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Quality Improvement, Evidence and Practice

PREMATURITYPREVENTIONCONFERENCE 2015

PROGRAM

November 17 and 18, 2015Crystal Gateway Marriott | Arlington, Virginia

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Dear Attendee:

Welcome to the 2015 Prematurity Prevention Conference. I am honored that you are able to join the March of Dimes, our partner organizations and many other people committed to the ongoing effort to lower preterm birth rates in the United States and around the world.

Last November, in an article published in Pediatrics, the March of Dimes announced an updated goal for our national Prematurity

Campaign. The U.S. preterm birth rate is currently at 9.6 percent, and we are determined to help lower it to 5.5 percent by 2030. With new discoveries being made and a decline in the rate for 7 consecutive years, we believe we can keep the momentum going by exchanging knowledge and best practices. This conference is an opportunity for all of us to share ideas about programs and interventions that will help women everywhere, and significantly reduce the preterm birth rate.

We are grateful for everything our partners and friends have done to get us to this point and look forward to working with you as we move ahead.

Sincerely,

Dr. Jennifer L. HowsePresident

LETTER FROM THE PRESIDENT

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PRIMARY GOALS OF THE CONFERENCE

The goals of the 2015 Conference are:

1. Enhance prematurity prevention efforts in the United States through the sharing of information about the design, implementation and evaluation of interventions, programs, policies and other activities to prevent preterm births.

2. Disseminate findings on evidence-based practices, programs and policies, and share tools and resources that can be used to prevent prematurity.

3. Engage stakeholders to participate in the effort to achieve the goal of reducing the U.S. preterm birth rate to 5.5 percent of all live births by 2030.

ORGANIZERS AND SUPPORTERS

Organized by the March of Dimes in collaboration with the American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Nurse-Midwives (ACNM), American College of Obstetricians and Gynecologists (ACOG), Association of Maternal & Child Health Programs (AMCHP), Association of State and Territorial Health Officials (ASTHO), Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), and National Association of County & City Health Officials (NACCHO).

CONFLICTS OF INTEREST

The presenters, moderators, planning committee members, organizers, supporters, and staff associated with the Prematurity Prevention Conference 2015 have fully disclosed any interests, affiliations, relationships or involvement in any organizations or proprietary entities and have been found to have NO conflicts of interest, financial relation-ships, or commercial interests with the subject matter or materials discussed during the conference.

LEARNING OBJECTIVES

At the completion of the Conference, participants will be able to:

1. Describe the problem of preterm birth and theories of the causes of preterm birth.

2. Examine strategies for prevention of prematurity in various settings, including state, clinical and community.

3. Describe a number of existing programs addressing the problem of preterm birth and analyze the strengths and challenges each presents.

4. Plan how to implement a prematurity prevention program appropriate to address the needs in one’s own community and achieve a reduction in premature birth in this country.

Funding for this conference was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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CONTINUING EDUCATION CREDITS

Selected portions of this Conference are being recorded, and will be available at prematurityprevention.org by December 21. Both the recorded selections and the live conference will be valid for Continuing Medical credits and Continuing Nursing Education contact hours.

For more information, email [email protected]

CONTINUING MEDICAL EDUCATIONClinical Directors Network (CDN) is an accredited provider of continuing medical education by the American Academy of Family Physicians (AAFP).

LIVE. Prematurity Prevention Conference 2015 is pending for up to 8.0 prescribed credits by AAFP. In order to receive continuing education credits, attendance for the entire conference is mandatory, as is completion of the evaluation survey, available at bit.ly/MOD_CMEs within 6 weeks. After completing the evaluation survey, print the certificate of completion and retain it for your records.

RECORDING. Video of the conference will be divided into sections for easy viewing. The number of prescribed credits for video of the Conference will vary. Please visit prematurityprevention.org after December 21 for specifics.

CONTINUING NURSING EDUCATIONMarch of Dimes Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Accredited status does not imply endorsement by March of Dimes or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with an educational activity.

LIVE. 8.5 contact hours are available for Prematurity Prevention Conference 2015. In order to receive continuing nursing education contact hours, participation in the entire conference is mandatory, as is completion of the evaluation within 6 weeks. The evaluation can be accessed at marchofdimes.org/nursing. After completing the evaluation, print the certificate of completion and retain it for your records.

RECORDING. The video version of the Conference also will be available for continuing nursing education contact hours. Visit marchofdimes.org/nursing for more information.

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DAY 1

8:30 A.M. Continental breakfast

9:00 A.M. Welcome and Opening Remarks

Jennifer L. Howse, PhD, President, March of Dimes

9:15 A.M. Panel 1: Science of Prematurity and What We Need to Do

Moderator: Edward R.B. McCabe, MD, PhD, Senior Vice President and Chief Medical Officer, March of Dimes

Fighting for the Next Generation: Addressing the Challenge of Prematurity Edward McCabe, MD, PhD

Learning objectives: = Explain the reasons for addressing the problem of prematurity in the United States and for

developing a long-term program of prevention of the problem.

= Discuss a roadmap to tackle the high rate of preterm birth in the United States and lower the rate to 5.5 percent by the year 2030.

Science of Preterm Birth

Catherine Y. Spong, MD, Acting Director, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Learning objectives: = Describe the current status of scientific research on the causes and predictors of preterm

births.

