How can we address the challenges of opioid use in pregnancy?

挑战

Opioid use in pregnancy is associated with high numbers of babies born with neonatal abstinence syndrome or neonatal opioid withdrawal syndrome. The 医疗保险中心 & 医疗补助服务 awarded cooperative agreements to 10 state Medicaid agencies to implement the Maternal Opioid Misuse (MOM) Model. By supporting the coordination of clinical care and the integration of other critical services, the MOM Model has the potential to improve quality of care and reduce costs for mothers and infants.

解决方案

hg体育官网 developed qualitative, 过程, and impact evaluation designs to conduct 10 individual model awardee evaluations and a cross-site evaluation. The MOM evaluation is based on a mixed-methods framework and includes numerous rounds of key informant interviews, 患者焦点小组, 病人访谈, and qualitative data analysis using Dedoose.

Analysis of participant-level 过程 data will provide characteristics of MOM enrollees, their experiences and service use, and ongoing examination of the outcomes associated with program participation. The implementation period will include impact analyses, making use of T-MSIS (Medicaid) data, 关键统计数据, and other awardee-specific or publicly available data to measure the model’s effects on quality, 健康结果, 和成本.

For this 5-year evaluation, hg体育官网 is using innovative approaches such as a mixed-methods integration team, Photovoice, and journey mapping for capturing patient perspectives.

结果

The mixed-methods evaluation will determine the impact of the MOM Model on 健康结果, 病人的经历, 利用, and cost for pregnant and postpartum Medicaid patients with opioid use disorder and their infants.

了解更多:

CMS website: Maternal Opioid Misuse (MOM) Model

Latest Evaluation Report:

两个寻呼机: At-A-Glance Report (PDF)

MOM Model Second Annual Evaluation Report (PDF)

Prior Evaluation Report

两个寻呼机: At-A-Glance Report (PDF)

MOM Model Pre-Implementation Evaluation Report (PDF)