Leveling the Playfield: SDoH and the Future of Maternal Health
Learning Approach: Process Improvement Problem Statement: How effective is the First Thirty program at reducing readmissions for high-needs maternal health patients?
Methodology: The FT team implemented a bundle, leveraging Lean Six Sigma and Agile principles to ensure seamless care coordination tailored to individual needs.
Implementation: The FT program collaborated with community partners to address patients' SDOH, including housing, food, transportation, and mental health support.
Results: Community support (15,140 calls/1,321 transportations) led to 100% appointment scheduling and 73% attendance (77% of participants). Readmissions dropped from 7% (2022) to 2% (2023) and 1.6% (2024).
Speakers
Jenny Bernard, DNP MBA MSN APN-BC
Director of Community Health Quality Improvement - HMH
Event Details
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Population Health and Care Transitions
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Location Virtual
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Organizer NAHQ Next
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