TY - JOUR
T1 - Developing a multimodal maternal infant perinatal outpatient delivery system
T2 - the MOMI PODS program
AU - Bose Brill, Seuli
AU - Juckett, Lisa A.
AU - D’Amico Gordon, Rachel
AU - Thomas, Nikki
AU - Bunger, Alicia
AU - Fareed, Naleef
AU - Voisin, Christiane
AU - Flores, Paola
AU - Mao, Shengyi
AU - Benninger, Kristen L.
AU - Grobman, William
AU - Panchal, Bethany
AU - Gillespie, Shannon
AU - Lorenz, Allison
N1 - Publisher Copyright:
2023 Bose Brill, Juckett, D'Amico Gordon, Thomas, Bunger, Fareed, Voisin, Flores, Mao, Benninger, Grobman, Panchal, Gillespie and Lorenz.
PY - 2023
Y1 - 2023
N2 - Progress in maternal child health has been hampered by poor rates of outpatient follow up for postpartum individuals. Primary care after delivery can effectively detect and treat several pregnancy-related complications and comorbidities, but postpartum linkage to primary care remains low. In this manuscript, we share the experience of implementing a novel mother-infant dyad program, the Multimodal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS), to improve primary care linkage and community resource access postpartum via integration into pediatric care structures. With a focus on providing care for people who are publicly insured, we designed a program to mitigate maternal morbidity risk factors in postpartum individuals with chronic disease or pregnancy complications. We discuss the systematic process of designing, executing, and evaluating a collaborative clinical program with involvement of internal medicine/pediatric, family medicine, and obstetric clinicians via establishing stakeholders, identifying best practices, drawing from the evidence base, designing training and promotional materials, training partners and providers, and evaluating clinic enrollment. We share the challenges encountered such as in achieving sufficient provider capacity, consistent provision of care, scheduling, and data tracking, as well as mitigation strategies to overcome these barriers. Overall, MOMI PODS is an innovative approach that integrates outpatient postpartum care into traditional pediatric structures to increase access, showing significant promise to improve healthcare utilization and promote postpartum health.
AB - Progress in maternal child health has been hampered by poor rates of outpatient follow up for postpartum individuals. Primary care after delivery can effectively detect and treat several pregnancy-related complications and comorbidities, but postpartum linkage to primary care remains low. In this manuscript, we share the experience of implementing a novel mother-infant dyad program, the Multimodal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS), to improve primary care linkage and community resource access postpartum via integration into pediatric care structures. With a focus on providing care for people who are publicly insured, we designed a program to mitigate maternal morbidity risk factors in postpartum individuals with chronic disease or pregnancy complications. We discuss the systematic process of designing, executing, and evaluating a collaborative clinical program with involvement of internal medicine/pediatric, family medicine, and obstetric clinicians via establishing stakeholders, identifying best practices, drawing from the evidence base, designing training and promotional materials, training partners and providers, and evaluating clinic enrollment. We share the challenges encountered such as in achieving sufficient provider capacity, consistent provision of care, scheduling, and data tracking, as well as mitigation strategies to overcome these barriers. Overall, MOMI PODS is an innovative approach that integrates outpatient postpartum care into traditional pediatric structures to increase access, showing significant promise to improve healthcare utilization and promote postpartum health.
KW - implementation
KW - infrastructure
KW - maternal health
KW - postpartum
KW - preventive care
KW - primary care
KW - transition of care
UR - http://www.scopus.com/inward/record.url?scp=85173936712&partnerID=8YFLogxK
U2 - 10.3389/fgwh.2023.1232662
DO - 10.3389/fgwh.2023.1232662
M3 - Article
AN - SCOPUS:85173936712
SN - 2673-5059
VL - 4
JO - Frontiers in Global Women's Health
JF - Frontiers in Global Women's Health
M1 - 1232662
ER -