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Key Changes to Improve First Trimester Prenatal Care Access - Care Model Framework Appendix

Note: The * rating system included within the appendix indicates to the user the level to which a tool or resource has be utilized in a quality improvement project focusing on prenatal patients accessing care in the first trimester.      
*Indicates the tool has been used less extensively, they may have been used by individual organizations or in the context of a pilot improvement project
**Indicates those tools which have been used by organizations more extensively, they may have been used by organizations in a large scale improvement project over time.
***Indicate those tools that have been published or highlighted in peer review journals

Appendix A: Community 

Appendix 1A: Provide access via mobile services to provide prenatal screening and services.

 Title of Document/Link to Tool or ResourceBrief Explanation
***Use of a community mobile health van to increase early access to prenatal care Exit Disclaimer.This abstract examines whether the use of a community mobile health van in an underserved population allows for earlier access to prenatal care and increased rate of adequate prenatal care, as compared to prenatal care initiated in community clinics.

Appendix A: Community 

Appendix 2A: Increase access to diagnostic screening services, especially for uninsured patients. 

 Title of Document/Link to Tool or ResourceBrief Explanation
***Find A Center Exit Disclaimer.
1-800-395 HELP
On line or phone service that provides patients with site locations to obtain free pregnancy testing by only providing patient zip code

Appendix B: Organization of Healthcare 

Appendix 1B: Integrate attainment of early prenatal care into business, strategic, and performance improvement plans. 

 Title of Document/Link to Tool or ResourceBrief Explanation
***The cost impact of early prenatal care in teens Exit Disclaimer.This resource shares the financial impact and cost savings in providing early and ongoing prenatal care to teen populations
 The Business Case [PDF | 519KB] Exit Disclaimer. for Promoting Healthy Pregnancy 

Appendix C - Self Management Support 

Appendix 1C: Use all staff interactions with patients as opportunities to assist in self-management goal setting and practices.

 Title of Document/Link to Tool or ResourceBrief Explanation
***A Toolkit for Reducing Infant Mortality: Standards, Regulatory and Legislative Strategies ArchiveThis webcast provides a toolkit for reducing infant mortality highlighting the importance of early and ongoing prenatal care

Appendix C - Self Management Support 

Appendix 2C: Create mechanisms for patient peer support and behavior change programs, such as group prenatal visits.

 Title of Document/Link to Tool or ResourceBrief Explanation
***Centering Pregnancy® - A Group Model of Prenatal Care Holds Promise for Improving Access to and the Quality of Prenatal Care Exit Disclaimer. 

Appendix E - Decision Support 

Appendix 1E: Provide initial and ongoing education for providers and staff regarding importance of timely prenatal care. 

 Title of Document/Link to Tool or ResourceBrief Explanation
***Toward Improving Birth Outcomes [PDF | 1.5MB] Exit Disclaimer.This toolkit highlights in case study format the importance of first trimester prenatal care access for patients.
***Access to Health Care in America Exit Disclaimer.Page 50 highlights the importance of first trimester care

Appendix E - Decision Support 

Appendix 2E: Facilitate provider access to clinical guidelines.

 Title of Document/Link to Tool or ResourceBrief Explanation
***Guideline: Routine prenatal and postnatal careThe National Guideline Clearinghouse outlines routine and prenatal care guidelines
***Prenatal Care - Routine Guidelines Exit Disclaimer.Institute for Clinical Systems Improvement (ICSI) provides guidelines pertaining to the care of all women who are pregnant or are considering pregnancy. All visits are outpatient/clinic based