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Thomas Memorial Hospital

Berkeley Medical Center, MartinsburgPRESTON

MONONGALIA

MARION

TAYLOR

HARRISON

DODDRIDGE

WETZEL

MARSHALL

OHIO

BROOKE

HANCOCK

TYLER

PLEASANTS

WOOD

JACKSON

RITCHIE

WIRT

ROANE

CALHOUN

GILMER

LEWIS UPSHUR

BARBOUR

TUCKER

GRANT

MINERAL

HAMPSHIRE

MORGAN

BERKELEY

JEFFERSON

HARDY

PENDLETON

RANDOLPH

WEBSTER

BRAXTON

POCAHONTAS

NICHOLAS

CLAY

GREENBRIER

FAYETTE

RALEIGH

SUMMERS

MONROE

MERCERMCDOWELL

WYOMING

MINGO

LOGAN

BOONE

KANAWHA

PUTNAM

MASON

CABELL

WAYNE

LINCOLN

Weirton General, Weirton,

Ohio Valley Medical Center Wheeling Hospital

Stonewall Jackson Memorial, Weston

St. Joseph's, Buckhannon

Davis Memorial, Elkins

Grant Memorial, Petersburg

Jefferson Memorial, Ranson

Fairmont General

Mon Health Medical Center, Morgantown

United Hospital Center, Clarksburg

Camden Clark

WVU Hospitals

CAMC Women’s and Children’s

Raleigh General Hospital

Greenbrier Valley Medical Center

Cabell Huntington Hospital

Bluefield Regional Medical Center

Princeton Community Hospital

Logan General Hospital

St. Mary's Hospital

Pleasant Valley Hospital

WV Birthing Hospitals (21)

WV Tertiary Perinatal Referral Centers (3)

Freestanding Birthing Center (1)

WomenCare Birth Center

42.1%

40.4%

41.5%

41.3%

40.4%

40.8%

40.5%

40.7%

40.4%

38.5%

39.5%

39.9%

38.8%42.4%

40.3%

39.9%

13.9%

11.9%

12.3%

13.8%

12.7%

12.9%

12.4%

11.7%

11.7%

9.9%

10.2%

10.0%

10.1%

12.4%

9.6%

11.6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016*

Medicaid Non-Medicaid

WV Average 25%

*

Preliminary DataSource: West Virginia Health Statistics Center, Vital Statistics System, 2018

US Rate 7.2%

Source: State Inpatient Databases, Healthcare Cost and Utilization Project

*

Source: Using a current surveillance tool to assess the

incidence of neonatal abstinence syndrome (NAS) in

West Virginia , John, Collin, et al

Poster Presentation at 2017 APHA conference

*Governor’s

Advisory Council on

Substance Abuse

*Governor’s

Advisory Council

on Substance

Abuse

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–

–

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Urine tests throughout and after pregnancy.

Cord tissue collection/testing.

Surveys of sites to identify strategies and barriers.

Demographics

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–

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Reaching high-risk, medically-underserved women:

Low educational attainment

Low income

Medicaid insurance

Unplanned pregnancies

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

1st Trimester 2nd Trimester 3rd Trimester Delivery

Positive Drug Screens

0%

2%

4%

6%

8%

10%

12%

14%

16%

DFMB Program Participants

Statewide

Substance Exposed

Takes more time than anticipated

A dedicated staff position is critical to moving the project forward

Care coordination/patient navigation services are key

A collaborative treatment team needs to be developed and nurtured

Flexibility to enhance/revise program is needed

Incentives can be effective

Questions?