= Interpret how some key findings from recent research on preterm birth inform efforts to prevent prematurity.

In Search of Answers: The Value of Transdisciplinary Research

Deborah A. Driscoll, MD, PhD, Chair, Department of Obstetrics and Gynecology, University of Pennsylvania

Learning objectives: = Describe how the transdisciplinary research model as employed by the five March of Dimes

Prematurity Research Centers is related to preventing preterm births.

= Discuss the benefits of the transdisciplinary approach in understanding the science around preterm birth.

Questions and Answers

10:30 A.M. Break

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10:45 A.M. Panel 2: Collaborations to Prevent Prematurity

Moderator: Wanda D. Barfield, MD, MPH, CAPT USPHS, Centers for Disease Control and Prevention (CDC)

Learning objectives: = Describe the strategies used by statewide perinatal quality collaboratives to address the

problem of prematurity.

= Analyze the model of the Collaborative Improvement and Innovation Network (CoIIN) in lowering prematurity.

= Describe how Texas is using collaborative models — such as Healthy Texas Babies, the Texas Collaborative for Healthy Mothers and Babies and Healthy Babies are Worth the Wait® — to reduce preterm birth rates in communities.

Perinatal Quality Collaboratives

Elliott K. Main, MD, Director, California Maternal Quality Care Collaborative Barbara O’Brien, RN, MS, Program Director, Office of Perinatal Quality Improvement, University of Oklahoma Health Sciences Center

Collaborative Improvement and Innovation Network (CoIIN) and Its Impact on Prematurity Michael C. Lu, MD, MS, MPH, Associate Administrator, Maternal and Child Health, Health Resources and Services Administration (HRSA)

Texas’ Collaborative Initiatives: Working Towards Better Birth Outcomes

David L. Lakey, MD, Associate Vice Chancellor and Senior Vice President, University of Texas System and University of Texas Health Science Center at Tyler

Questions and Answers

12:30 P.M. Lunch Keynote What We Can Accomplish if We Work Together to Prevent Prematurity Jennifer L. Howse, PhD, March of Dimes, and Regina M. Benjamin, MD, MBA, former Surgeon General of the United States

1:45 P.M. Afternoon Concurrent Sessions: I. Interventions to Prevent Prematurity Choose one of three. 1. Group Prenatal Care: Financing a Proven Preterm Birth Prevention

Learning objectives: = Understand the costs, health care savings and related financing issues when costs accrue to

different entities than savings do.

= Discuss solutions and identify actions to address financing of group prenatal care.

Moderator: Gerard E. Carrino, PhD, MPH, Senior Vice President, Program Resource Development and Evaluation, March of Dimes; Siobhan M. Dolan, MD, MPH, Obstetrician/Gynecologist and Clinical Ge-neticist, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, N.Y.; Theodore Prospect, UnitedHealth Group; Erin Patton, MPH, CHES, Center for Medicare and Medicaid Innovation; Amy H. Picklesimer, MD, MSPH, Physician, Department of Obstetrics and Gynecology, Greenville Health System

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DAY 1

1:45 P.M. 2. Smoking Cessation: What Works?

Learning objectives: = Summarize the elements of successful smoking cessation programs and how they address

the challenges of women avoiding tobacco/nicotine exposure before, between and beyond pregnancy.

= Identify key programs proven to impact tobacco/nicotine exposures in and around pregnancy.

Moderator: Calondra Tibbs, MPH, Senior Director, Safe & Healthy Families, National Association of County and City Health Officials (NACCHO); Ginger Breedlove, CNM, PhD, American College of Nurse-Midwives (ACNM); Lucinda England, MD, Medical Epidemiologist, Office of Smoking and Health, Centers for Disease Control and Prevention (CDC)

3. Birth Spacing and Interconception Care

Learning objectives: = Summarize the relationship between interpregnancy birth intervals and risks for prematurity

based on current evidence.

= Describe one model for providing interconception care screening and risk reduction through well baby/toddler care visits.

Moderator: Merry-K Moos, BSN, (FNP), MPH, FAAN, Lead Nurse Planner, March of Dimes; Stephen D. Ratcliffe, MD, MSPH, Program Director, Lancaster General Family Medicine Residency, Lancaster, Pa.; Daniel J. Frayne, MD, Assistant Residency Director, Family Medicine Residency Program, Asheville, N.C., and National Preconception Health and Health Care Initiative; Jessica Brubach, UPMC McKeesport, Shadyside & St. Margaret Family Health Centers and Interconception Care Project Coordinator, IMPLICIT Network (IMPLICIT = Interventions to Minimize Preterm and Low birth weight Infants through Continuous Improvement Techniques)

3:00 P.M. Break

3:15 P.M. Afternoon Concurrent Sessions: II. Interventions to Prevent Prematurity Choose one of four. 1. Reducing Early Elective Deliveries (EEDs): Successful Strategies and Challenges

Learning objectives: = Explain the South Carolina initiative to address early elective deliveries (EEDs) including

the initiative’s successes and its challenges. = Considering lessons learned from other programs aimed at reducing EEDs,

identify characteristics most likely to result in successful initiatives.

