Document Type

Capstone Experience

Graduation Date

12-2020

Degree Name

Master of Public Health

Department

Health Promotion

First Committee Member

Shannon Maloney, PhD.

Second Committee Member

Melissa Tibbits, PhD.

Third Committee Member

Drissa Toure, MD., PhD., MPH

Abstract

Prenatal care management (PNCM) is an intervention that targets women during the perinatal period to improve birth outcomes. PNCM has the potential to address social determinants of health issues and gaps or barriers to care that could lower incidences of adverse birth outcomes in Nebraska. There is currently a gap in the literature for studies that fully assess the impact of prenatal care management programs and the program’s ability to reach set goals. The purpose of this research is to develop an evaluation plan and potential implementation strategies that can be utilized by the Medicaid PNCM program in Nebraska. The three Nebraska Medicaid managed care organizations (MCO) were contacted to be interviewed regarding their current evaluation methods for their PNCM programs. Additionally, other community organizations that offer PNCM services were contacted to be interviewed for further guidance on evaluation methods for PNCM programs. Two MCOs and one community organization agreed to be interviewed, and their responses were used to generate a program description of PNCM programs. A process flow and logic model of the Medicaid PNMC program were created to assist in organizing and developing an evaluation plan proposal and a potential implementation plan.

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