the IHS on Best Practices for AI/AN Pregnant Women and Women of Childbearing Age with Opiate Use Disorder Thank you to lead authors Pooja Mehta, MD, MSHP and Larry Leeman, MD, MPH! To be released very soon!
Recommendations to the IHS on Best Practices for Rural Maternal Safety Submitted to the IHS June, 2015
Postgraduate Courses August 4-6, 2019 | Oklahoma City, OK Best Practices in Women’s Health: Focus on American Indian/Alaska Native Women’s Health February 19-21, 2020 | Albuquerque, NM 6 th International Indigenous Women’s Health Meeting: Advancing and Advocating for Healthcare in Rural and Urban Settings The 5 th IWHM had over 230 attendees 38 sessions Lectures, Hands-On Workshops, Posters, Traditional Blessings, Roundtables, Panels, colposcopy and buprenorphine pre-courses
Types of Recommendations • Recruiting and Retention • Declining Birth Numbers and Divert Status • AIM Safety Bundles • Advance Life Support in Obstetrics (ALSO) • Electronic Health Record (EHR) • Protocol Review • Quality Assurance/Quality Improvement • Substance Use Disorder and Neonatal Opioid Withdrawal Syndrome • Tribal Relationships and Collaborations
Additional Areas of Interest • Loss of Labor and Delivery in small rural hospitals • Long Acting Reversible Contraception (LARC) Training • Emergency Room Preparedness and Safety
2018 Haffner Award
Congratulations! Glen Y. Kishi, MD Phoenix Indian Medical Center, Indian Health Service
Thank You! Questions? Yvonne Malloy, MPP ymalloy@acog.org 202-863-2580
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