Moderator: Erin Bonzon, MSW, MSPH, Associate Director, Women’s and Infant Health, Association of Maternal & Child Health Program (AMCHP); BZ (Melanie) Giese, BSN, RN, Director, South Carolina Birth

Outcomes Initiative; Lisa Waddell, MD, MPH, Chief Program Officer, Association of State and Territorial Health Officials (ASTHO)

2. Preeclampsia: Low-Dose Aspirin as a Prevention

Learning objectives: = Summarize recent research identifying preeclampsia as one of the causes of prematurity.

= Describe opportunities and challenges in using low-dose aspirin to reduce the prematurity rate.

Moderator: Eleni Z. Tsigas, Executive Director, Preeclampsia Foundation; James N. Martin, Jr., MD, FACOG, FRCOG, past president of American College of Obstetricians and Gynecologists (ACOG), 2011-2012

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3:15 P.M. 3. Reducing Multiple Births Associated with Assisted Reproductive Technologies (ART):

Single Embryo Transfer

Learning objectives: = Summarize the role of in vitro fertilization in prematurity.

= Discuss the benefits and challenges of single embryo transfer as an option for women interested in becoming pregnant.

Moderator: Kristen Eddy, representative, RESOLVE: National Fertility Association; Josephine Johnston, LLB, MBHL, Director of Research and Research Scholar, The Hastings Center

4. Prenatal Risk Reduction Strategies: Screening for Short Cervices and Access to 17P (17 alpha-hydroxyprogesterone caproate)

Learning objectives: = Describe the rationale and evidence-based strategies to screen and address risks associated

with shortened cervices.

= Understand the relationship between the prevention of prematurity and 17P (17 alpha-hydroxyprogesterone caproate).

= Understand programs that have expanded access to 17P for women at risk of preterm birth.

Moderator: Ellen Schleicher Pliska, MHS, CPH, Family and Child Health Director, Association of State and Territorial Health Officials (ASTHO); Allison Bryant, MD, MPH, Assistant Professor, Massachusetts General Hospital, Rita W. Driggers, MD, Medical Director, Maternal Fetal Medicine, Johns Hopkins University School of Medicine

4:30 P.M. Poster Session with Reception All participants are invited. Poster presentations describing prematurity prevention efforts Opportunity to network with conference participants

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DAY 2

8:30 A.M. Continental breakfast

9:00 A.M. Panel 3: Roadmap to Reducing Prematurity

Moderator: Paul E. Jarris, MD, MBA, Executive Director, Association of State and Territorial Health Officials (ASTHO)

Summary of Day One Edward McCabe, MD, PhD

= Summarize key points from Day 1 for moving the agenda to prevent prematurity forward

Quality Improvement as an Essential Tool to Achieve the 2030 Goal

Erin S. Dupree, MD, FACOG, Vice President and Chief Medical Officer, Joint Commission Center for Transforming Healthcare

= Explain the role of quality improvement to prevent preterm births.

Commentary About Quality Improvement Sean C. Blackwell, MD, Chair, Professor and Chair, Obstetrics and Gynecology, University of Texas Medical School at Houston

10:10 A.M. Panel 4: Health Equity and Global Perspective

Moderator: Diane M. Ashton, MD, MPH, FACOG, Vice President for Health Equity and Deputy Director for Medical Affairs, March of Dimes

Promoting Health Equity and Preventing Prematurity

Learning objectives: = Describe the connection between health disparities and prematurity rates in the United States.

= Identify examples of prevention strategies that promote health equity to reduce prematurity rates.

Arthur R. James, MD, Associate Professor, Obstetrics/Gynecology, Ohio State University Wexner Medical Center; Diana E. Ramos, MD, MPH, Director, Reproductive Health, Los Angeles County Public Health

Preventing Preterm Birth: A Global Perspective

Learning objectives: = Describe the problem of prematurity from a global perspective.

= Explore one of the programs developed to reduce the problem of prematurity globally internationally.

Judith Robb-McCord, MAAS, MPH, Director, Every Preemie-SCALE, Project Concern International

Questions and Answers

11:30 A.M. What Comes Next, How We Continue Our Work and Stay Connected Edward McCabe, MD, PhD

Learning objectives: = Identify key resources and opportunities for achieving a preterm rate of 5.5 percent by 2030.

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CRYSTAL GATEWAY MARRIOTT MAP I

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We will be using the Sky View room (1st floor).

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CRYSTAL GATEWAY MARRIOTT MAP II

We will be using Arlington Ballroom Salons (1st floor) as well as the 2nd floor’s Fairfax and Alexandria Rooms.

FIRST FLOOR

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Order No.

1

St. Mary’s County PATCH Initiative= Esther Vanderwal, BSW, MSW, LCSW-C, St. Mary’s County Health Department = Angela Cochran, MS, RCEP, St. Mary’s County Health Department

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2

Decreasing Early Elective Deliveries at Inova Loudoun Hospital= Cindy Andrejasich, MSN, RNC NE-BC, Inova Loudoun Hospital = Patricia Grunwald, BSN, RNC-OB, CCRN, Inova Loudoun Hospital = Jennifer Sedlmeyer, MSN, RNC, Inova Loudoun Hospital= Barbara Silvers, MSN, RN, Inova Loudoun Hospital

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3

Improving Birth Outcomes and Maternal Behaviors During Well-Child Visits at the UPMC McKees-port, Shadyside, St. Margaret Family Health Centers with the IMPLICIT Interconception Care Model= Lisa Schlar, MD, University of Pittsburgh Medical Center, Shadyside Family Medicine Residency = Sukanya Srinivasan, MD, University of Pittsburgh Medical Center, St. Margaret Family Medicine

