Mary Morgan RN. St. Clair Hospital Pittsburgh

Bridget Howard- Hospital of the University of Pennsylvania

Cindy Kennedy, Maternal and Family Health OBGYN Scranton PA

Will the slides be available following he talk?

Hi Dr. Kennedy! Yes, the slides will be posted on the PA PQC website along with a recording of this session

Hi everyone! Kay Young Lehigh Valley Health Network

Lisa Murphy, PSH Hershey

Amy Stauffer, PSH/MFM Hershey

Kerin Kohler, Women's Health Social Worker, Reading Hospital

MOMD Report Out Questions for the latter portion of this meeting:

Given the goal of MOMD to increase prenatal/postpartum depression screening and follow-up and reduce racial/ethnic disparities, how did you structure and build your MOMD teams?How are you learning about the current prenatal/postpartum depression screening and follow-up workflows in each outpatient office?How is your team deciding which components of the workflows to standardize across offices and which components to keep flexible?How is your team developing an action plan to implement the protocols across the offices?How will your team be tracking the prenatal and postpartum depression screening and follow-up rates across the offices to inform continuous improvements to the processes?

is it suggested that pt is screened also at 16 w & 36w?

MOMD Change Package based on ACOG and other guidelines: … administer a validated, self-reported full-screen in a culturally relevant way at least once during the prenatal period, ideally in each trimester, and at the 3/6 week, 6 month, and 12 month postpartum visits.

One of the references for depression screening frequency from MOMD Change Package: https://brightfutures.aap.org/Bright%20Futures%20Documents/MSRTable_InfancyVisits_BF4.pdf

And national screening frequency for well-child visits: 1 month, 2 month, 4 month, and 6 month visits. This is also in the PDF linked above.

The PA PQC Learning Session Presentation about Maternal Home Visiting Programs: https://www.whamglobal.org/list-documents/390-maternal-home-visiting-program-pa-dhs/file

Given the goal of MOMD to increase prenatal/postpartum depression screening and follow-up and reduce racial/ethnic disparities, how did you structure and build your MOMD teams?How are you learning about the current prenatal/postpartum depression screening and follow-up workflows in each outpatient office?How is your team deciding which components of the workflows to standardize across offices and which components to keep flexible?How is your team developing an action plan to implement the protocols across the offices?How will your team be tracking the prenatal and postpartum depression screening and follow-up rates across the offices to inform continuous improvements to the processes?

Presentation about MI in the context of screening: https://www.whamglobal.org/list-documents/179-motivational-interviewing-informed-messages/file

Thanks Kerin!

This is also a basic MI framework to offer feedback on screening results: (1) Ask permission (Would it be OK if we discussed the results of the questionnaire that you completed?) (2) Offer feedback (Based on the way you answered these questions your XXX is falling into the category [name]. That generally means…) (3) Ask for response (What are your thoughts about this?)

I would like to hear of any Community based programs in place- Support Groups?

Maybe some strategies on how your organization provides education to providers and staff to address issues such as maternal mood disorders with patients.

would like to have standardized recommendations for depression screening that was consistent across PA. It was all over- hard to know what is right/best.

thank you!