Strong Start for Mother and Newborns
Program Progress Report: Year 1 Quarter 2 April 1, 2013 through June 30, 2013
Report Due: July 30, 2013
Federal Agency and Organization Element to Which Report is Submitted:
Centers for Medicare & Medicaid Services – Center for Medicare & Medicaid Innovation
Federal Grant Number Assigned by Federal Agency:
CMS Awardee Number (1D1CMS33####) 1D1CMS331136-01-00
Recipient Organization Name:
HealthInsight of Nevada
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SECTION 1: EXECUTIVE SUMMARY Please see the Executive Summary, which has been submitted with this Progress Report as a separate Microsoft Word document.
SECTION 2: STAFFING AND TRAINING
Strong Start Current Staffing Table
Staffing: Strong Start Position Title
Staff Member's
Name
Credentials of Staff
Start Date
% Time on Strong
Start Renown Pregnancy Center: Program Director
Jennifer Holcombe
06/01/13 10%
Renown Pregnancy Center: Sr. Medical Assistant/Centering Coordinator
Katrina Adamson
Medical Assistant
05/28/13 50%
Renown Pregnancy Center: Nurse Coordinator
Rebecca Rudd CNM 06/01/13 10%
Renown Pregnancy Center: Lead Midwife Jessica Goods CNM 06/01/13 10%
HealthInsight: Administrative Assistant Cheri Crosby 04/01/13 4%
HealthInsight: Project Director (Replacement)
Sabrina Drass BA 04/01/13 13%
HealthInsight: Medical Director Jerry Reeves MD 04/01/13 8% HealthInsight: Communications Coordinator
Kymberlie Roundtree
BA 04/01/13 8%
HealthInsight: Project Coordinator Alison Shipley BA 05/01/13 5% HealthInsight: Project Director (Resigned) Leslie Smith JD, MPH 04/01/13 15% HealthInsight: Communications Coordinator
Marcia Warner BA 05/01/13 1%
HealthInsight: Healthcare Analyst Emily Sim MS 04/01/13 3% WellHealth Women's Specialty: Program Director
Tina Phyfer APN 04/01/13 1%
Total Number of Strong Start Staff: 13
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Strong Start Vacant Positions Table
Staffing: Vacant Strong Start Position Titles
Number of Vacant
Positions
Expected Credentials
% Time on Strong Start
WellHealth Women's Specialty: Program Coordinator TBH Medical
Assistant
WellHealth Women's Specialty: Midwife Coordinator TBD CNM
WellHealth Women's Specialty: Midwife Coordinator TBD CNM
WellHealth Women's Specialty: Midwife Coordinator TBD CNM
Total Number of Vacant Positions:
4
Strong Start Training Table
Training: Type of Training No. of Staff trained
Length of Training
Date Completed
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SECTION 3: PARTICIPANT DEMOGRAPHICS Question YES NO
Has your Organization begun providing Strong Start Services? X
Date First Strong Start Service Provided: Basic Participant Questions No. of Participants Strong Start Medicaid Participants Strong Start CHIP Participants Former Strong Start participants who no longer
receive Strong Start services, prior to delivery, due to loss of Medicaid/CHIP eligibility
Former Strong Start participants who no longer receive Strong Start services, prior to delivery, for any reason other than loss of Medicaid/CHIP eligibility
Live Births Stillbirths Pregnancy terminations (including miscarriage) for
any participant
Participant Age Range
No. of Strong Start Participants
Gestational age at Strong Start enrollment
No. of Strong Start Participants
Less than 13 years of age
Less than 10 weeks gestation
13 - 17 years of age
10 - 14 weeks gestation 18 - 19 years of age
15 - 19 weeks gestation
20 -24 years of age
20 - 24 weeks gestation 25 -34 years of age
24 -28 weeks gestation
Greater than 35 years of age
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Race or Ethnicity
No. of Strong Start Participants
White
Black or African American American Indian or Alaska Native Asian Indian Chinese
Filipino
Japanese Korean Vietnamese Other Asian Native Hawaiian Guamanian or Chamorro Samoan Other Pacific Islander Hispanic, Latina, or Spanish Origin Mexican, Mexican American, Chicana Puerto Rican Cuban Other Hispanic, Latina, or Spanish Origin
SECTION 4: MILESTONE PROGRESS UPDATE See Milestone Progress Table beginning on page 6.
