FALLING THROUGH THE CRACKS: Perinatal Survey Team Recommendations

Returning to the original research question:Does the current perinatal care system have the capacity to reliably deliver comprehensive, coordinated care and support services to low-income at-risk pregnant women in Hennepin and Ramsey counties? It is the conclusion of this report that it does not. Consequently, the following recommendations were developed to address some of the topics covered in this report:

Establish a Perinatal Work Group. The Minnesota Department of Health and local public health should work with the Department of Human Services, health plans and providers, social service and community-based organizations, and the Neighborhood Health Care Network to develop a perinatal care system that is adequately funded and that provides care coordination services shown to be effective in the research literature for socially at-risk pregnant women. The women impacted by this system should also be included in the Work Group.

Provide adequate and stable resources to rebuild system capacities of public health and community-based providers of comprehensive perinatal care coordination services.

Support Twin Cities Healthy Start’s “service networks”. These networks are piloting a promising model of formalized, interdisciplinary communication and care coordination that should reduce fragmentation of perinatal services to high-risk women.

Provide continuous health insurance to all women of childbearing age enabling them to have a medical home, primary preventive health care, family planning, preconception care, and early and continuous prenatal care.

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