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Routine Risk Assessment and Reproductive Life Plans

Reproductive Life Plans - For Patients

You're a Busy Woman: Reproductive Life Plan; Planned Parenthood Association of Utah, University Health Care, Utah Chapter of March of Dimes, Utah Department of Health http://famplan.org/Resources/Docs/adult_rhp_busy_woman.pdf
You're a Busy Teenager: Reproductive Life Plan; Utah Department of Health Original http://health.utah.gov/mihp/pdf/RLP.pdf
Plan Your Health, Live Your Life; Utah Department of Health, Reproductive Health Program (Sep 2009) http://health.utah.gov/mihp/pdf/Teen_RLP_082709.pdf
Preconception Health and Health Care - My Reproductive Life Plan; This Reproductive Life Plan was developed in partnership with Merry-K Moos, RN, FNP, MPH, FAAN, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill and is based on her webinar, “Reproductive Life Plans” (February 25, 2010) http://www.cdc.gov/preconception/documents/ReproductiveLifePlan-Worksheet.pdf
Adult and Teen Reproductive Life Plans; Adult: Set Your Mind. Set Your Goals; Teen: My Life, My Plan; Delaware Healthy Mother and Infant Consortium http://dhmic.healthywomende.com/Resources/Marketing-Materials
Questions to think about Before Getting Pregnant; Group Health Incorporated (GHI) http://famplan.org/Resources/Docs/ghi_repro_life_plan.pdf
Nurse Midwives: Planning Your Family: Developing a Reproductive Life Plan; American College of Nurse Midwives http://www.midwife.org/ACNM/files/ccLibraryFiles/Filename/000000001514/Developing%20a%20Reproductive%20Life%20Plan.pdf

Reproductive Life Plans - For Providers

"Preconception Health and Health Care Reproductive Life Plan Tool For Health Professionals” CDC has developed a Reproductive Life Plan (RLP) Tool for health professionals. The RLP Tool contains questions that health professionals can use with their patients.
http://www.cdc.gov/preconception/documents/RLPHealthProviders.pdf
http://famplan.org/Resources/Docs/ghi_repro_life_plan.pdf

Risk Assessment Tools

Patient Administered

Becoming a Parent: Preconception Checklist; Wisconsin Association of Perinatal Care http://www.perinatalweb.org and http://www.perinatalweb.org/images/stories/PDFs/Materials%20and%20Publication/becoming%20a%20parent_preconception_checklist.pdf
The Preconception Health Screening & Tune Up Form; Healthy Start http://www.healthystart.info/docs/hschartcolor.pdf
Preconception screening and Counseling Checklist; March of Dimes http://health.utah.gov/mihp/pdf/preconceptool.pdf

Provider Administered

Comprehensive Perinatal Services Program; California Department of Public Health http://www.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph4455annotated.pdf
Preconception Health Screening/Counseling Checklist Bernstein; Sanghvi, and Merkatz. 2000. "Improving preconception care." The Journal Of Reproductive Medicine 45, no. 7: 546-552 http://public.health.oregon.gov/HealthyPeopleFamilies/Women/PreconceptionHealth/Documents/counseling-checklist.pdf
Preconception Risk Assessment Tool; Illinois Department of Healthcare and Family Services http://www.hfs.illinois.gov/assets/hfs27pf.pdf

Other

Health Care Guideline Routine Prenatal Care Institute for Clinical Systems Improvement Pg 90: Appendix A: Preconception Risk Assessment Form http://www.icsi.org/prenatal_care_4/prenatal_care__routine__full_version__2.html