Residency= James Dombroski, MD, University of Pittsburgh Medical Center, McKeesport Family Medicine

Residency= Jessica Brubach, BS, University of Pittsburgh Medical Center/IMPLICIT Network

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4

Using Data to Maximize Impact of Investment: Variability in Gestational Age at Enrollment and Session Attendance among CenteringPregnancy® Sites= Kate Disare, MPH Epidemiology, March of Dimes Perinatal Data Center= Larissa Wilberschied, MS, March of Dimes Perinatal Data Center= Caroline Alter, MS, March of Dimes Perinatal Data Center= Kelly Ernst, MPH, March of Dimes= Rebecca Russell, MSPH, March of Dimes Perinatal Data Center

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5

Healthy Women, Healthy Futures: A Community Collaborative to Reduce Premature Births = Su An Phipps, PhD, University of Oklahoma College of Nursing

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Preliminary Outcomes of Virginia Strong Start = Jacquelyn Ferrance, MPH, Virginia Commonwealth University= Saba Masho, MD, MPH, DrPH, Virginia Commonwealth University

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6

Effectiveness of CenteringPregnancy® Prenatal Care in Reducing Poor Birth Outcomes in High Risk Women: A Pilot Study = Ronald Ramus, MD, Virginia Commonwealth University= Jacquelyn Ferrance, MPH, Virginia Commonwealth University= Prachi Desai, MPH, Virginia Commonwealth University= Kirsten Olsen, LPN, Virginia Commonwealth University= Saba Masho, MD, MPH, DrPH, Virginia Commonwealth University

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7

Preventing Prematurity and Other Poor Maternal and Child Health Outcomes Among Pregnant Incarcerated Women in Georgia = Bethany Kotlar, MPH, Motherhood Beyond Bars= Sumayah Nuhaily, MPH Candidate, Rollins School of Public Health

POSTER SESSION

LOCAL AND COMMUNITY-BASED PROGRAMS/INTERVENTIONS

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Order No.

8

Baby and Me Tobacco Free: Indiana’s Implementation= Carolyn Runge, MPH, Indiana State Department of Health = MaryAnn West, MSW, Indiana State Department of Health= Laurie Adams, Baby and Me Tobacco Free

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9

From Energy to Synergy: Connecticut’s Experience in Using the “Shaping Policy for Health” Analysis Tools to Develop an Action-Orientated State Plan to Improve Birth Outcomes= Jordana Frost, MPH, March of Dimes Connecticut Chapter = Erin Jones, MS, LPC, March of Dimes = Marijane Carey, MPH, Carey Consulting= Kenn Harris, New Haven Healthy Start = Marcie Cavacas, Connecticut Department of Public Health= Members of the Connecticut Coalition to Improve Birth Outcomes

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10

Safe Deliveries Colorado= Nancy Griffith, RN, MSN, Colorado Hospital Association = Steven Holt, MD, Colorado Perinatal Care Quality Collaborative = Mary McMahon, RNC, BSN, MS, Colorado Perinatal Care Quality Collaborative

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AMCHP Partnership with Kansas Initiative to Improve Birth Outcomes and Reduce Infant Mortality= Erin Bonzon, MSW, MSPH, AMCHP

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Oregon Perinatal Collaborative = Joanne Rogovoy, BS -March of Dimes Greater Oregon Chapter= Yvonne Gordon, MSHCM, BSN, RNC, NIC -March of Dimes

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Ohio Perinatal Quality Collaborative = Lakshmi Prasad, MPH, Ohio Perinatal Quality Collaborative= Heather Kaplan, MD, MSCE, Ohio Perinatal Quality Collaborative= Jay Iams, MD, Ohio Perinatal Quality Collaborative= Michele Walsh, MD, MSE, Ohio Perinatal Quality Collaborative= Carole Lannon, MD, MPH, Ohio Perinatal Quality Collaborative

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Strategies in Puerto Rico (PR) to Fight Prematurity: A Multi-sectorial Response = José Guzmán-Pereira, MPH, March of Dimes, Puerto Rico= Marriane Cruz-Carrión, MS, Puerto Rico Department of Health= Cindy Calderón, MD, Puerto Rico Department of Health= Manuel Vargas-Bernal, MD, MPH, Puerto Rico Department of Health

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15

Implementing Standardized Assessment of Preterm Labor as a Hospital Quality Improvement Project = Gretchen Page, MPH, CNM, Perinatal Advisory Council/Leadership-Advocacy-Consultation,

Sacramento Maternal-Fetal Medicine Medical Group and UC Davis= Herman Hedriana, MD, Sacramento Maternal-Fetal Medicine Medical Group and UC Davis = Mary Campbell Bliss, RN, MS, CNS= Victoria Lombardo, MSN, RN, March of Dimes California Chapter= Peyton Mason-Marti, MPH, March of Dimes California Chapter= Leslie Kowalewski, BF, March of Dimes California Chapter= Maura Georges, MPH, MSW, March of Dimes California Chapter= Julie Solomon, PhD, J. Solomon Consulting

