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Thomas Memorial Hospital
Berkeley Medical Center, MartinsburgPRESTON
MONONGALIA
MARION
TAYLOR
HARRISON
DODDRIDGE
WETZEL
MARSHALL
OHIO
BROOKE
HANCOCK
TYLER
PLEASANTS
WOOD
JACKSON
RITCHIE
WIRT
ROANE
CALHOUN
GILMER
LEWIS UPSHUR
BARBOUR
TUCKER
GRANT
MINERAL
HAMPSHIRE
MORGAN
BERKELEY
JEFFERSON
HARDY
PENDLETON
RANDOLPH
WEBSTER
BRAXTON
POCAHONTAS
NICHOLAS
CLAY
GREENBRIER
FAYETTE
RALEIGH
SUMMERS
MONROE
MERCERMCDOWELL
WYOMING
MINGO
LOGAN
BOONE
KANAWHA
PUTNAM
MASON
CABELL
WAYNE
LINCOLN
Weirton General, Weirton,
Ohio Valley Medical Center Wheeling Hospital
Stonewall Jackson Memorial, Weston
St. Joseph's, Buckhannon
Davis Memorial, Elkins
Grant Memorial, Petersburg
Jefferson Memorial, Ranson
Fairmont General
Mon Health Medical Center, Morgantown
United Hospital Center, Clarksburg
Camden Clark
WVU Hospitals
CAMC Women’s and Children’s
Raleigh General Hospital
Greenbrier Valley Medical Center
Cabell Huntington Hospital
Bluefield Regional Medical Center
Princeton Community Hospital
Logan General Hospital
St. Mary's Hospital
Pleasant Valley Hospital
WV Birthing Hospitals (21)
WV Tertiary Perinatal Referral Centers (3)
Freestanding Birthing Center (1)
WomenCare Birth Center
42.1%
40.4%
41.5%
41.3%
40.4%
40.8%
40.5%
40.7%
40.4%
38.5%
39.5%
39.9%
38.8%42.4%
40.3%
39.9%
13.9%
11.9%
12.3%
13.8%
12.7%
12.9%
12.4%
11.7%
11.7%
9.9%
10.2%
10.0%
10.1%
12.4%
9.6%
11.6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016*
Medicaid Non-Medicaid
WV Average 25%
*
Preliminary DataSource: West Virginia Health Statistics Center, Vital Statistics System, 2018
US Rate 7.2%
Source: State Inpatient Databases, Healthcare Cost and Utilization Project
*
Source: Using a current surveillance tool to assess the
incidence of neonatal abstinence syndrome (NAS) in
West Virginia , John, Collin, et al
Poster Presentation at 2017 APHA conference
*Governor’s
Advisory Council on
Substance Abuse
*Governor’s
Advisory Council
on Substance
Abuse
–
–
–
–
–
–
Urine tests throughout and after pregnancy.
Cord tissue collection/testing.
Surveys of sites to identify strategies and barriers.
Demographics
–
–
–
•
Reaching high-risk, medically-underserved women:
Low educational attainment
Low income
Medicaid insurance
Unplanned pregnancies
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1st Trimester 2nd Trimester 3rd Trimester Delivery
Positive Drug Screens
0%
2%
4%
6%
8%
10%
12%
14%
16%
DFMB Program Participants
Statewide
Substance Exposed
Takes more time than anticipated
A dedicated staff position is critical to moving the project forward
Care coordination/patient navigation services are key
A collaborative treatment team needs to be developed and nurtured
Flexibility to enhance/revise program is needed
Incentives can be effective
Questions?