CHICAGO — The Medical Home Network Accountable Care Organization, LLC (MHN ACO), a wholly provider-owned entity comprised of 13 Federally Qualified Health Centers (FQHCs) and three health systems serving more than 160,000 Medicaid patients, was awarded a grant for approximately $250,000 from the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services. The grant is part of HRSA's 2021 Emerging Issues in Maternal and Child Health Program with the goal to strengthen the capacities of state and local organizations to respond to emerging public health issues affecting maternal and child health (MCH) populations.
The MHN ACO'S Maternity Health Coach Program will address two emerging priority issues in maternal and child health identified by the State of Illinois:
The grant-funded program, which is a partnership between the MHN ACO and Medical Home Network (MHN), a Chicago-based not-for-profit focused on transforming care in the safety net and building healthier communities, will work to fundamentally change healthcare experiences and outcomes for vulnerable pregnant patients in Chicago.
Program Builds on MHN's Proven Care Management Model
With this grant, the MHN ACO will build on MHN's proven care management model, in which care management teams are integrated into the ACO's primary care practices, by adding maternal health coaches. The maternal health coach will work alongside the obstetrician/ gynecologist providers at the clinics and provide intensive support to individuals throughout the course of their pregnancy and post-partum.
"Providing skilled coaching and support to low-income families during the pregnancy journey has been critically missing for patients in our communities and has led to inconceivable disparities in care," said Tina Spector, VP, Clinical Integration & Innovation, MHN. "Our Maternal Health Coach Program will seek to address these deep disparities by engaging patients in a trusted relationship and providing evidenced-based education and training in the community."
MHN ACO pilot sites will incorporate a new health coaching curriculum and train individuals for the maternal health coach role to join their integrated care teams. A main focus is providing mental health support for patients, so the program will work to increase partnerships with Community Based Organizations (CBOs) that address all aspects of women's health. MHN will leverage their technology platform, MHNConnect, to identify patients, track engagement efforts and produce quantifiable outcomes.
"Some of the key goals of the Maternal Health Coach Program are increasing the percentage of patients completing prenatal and postpartum visits, reducing post-delivery readmission rates and improving outcomes related to the social determinants of health," said Leana Lopez, Director, Behavioral Health and Community Programs, MHN. "We look forward to seeing the positive impact this program will make on women and children in Chicago safety-net communities."
MHN ACO pilot clinics will begin implementing this new program in the fall.
About Medical Home Network
Medical Home Network (MHN) is transforming care in the safety net and building healthier communities. MHN, which was selected as one of the 2021 Best Places to Work in Healthcare, builds partnerships in the community to connect key stakeholders, from comprehensive primary care to community-based organizations. MHN enables healthcare providers to deliver integrated care. Our care teams build trusted relationships with patients and coordinate care with a focus on whole person health. The MHN model of care is powered by proprietary technology that enhances collaboration among community-based entities, which leads to improved outcomes, lower costs and reduced health disparities. Learn more at medicalhomenetwork.org and on LinkedIn.
About MHN ACO
The Medical Home Network Accountable Care Organization (MHN ACO), created in 2014, is a wholly provider-owned entity comprised of 16 health care centers (13 FQHCs and 3 non-profit health systems). The MHN ACO engages in shared decision making to transform health care delivery by offering coordinated, person-centered care for Medicaid patients in Chicago area communities.
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Effective Date: January 12, 2017
Revision date 1.12.2017