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Published on: January 12, 2018
Translating policy to practice and back again: implementing a preconception program in Delaware.
Charlan Kroelinger1, Deborah Ehrenthal
1Center for Excellence in Maternal and Child Health and Epidemiology, Centers for Disease Control and Prevention, Delaware Division of Public Health, Dover, Delaware 19901, USA. charlan.kroelinger@state.de.us
Summary
Delaware is implementing a statewide preconception health program for high-risk women, funded by the state. Feedback is guiding program sustainability and policy modification for better outcomes.
Area of Science:
- Public Health Policy
- Maternal Health
- Health Services Research
Background:
- Delaware is pioneering legislatively supported preconception health policy.
- A statewide program translates policy into practice, targeting high-risk populations.
- The Delaware Division of Public Health leads program implementation.
Purpose of the Study:
- To describe the implementation of a statewide preconception care program in Delaware.
- To outline strategies for program sustainability and policy modification based on early feedback.
- To detail the collaborative approach involving various healthcare stakeholders.
Main Methods:
- A statewide program was developed through partnerships with Medicaid, private practitioners, hospitals, service centers, and FQHCs.
- Feedback from providing agencies after 9 months of operation was collected.
- Current efforts focus on developing outcome measures and evaluation strategies.
Main Results:
- A scope of program services supplementing existing clinical care was developed.
- Initial feedback is being used to inform sustainability and policy adjustments.
- Outcome measures and program effectiveness evaluation are in development.
Conclusions:
- Early implementation of Delaware's preconception health program involves multi-stakeholder collaboration.
- Program sustainability and policy refinement are being addressed through ongoing evaluation and feedback.
- Developing reimbursement systems with Medicaid and MCOs is a key focus for long-term success.
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