STATEWIDE PROGRAMS/INTERVENTIONS

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National Birth Equity Collaborative= Joia Crear-Perry, MD, National Birth Equity Collaborative = Meshawn Tarver, MPH, National Birth Equity Collaborative= Carmen Green, MPH, National Birth Equity Collaborative

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17

Extremely Short and Short Interpregnancy Intervals: Differences by Maternal Demographic Characteristics= Marie Thoma, PhD, MHS, National Center for Health Statistics, Centers for Disease Control

and Prevention = Sharon Kirmeyer, PhD, National Center for Health Statistics, Centers for Disease Control

and Prevention

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18

Start Smart for Your Baby Pregnancy Management Program= Amy Poole-Yaeger, MD, Centene Corporation = Mary Mason, MD, MBA, Centene Corporation = Nick White, MD, Centene Corporation= Dawn Murphy, Centene Corporation

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19

Is Cervical Index a Useful Predictor for Preterm Labor? = Boris Petrikovsky, MD, PhD, Wyckoff Heights Medical Center

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20

Uniting Multidisciplinary Stakeholders to Address Early Term Pregnancies = Triesta Fowler-Lee, MD, Eunice Kennedy Shriver National Institute of Child Health and Human

Development= Ellen Robinson, MHS, IQ Solutions= Rachael Picard, IQ Solutions

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21

Psychosocial Approaches to Preventing Preterm Birth = Caitlin Cross-Barnet, PhD, Center for Medicare and Medicaid Innovation= Nancy Margie, PhD, Office of Planning, Research, and Development/ACF

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22

Routine Obstetrical Ultrasound Reduces Incidence of Preterm Birth = Michael Terrani, MD, FACOG, Garden OBGYN= Frederick Gonzalez, MD, FACOG, Garden OBGYN= Jerald Korman, MD, FACOG, Garden OBGYN, Garden OBGYN= Alison Graham-Dillon, BS, RDMS, Garden OBGYN= Elizabeth Frankowski, MD, MBA, Garden OBGYN

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23

The Evidence for Collaboration: Tools for Building Effective Interagency Partnerships = Rebecca Gillam, LMSW, PhD, Center for Public Partnership & Research= Katie Federman, MSW, Center for Public Partnership & Research

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24

Measuring the Impact of CenteringPregnancy® on the Triple Aim = Tanya Munroe, Centering Healthcare Institute= Angie Truesdale, Centering Healthcare Institute= Colleen Senterfitt, Centering Healthcare Institute= John Craine, Centering Healthcare Institute

NATIONWIDE PROGRAMS/INTERVENTIONS

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25

Expanding Preconception Women’s Health Care Using Pediatricians= Tatiahna Rivera, BA, Johns Hopkins Division of General Pediatrics and Adolescent Medicine = Tina Cheng, MD, MPH, Johns Hopkins Division of General Pediatrics and Adolescent Medicine= Kamila Mistry, PhD, MPH, Agency for Healthcare Research and Quality= Katherine Connor, MD, MPH, Johns Hopkins Division of General Pediatrics and Adolescent Medicine= Krishna Upadhya, MD, MPH, Johns Hopkins Division of General Pediatrics and Adolescent Medicine

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26

Very Low Birth Weight Rates Decline in the Medicaid Population with Implementation of North Carolina’s Pregnancy Medical Home Program= Kate Berrien, BA, BSN, MS, Community Care of North Carolina = M. Kathryn Menard, MD, MPH, University of North Carolina School of Medicine, Department of

OB/GYN

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27

Decreasing Smoking Rates Among Pregnant Women: New Jersey’s Success Through Provider and Community Partnerships= Barbara Heinz, LSW, MSW, CPS, CTTS, Family Health Initiatives = Cathy Butler-Witt, MA, CSW, CTTS, Family Health Initiatives = Judy Donlen, RN, DNSc, JD, Southern New Jersey Perinatal Cooperative

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28

Pregnancy Interval Spacing Recommendations: An Analysis of Maternal and Provider Comments from FIMR Interviews and Abstractions Compared to Current National Recommendations = Anneke Mohr, MPH, MSW, Milwaukee Health Department = Karen Michalski, MA, MSW, Milwaukee Health Department = Emmanuel Ngui, DrPH, MSc, University of Wisconsin-Milwaukee Zilber School of Public Health

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29

Birth Weight and Pediatric Cancer Carcinogenesis: A Systematic Review and Quantitative Evidence Synthesis = Lavisha McClarin, BS Kinesiology, BS Community Health, MPH Epidemiology, University of Maryland-

College Park= Adrienne Wallace, MPH Epidemiology, Nemours/Alfred I. duPont Hospital for Children, Office of

Health Equity and Inclusion= Laurens Holmes, Jr., MD, DrPH, Nemours/Alfred I. duPont Hospital for Children, Office of Health

Equity and Inclusion

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30

Case Study: Remote Monitoring in Prenatal Care May Identify High Risk Pregnancies Sooner= Nihar Ganju, MD, George Washington University = Jill Krapf, MD, GW Graduate School of Education and Human Development= James R. Powell, Babyscripts = James A. Brown, Babyscripts . = Anish Z. Sebastian, Babyscripts

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30

Preventing Newborn Effects from Excessive Maternal Gestational Weight Gain= Nihar Ganju, MD, George Washington University = Josh Benham, MD, George Washington University = Anish Z. Sebastian, Babyscripts= Kathryn Marko, MD, George Washington University

