Posts tagged with 'North Carolina'

From the Field: Group Prenatal and Well Baby Care

Group Prenatal Care was started around 2001-2002 and we offer 12 groups yearly. Baby groups were piloted in the 2005 timeframe and packaged/started in 2007. We have done multiple national presentations on group care at organizational meetings.

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Filed in Care coordination, Consumer advocacy or political action, Decision making and choice, New care delivery model, Shared decision making, Stories from the Field on Fri., Sep 30, 2011

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From the Field: Practice Guidelines for Trial of Labor after Cesarean

As a Patient-Centered Maternity Home, two components of our Maternal-Child Health Care are evidence-based practice and shared decision-making. While ACOG guidelines are not always evidence-based, they have recently released guidelines allowing us all to offer trial of labor to women with two prior cesareans or twins. Our cesarean rate is 19% and our VBAC rate is 50%. North Carolina Medicaid is currently reimbursing cesarean birth at the same rate as vaginal birth.They were proactive in setting the rates pretty close to each other in years past.

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Filed in Clinical controversies, Clinical practice guideline/policy change, New care delivery model, Performance measurement/reporting, Scope of covered services, Shared decision making, Stories from the Field on Tue., Sep 20, 2011

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From the TMC blog: Charges for giving birth are all over the map. What’s the price tag in your state?

If you give birth in a Maryland hospital, your hospital will charge about $5500 if you have an uncomplicated vaginal birth and about $6800 if you have an uncomplicated cesarean section. Move just up the coast to New Jersey and triple or even quadruple those numbers. The hospital now charges more than $18,000 for the same vaginal birth and a whopping $26,000 for the same cesarean. Move to a state with a birth center, like California or Washington, and the facility charge drops to as low as $2000 for an uncomplicated vaginal birth.

How does your state measure up? Childbirth Connection has just posted Average Facility Labor and Birth Charges by Site and Method of Birth for the 35 states for which data are available.

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Filed in Blog, Costs - Charges - Value on Thu., Jul 14, 2011

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From the Field: Where’s My Midwife? Increasing Access To Midwives

When 2 CNMs were fired from a private practice in our town, 80 pregnant women were suddenly left without the care provider of their choice. We set out to change a policy at our local hospital that required the ‘backing’ physician to be on-site while a CNM was with her patient.

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Filed in Community education/outreach, Consumer advocacy or political action, Decision making and choice, Scope of covered services, Stories from the Field, Workforce on Mon., Mar 21, 2011

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