Episode Transcript
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Speaker 1 (00:00):
Mixed one. I was six y five.
Speaker 2 (00:01):
Good morning, It's Christina Wolford. It is time for Lady
Parts with doctor Richard Villarreal of Adina Women's Health. Brought
to you by a Dina Health System, doctor Villa Reel.
We've got two special guests today. One one a little
familiar who may have heard her before.
Speaker 1 (00:15):
Introduce our guest today.
Speaker 3 (00:16):
Oh my gosh. Yeah, I'm very excited to have them
here today. I have, well, my counterpart, Tiffany Cochenar, who's
the medical director for Women's and children or not the
medical director. I just upgraded you, didn't I she got
a raise everything else the title the director service fine
director for Women's and Children's. Uh. And then I also
(00:36):
have Stacey Kramer, who is the director of Regional Wellness
at Nationwide Children's Hospital. Welcome, thank you, thank you for
being here today.
Speaker 1 (00:44):
Excited to be here.
Speaker 3 (00:45):
We're excited today to talk to you about a new
grant that's coming that we're gonna be doing in this area.
And uh, it's very very exciting. So let's get started
talking about this and well, let me ask you for
a few questions first, So, Stacy, how long have you
been with Children's.
Speaker 1 (01:03):
Now, gosh, it's been eight years.
Speaker 4 (01:06):
I hit eight years in August, okay, and most of
my time at Children's I've been in our Department of
Community Wellness and so really focused on partnerships with Adina
and other partners around the state to move some of
our community health programs out into the communities.
Speaker 3 (01:23):
That is awesome. So I know, you know, at Adena,
we're just working so hard to try to get down
to the communities and take care of our people and
being with Children's. It's been so important, such wonderful results
that we've had, and I'm so excited about it. And Tiffany,
who is my counterpart, who's the service line director, has
(01:44):
been doing this for a number of years with me
and so fortunate to have her and welcome and thanks
for being here today. She's so excited to be on
the radio.
Speaker 5 (01:52):
Thanks for having me. I feel like I'm more of
the behind the scenes person of a follow your longtime listener.
Speaker 3 (01:59):
But now you're upfront and how did you go? Okay,
so well, let's talk about this. We have a new
grant that we want to talk about today though, that
we're so excited about that. It's so wonderful. My understanding
that it's going to cover three counties, correct, So why
don'd you tell us a little bit about this?
Speaker 1 (02:17):
Sure?
Speaker 4 (02:17):
So this grant is called Healthy Start, and this is
federal funding from HERSA HRSSAY or the Health Resources and
Services Administration, and this grant covers work in Ross Pike
and Soyota County, so Chili Cooffee down to Portsmouth, and
we applied for this grant nationwide.
Speaker 1 (02:37):
Children's applied for the grant with the.
Speaker 4 (02:39):
Support of partners like Adena, other hospital systems, other local partners,
and really the overarching goal of the work is to
reduce infant mortality across these three counties.
Speaker 1 (02:52):
And so for the next.
Speaker 4 (02:53):
Five years we'll have this Healthy Start funding to work
with partners and design solutions and find ways to try
to move the needle on that infant mortality rate across
the region.
Speaker 3 (03:05):
That is awesome. So in getting started, this is just
getting started. So there's a lot of things behind the
scenes that are happening with this correct.
Speaker 1 (03:12):
Correct.
Speaker 3 (03:13):
So for example, we have to find people that are
going to be doing some of the jobs that will
be necessary to work in the local areas correctly. Absolutely,
move from there more interesting.
Speaker 4 (03:22):
In something like that, absolutely, So I think the there's
really three main pillars to this grant, and so when
we think about what are we actually doing. The first
is we want to use community health workers. And a
lot of folks across southern and southeast Ohio have used
community health workers in a lot of different ways, and
(03:43):
what we want to do is take community health workers
and embed them within prenatal clinics and potentially even pediatric
clinics to help identify any of the social needs or
supports that new.
Speaker 1 (03:58):
And expected parents might need.
Speaker 4 (04:00):
Housing, food, things like that, transportation support, things like that.
Speaker 1 (04:05):
That's the first part of the grant.
Speaker 4 (04:07):
The second part is we want to expand group health
education opportunities. And so there are some opportunities in the
region to bring folks together to help them understand parenting skills,
what to expect during pregnancy, topics like that. But we
(04:28):
want to expand that work and find ways to get
more folks plugged in.
Speaker 1 (04:33):
To that education.
Speaker 4 (04:34):
And then the third part, which I think is really
critical and foundational to this work, is our Community Consortium
and this is our group of partners across the three
counties who are coming together to help us design this work.
We we are in Columbus, and so we understand a
little bit about infant mortality reduction, but you all know
(04:57):
your community, and so we really have to bring the
two together so that we designed solutions that make sense
in these three counties and not just pick up what
we do somewhere else and drop it in here.
Speaker 1 (05:08):
We really want to tailor the work to the needs
of the community.
Speaker 3 (05:12):
That makes total sense. So why these three counties, Let's
go there.
Speaker 4 (05:17):
Yes, So, when we were applying for the grant, one
of the requirements was you had to look at counties
that had higher infant mortality rates. And unfortunately, when you
look across these three counties, they do have a higher
infant mortality rate compared to the state and nationally. When
we were applying for this grant, we were looking at
(05:39):
the three year period of twenty nineteen to twenty twenty one,
and the infant mortality rate across these three counties was
about ten point eight And essentially what that means is
for every one thousand babies born, roughly eleven die or
don't survive their first year. That's about twice as high
as the national average and about fifty percent higher than
(06:02):
the state average. And so when we looked at that,
we knew that this is really where we want to
try to center this funding, and that really went into
our application to demonstrate the need and why we should
get the funding to support work in these three counties.