Resources

CPONDER – CDC's PRAMS Online Data for Epidemiologic Research
http://www.cdc.gov/prams/cponder.htm
BRFSS – CDC Behavioral Risk Factor Surveillance System
http://www.cdc.gov/brfss/
MMWR article – Recommendations to Improve Preconception Health and Health Care
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5506a1.htm
See more at: http://beforeandbeyond.org/?page=key-articles-and-studies
- Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR. Recommendations and Reports. 2006 Apr 21;55(RR-6):1-23.
- Trust for America's Health: Key Public Policy Options to Improve Preconception Health, 2008
- Improvement for women's preventive services based on Institute of Medicine panel recommendations (as part of ACA by 2014)
- Preconception Care: Science, Practice, Challenges and Opportunities (eds. G Alexander and D Peterson) Maternal and Child Health Journal. 2006 Sep;10 Suppl.
- Healthy Women, Healthy Babies. Issue Brief. Trust for America's Health. Sep, 2008.
- Policy and Financing Issues for Preconception and Interconception Health. (Guest eds K Johnson and H Atrash) Supplement to Women's Health Issues. 2008 Dec;18(6s).
- Preconception Health and Health Care: The Clinical Content of Preconception Care. (eds. B Jack and H Atrash) Supplement to American Journal of Obstetrics & Gynecology. 2008; Dec; 199(6).
- Women's Health and Health Reform: Implications of the Patient Protection and Affordable Care Act (ACA). Current Opinion in Obstetrics and Gynecology. 2010 Dec.
- Routine Risk Assessment and Counseling- Policy Finance Work Group Recommendation for Well-Woman Health Care Visits, 2007 "The topic of coverage for well-woman visits is important for moving ahead. The Policy and Finance Workgroup developed consensus in support of a comprehensive, annual well-woman's health exam as a covered benefit in private and public health plans (from age 18). Adopting this approach in Medicaid, as well as private health plans, would be a major step toward assuring that preconception screening, education, and interventions are covered. This approach has a parallel in the well-child visits (e.g., Bright Futures, EPSDT) and Medicare. It also fits into the growing national movement toward patient-oriented primary care, based in a medical home." – Kay Johnson, SACIM
- Posner SF, Brousard D, Sappenfield B, Streeter N, Zapata LB, & Peck MG. (2008). Where are the data to drive policy changes for preconception health and health care? Women's Health Issues. Supplement (In Press). December, 2008.
State Programs/ Reports
- Florida: http://everywomanfl.com/Pages/Healthcare_Providers/Preconception_Health_Indicator_Report.aspx
- Utah: Reproductive Life Plans Teens, http://health.utah.gov/mihp/pdf/Teen_RLP_082709.pdf
Secretary's Advisory Committee on Infant Mortality, Aug 2-3, 2011 http://www.hrsa.gov/advisorycommittees/mchbadvisory/InfantMortality/Meetings/20110802/aug2011meeting.html
- Opportunities in Health Reform to Reduce Infant Mortality http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CCMQFjAA&url=http%3A%2F%2Fwww.hrsa.gov%2Fadvisorycommittees%2Fmchbadvisory%2FInfantMortality
  %2FMeetings%2F20110802%2Fjohnson.ppt&ei=QXfWTv-ZJoLe2AXuwrz-Dg&usg=AFQjCNEqd17KvCkP0jrUqN8rbL0XRO_fWg
- Preconception Activities and Resources, Regional and National: http://www.helpourbabies.org/documents/Verbiest_presentation.pdf
- Preconception Health and HealthCare, Posner: http://www.hrsa.gov/advisorycommittees/mchbadvisory/InfantMortality/Meetings/20110802/posner.pptx
Preconception Health Care Awareness and Attitudes in Men and Women: http://www.springerlink.com/content/j441222573572l57/.
MCH Library at Georgetown University: Resource Guides About Preconception and Pregnancy: http://www.mchlibrary.info/KnowledgePaths/kp_pregnancy.html.
- Companion resource briefs include the following:
  - For Families: http://www.mchlibrary.info/families/frb_pregnancy.html
  - Adolescent Pregnancy and Parenting: http://www.mchlibrary.info/guides/adolpregnancy.html
  - Childbirth: http://www.mchlibrary.info/guides/childbirth.html
  - Fertility and Infertility: http://www.mchlibrary.info/guides/infertility.html
  - Medications: http://www.mchlibrary.info/guides/medications.html
  - Nutrition During Preconception and Pregnancy: http://www.mchlibrary.info/guides/nutritionpregnancy.html
  - Screening: http://www.mchlibrary.info/guides/screening.html
  - Tobacco, Alcohol, and Substance Use During Preconception and Pregnancy: http://www.mchlibrary.info/guides/substancepregnancy.html