Assessing Sustainability of State-Led Action Plans for the Opioid Use Disorder, Maternal Outcomes, and Neonatal Abstinence Syndrome Initiative Learning Community, 2018-2021.
Charlan D KroelingerKecia L EllickMadison LeveckeMarion E RiceTrisha MuellerSanaa AkbaraliEllen PliskaJean Y KoShanna CoxWanda D BarfieldPublished in: Journal of women's health (2002) (2023)
Objective(s): The opioid crisis affects the health and health care of pregnant and postpartum people and infants prenatally exposed to substances. A Learning Community (LC) among 15 states was implemented to improve services for these populations. States drafted action plans with goals, strategies, and activities. Materials and Methods: Qualitative data from action plans were analyzed to assess how reported activities aligned with focus areas each year. Year 2 focus areas were compared with year 1 to identify shifts or expansion of activities. States self-assessed progress at the LC closing meeting, reported goal completion, barriers and facilitators affecting goal completion, and sustainment strategies. Results: In year 2, many states included activities focused on access to and coordination of quality services (13 of 15 states) and provider awareness and training (11 of 15). Among 12 states participating in both years of the LC, 11 expanded activities to include at least one additional focus area, adding activities in financing and coverage of services ( n = 6); consumer awareness and education ( n = 5); or ethical, legal, and social considerations ( n = 4). Of the 39 goals developed by states, 54% were completed, and of those not completed, 94% had ongoing activities. Barriers to goal completion included competing priorities and pandemic-related constraints, whereas facilitators involving use of the LC as a forum for information-sharing and leadership-supported goal completion. Sustainability strategies were continued provider training and partnership with Perinatal Quality Collaboratives. Conclusion: State LC participation supported sustainment of activities to improve health and health care for pregnant and postpartum people with opioid use disorder and infants prenatally exposed to substances.
Keyphrases
- healthcare
- mental health
- primary care
- health information
- public health
- simultaneous determination
- quality improvement
- mass spectrometry
- health insurance
- sars cov
- pregnant women
- affordable care act
- body mass index
- chronic pain
- adipose tissue
- skeletal muscle
- liquid chromatography
- climate change
- smoking cessation
- case report
- physical activity
- tandem mass spectrometry
- global health
- high resolution mass spectrometry