Speaker 3 (06:17):
That's awesome, okay, and we're so excited to have you here.
So well, you know what, So it's interesting. You know,
Children's has been down at a Deena now Tiffany for
how long.
Speaker 5 (06:28):
I think we've had a partnership over twenty plus years.
Speaker 1 (06:30):
Years and yes, aspects.
Speaker 5 (06:32):
But right now we have our pediatric Hospel's program that
kicked off in twenty twenty one where we have impatient
pediatric Hospels full time twenty four to seven. If there's
ever need, they're available.
Speaker 3 (06:44):
That's what does that entail. Let's go there, all right.
Speaker 5 (06:47):
So if you are born here at your child's born
at Adena, so we take care of the care of newborns.
If you happen to have your child come into the ED,
there's going to be a pediatric Hospel that's available for
a console. There's no need to drive to Columbus because
we have them right here. Then if there is a
need to drive to Columbus, you have those specialists that
(07:07):
can make that determination of you know, we can take
care of this here or no, we can make that
transferred up north. But you know, the goal is really
to try to keep us much care close to home
that we can. We have a level to nursery. They'll
take care of any kind of respiratory illnesses too.
Speaker 3 (07:23):
But yeah, and they're here twenty four to seven, twenty
four to seven all the time, so around the clock
they're here to help us in the unit and take
care of the babies and the children, which is wonderful.
And they've been just a wonderful partner to have as
an obstetrician. I'm telling you we love having them here
because you never know, you know. It's that's one thing
I say about, you know, pregnancy and pregnant others. You
(07:44):
never know what's gonna happen. You can't trust them because
you never know what's going to come out right, And
so it's so nice to have the nenetologists there in
case something doesn't mean. You know, sometimes babies just don't
wanna breathe, Sometimes they don't want to do something right.
I'm like, you know, for me, it's always in miracle
when they come out. I don't know how they breathe
the first time anyways, you know, doing this thirty years,
that first breath, it's a miracle every time, you know.
(08:06):
That's why I love this job. It's a miracle every time.
And just the comfort of having these neonetologists from Children's
Hospital being there in case that baby just doesn't want
to do what it's supposed to do, you know, it's wonderful.
And I think all the parents should feel very comforted
knowing that we have such wonderful partners here twenty four
(08:26):
to seven, you know, day in day out, to take
care of anything you need. So we appreciate it very much,
and I want to make sure that everybody understands that
they are here and they've been wonderful partners for us,
So I thank them very much.
Speaker 5 (08:41):
Yeah, I think a lot of parents also don't know
if they would have a visit with their primary care
provider pediatrician and there's a need that maybe the kiddo
needs to be admitted that you can have that directive
mission not have to go through the ed, that that
peace hospitalist is available to take that call and try
to make that a seamless process too. So our goal
is to try to bring as much awareness around that
(09:01):
as well that they're here to take care of cans
in our community.
Speaker 4 (09:06):
We hear so much from partners, you know up in Columbus,
of it's tough to get up to Columbus to drive
multiple hours if your child needs care, and so doing
everything we can in partnership with systems like Adina to
try to keep that care local is the ultimate goals.
It's always better for kids to get care in their communities,
(09:28):
near their families.
Speaker 3 (09:31):
And we appreciate it very much, and I'm sure the
parents appreciate it very much. So this grant, let's go
to this grant. Now, let's talk about this. So we
applied for this and you received it, and you said
this is a five year grant, correct, yes, And it's
going to be ongoing with the three counties and we're
going to work in collaboration with another couple of the
hospital systems, which is great. So we want to encourage
(09:53):
that and so we're so happy to have them as
our partners, and we're gonna work on informortality. So what
are some of the things that we're going to be
looking for? So what is some of the things we want.
Speaker 4 (10:01):
To do with this sure, so there's there are a
number in addition to that overarching measure of infant mortality
that we want to try to change. I mean, that's
something we've been working on for a long time. It's
a tough measure to change. Many partners here in all
three of these counties have been working for a very
long time to move the needle on that measure. But
(10:24):
we're also looking at other things. We're looking at things
like breastfeeding our kids, getting their recommended number.
Speaker 1 (10:30):
Of well visits after birth.
Speaker 4 (10:32):
We're looking at entry into prenatal care. How do we
get women into prenatal care early and how do we
get them consistent prenatal care. We're looking at things like
for pregnant women that want to stop smoking during their pregnancy,
how do we support them if we identify food needs,
or housing needs, or even legal needs. This grant gives
(10:56):
us an opportunity to just wrap those services.
Speaker 1 (10:59):
Around a family and get them what.
Speaker 4 (11:01):
They need so that they have as much of a
chance to have a healthy pregnancy and a healthy baby
as possible.
Speaker 3 (11:08):
Wonderful, So will we be working with local groups to
try to assist us in this.
Speaker 4 (11:13):
Absolutely, the Community Consortium is multiple sectors. We have healthcare,
we have schools, we have public health, we have social
service agencies, and we're adding more as we learn more
about the communities and as our local partners suggest additional
folks to bring.
Speaker 1 (11:30):
To the table, we do. So.
Speaker 4 (11:33):
We had our first community Consortium meeting in July and
I think there were about thirty five people at the table,
and I expect the next one we'll have more. We
really want to have the most well rounded, comprehensive group
of community partners as we can across all three counties.
Speaker 3 (11:50):
That's awesome, And so where would you like it to
go next? How can we help you?
