MOMD Virtual Meeting - Shared screen with speaker view
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Also, thank you to AHN Jefferson and Wayne Memorial for being the MOMD teams that submitted data for the MOMD screening and follow-up measures!
County specific "crisis lines" https://www.dhs.pa.gov/Services/Mental-Health-In-PA/Documents/Pennsylvania%20Co.%20Crisis%20Services%20List.pdf
Great example Kerin of continuing to look at the current state of the team and making iterative changes.
Do you have doulas as part of your team?
We do not have Doulas on Reading team. To my knowledge, doulas are employed outside of our organization and our meetings to date have been Tower employees.
paper and pen at check in. Collected by rooming and entered into EPIC. Do it every OB visit
and every post partum
Has anyone had input from community as to when/ how often doing the depression screening is felt by patients to be helpful?
Geisinger uses Edinburgh, in epic, prenatally 3 times and at 6 week postpartum check. It’s also used monthly in nicu and 6 times during 1st year at Peds visits
form is English on one side, Spanish on the other.
We (St.Clair Health) will use the Edinburgh at the initial OB appointment, at 28 weeks, at 6 weeks postpartum and at any admission onto our Family Birth Center for observation or at the time of their delivery.
My question is what does community find helpful? Not when we as providers think is going to be helpful?
Are we concerned about the validation of timeframes?
Penn: Initial OB, 24 hrs after delivery with follow up 2 weeks after delivery for mod risk scores
At WellSpan we do the PHQ2 and 9 at first prenatal visit and then again at 28 weeks. We screen at delivery with EPDS and then at postpartum visit. We are also screening at well child checks at 1,2, 4 and 6 months and if baby is in nicu we are screening there.
MLH hospitals currently use Edinburgh
hooking up with PCP from delivering hospital is a great idea! Are you running into access issue with PCPs in your area?
Our PCP's have been welcome to the new clients. Our unit Social Workers tries to set them up with someone who is a good fit.
nice! We have a huge access challenge presently for PCPs.
I don't want to add to what providers need to do if community doesn't find it helpful.
It sometimes shines the light on the fact that the woman doesn’t even have a PCP!
Thanks all. I have to go for another appt.
at wellspan, a positive screen sends a message to our perinatal depression team through Epic. We then follow up with the patient to help them navigate and get what they need. This could include therapy, psychiatry, support groups, education or ongoing phone support.
Our county has a deficit in psychiatric care. We've learned that our OB providers are concerned they do not have the knowledge base to provide this effectively. Our MOMD team reached out and received a grant for training in ,maternal mood disorders including a psychopharmacology component. The same can be said for therapists that are certified in treating maternal mood disorders.
Certification in Perinatal Mental Health: https://www.postpartum.net/professionals/certification/
Our Early Head Start program can enroll prenatal families. We educate and do the use the Ediburgh several times while pregnant. After delivery, the Edinburgh is given within 14 days after delivery. The child is then enrolled and the mom is monitored throughout the first year. Our Behavior/Mental Health Professional (on staff) will then work with any mom that needs assistance.
that's a problem everywhere for sure! There are plenty of therapists certified but none of them take Medicaid.
Social worker sees patients who screen positive: education and referral starts there; Once discharged outpatient office follows within 2 weeks for everyone, then Q 2 week follow up either in-person or telehealth.
PHQ 2/9 drops into flowsheet in EPIC. We are struggling with collecting the race and ethnicity piece.
Best practice pop up fires with PHQ score that is high. We are having a glitch with that and working on having it consistently fire to advise provider to place referrals.
what kind of dashboard did you call it? Power something?
Has anyone found a consistent way to collect data relating to race and ethnicity? It's an issue with struggle with institution wide, not only in OB or with MOMD.
These are some common depression screening codes that could be used for administrative data pulls for the screening measures if helpful. 96127* – Brief emotional/behavioral assessment with scoring and documentation, per standardized instrument. 96161* – Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory, for the benefit of the patient, with scoring and documentation, per standardized instrument)G8431 - Screening for depression is documented as being positive and a follow-up plan is documentedG8510 - Screening for depression is documented as negative, a follow-up plan is not required.
Very good information and much appreciated. Thank you.
Robert can you share these codes by email?
Kerin we are exploring ways to improve our race/ethnicity data collection at WellSpan. We would love to hear from anyone who is successful with this
Thank you for hosting these meetings.
Thank you this has been very helpful!