PREVENTING ALCOHOL-EXPOSED PREGNANCIES IN UNDERSERVED WOMEN ATTENDING A SAFETY-NET INPATIENT/OUTPATIENT HEALTHCARE SYSTEM P Gillen,1 K Peterson2 1University of Colorado-Denver, Anschutz Medical Campus, 2Denver Public Health, Denver, USA
{"Image DocumentName": "PREVENTING ALCOHOL-EXPOSED PREGNANCIES IN UNDERSERVED WOMEN ATTENDING A SAFETY-NET INPATIENT/OUTPATIENT HEALTHCARE SYSTEM P Gillen,1 K Peterson2 1University of Colorado-Denver, Anschutz Medical Campus, 2Denver Public Health, Denver, USA", "Image ImageDescription": "Reason for Action: Poor coordination of FASD prevention and treatment services within Denver Health. Gap Analysis: Silos across multiple departments with poor coordination of services/referrals. Completion Plans: Arrange trainings with clinics to coincide with the new EMR in Jan, Initial Condition: Relevant work being done in silos of departments. Solution Approach: Including methods gained from Practice Collaborative training and forum with other sites. Confirmed State: 16% of women attending the DPH clinic were both drinking at high-risk levels and not using effective contraception (816/4976) Target Condition: Integration of services to provide best care efficiently, utilizing existing resources well. Rapid Experiments: DPH took leadership in creating a collaborative at DH, with technical assistance provided by CityMatCH. Two half-day planning sessions utilizing LEAN methods identified the current siloed state of prevention efforts and care at DH, analyzed the gaps, and developed solutions. DPH clinic data were used to assess the prevalence of high-risk alcohol use in reproductive age women, defined as 4 or more drinks on one occasion or 8 or more in a week, and their rates of effective contraception. Outpatient Behavioral Health Services. Substance Abuse Treatment Services. Other Mental Health Care. ObGyn. Pre-natal Care. High-risk Deliveries. Contraceptive Care. Family Practice. Pre-natal Care. Low-risk Deliveries. Kids\u2019 Care. Adult Care. Contraceptive Care. Denver Public Health. Maternal Child Health Program. STD-CHOICES Demonstration Project. Contraceptive Care. Data Analysis Expertise. Larger Community. COFAS. FASD Education. Legislative Policy. Other Health Care Systems. Et cetera. Pediatrics. Kids\u2019 Care. Child Advocacy. Contraceptive Care. CityMatCH Practice Collaborative to Reduce the Risk of Alcohol-Exposed Pregnancy.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}