Speaker 4 (11:57):
Yeah, so we've been doing a lot of We've had
a lot of conversations with Tiffany and they're ongoing. You know,
really what we're kind of in this startup phase and
so the funding was awarded to us in May, and
really this first year is really this sort of startup
phase and a lot of the work right now is
around building out this community consortium, make sure we have
(12:20):
everyone at the table. We're also spending time with Tiffany
and her team around this community health worker idea and
what is the right way to get them embedded within
the clinics, and how do we do that in a
way that seamless, that provides a good experience for women
coming in for care, but also for the staff who
(12:40):
are in the clinic. We're kind of melding community health
workers from nationwide Children's with Adina's predotal and potentially pediatric
care teams, and so there's a lot of talk about
how do we do that in the best way, in
a way that's pleasant for everyone, for patients but also
for the staff.
Speaker 5 (12:58):
I think it's important to note too that we may
be focusing on specifically Ross County, Pike County, and Second County,
but really the services that we're going to provide, if
you're from Fat County or if you're from Pickaway County,
you're going to get the same exactly regardless of where
you resign exactly.
Speaker 3 (13:16):
That's awesome, Okay, And so you know down the road
and will there'll be more notifications or how will people
know if this is coming to.
Speaker 4 (13:24):
Fruition There there will So one of the things we're
in the process of doing right now is hiring someone
to really lead this community consortium, hiring from these three communities. Again,
we really want as many local folks leading this work
as possible, and one of the responsibilities of that leader
will be to how do we communicate about this work,
(13:47):
how do we develop a community education plan, how do
we keep other partners informed, how do we keep the
general community informed? And so we'll be developing plans for
how to talk about about this and keep the community
updated as to progress. You know, as this work moves
on and we get this community health worker model implemented.
Speaker 3 (14:09):
That's awesome. But you know, I want to make sure
people understand is that this is going to be a
positive thing for them. This isn't going to be any
type of issue saying well, we feel that maybe you
can't take care of your child, Absolutely you can't take
care of your baby, or you don't know what you're doing,
you don't have the education for this. The goal behind
this is to make sure that you can and that
we can be there to help you. We want to
make sure everybody has healthy babies and babies that live
(14:33):
and grow healthy.
Speaker 1 (14:34):
And thank you for saying that.
Speaker 4 (14:37):
I think that's really important is that this is really
about supporting families, identifying what they need to feel supported,
and really helping them to get access to whatever those resources.
Speaker 1 (14:50):
Are in a.
Speaker 4 (14:52):
Non judgmental way, and there are a lot of partners
in these three counties that have been doing this work
for a long time, are very passionate about it and
really want to help, really want to support families, and
this grant just allows us to hopefully kind of supercharge
the work that folks have been.
Speaker 1 (15:09):
Doing all along.
Speaker 3 (15:10):
I think that's wonderful. You know, I've seen a lot
of patients. I see a lot of patients, but a
lot of times they're afraid, absolutely, you know ramifications. If
I say that I can't do this, or yes, that
I don't know how to do this, is somebody going
to come after me, as Children's Service is going to
come after me, And I think that is so far
from the truth.
Speaker 1 (15:27):
Exactly, No, not at all.
Speaker 4 (15:28):
This is really about helping them and helping to fill
in some of those questions and some answers for them.
Speaker 3 (15:35):
Absolutely great. That's why I want to make sure we
get that out there. The everybody knows this is purely positive.
This is for you. This is only to help you
and your family. So exactly what a wonderful thing it is.
So what are some other things that we can tell them.
Speaker 4 (15:49):
About this so I think, you know, one of the
things that when I think about some of the group
education and some of the types of community education that
we're very interested in are things like, how do we
help parents understand safe sleep, how do we help parents
prepare for pregnancy or prepare to be new parents, how
(16:10):
do we help parents, you know, think about healthy relationships.
How do we even help them understand what's available locally?
And this grant is intended to do all of that,
is to really help parents who might feel disconnected or
may not know who to go to in their community
to also get connected to those resources. And there's folks there,
(16:34):
they're part of our community coalition, and they're very passionate
and they want to help. And we want to use
this grant to really help connect parents and families to
these local resources and to these folks who really do
want to help.
Speaker 3 (16:49):
And that's perfect because you know, when we see when
just you know, the obstricians, the midwives, the pediatricians see
a lot of these parents. You know, we try to
bring these things up, but we don't have the time,
yes to spend and you know, sitting down and talking
about smoking cessation, talking about you know, the breastfeeding and
what works, what doesn't work, what are some of the
other things that you know can help. And this grant
(17:11):
will give the time to these parents.
Speaker 4 (17:13):
Right exactly exactly that that community health worker can really
be a part of the prenatal care team to help
identify some of the things that parents and families might
be struggling with and to also help you all no
and so everyone's sort of working together as a team
(17:33):
to support and expectant expectant parents or a new family,
And so it really does it kind of builds in
someone else to kind of help look out for these
things that you all can focus on the things that
you need to focus on. And there's someone else who's
really focusing on some of these non healthcare needs that
families might be struggling with.
Speaker 3 (17:53):
That makes it wonderful. What about mental health?
Speaker 4 (17:56):
Absolutely, so we actually are community coalition does have some
of behavioral health providers and mental health providers and they
will also be screening for any sort of behavioral health
mental health needs and can also assist with those referrals
as well. So it really is comprehensive that you know,
if we have someone who comes in who who feels who.
Speaker 1 (18:20):
You know, might be struggling or might need a referral.
Speaker 4 (18:23):
This is also a part of that. We include that
as a part of the screening as.
Speaker 3 (18:27):
Well, and the same thing that I'm taking for substance abuse.
Speaker 1 (18:30):
Absolutely, yes, okay, absolutely.
