Aligning maternal-child health: Designing dyadic care across a large academic medical system

Area of Science:

• Maternal and Child Health
• Health Services Research
• Integrated Care Models

Background:

• Historical disparities in maternal and infant health require systematic, community-based dyadic care.
• The COVID-19 pandemic exacerbated existing inequities in maternal and infant health outcomes.
• NewYork-Presbyterian aimed to create an innovative, two-generation program integrating diverse services.

Purpose of the Study:

• To outline the development of the Maternal and Child Integrated Mental Health Program (MAC-IMP).
• To detail the program's integration of obstetric, pediatric, behavioral health, and community services.
• To apply the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to program development.

Main Methods:

• Utilized the RE-AIM framework for program development from 2020 to 2024.
• Informed by deidentified patient data collected during the development period.
• Employed multidisciplinary collaboration, data optimization, and risk stratification.

Main Results:

• Developed an equitable and patient-centered model for dyadic care.
• Achieved comprehensive alignment of services.
• Established a foundation for integrated maternal and infant health services.

Conclusions:

• Key lessons learned involve multisystem coordination, communication, and community partnerships.
• The MAC-IMP model offers a transferable approach for multispecialty health systems.
• The program promotes a more patient-centered, preventative, and holistic model of care.