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31

Preterm Birth Prevention Initiative = Larry Griffin, MD, FACOG, Passport Health Plan= Lynn Roberts, RN, BSBA, MHA, Passport Health Plan

INITIATIVES FOCUSED ON HEALTH CARE PROVIDERS

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33

The Effect of Social Support on Prematurity= Linda Moses-Simmons, MD, University of Tennessee Health Science Center= Teresa Franklin, MS, LMSW, MBA, University of Tennessee Health Science Center= Patricia Matthews-Juarez, PhD, University of Tennessee Health Science Center= Paul Juarez, PhD, University of Tennessee Health Science Center= Michael Langston, PhD, University of Tennessee, Knoxville= Arnold Saxton, PhD, University of Tennessee, Institute of Agriculture

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34

Paradoxical Reactions: How the Timing of Stress and Social Support During Pregnancy Make a Difference in Birth Outcomes= Donna Schminkey, PhD, MPH, CNM, University of Virginia= Camille Burnett, PhD, RN, University of Virginia= Timo Von Oertzen, PhD, University of Virginia= Linda Bullock, PhD, RN, FAAN

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35

Structured Counseling & Documentation to Prevent Spontaneous Recurrent Preterm Delivery= Jodi Abbott, MD, MCHM, Boston University School of Medicine = Renee O’Toole, MD, SUNY Downstate

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36

A Pocket Computer Delivered Stress Coping Intervention for Hospitalized Pregnant Women at High Risk for Preterm Birth= Nancy Jallo, PhD, FNP-BC, WHNP-BC, Virginia Commonwealth University School of Nursing

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37

Honey Child New Beginnings: A Faith-Based Initiative Decreasing Disparity in Prematurity and Poor Birth Outcomes for African-American Women= Charleta Guillory, MD, MPH, FAAP, Baylor College of Medicine = Torey Mack, MD, MPH, Baylor College of Medicine/DC Department of Health= Yvette Johnson, MD, MPH, Cook Children’s Hospital= Terry Kincade, MD, Pediatrix-Medical City Dallas Hospital= Joanie Hare, MD, Healthy Babies are Worth the Wait, March of Dimes, Houston

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38

A Community-based Approach for Empowering Pregnant Women to Improve Pregnancy Outcomes in Resource-poor Areas: the Moms2B Experience= Courtney Lynch, PhD, MPH, The Ohio State University Wexner Medical Center = Brett Jennings, BA, The Ohio State University Wexner Medical Center= Steve Baum, BA, The Ohio State University Wexner Medical Center= Rebecca Reno, MA, The Ohio State University Wexner Medical Center= Carmen Clutter, MS, RD, LD, CLC, The Ohio State University Wexner Medical Center= Patricia Temple Gabbe, MD, MPH, The Ohio State University Wexner Medical Center

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39

A Tailored Mobile Health Program to Reduce Prenatal Health Behavior Risk Among Underserved Pregnant Women= Leanne Mauriello, PhD, Pro-Change Behavior Systems, Inc. = Cindy Umanzor, MPH, Pro-Change Behavior Systems, Inc.= Deborah Van Marter, MPH, Pro-Change Behavior Systems, Inc.= Emma de Aguiar, BA, Pro-Change Behavior Systems, Inc.= Patricia Castle, PhD, Pro-Change Behavior Systems, Inc.

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32

Signature Strong Start = Gerald Rupp, PhD, Signature Medical Group= Jim Gera, MBA, Signature Medical Group

INITIATIVES FOCUSED ON PATIENTS AND FAMILIES

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40

Improving Outcomes for Teens Using the CenteringPregnancy® Group Prenatal Care Model= Lucia Jenkusky, CNM, MS, Nationwide Children’s Hospital

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41

Folic Acid Intake in Women of Childbearing Age Who Consume a Gluten-Free Diet= Matthew Moyd, Associate’s Degree/Bachelor’s Degree Candidate, University of New Mexico= Deborah Cohen, Registered Dietician/ Doctor of Clinical Nutrition, University of New Mexico

Order No.

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Preterm Labor in Pregnancies with Obese Gravidas = Damaris Olagundoye, MD, Matthew Walker Comprehensive Health Center= Michele Williams, MD, Matthew Walker Comprehensive Health Center= Marco Jarrett, MD, Matthew Walker Comprehensive Health Center= Carol Wilson, APN, Matthew Walker Comprehensive Health Center

Order No.

43

Employer Health Plan Expenditures for Infants Born Preterm, United States, 2013-2014= Ninee Yang, PhD, CDC= Scott Grosse, PhD, CDC= Norman Waitzman, PhD, University of Utah= Wanda Barfield, MD, MPH, CDC= Lee Warner, PhD, CDC= Karon Abe, PhD, CDC

Order No.

43

The Interaction Between Major Birth Defects and Preterm Birth in Infant Healthcare Expenditures: Implications for Assessments of the Benefits of Prevention= Lucia Jenkusky, CNM, MS, Nationwide Children’s Hospital

Order No.

44

Coverage of 17-Hydroxyprogesterone Caproate (17P) Among Eligible Women Delivering at two North Carolina Hospitals in 2012 and 2013= Elizabeth Stringer, MD, University of North Carolina at Chapel Hill= Catherine Vladutiu, PhD, University of North Carolina at Chapel Hill= Tracy Manuck, MD, University of North Carolina at Chapel Hill= Sarah Verbiest, DrPH, University of North Carolina at Chapel Hill= Arthur Ollendorf, MD, Mountain Area Health Education Center= Kathryn Menard, MD, University of North Carolina at Chapel Hill

Order No.