Speaker 3 (18:32):
Because you know, so some patients are just they're so
fearful the same thing. And I have so many of
these young women that want to stop. They just don't
know where to go, or they're afraid to say.
Speaker 4 (18:42):
Something, afraid of being judged, afraid of being stickings how
to judge this is no judgmental zone.
Speaker 1 (18:49):
Help right, Absolutely.
Speaker 5 (18:51):
I think a good call out is for many years
we've had a really successful mom and baby group partner
with our social workers, doctor Good. She's fantastic and leading
that group a weekly where these moms get together and
just talk through. One thing I want to call out too,
is that we've recently expanded a space that can be
dedicated not just for mom to be but another family
(19:12):
member that it's more of a holistic approach of they
can bring in significant other and talk through those things together.
Speaker 3 (19:20):
Because a lot of time I feel and I personally feel,
you know, we can talk to the mother about substance
abuse things like that, but then you go home and
then you're dealing with the issues at home, and it
works so much better if you can get the family.
Speaker 2 (19:30):
Involved in it.
Speaker 4 (19:31):
Absolutely, it's never you're not in a vacuum. You know
you're you're often and the community health workers are trained
to think about things in a more holistic way, and
so knowing that whatever challenges someone may come into clinic,
that it's more than just that person, that there's a
(19:51):
family unit potentially that's also a part of that, and
it also needs to be considered.
Speaker 3 (19:57):
That's wonderful. So this is it all encompassing type grant.
It is everything. I'm sorry that this is going to
take care of and it's just the whole idea is
that we need to get the word out and let
people know that this is coming and that you can
be involved in it. So, so will we be able
to get them involved in through the practices or will
(20:20):
there be signs in town or will there be information elsewhere?
Speaker 4 (20:24):
There will be so there's a couple of different ways.
I think probably the main way we'll be through the practices,
so when folks are coming in for their prenatal appointments,
but we may also we will also be accepting referrals
so folks can refer into that. We are also looking
for parents to be a part of that community coalition.
(20:45):
They're you know, kind of we're designing a program that's
meant to support them, so they should be a part
of that conversation too.
Speaker 1 (20:54):
And so if there are.
Speaker 4 (20:55):
Parents who want to be a part of that, we
are we welcome that, and they're would be really critical
to making sure that what this program that we create
is useful for them and is meaningful to them, because
that's ultimately right who it's intending to impact.
Speaker 1 (21:12):
And so there their input is very very.
Speaker 3 (21:15):
Important because you know, some of these people are living.
Speaker 4 (21:17):
This exactly life and it's just like, you know, that
lived experience is so so important.
Speaker 3 (21:22):
Can't we can't be in their shoes, So they have
to help us, and that's what we need. That makes
total sense. So that is wonderful. And then, like you said, Tiffany,
some of these other counties, even Jackson Counties and these
other ones that are close that we see these patients,
it's going to help those women absolutely, and those babies
so so so important. Wonderful. What am I forgetting? I know,
(21:44):
I'm forgetting a lot. There's so much to this grant.
Speaker 4 (21:47):
There's I feel like and I think too, there's this
is probably one of those grants that as we learn more,
will do more. And we're just getting started, and so
I think even and six months from now, a year
from now, we'll have even more ideas of things that
we want to do and things that we want to try.
We're looking at data, we're talking to community partners, and
(22:11):
so I think.
Speaker 1 (22:12):
The way it looks now, there will be even more
things that we want to do with this funding.
Speaker 3 (22:18):
To bring it back.
Speaker 4 (22:19):
So yeah, absolutely, I would love to come back, just
as a way to keep the community updated. You know,
we feel that's a really important part of this is
letting folks know what this program is about.
Speaker 3 (22:34):
That's fabulous.
Speaker 5 (22:35):
I know we previously have talked about Celebrate one. So
from a timeline from babies born, what does that look
like from you know.
Speaker 3 (22:43):
Well, let's start.
Speaker 5 (22:43):
What is that Celebrate one?
Speaker 4 (22:45):
So, so Celebrate one is the Infant Mortality Coalition in
Franklin County and Columbus.
Speaker 1 (22:53):
And that coalition has been.
Speaker 4 (22:57):
Working for a number of years to reduce infant brutality
in Franklin County and there are definitely. And it's a
coalition of the hospitals in Franklin County, public Health community partners,
you know, kind of a similar to our community coalition
for the Healthy Star grant.
Speaker 1 (23:14):
And we've learned.
Speaker 4 (23:16):
A lot through that process and how to how do
we get folks collaborating and what are some of the
things that maybe have worked that maybe we can consider
trying down here.
Speaker 1 (23:30):
I want to be very careful that.
Speaker 4 (23:34):
There's things that we've learned in Columbus, but that doesn't
mean that it works here. But there's certainly things that
we can bring to the table and say these are
some of the things that we've done or this is
these are some of the evidence.
Speaker 1 (23:45):
Based practices, and what would that look.
Speaker 4 (23:49):
Like to do that here in these three counties? And
so there's we have some experience doing this, but we
need our community partners to sort of keep us honest
and say, in order to do that here, it we
need to look like this. And that's really where that
consortion is so critical.
Speaker 3 (24:06):
And I like the point that it can just change,
you see things, Let's do this, let's try this, let's
go there, let's go here.
Speaker 4 (24:11):
Absolutely, and there are things that you know, I think
a lot of this is we use a method equality
improvement methodology in our work, where a lot of this
is trying something out in a very small way and
seeing what we learn and then adapting it. And so
there's opportunity here to try things and see what works,
(24:35):
and if it doesn't work, that's okay, let's try something else.
Speaker 1 (24:38):
And so, you know, we have these goals that we're
trying to achieve with this grant, but how we get
there
Mixed one. I was six y five.
