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Building a Maternal Child Health Network in a Silo
SeaImpacting Infant Mortality by Network
Building in Lake County, Indiana
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Angie Martin, Director of Administration, HealthVisions Midwest and Network Coordinator
Risë Ratney, Executive Director of Northwest Indiana Healthy Start and Chair of the MCH Network
Don Barnes, President and CEO of HealthVisions Midwest
Connie Leal, RN, IBCLC, Director of Maternal Child Health Program of Lake County, HealthVisions Midwest
Presenters and Panel
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Background and OverviewMission, Planning and Structure
Successes/Challenges/Next Steps
Learning Objectives
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HealthVisions Midwest (HVM) is the sponsoring organization
Who is HealthVisions Midwest? We work in communities to:
◦ Advocate for the poor and powerless◦ Nurture and foster leadership◦ Develop and facilitate partnerships◦ Address systemic community health needs◦ Advance environmental health
Background and Overview
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Our Vision
“Create healthy communities by empowering people to live a healthy life”
Background and Overview cont.
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HealthVisions Midwest Backbone Structure
St. Joseph Community Health Foundation
Fort Wayne, IN Maternal Child Health
Network of Lake County
Bridges of Care
East Chicago, IN Continuum of Care
Gary, IN
HealthVisions of Fort Wayne
Fort Wayne, IN
Covering Kids and Families of Indiana
Lake County Coalition
HealthVisions Midwest
Genesis Outreach
Fort Wayne, IN HealthVisions of
East St. Louis
East St. Louis, IL
St. Catherine’s Hospital
East Chicago, IN
Allen County Health Disparities Coalition
Fort Wayne, IN
Ministerial Alliance
East St. Louis, IL
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In 2002, HVM was awarded a Title V Maternal Child Health grant to provide Prenatal Care Coordination services
Target: medically and socially high-risk women in Lake County, with focus on East Chicago and Gary
The Maternal Child Health Network of Lake County was developed out of this original grant
Background and Overview cont.
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The Problem: A Silo Sea◦ High minority populations with high poverty rates,
language barriers, low or lack of access to health care and high infant mortality rates with Moms experiencing significant health disparities
◦ There were many clinical, community and social service organizations in Lake County that provided maternal child health services
◦ Everyone was working on their own agenda
Planning/Structure/Mission
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The Silo Sea◦ MCH organizations doing good work◦ Competing for clients◦ Competing for funding◦ Replicating services◦ Overlapping service areas
Planning/Structure/Mission cont.
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Development of the Network model Organizations to share information and
expertise Work towards common goals, including
systemic change Hired a full-time staff person to coordinate
and support the Network project
Planning/Structure/Mission cont.
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Network MissionThe purpose of the Network is to convene a team of local experts to assess data, recommend policy changes, implement best practices and educate parents and the public on methods to reduce/eliminate behaviors that contribute to fetal and infant deaths.
Planning/Structure/Mission cont.
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Partnerships and MOUs were developed with agencies/providers to become members
Difficult due to competition and silo mentality
Able to convene membership of 35 organizations, with 20 regularly attending
Planning/Structure/Mission cont.
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WIC Healthy Families-Mental Health America Lake County Minority Health Coalition Parents as Teachers Managed Care Organizations Health Departments Community Health Centers FQHCs Indiana University Northwest, School of Medicine, Genetics Methadone Clinic Promotores de Salud Maternal e Infantil/Great Beginnings/NATALE-PNCC
programs Local hospitals Gary Maternal Child Health Clinic Healthy Start Purdue Extension-Nutrition Education Program Indiana Perinatal Network support/resource
The Maternal Child Health Network of Lake County, IndianaEarly Membership
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Checked to see if the right people were at the table
Met monthly for 1 hour over lunch Shared organizational events, changes, etc. Although there were successes, there were
many missed opportunities due to a rigid silo mentality.
Planning/Structure/Mission cont.
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In 2012, the monthly meeting had become more of a sharing of individual events over lunch
New Bylaws were developed Elections were held for officers and term
limits were imposed A facilitated brainstorming session was held
to flesh out direction for the group Four action groups were formed
Planning/Structure/Mission cont.
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Started educational sessions at Network meetings to broaden our knowledge base◦ The North Central Sickle Cell Initiative◦ The Lake County Black Breastfeeding Coalition◦ The Division of Chronic Disease Prevention and
Control and Office of Primary Care and Rural Health from the ISDH
The Membership was reinvested and started working together again
Planning/Structure/Mission cont.
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Infant Mortality awareness campaign with billboard and movie theater ads
“When the Bough Breaks” DVD Annual Perinatal Disparities conference Provider Education:
◦ Nutrition◦ African Americans and Stress◦ Physical Abuse and Child Abuse◦ SIDS and SUIDS◦ Substance Abuse and Addiction◦ Safe Sleep from a Pathology Perspective◦ Breastfeeding and Safe Sleep◦ Lake County FIMR and Infant Mortality statistics
Successes
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Safe Sleep campaign included:◦ Local hospitals OB/GYN Department assessment◦ Safe sleep kits distributed to providers to take
back to their organizations and clients◦ Facebook page
https://www.facebook.com/babysleepthisway◦ Safe Sleep commercial ads on local radio stations
in English and Spanish
Successes cont.
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Local DFS offices were not promoting Presumptive Eligibility◦ The Network developed a poster to place in DFS
offices◦ One phone call to a regional director allowed us to
get informational posters placed in local DFS offices
Successes cont.
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The membership working together and trusting each other
MOUs outside of the Network between member organizations
Sharing of grant opportunities Shared problem resolution
Successes cont.
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Keeping the right people at the table Keeping members and action groups
engaged year round Funding Capacity of volunteer members to support
group Trust and eliminating the silo mentality
Challenges
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Moving to a neighborhood focus Collective Impact initiative in East Chicago Periods of Perinatal Risk Mental Health issues Faith-based community opportunity Gary’s Strong Cities, Strong Communities
designation
Next Steps/New Opportunities
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Angie Martin, Director of Administration, HealthVisions Midwest and Network Coordinator
Risë Ratney, Executive Director of Northwest Healthy Start and Chair of the MCH Network
Don Barnes, President and CEO of HealthVisions Midwest
Connie Leal, RN, Director of Maternal Child Health Program of Lake County, HealthVisions Midwest
Q & A
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The Maternal Child Health Network of Lake County
For more information contact:Angie Martin, MCH Network Coordinator
Thank you!