45

Challenges to Implementing Progesterone Therapy for Prematurity Prevention= Sylvia Ellison, MA, MPH, Wright State University; Public Health, Dayton & Montgomery County = Sara Paton, PhD, Wright State University; Public Health, Dayton & Montgomery County= David McKenna, MD, Miami Valley Hospital= Jalana Lazar, RN, CNM, WHNP, MPH, Lifestages Samaritan Centers for Women

Order No.

46

Decreasing Unintended Pregnancies Through Use of Long Acting Reversible Contraception (LARC): A Statewide Needs Assessment of Women’s Healthcare Providers= Sara Barry, MPH, Vermont Child Health Improvement Program, University of Vermont= Adrienne Woike, MS, RN, WHNP, Vermont Child Health Improvement Program, University of Vermont= Kim Swartz, MHSc, Vermont Department of Health= Erin O’Brien, University of Vermont= Erica Gibson, MD, Vermont Child Health Improvement Program, University of Vermont

PUBLIC HEALTH AND PUBLIC POLICY INITIATIVES

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Regional Variation in Preterm Birth and Associated Risk Factors in Texas (2008-2011): A County Level Analysis Using Geographic Information Systems= Luis Rustveld, PhD, RD, LD, Baylor College of Medicine = June Hanke, RN, MSN, MPH, Harris Health System= Thomas Reynolds, PhD, MS, University of Texas School of Public Health= Margo Hilliard Alford, MD, MPH

Order No.

48

Black-White Disparities in Preterm Birth: Racism-related Vigilance May Be a Missing Piece of the Puzzle= Paula Braveman, MD, MPH, Center on Social Disparities in Health, University of California,

San Francisco= Katherine Heck, MPH, Center on Social Disparities in Health, University of California, San Francisco= Christine Rinki, MPH, Maternal, Child and Adolescent Health Division, California Department of

Public Health= Kristen Marchi, MPH, Center on Social Disparities in Health, University of California, San Francisco= Tyan Parker Dominguez, PhD, MPH, MSW, School of Social Work, University of Southern California= Michael Curtis, PhD, Maternal, Child and Adolescent Health Division, California Department of

Public Health

Order No.

49

Whole Genome Sequence Analysis of a 4 Generation Family with Preterm Delivery History= Kathi Huddleston, PhD, RN, Inova Translational Medicine Institute= Wendy Wong, PhD, Inova Translational Medicine Institute= Dale Bodian, PhD, Inova Translational Medicine Institute= Elisabeth Klein, DNP, RN, Inova Translational Medicine Institute = Joseph Vockley, PhD, Inova Translational Medicine Institute = John Niederhuber, MD, Inova Translational Medicine Institute

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49

Molecular Study of Preterm Birth: Genomic Ancestry, Race, and Ethnicity = Kathi Huddleston, PhD, RN, Inova Translational Medicine Institute = Elisabeth Klein, DNP, RN, Inova Translational Medicine Institute = Wendy Wong, PhD, Inova Translational Medicine Institute

Order No.

50

Preterm Birth in Brazil: Prevalence and Risk Factors= Maria Leal, Doctorade, Oswaldo Cruz Foundation= Silvana Gama, Doctorade, Oswaldo Cruz Foundation

Order No.

50

Cesarean Section in Brazil and Its Consequences to Gestational Age of Newborns = Silvana Gama, Doctorade, Oswaldo Cruz Foundation= Maria Leal, Doctorade, Oswaldo Cruz Foundation= Elaine Viellas, Doctorade, Oswaldo Cruz Foundation= Ana Pereira, Doctorade, Oswaldo Cruz Foundation

Order No.

51

Proximity of Maternal Residence to Pulp Mills and the Risk of Preterm Birth= Nelson Pace, SM, BS, UNC-CH, Epidemiology= Thomas Luben, PhD, Environmental Protection Agency= Robert Meyer, PhD, North Carolina Department of Health and Human Services

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52

Assessment of the Average Length of Stay of Premature Babies and Calculation of Associated Cost of Stay= Kavita Batra, MPH Candidate, University of Nevada, Las Vegas= Amanda Haboush-Deloye, PhD, University of Nevada, Las Vegas= Farooq Abdulla, MD, FAAP, The Foundations of Positively Kids Inc.

Order No.

53

Healthy Babies are Worth the Wait® Consumer Education Initiative= Darcy Dreyer, March of Dimes= Patricia Brantingham, Association of Perinatal Networks of New York State/Perinatal Network of

Monroe County (now Healthy Baby Network)= Anne Jorgensen, RNC, MS, NNP-BC, DNP, Neostar USA, Inc.= Catherine Pasqua, MS, March of Dimes

Order No.

54

Baby Basics Moms Club of Virginia= Merry McKenna, BA, RNC/OB, March of Dimes/BB Moms Club of Virginia= Liz Marshall, MPH, ICCE, DONA, Gentle Stork Childbirth Services

Order No.

55

Understanding the Pathogenic Pathway of Preterm Birth with Integrated “Omics”= Nanbert Zhong, MD, New York State Institute for Basic Research in Developmental Disabilities

Order No.