Speaker 2 (00:01):
Good morning, It's Christina Wolford. It is time for Lady
Parts with doctor Richard Villarreal of Adina Women's Health. Brought
to you by a Dina Health System, doctor Villa Reel.
We've got two special guests today. One one a little
familiar who may have heard her before.
Speaker 1 (00:15):
Introduce our guest today.
Speaker 3 (00:16):
Oh my gosh. Yeah, I'm very excited to have them
here today. I have, well, my counterpart, Tiffany Cochenar, who's
the medical director for Women's and children or not the
medical director. I just upgraded you, didn't I she got
a raise everything else the title the director service fine
director for Women's and Children's. Uh. And then I also
(00:36):
have Stacey Kramer, who is the director of Regional Wellness
at Nationwide Children's Hospital. Welcome, thank you, thank you for
being here today.
Speaker 1 (00:44):
Excited to be here.
Speaker 3 (00:45):
We're excited today to talk to you about a new
grant that's coming that we're gonna be doing in this area.
And uh, it's very very exciting. So let's get started
talking about this and well, let me ask you for
a few questions first, So, Stacy, how long have you
been with Children's.
Speaker 1 (01:03):
Now, gosh, it's been eight years.
Speaker 4 (01:06):
I hit eight years in August, okay, and most of
my time at Children's I've been in our Department of
Community Wellness and so really focused on partnerships with Adina
and other partners around the state to move some of
our community health programs out into the communities.
Speaker 3 (01:23):
That is awesome. So I know, you know, at Adena,
we're just working so hard to try to get down
to the communities and take care of our people and
being with Children's. It's been so important, such wonderful results
that we've had, and I'm so excited about it. And Tiffany,
who is my counterpart, who's the service line director, has
(01:44):
been doing this for a number of years with me
and so fortunate to have her and welcome and thanks
for being here today. She's so excited to be on
the radio.
Speaker 5 (01:52):
Thanks for having me. I feel like I'm more of
the behind the scenes person of a follow your longtime listener.
Speaker 3 (01:59):
But now you're upfront and how did you go? Okay,
so well, let's talk about this. We have a new
grant that we want to talk about today though, that
we're so excited about that. It's so wonderful. My understanding
that it's going to cover three counties, correct, So why
don'd you tell us a little bit about this?
Speaker 1 (02:17):
Sure?
Speaker 4 (02:17):
So this grant is called Healthy Start, and this is
federal funding from HERSA HRSSAY or the Health Resources and
Services Administration, and this grant covers work in Ross Pike
and Soyota County, so Chili Cooffee down to Portsmouth, and
we applied for this grant nationwide.
Speaker 1 (02:37):
Children's applied for the grant with the.
Speaker 4 (02:39):
Support of partners like Adena, other hospital systems, other local partners,
and really the overarching goal of the work is to
reduce infant mortality across these three counties.
Speaker 1 (02:52):
And so for the next.
Speaker 4 (02:53):
Five years we'll have this Healthy Start funding to work
with partners and design solutions and find ways to try
to move the needle on that infant mortality rate across
the region.
Speaker 3 (03:05):
That is awesome. So in getting started, this is just
getting started. So there's a lot of things behind the
scenes that are happening with this correct.
Speaker 1 (03:12):
Correct.
Speaker 3 (03:13):
So for example, we have to find people that are
going to be doing some of the jobs that will
be necessary to work in the local areas correctly. Absolutely,
move from there more interesting.
Speaker 4 (03:22):
In something like that, absolutely, So I think the there's
really three main pillars to this grant, and so when
we think about what are we actually doing. The first
is we want to use community health workers. And a
lot of folks across southern and southeast Ohio have used
community health workers in a lot of different ways, and
(03:43):
what we want to do is take community health workers
and embed them within prenatal clinics and potentially even pediatric
clinics to help identify any of the social needs or
supports that new.
Speaker 1 (03:58):
And expected parents might need.
Speaker 4 (04:00):
Housing, food, things like that, transportation support, things like that.
Speaker 1 (04:05):
That's the first part of the grant.
Speaker 4 (04:07):
The second part is we want to expand group health
education opportunities. And so there are some opportunities in the
region to bring folks together to help them understand parenting skills,
what to expect during pregnancy, topics like that. But we
(04:28):
want to expand that work and find ways to get
more folks plugged in.
Speaker 1 (04:33):
To that education.
Speaker 4 (04:34):
And then the third part, which I think is really
critical and foundational to this work, is our Community Consortium
and this is our group of partners across the three
counties who are coming together to help us design this work.
We we are in Columbus, and so we understand a
little bit about infant mortality reduction, but you all know
(04:57):
your community, and so we really have to bring the
two together so that we designed solutions that make sense
in these three counties and not just pick up what
we do somewhere else and drop it in here.
Speaker 1 (05:08):
We really want to tailor the work to the needs
of the community.
Speaker 3 (05:12):
That makes total sense. So why these three counties, Let's
go there.
Speaker 4 (05:17):
Yes, So, when we were applying for the grant, one
of the requirements was you had to look at counties
that had higher infant mortality rates. And unfortunately, when you
look across these three counties, they do have a higher
infant mortality rate compared to the state and nationally. When
we were applying for this grant, we were looking at
(05:39):
the three year period of twenty nineteen to twenty twenty one,
and the infant mortality rate across these three counties was
about ten point eight And essentially what that means is
for every one thousand babies born, roughly eleven die or
don't survive their first year. That's about twice as high
as the national average and about fifty percent higher than
(06:02):
the state average. And so when we looked at that,
we knew that this is really where we want to
try to center this funding, and that really went into
our application to demonstrate the need and why we should
get the funding to support work in these three counties.
