Obstetric Outreach

Baby's footThe Obstetric Outreach team is a partnership between the University of Vermont's Department of Obstetrics, Gynecology, and Reproductive Sciences and the Vermont Department of Health (VDH). Our goal is to strengthen and expand a network of obstetric providers and nurses at Medicaid-participating hospitals. This partnership has resulted in a number of significant improvements in the health of pregnant women and neonates by assessing timely state perinatal outcomes and understanding how perinatal care is delivered and incorporates social determinants of health.

  

Objectives

  • To improve access, coordination, and quality of care, including prenatal, perinatal, and preconception care, provided to Medicaid-eligible women and infants
  • To establish prenatal care standards and recommendations by standardizing quality assessment, bench-marking, and reporting.
  • To identify potential recommendations for changes in the State Medicaid policy for obstetrical care of women

Outreach 

Vermont Family Based Approach (VFBA): A program that focuses on the entire family, recognizes emotional and behavioral health as the key aspect of health, and emphasizes health promotion along with evidence-based intervention. The VFBA teams comprise of the child and family, Family Wellness Coaches, Focused Family Coaches, Family-Based Psychiatrists, primary care providers, and community partners. The goal of our research is to take a preventive approach to children's mental health by offering evidence-based wellness interventions in the perinatal period. Our program uses "wellness coaching" to bring health promotion (mindfulness, yoga, nutrition), illness prevention, and family-based intervention for pregnant women. Women are paired with a Family Wellness Coach (FWC) who provides education regarding how wellness activities can support mental health, collaborates with women to set goals, and coordinates resources to meet their goals.

Educational Webinars: The VCHIP OB/GYN Webinar Series is designed in collaboration with the Vermont Department of Health (VDH) and the University of Vermont Medical Center's Obstetrics, Gynecology, and Reproductive Sciences team to educate Vermont obstetrical providers with up-to-date information on obstetrical standards of care, public health, and healthcare reform to ensure best care practices for our community.

Quality Improvement: A collaboration with UVM OBGYN, Vermont Regional Perinatal Health Project (VRPHP), Improving Care for Opioid-Exposed Newborns (ICON), and the Vermont Department of Health (VDH) allows for improvements in the collection and provision of timely feedback to all hospitals regarding important aspects of perinatal care and to provide recommendations for improvement.

 

 

Project Contacts

Marjorie Meyer, MD, Project Lead

Carole McBride, PhD, Research Assistant

Samantha Bellinger, Program Manager