The people behind Community Care — and how we are improving health services in our state
A community-based infrastructure to target patients and populations in need
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Programs to anticipate and address specific patient needs
New demonstrations, pilots and programs
Materials to support providers
PMH Care Pathways Page
Clinical guidance on management of specific conditions in pregnancy.Go to Pathways
Pregnancy Medical Home
Better care, better birth outcomes
Community Care of North Carolina works in partnership with the NC Divisions of Medical Assistance and Public Health to operate the Pregnancy Medical Home (PMH) program, aimed at improving the quality of maternity care, improving maternal and infant outcomes, and reducing health care costs.
The Pregnancy Medical Home program was launched in April 2011 and now includes the majority of maternity care providers across North Carolina, more than 350 practices and 1,600 individual providers. As PMH participants, prenatal care providers are supported to increase access to care and improve outcomes for the pregnant Medicaid population. The primary focus of the PMH model is on preterm birth prevention.
CCNC’s 14 local networks each have an OB team consisting of one or more physician champions and at least one nurse coordinator, who is the primary point of contact for the PMH program in each local CCNC network. This team recruits and supports local OB providers serving the pregnant Medicaid population.
The PMH program is an outcome-driven initiative monitored for specific performance indicators, such as the rate of low birth weight and the primary cesarean delivery rate. Participating providers receive:
- financial incentives from Medicaid for risk screening and postpartum visit completion
- ongoing collaboration with a pregnancy care manager
- local CCNC network support
- data and analytics from CCNC’s Informatics Center
- clinical guidance materials and resources
In turn, practices agree to work toward quality improvement goals, such as eliminating elective deliveries before 39 weeks, using 17p to prevent recurrent preterm birth, reducing primary c-section rates, improving the postpartum visit rate, and more.
Risk Screening Tools
The Pregnancy Medical Home risk screening form is available at the links below:
- Pregnancy risk screening form - English (revised Sept. 2013)
- Pregnancy risk screening form - Spanish (revised Sept. 2013)
Clinical guidance on management of conditions related to pregnancy are posted on the PMH Pathways page.
2016 PMH Postpartum QI Project
Click here to view the recorded 25-minute webinar from 1/21/16 introducing the PMH program’s new quality improvement initiative to improve the postpartum visit rate to PMH practices.
Slides from the webinar are available here.
For questions regarding this program, contact Kate Berrien. A map identifying nurse coordinators in each CCNC network can be downloaded at right.