Speaker 3 (06:17):
That's awesome, okay, and we're so excited to have you here.
So well, you know what, So it's interesting. You know,
Children's has been down at a Deena now Tiffany for
how long.
Speaker 5 (06:28):
I think we've had a partnership over twenty plus years.
Speaker 1 (06:30):
Years and yes, aspects.
Speaker 5 (06:32):
But right now we have our pediatric Hospel's program that
kicked off in twenty twenty one where we have impatient
pediatric Hospels full time twenty four to seven. If there's
ever need, they're available.
Speaker 3 (06:44):
That's what does that entail. Let's go there, all right.
Speaker 5 (06:47):
So if you are born here at your child's born
at Adena, so we take care of the care of newborns.
If you happen to have your child come into the ED,
there's going to be a pediatric Hospel that's available for
a console. There's no need to drive to Columbus because
we have them right here. Then if there is a
need to drive to Columbus, you have those specialists that
(07:07):
can make that determination of you know, we can take
care of this here or no, we can make that
transferred up north. But you know, the goal is really
to try to keep us much care close to home
that we can. We have a level to nursery. They'll
take care of any kind of respiratory illnesses too.
Speaker 3 (07:23):
But yeah, and they're here twenty four to seven, twenty
four to seven all the time, so around the clock
they're here to help us in the unit and take
care of the babies and the children, which is wonderful.
And they've been just a wonderful partner to have as
an obstetrician. I'm telling you we love having them here
because you never know, you know. It's that's one thing
I say about, you know, pregnancy and pregnant others. You
(07:44):
never know what's gonna happen. You can't trust them because
you never know what's going to come out right, And
so it's so nice to have the nenetologists there in
case something doesn't mean. You know, sometimes babies just don't
wanna breathe, Sometimes they don't want to do something right.
I'm like, you know, for me, it's always in miracle
when they come out. I don't know how they breathe
the first time anyways, you know, doing this thirty years,
that first breath, it's a miracle every time, you know.
(08:06):
That's why I love this job. It's a miracle every time.
And just the comfort of having these neonetologists from Children's
Hospital being there in case that baby just doesn't want
to do what it's supposed to do, you know, it's wonderful.
And I think all the parents should feel very comforted
knowing that we have such wonderful partners here twenty four
(08:26):
to seven, you know, day in day out, to take
care of anything you need. So we appreciate it very much,
and I want to make sure that everybody understands that
they are here and they've been wonderful partners for us,
So I thank them very much.
Speaker 5 (08:41):
Yeah, I think a lot of parents also don't know
if they would have a visit with their primary care
provider pediatrician and there's a need that maybe the kiddo
needs to be admitted that you can have that directive
mission not have to go through the ed, that that
peace hospitalist is available to take that call and try
to make that a seamless process too. So our goal
is to try to bring as much awareness around that
(09:01):
as well that they're here to take care of cans
in our community.
Speaker 4 (09:06):
We hear so much from partners, you know up in Columbus,
of it's tough to get up to Columbus to drive
multiple hours if your child needs care, and so doing
everything we can in partnership with systems like Adina to
try to keep that care local is the ultimate goals.
It's always better for kids to get care in their communities,
(09:28):
near their families.
Speaker 3 (09:31):
And we appreciate it very much, and I'm sure the
parents appreciate it very much. So this grant, let's go
to this grant. Now, let's talk about this. So we
applied for this and you received it, and you said
this is a five year grant, correct, yes, And it's
going to be ongoing with the three counties and we're
going to work in collaboration with another couple of the
hospital systems, which is great. So we want to encourage
(09:53):
that and so we're so happy to have them as
our partners, and we're gonna work on informortality. So what
are some of the things that we're going to be
looking for? So what is some of the things we want.
Speaker 4 (10:01):
To do with this sure, so there's there are a
number in addition to that overarching measure of infant mortality
that we want to try to change. I mean, that's
something we've been working on for a long time. It's
a tough measure to change. Many partners here in all
three of these counties have been working for a very
long time to move the needle on that measure. But
(10:24):
we're also looking at other things. We're looking at things
like breastfeeding our kids, getting their recommended number.
Speaker 1 (10:30):
Of well visits after birth.
Speaker 4 (10:32):
We're looking at entry into prenatal care. How do we
get women into prenatal care early and how do we
get them consistent prenatal care. We're looking at things like
for pregnant women that want to stop smoking during their pregnancy,
how do we support them if we identify food needs,
or housing needs, or even legal needs. This grant gives
(10:56):
us an opportunity to just wrap those services.
Speaker 1 (10:59):
Around a family and get them what.
Speaker 4 (11:01):
They need so that they have as much of a
chance to have a healthy pregnancy and a healthy baby
as possible.
Speaker 3 (11:08):
Wonderful, So will we be working with local groups to
try to assist us in this.
Speaker 4 (11:13):
Absolutely, the Community Consortium is multiple sectors. We have healthcare,
we have schools, we have public health, we have social
service agencies, and we're adding more as we learn more
about the communities and as our local partners suggest additional
folks to bring.
Speaker 1 (11:30):
To the table, we do. So.
Speaker 4 (11:33):
We had our first community Consortium meeting in July and
I think there were about thirty five people at the table,
and I expect the next one we'll have more. We
really want to have the most well rounded, comprehensive group
of community partners as we can across all three counties.
Speaker 3 (11:50):
That's awesome, And so where would you like it to
go next? How can we help you?
