Pennsylvania Perinatal Partnership: A Title V

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Pennsylvania Perinatal Partnership A Title V
Healthy Start Collaboration

• Belle P. Marks, RN, MPH
• Joanne D. Craig, MS
• Kate C. Maus, ACSW,LSW
• Deborah Darlene Roebuck, RN , MSN

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Maternal and Child Health Bureau (MCHB)

• MCHB funds both Healthy Start and Title V
  projects
• MCHB mandated that Healthy Start and State Title
  V MCH Programs collaborate

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Creating a PA Perinatal Partnership

• PA Department of Health, Healthy Start, and local
  Title V representatives initiated meetings to
• Learn about one anothers programs
• Develop relationships
• Create a vision for collaboration

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Barriers to Partnership Development

• Resistance to change
• Fear of the unknown
• Competing demands

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Meeting the Challenge

• Developed an infrastructure
• PA Department of Health, Healthy Start, local
  Title V projects contributed funds
• Operational support via contract with a
  non-profit organization with fiscal management
  flexibility (Family Planning Council of SE PA).

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Meeting the Challenge

• Set an Agenda
• Created workgroups to establish
  program policy priorities
• Found a common ground,purpose and value beyond
  the mandate given to Healthy
  Start and Title V by MCHB

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Operating Principles

• Established organizational by-laws
• Mission statement reflecting common Title V
  Healthy Start values
• Voting and non-voting membership status
• Governing structure
• 2 Co-Chairs - 1 Healthy Start 1 Title V
• 1 Secretary/Treasurer

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Mission Statement

• The mission of the PA Perinatal Partnership,
  which is composed of Healthy Start, Title V,
  other Maternal Child Health representatives, is
  to improve perinatal health outcomes in PA
  through collaboration, intervention, joint
  strategies, and advocacy.

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Program Policy Priorities

• Education
• Advocacy
• Creating a presence

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Member Education

• Exchange of information re individual Title V
  and Healthy Start programs
• Implications of HIPAA regulations for Title V and
  Healthy Start services
• Context of medical malpractice crisis in PA
• Review of Perinatal Periods of Risk approach

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Advocacy

• Managed Care Cultural Competency Summit held in
  conjunction with HRSA
• Medicaid and SCHIP Roundtable on Improving the
  Quality of Child Health Care
• Perinatal Depression Inaugural Summit
• Communication with Governors Health Task Force
  regarding impact of insurance crisis on perinatal
  health

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Creating a Presence
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Promote Awareness and Collaboration

• Presentations to appropriate governmental
• officials
• Work with related statewide organizations to
• create partnerships
• Raise public awareness and support about the
• importance of improving maternal and child
• outcomes

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Partnership Development What It Took

• Shared vision and common purpose
• Time
• Patience, Persistence,Vision
• Leadership
• Focus on outcomes

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Partnership Development Going Forward

• Support structure
• Common explicit expectations, responsibilities
  accountability
• Sustainability
• Expanding membership

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Lessons Learned

• Collaboration
• Autonomy
• Joint strategies
• Advocacy
• Focus on outcomes
• Willingness to take risks