56

Transvaginal Cervical Length Measurements Performed by Instructed Novice Providers Are Reliable = Ryan Cuff, MD, Medical University of South Carolina= Scott Sullivan, MD, MSCR, Medical University of South Carolina= Roger Newman, MD, Medical University of South Carolina= Charles Rittenberg, MD, Medical University of South Carolina

Order No.

57

Maternal Obesity As An Independent Risk Factor for Spontaneous Preterm Birth Predicted by Transvaginal Sonographic Measurement of the Cervical Length= Juliana Martins, OBGYN resident PGY4, University of Miami= Usha Verma, OBGYN Attending, University of Miami= Tajh Ferguson, Medical Student, University of Miami= Pryianka Debnath, Medical Student, University of Miami= Kavitha Krishnamoorthy, OBGYN resident PGY3, University of Miami

Order No.

58

Implication of Preterm Birth in Cerebral Palsies Causality: A Systematic Literature Review and Quantitative Evidence Synthesis= Isabel Morgan, BA, MSPH, Nemours Office of Health Equity and Inclusion= Kirk Dabney, MD, Nemours Office of Health Equity and Inclusion= Laurens Holmes, MD, PhD, DrPH, Nemours Office of Health Equity and Inclusion

EDUCATIONAL INITIATIVES

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PLANNING COMMITTEE

Diane M. Ashton, MD, MPH, FACOGVice President, Health Equity and Deputy Director, Medical AffairsMarch of Dimes Scott D. Berns, MD, MPHPresident and CEONational Institute for Children’s Health Quality (NICHQ)

Janis Biermann, MSSenior Vice President, Education and Health PromotionMarch of Dimes

Erin Bonzon, MSW, MSPHAssociate Director, Women’s and Infant HealthAssociation of Maternal and Child Health Programs (AMCHP)

Gerard E. Carrino, PhD, MPHSenior Vice President, Program Resource Development and EvaluationMarch of Dimes

Elizabeth Hill-Karbowski, CNM, PhDRepresentative, American College of Nurse-Midwives (ACNM)Director, Women and Infants-Outpatient ServicesWheaton Franciscan Healthcare-St. Joseph

Annette Hinton, RN, BSNManager, Maternity CareAmerican Academy of Family Physicians (AAFP)

Edward R.B. McCabe, MD, PhDSenior Vice President and Chief Medical OfficerMarch of Dimes

Merry-K Moos, BSN, MPH, FAANLead Nurse Planner, March of DimesProfessor Emerita, Dept. of Obstetrics and GynecologyUniversity of North Carolina at Chapel Hill

Cindy PellegriniSenior Vice President, Public Policy and Government AffairsMarch of Dimes

Anne Santa-Donato, RNC, MSNDirector, Obstetric ProgramsAssociation of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)

Renate Savich, MDRepresentative, American Academy of Pediatrics (AAP)Professor of Pediatrics, University of Mississippi Medical Center

Calondra D. Tibbs, MPHSenior Director, Safe and Healthy FamiliesNational Association of County and City Health Officials (NACCHO)

Lisa Waddell, MD, MPHChief Program Officer, Community Health and PreventionAssociation of State and Territorial Health Officials (ASTHO)

Christopher M. ZahnVice President, Practice ActivitiesAmerican College of Obstetricians and Gynecologists (ACOG)

STAFFMary LavanAssociate Director, Nursing Education and Health PromotionMarch of Dimes

Karyn LeeManager, Special ProjectsMarch of Dimes

Doug RothResearch AssistantMarch of Dimes

Ann Umemoto, MPH, MPADirector, Operations and Program PlanningMarch of Dimes

Debbie Wang, MEM, MPHManager, Program ResourceDevelopmentMarch of Dimes

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CONFERENCE INFO

CONFERENCE INFO

JOIN THE CONVERSATION

We welcome your participation in Prematurity Prevention Conference 2015 online as well as in person! Here is the information you’ll need: • Twitter handle: @modhealthtalk • Hashtag: #PPC15

In an effort to conserve paper, the March of Dimes has eliminated the use of three-ring binders for Prematurity Prevention Conference 2015. Instead, you have received this packet of information, and we have arranged for internet access in all meeting rooms. To access the internet using your wireless device:

1. View available wireless networks2. Connect to SSID Marriott Conference network 3. Open a web browser that will redirect you to the login page4. Enter conference code MOD2015 in the left-hand section of the page

and check “agree” to the terms and conditions, if applicable

AUDIO AND VIDEO

Selected portions of this conference are being recorded and will be available at prematurityprevention.org on December 21. Both the recorded selections and the live conference will be valid for Continuing Medical Education credits and Continuing Nursing Education contact hours. See the Continuing Education Credits section on page 4 for more information.

To maintain the integrity of the recording, please use microphones where possible.

Quality Improvement, Evidence and Practice

PREMATURITYPREVENTIONCONFERENCE 2015NETWORK

Sign up at PREMATURITYPREVENTION.ORG

JOIN THE CONVERSATION

Create a personal profile Download free perinatal resources

Connect with other professionalsStay informed of events

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© 2015 March of Dimes Foundation

Quality Improvement, Evidence and Practice

PREMATURITYPREVENTIONCONFERENCE 2015