Speaker 4 (11:57):
Yeah, so we've been doing a lot of We've had
a lot of conversations with Tiffany and they're ongoing. You know,
really what we're kind of in this startup phase and
so the funding was awarded to us in May, and
really this first year is really this sort of startup
phase and a lot of the work right now is
around building out this community consortium, make sure we have
(12:20):
everyone at the table. We're also spending time with Tiffany
and her team around this community health worker idea and
what is the right way to get them embedded within
the clinics, and how do we do that in a
way that seamless, that provides a good experience for women
coming in for care, but also for the staff who
(12:40):
are in the clinic. We're kind of melding community health
workers from nationwide Children's with Adina's predotal and potentially pediatric
care teams, and so there's a lot of talk about
how do we do that in the best way, in
a way that's pleasant for everyone, for patients but also
for the staff.
Speaker 5 (12:58):
I think it's important to note too that we may
be focusing on specifically Ross County, Pike County, and Second County,
but really the services that we're going to provide, if
you're from Fat County or if you're from Pickaway County,
you're going to get the same exactly regardless of where
you resign exactly.
Speaker 3 (13:16):
That's awesome, Okay, And so you know down the road
and will there'll be more notifications or how will people
know if this is coming to.
Speaker 4 (13:24):
Fruition There there will So one of the things we're
in the process of doing right now is hiring someone
to really lead this community consortium, hiring from these three communities. Again,
we really want as many local folks leading this work
as possible, and one of the responsibilities of that leader
will be to how do we communicate about this work,
(13:47):
how do we develop a community education plan, how do
we keep other partners informed, how do we keep the
general community informed? And so we'll be developing plans for
how to talk about about this and keep the community
updated as to progress. You know, as this work moves
on and we get this community health worker model implemented.
Speaker 3 (14:09):
That's awesome. But you know, I want to make sure
people understand is that this is going to be a
positive thing for them. This isn't going to be any
type of issue saying well, we feel that maybe you
can't take care of your child, Absolutely you can't take
care of your baby, or you don't know what you're doing,
you don't have the education for this. The goal behind
this is to make sure that you can and that
we can be there to help you. We want to
make sure everybody has healthy babies and babies that live
(14:33):
and grow healthy.
Speaker 1 (14:34):
And thank you for saying that.
Speaker 4 (14:37):
I think that's really important is that this is really
about supporting families, identifying what they need to feel supported,
and really helping them to get access to whatever those resources.
Speaker 1 (14:50):
Are in a.
Speaker 4 (14:52):
Non judgmental way, and there are a lot of partners
in these three counties that have been doing this work
for a long time, are very passionate about it and
really want to help, really want to support families, and
this grant just allows us to hopefully kind of supercharge
the work that folks have been.
Speaker 1 (15:09):
Doing all along.
Speaker 3 (15:10):
I think that's wonderful. You know, I've seen a lot
of patients. I see a lot of patients, but a
lot of times they're afraid, absolutely, you know ramifications. If
I say that I can't do this, or yes, that
I don't know how to do this, is somebody going
to come after me, as Children's Service is going to
come after me, And I think that is so far
from the truth.
Speaker 1 (15:27):
Exactly, No, not at all.
Speaker 4 (15:28):
This is really about helping them and helping to fill
in some of those questions and some answers for them.
Speaker 3 (15:35):
Absolutely great. That's why I want to make sure we
get that out there. The everybody knows this is purely positive.
This is for you. This is only to help you
and your family. So exactly what a wonderful thing it is.
So what are some other things that we can tell them.
Speaker 4 (15:49):
About this so I think, you know, one of the
things that when I think about some of the group
education and some of the types of community education that
we're very interested in are things like, how do we
help parents understand safe sleep, how do we help parents
prepare for pregnancy or prepare to be new parents, how
(16:10):
do we help parents, you know, think about healthy relationships.
How do we even help them understand what's available locally?
And this grant is intended to do all of that,
is to really help parents who might feel disconnected or
may not know who to go to in their community
to also get connected to those resources. And there's folks there,
(16:34):
they're part of our community coalition, and they're very passionate
and they want to help. And we want to use
this grant to really help connect parents and families to
these local resources and to these folks who really do
want to help.
Speaker 3 (16:49):
And that's perfect because you know, when we see when
just you know, the obstricians, the midwives, the pediatricians see
a lot of these parents. You know, we try to
bring these things up, but we don't have the time,
yes to spend and you know, sitting down and talking
about smoking cessation, talking about you know, the breastfeeding and
what works, what doesn't work, what are some of the
other things that you know can help. And this grant
(17:11):
will give the time to these parents.
Speaker 4 (17:13):
Right exactly exactly that that community health worker can really
be a part of the prenatal care team to help
identify some of the things that parents and families might
be struggling with and to also help you all no
and so everyone's sort of working together as a team
(17:33):
to support and expectant expectant parents or a new family,
And so it really does it kind of builds in
someone else to kind of help look out for these
things that you all can focus on the things that
you need to focus on. And there's someone else who's
really focusing on some of these non healthcare needs that
families might be struggling with.
Speaker 3 (17:53):
That makes it wonderful. What about mental health?
Speaker 4 (17:56):
Absolutely, so we actually are community coalition does have some
of behavioral health providers and mental health providers and they
will also be screening for any sort of behavioral health
mental health needs and can also assist with those referrals
as well. So it really is comprehensive that you know,
if we have someone who comes in who who feels who.
Speaker 1 (18:20):
You know, might be struggling or might need a referral.
Speaker 4 (18:23):
This is also a part of that. We include that
as a part of the screening as.
Speaker 3 (18:27):
Well, and the same thing that I'm taking for substance abuse.
Speaker 1 (18:30):
Absolutely, yes, okay, absolutely.