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Quarter Goal
(Section2.4 Summary of Project Goals and 2.5 Driver Diagram of the Operational Plan)
Milestones/Activities (Informed by Section 3.0 Project Start-Up Priorities and Section 4.0 Work plan of the Operational Plan)
Starting Quarter/
Year
Ending Quarter
/Year Lead Staff Lead Staff
Organization Key Partners Status Actual Date
of Completion
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Hire and orient new staff to administer CenteringPregnancy program at each site
Q3 2012 Q2 2013 TBD WellHealth and Renown
N/A Off Track but Mitigation in Process
Comments: The training for WellHealth has already occurred. The training for the Renown staff is scheduled for August 21 and August 22, 2013.
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Hire new Strong Start Program Manager at Women’s Specialty WellHealth
Q2 2013 Q2 2013 TBD WellHealth N/A Off Track but Mitigation in Process
Comments: The hiring of this coordinator has been delayed due to the merger with WellHealth. They have interviewed and are in the process of making the final hiring decisions.
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Women’s Specialty WellHealth’s new program manager training
Q2 2013 Q2 2013 TBD WellHealth N/A Off Track and No Mitigation Started
Comments: The training for WellHealth program manager has been delayed due to the delay in hiring the new program manager.
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Renown Pregnancy Center CHI onsite basic training for The Pregnancy Ctr. new staff
Q2 2013 Q2 2013 Jennifer Holcomb Renown CHI Off Track but Mitigation in Process
Comments: The Relaunch System Redesign was on 7/1/13, the training is scheduled for 8/20/13 - 8/21/13. This was the first available time for the CenteringPregnancy Training Consultant
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Renown Pregnancy Center CHI onsite advanced training for The Pregnancy Ctr. staff
Q2 2013 Q3 2014 Jennifer Holcomb Renown CHI On Track
Comments: The advance training will occur in August 2014, one year after the basic training per CenteringPregnancy curriculum.
Q2 2013 Project Goal 2: Recruit and retain at-risk pregnant women into the CenteringPregnancy prenatal care program
Prepare Strong Start promotional materials, flyers, and patient handouts with Strong Start logo
Q1 2013 Q2 2013 Kym Roundtree HealthInsight WellHealth, Renown
Off Track but Mitigation in Process
Comments: The patient rack card has been finalized and translated. We are waiting for each site to format into their branding templates. Once we receive the templates we will send to the CMS Project Officer to approve.
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Quarter Goal
(Section2.4 Summary of Project Goals and 2.5 Driver Diagram of the Operational Plan)
Milestones/Activities (Informed by Section 3.0 Project Start-Up Priorities and Section 4.0 Work plan of the Operational Plan)
Starting Quarter/
Year
Ending Quarter
/Year Lead Staff Lead Staff
Organization Key Partners Status Actual Date
of Completion
Q2 2013 Project Goal 2: Recruit and retain at-risk pregnant women into the CenteringPregnancy prenatal care program
Distribute program promotional materials to religious organizations, county health district service sites, community center, emergency departments, WIC program sites, Medicaid managed care organization customer service sites and other sites frequented by Medicaid beneficiaries
Q1 2013 Q2 2013 Kym Roundtree HealthInsight WellHealth, Renown
Off Track but Mitigation in Process
Comments: Once the patient rack cards have been approved by CMS we will meet with each site and plan the dissemination of program information to the community partners.
