Expanding Access to Long- Acting Reversible Contraception in Washington s North Sound

Transcription

1 Expanding Access to Long- Acting Reversible Contraception in Washington s North Sound Linda McCarthy Executive Director Mt. Baker Planned Parenthood Lee Che Leong Senior Project Manager North Sound Accountable Community of Health

2 Today s Agenda Washington s Accountable Communities of Health Unintended pregnancy The Colorado initiative and effective contraception North Sound ACH LARC project Lessons learned

3 Washington s Accountable Communities of Health

4 Healthier Washington is creating healthier communities and a more sustainable system by: Building healthier communities through Accountable Communities of Health (ACHs) Ensuring health care focuses on the whole person Improving how we pay for services

5 Washington s Accountable Communities of Health North Sound ACH

6 North Sound ACH Vision A coalition with the triple aim of transforming the health system: to improve the health of our communities and our people to improve the experience of care and access to care and to lower per capita health care costs in Snohomish, Skagit, San Juan, Island, and Whatcom counties

7 North Sound ACH Process All five counties in the region 17 sectors participate All 8 federally recognized Tribes in our region have been invited to participate Managed care organizations (MCOs) caucus around 1 vote

8 Inventory of Initiatives in the North Sound Access End of life BH integration Referral management Case management Care transitions ED diversion Payment reform Other Prevention

9 Regional Priorities Whatcom Behavioral health Housing Oral health Prevention Care coordination Health disparities as a primary consideration for above priorities San Juan Island Skagit Snohomish North Sound Based on: Community health assessments Community health needs assessments Other health assessments Inventory of health initiatives Qualitative interviews Community forums

10 Polling Question #1 Are you a member of an Accountable Community of Health or a similar organization in your state? Yes No

11 Unintended Pregnancy

12 Unintended pregnancy is a risk factor for: Inadequate prenatal care Low birth weights Exposure of the fetus to tobacco, alcohol, and other substances Neonatal death Domestic violence Child abuse Economic hardship Disruption to progress toward educational and career goals

13 Polling Question #2 What do you think is the rate of unintended pregnancy nationwide? 15%-20% 25%-35% 45%-50%

14 Unintended Pregnancy by the Numbers 45% of the 6.1 million pregnancies in the U.S. are unintended 1.9 million unintended pregnancies are prevented by publically funded family planning 48% of all pregnancies (61,000) in Washington were unintended in ,300 Washington women aged were in need of publicly funded family planning services in 2014

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16 The Colorado Family Planning Initiative

17 Source: The Colorado Family Planning Initiative

18 Source: The Colorado Family Planning Initiative

19 Source: The Colorado Family Planning Initiative

20 Source: The Colorado Family Planning Initiative

21 Source: The Colorado Family Planning Initiative

22 Source: The Colorado Family Planning Initiative

23 Avoided Costs, Colorado, Medicaid Temporary Assistance to Needy Families (TANF) Food assistance programs WIC Total avoided costs $52.3 million $5.8 million $5.2 million $2.7 million $66.1 million Based on a study by a University of Colorado team of economists Numbers listed represent the lower bound of estimated ranges

24 North Sound Prevention via LARC Project

25 Reproductive Justice Reproductive justice recognizes that the main reproductive challenge facing poor women of color is not unintended pregnancy by itself, but rather socioeconomic and cultural inequalities that provide some people with easier access to self determination and bodily autonomy than others. Asian Communities for Reproductive Justice and SisterSong Women of Color Reproductive Health Collective

26 North Sound ACH Early Win Selection July 2015 Regional priorities and project brainstorm Sept 2015 Criteria approved Oct 2015 Nov 2015 Dec 2015 July 2016 Interim Operations Work Group: scored applications, selected 2 finalists Proposal finalist presentations Presentations round 2 and report to state Progress reports and early win finalization: Prevention via LARC

27 Prevention via LARC Phase 1: Provider Training Phase 2: Outreach to Women Client centered contraceptive counseling best practices Reproductive life planning Clarifying pregnancy intentions Increase awareness of their contraceptive options Risk/benefit information regarding LARCs Inserting/implanting LARC

28 Prevention via LARC Goals Increase: Provider and consumer awareness of LARC Provider capacity to provide LARC at patient discretion Use of LARC Decrease: Unintended pregnancy rates (State Common Measure #2) Medicaid spending per enrollee (#51)

29 Prevention via LARC Inaugural Training The best family planning training [we] have attended Nurse from SeaMar Inaugural training on September 15, 2016, for 34 providers from Snohomish, Skagit, Whatcom, and Island counties

30 Prevention via LARC Partnerships Thanks to our partners: North Sound Behavioral Health Organization, Skagit Regional Health, SeaMar, Snohomish, Skagit, Whatcom, Island and San Juan Health Departments, Community Benefit and generous individuals who made donations!

31 Polling Question #3 Where in your community would you share information about LARC? Please type your answer in the chat box.

32 How *you* can help! Please spread the word: Clinicians can register for the March 23 rd LARC training in Skagit

33 Lessons Learned Data takes significant time Cross organizational proctoring challenges

34 Questions?