Speaker 3 (18:32):
Because you know, so some patients are just they're so
fearful the same thing. And I have so many of
these young women that want to stop. They just don't
know where to go, or they're afraid to say.
Speaker 4 (18:42):
Something, afraid of being judged, afraid of being stickings how
to judge this is no judgmental zone.
Speaker 1 (18:49):
Help right, Absolutely.
Speaker 5 (18:51):
I think a good call out is for many years
we've had a really successful mom and baby group partner
with our social workers, doctor Good. She's fantastic and leading
that group a weekly where these moms get together and
just talk through. One thing I want to call out too,
is that we've recently expanded a space that can be
dedicated not just for mom to be but another family
(19:12):
member that it's more of a holistic approach of they
can bring in significant other and talk through those things together.
Speaker 3 (19:20):
Because a lot of time I feel and I personally feel,
you know, we can talk to the mother about substance
abuse things like that, but then you go home and
then you're dealing with the issues at home, and it
works so much better if you can get the family.
Speaker 2 (19:30):
Involved in it.
Speaker 4 (19:31):
Absolutely, it's never you're not in a vacuum. You know
you're you're often and the community health workers are trained
to think about things in a more holistic way, and
so knowing that whatever challenges someone may come into clinic,
that it's more than just that person, that there's a
(19:51):
family unit potentially that's also a part of that, and
it also needs to be considered.
Speaker 3 (19:57):
That's wonderful. So this is it all encompassing type grant.
It is everything. I'm sorry that this is going to
take care of and it's just the whole idea is
that we need to get the word out and let
people know that this is coming and that you can
be involved in it. So, so will we be able
to get them involved in through the practices or will
(20:20):
there be signs in town or will there be information elsewhere?
Speaker 4 (20:24):
There will be so there's a couple of different ways.
I think probably the main way we'll be through the practices,
so when folks are coming in for their prenatal appointments,
but we may also we will also be accepting referrals
so folks can refer into that. We are also looking
for parents to be a part of that community coalition.
(20:45):
They're you know, kind of we're designing a program that's
meant to support them, so they should be a part
of that conversation too.
Speaker 1 (20:54):
And so if there are.
Speaker 4 (20:55):
Parents who want to be a part of that, we
are we welcome that, and they're would be really critical
to making sure that what this program that we create
is useful for them and is meaningful to them, because
that's ultimately right who it's intending to impact.
Speaker 1 (21:12):
And so there their input is very very.
Speaker 3 (21:15):
Important because you know, some of these people are living.
Speaker 4 (21:17):
This exactly life and it's just like, you know, that
lived experience is so so important.
Speaker 3 (21:22):
Can't we can't be in their shoes, So they have
to help us, and that's what we need. That makes
total sense. So that is wonderful. And then, like you said, Tiffany,
some of these other counties, even Jackson Counties and these
other ones that are close that we see these patients,
it's going to help those women absolutely, and those babies
so so so important. Wonderful. What am I forgetting? I know,
(21:44):
I'm forgetting a lot. There's so much to this grant.
Speaker 4 (21:47):
There's I feel like and I think too, there's this
is probably one of those grants that as we learn more,
will do more. And we're just getting started, and so
I think even and six months from now, a year
from now, we'll have even more ideas of things that
we want to do and things that we want to try.
We're looking at data, we're talking to community partners, and
(22:11):
so I think.
Speaker 1 (22:12):
The way it looks now, there will be even more
things that we want to do with this funding.
Speaker 3 (22:18):
To bring it back.
Speaker 4 (22:19):
So yeah, absolutely, I would love to come back, just
as a way to keep the community updated. You know,
we feel that's a really important part of this is
letting folks know what this program is about.
Speaker 3 (22:34):
That's fabulous.
Speaker 5 (22:35):
I know we previously have talked about Celebrate one. So
from a timeline from babies born, what does that look
like from you know.
Speaker 3 (22:43):
Well, let's start.
Speaker 5 (22:43):
What is that Celebrate one?
Speaker 4 (22:45):
So, so Celebrate one is the Infant Mortality Coalition in
Franklin County and Columbus.
Speaker 1 (22:53):
And that coalition has been.
Speaker 4 (22:57):
Working for a number of years to reduce infant brutality
in Franklin County and there are definitely. And it's a
coalition of the hospitals in Franklin County, public Health community partners,
you know, kind of a similar to our community coalition
for the Healthy Star grant.
Speaker 1 (23:14):
And we've learned.
Speaker 4 (23:16):
A lot through that process and how to how do
we get folks collaborating and what are some of the
things that maybe have worked that maybe we can consider
trying down here.
Speaker 1 (23:30):
I want to be very careful that.
Speaker 4 (23:34):
There's things that we've learned in Columbus, but that doesn't
mean that it works here. But there's certainly things that
we can bring to the table and say these are
some of the things that we've done or this is
these are some of the evidence.
Speaker 1 (23:45):
Based practices, and what would that look.
Speaker 4 (23:49):
Like to do that here in these three counties? And
so there's we have some experience doing this, but we
need our community partners to sort of keep us honest
and say, in order to do that here, it we
need to look like this. And that's really where that
consortion is so critical.
Speaker 3 (24:06):
And I like the point that it can just change,
you see things, Let's do this, let's try this, let's
go there, let's go here.
Speaker 4 (24:11):
Absolutely, and there are things that you know, I think
a lot of this is we use a method equality
improvement methodology in our work, where a lot of this
is trying something out in a very small way and
seeing what we learn and then adapting it. And so
there's opportunity here to try things and see what works,
(24:35):
and if it doesn't work, that's okay, let's try something else.
Speaker 1 (24:38):
And so, you know, we have these goals that we're
trying to achieve with this grant, but how we get
there
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