Q2 2013 Project Goal 2: Recruit and retain at-risk pregnant women into the CenteringPregnancy prenatal care program
Begin Social Media campaign on the websites of the participating providers, Facebook, and Twitter
Q1 2013 Q2 2013 Kym Roundtree HealthInsight WellHealth, Renown
Off Track but Mitigation in Process
Comments: The social media campaign has been discussed with each site's marketing teams. Each marketing team for the site will launch their approved social media campaigns (i.e. twitter and Facebook) once recruitment has began.
Q2 2013 Project Goal 2: Recruit and retain at-risk pregnant women into the CenteringPregnancy prenatal care program
NV Medicaid managed care organizations (Health Plan of NV and Amerigroup) distribute promotional materials, flyers, and patient handouts with Strong Start logo to enrollees
Q1 2013 Q2 2013 Kym Roundtree HealthInsight WellHealth, Renown
Off Track but Mitigation in Process
Comments: Once the patient rack cards have been approved by CMS we will meet with each site and plan the dissemination of program information to the community partners.
Q2 2013 Project Goal 2: Recruit and retain at-risk pregnant women into the CenteringPregnancy prenatal care program
Solicit approval of public service announcements regarding Strong Start campaign in local and regional radio, TV, and print media in English and Spanish
Q1 2013 Q2 2013 Kym Roundtree HealthInsight WellHealth, Renown
Off Track but Mitigation in Process
Comments: The HealthInsight marketing team is in the process of getting quotes for the media promotion to discuss with the sites.
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Women's Specialty WellHealth Prepare space, materials for Groups
Q2 2013 Q3 2013 Tina Phyfer WellHealth N/A Off Track but Mitigation in Process
Comments: The two sites have been selected for WellHealth and are currently being set up for group start beginning August 26, 2013.
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Renown Pregnancy Center Prepare space, materials for Groups
Q2 2013 Q3 2013 Jennifer Holcomb Renown N/A Off Track but Mitigation in Process
Comments: The Renown site has been selected and is currently being set up. It will be finalized by August 15, 2013 for the group start date of September 3, 2013.
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Quarter Goal
(Section2.4 Summary of Project Goals and 2.5 Driver Diagram of the Operational Plan)
Milestones/Activities (Informed by Section 3.0 Project Start-Up Priorities and Section 4.0 Work plan of the Operational Plan)
Starting Quarter/
Year
Ending Quarter
/Year Lead Staff Lead Staff
Organization Key Partners Status Actual Date
of Completion
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Review recruitment progress, site preparations, participant satisfaction surveys, participation data, successes and challenges, monitoring, data collection, and continuous quality improvement
Q2 2013 Q1 2016 Sabrina Drass HealthInsight WellHealth, Renown
On Track 7/22/2013
Comments: This meeting occurs on the 4th Monday of the month
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Site visit to review site issues, clinician and patient challenges, successes, and continuous quality improvement
Q2 2013 Q1 2016 Sabrina Drass HealthInsight WellHealth, Renown
On Track 6/26/2013
Comments: WellHealth: 6/26/2013 Renown: 7/1/2013
Q2 2013 Revised Project Goal 1: Establish and sustain viable CenteringPregnancy prenatal care programs in 3 sites.
Providers send reports on enrollment, Medicaid verification, group schedules, and data collection
Q2 2013 Q1 2016 Tina Phyfer and Jennifer Holcomb
WellHealth, Renown
HealthInsight Off Track but Mitigation in Process
Comments: Due on the 15th of Each Month Q2 2013 Revised Project Goal 1: Establish and sustain
viable CenteringPregnancy prenatal care programs in 3 sites.
Send quarterly reports to CMMI Q2 2013 Q1 2016 Sabrina Drass HealthInsight WellHealth, Renown
On Track 7/30/2013
Comments: Quarterly Q2 2013 Revised Project Goal 1: Establish and sustain
viable CenteringPregnancy prenatal care programs in 3 sites.
Teleconference with CMMI Project Officer Q1 2013 Q1 2016 Sabrina Drass HealthInsight CMMI On Track 7/23/2013
Comments: Bi-Weekly