The Signature Strong Start (SSS) aims to initiate early introduction into prenatal care, decrease pre-term birth (<37 weeks gestation), and decrease NICU utilization and length of stay. An interdisciplinary team (nurse navigator, social workers, Ob-Gyn clinical team) conducts biopsychosocial risk assessments to identify prenatal risk factors and implements patient-centric care coordination to address the unique needs and stressors for each patient.METHODS:
SSS provides services to patients that reside in a variety of settings, such as rural, urban, and suburban. The program ensures quality care and positive outcomes through continuous contact with patients including home visits, telephonic services, and in-office encounters. The mix and frequency of patient encounters is flexible to best fit the evolving needs of our patients.RESULTS:
Current data indicates that preterm birth rates have decreased in each residential setting, which demonstrates a dramatic reduction from state and regional averages. Overall 7.5% (program) vs 11.3% (state); Urban 7.7% (program) vs 14.9% (St. Louis city); Suburban 7.5% (program) vs 12.2% (Kansas City area); Rural 6.4% (program) vs 11.3% (state).CONCLUSION:
The SSS program is designed to improve the health of pregnant women and infants who are Medicaid beneficiaries. Key program components include behavioral health, care coordination, and other supportive services provided to each patient through the prenatal and postpartum period. Regardless of residential setting, these key components provide enhanced prenatal care to improve health, patient care, and lower costs.