Transcript Document

University of California Postdoctoral Scholars
Planning a Family?
Information
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Health Net’s Decision PowerSM Health and Wellness
Programs
Decision Power Healthy Baby: Preconception, Prevention and Wellness
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Online pregnancy resources including: preventive care guidelines; pregnancy
news; view the nine months of development; mini-quizzes (e.g. baby’s height
predictor, baby-proofing your home); downloads (e.g. birth plan, first prenatal
visit); and sign-up for a free pregnancy newsletter
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Online Health Risk Questionnaire includes an assessment of current
pregnancy status and history of risk factors; an instant, interactive health
summary; and relevant referrals to resources
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Online Personal Health Record, a private and secure tool allows members to
view, update, and share medical information gathered from across multiple,
fragmented data sources into one accessible, secure location
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27/4 access to wellness and clinical support through our inbound Health Coach
line
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Intensive Health Coaching education for smoking cessation
including a series of health coach initiated sessions with
unlimited inbound calls, follow up quit status, and smoking
cessation toolkit
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Health Net’s Decision PowerSM Health and Wellness
Programs
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Health Net’s Decision PowerSM Health and Wellness
Programs
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Maternity Care
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All Health Net delegated medical groups provide routine obstetrical
services. Risk assessment is conducted upon entering maternity care and again
at the end of the second trimester beginning of the third trimester. The
network obstetricians are free to select their screening tool of choice from
among several charting tools that have been reviewed by the American College
of Obstetrics and Gynecology (ACOG).
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Many medical groups and hospitals provide prenatal classes
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If a patient is considered high risk upon initial screening, the general
obstetrician will call on any of the many resources that Health Net makes
available
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For co-morbid medical conditions, the obstetrician most often co-manages
the patient with the appropriate medical specialist that is in the same provider
group and can care for the patient when admitted to the hospital at which she
is scheduled to deliver
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Maternity Care: Prenatal Classes
Maternity Educational Services Provided by Top 10 Medical Groups based on Deliveries
PPG
Medical Group
Affiliated Hospitals with Programs
Brown & Toland
Medical Group
yes
California Pacific Medical Center
UCSF Medical Center
Alta Bates Medical Group
yes
Alta Bates Summit
UCLA Medical Group
at hospital
Santa Monica UCLA
UCSD Healthcare Network
yes
UCSD Medical Center
Scripps Clinic
yes
Scripps Hospital
Hill Physicians Medical Group
yes
Multiple hospital affiliations
Greater Newport Physicians
at hospital
Hoag Memorial
Monarch Healthcare
available at some hospitals
Multiple hospital affiliations
Sansum Clinic
at hospital
Cottage Hospital
Riverside Medical Clinic
at hospital
Riverside Community Hospital
Parkview Community Hospital
Santa Barbara Select IPA
at hospital
Cottage Hospital
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Risk Factors for Preterm Birth
Modifiable known risk factors for preterm birth:
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Smoking
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Drinking alcohol particularly binge drinking
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Obesity increases the risk of poor pregnancy outcomes because it
can cause high blood pressure, and diabetes that contribute to
prematurity and increased likelihood of C-section
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Stress
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Illicit drug use
Other consistently identified risk factors:
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A previous preterm birth
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Multifetal pregnancy
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Infection
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Certain uterine and cervical abnormalities
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http://www.marchofdimes.com. 7/12/2009
Causes of Preterm Birth
The specific causes of spontaneous preterm labor and delivery (leading
to NICU admissions) are largely unknown.
Research indicates they are likely due to a complex result of multiple
risk factors rather than a single isolated risk factor.
As one March of Dimes representative stated “if there was an easy way
to prevent it, we would have found it by now, they need to be as healthy
as possible and take care of themselves”
Approximately 25% of all preterm births are the result of medical
intervention and the remainder occur spontaneously. 1
PeriStats® from the March of Dimes:
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12.7% of births in the United States are preterm
Preterm births have been rising year over year
The rise in late preterm births has been linked to rising rates of early
induction of labor and C-sections2
1 Iams JD. The epidemiology of preterm birth. Clin Perinatol.2003;30:651-54
2 Bettegowda, VR, Dias D, Davidoff JM, et al. The relationship between cesarean delivery and gestational age among US singleton births.
Clin Perinatol. 2008; 35:309-323
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Maternity Care
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For patients with severe or multiple co-morbid conditions, the general
obstetrician will co-manage or refer the member to a Perinatologist (fetalmaternal medicine specialist)
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Health Net and the delegated medical groups provide case managers to
collaborate with the patient's physicians in providing education, support, and
intra-visit telephonic monitoring. The case managers may be nurses in the
Health Net offices or nurse-coaches who may be assisting with the patient's
chronic disease such as asthma, congestive heart failure, diabetes, or COPD
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For the patients with severe complications that require complete bed rest,
Matria/Alere is Health Net's contracted home health provider. They provide
home uterine monitoring, Intravenous (IV) tocolytics (preterm labor
medications), IV fluids for hydration, and IV (parenteral) antibiotics among
other services
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On Demand Educational Program – Coming This
IF YOU NEED A HEADLINE, THIS IS IT.
Fall!
Take 5 with Decision Power Healthy Baby
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Complimentary, web-based, on-demand
member educational program.
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Comprised of 5 topics to promote healthy
pregnancy and healthy baby, presented one
topic per week over 5 weeks.
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Extensive member-level tracking; members
who complete all 5 topics are entered into a
raffle for prizes.
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Take 5 topics include:
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Your Health Net, an introduction to Health
Net’s complimentary health and wellness
programs, including smoking cessation resources
Your Exercise
Your Nutrition
Your Safety
Breastfeeding
Members may choose to
print the Quick Tip Sheet
that accompanies each topic.
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