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  • Philadelphiamustimproveitsmaternitycare
    for Pennsylvania Midwives Needed Pa Creates New Class of Hospital Payments to Aid Temple Birthing a New Approach to Health Care Philadelphia Must Improve its Maternity Care Pregnant and Uninsured Safe Sleep News Breastfeeding News Other News The Philadelphia Inquirer October 9 2006 Philadelphia Must Improve its Maternity Care By JoAnne Fischer Executive Director of Maternity Care Coalition In 2006 Fit Pregnancy magazine ranked Philadelphia 44th out of 50 U S cities when looking at best places to have a baby The magazine certainly aimed at women who can afford the products advertised on its pages looked at affordability of health care breast feeding rates child care availability birthing options and public health childbirth statistics The region flunked miserably Was this just the glitzy attention seeking of a popular press magazine Unfortunately no In its recently released report Childbirth at a Crossroads the Maternity Care Coalition examined the status of health care for childbearing women in our region This look was prompted by cries of distress Hospitals were closing their obstetric services Practitioners were seeing more uninsured women Obstetricians were threatening to leave practice We learned of childbirth practitioners concerns malpractice long hours more professionals choosing to work part time to raise their own families and fewer students choosing OB and midwifery Infant mortality rates although declining displayed unacceptable racial inequities Philadelphia s breast feeding rate places it last among the 10 largest American cities The Cesarean section rate is rising dramatically As a region we have the knowledge resources and skills to become the best place to have a baby We need the will The coalition plans to work to bring about the changes we need including Increased diversity among health care practitioners providers and facilities that effectively serve our culturally and linguistically diverse population Universal health insurance guaranteeing

    Original URL path: http://www.momobile.org/news/Philadelphiamustimproveitsmaternitycare.html (2016-05-02)
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  • Pregnant and Uninsured
    insurance Across the state twice as many African Americans are uninsured as whites The largest population group in our state that lacks health insurance is also the group most likely to become pregnant Forty nine percent of uninsured Pennsylvanians are between 18 and 34 years old Even more frightening 68 percent of uninsured children in our state are between 11 and 18 Those are the very years when we are trying to reach adolescents with information about caring for themselves what it means to consume a healthy diet avoid cigarettes seek meaningful and safe sexual relationships avoid unintended pregnancy and seek preventive health care What does it mean to be pregnant and uninsured The uninsured pregnant woman is less likely to have had a Pap smear less likely to know if she has undiagnosed diabetes or high blood pressure She s less likely to be taking folic acid a simple vitamin that when taken before conception and during very early pregnancy prevents spinal cord birth defects And she s much less likely to obtain early prenatal care Ironically once pregnant many low income women suddenly have much better access to health insurance As long as their incomes are below 185 percent of the federal poverty level they are immediately eligible for Medicaid Pennsylvania has made excellent efforts recently to make it as easy as possible for pregnant women to obtain insurance immediately Some women report leaving their part time jobs to become Medicaid eligible However many working women earn more than the Medicaid limit They must pay out of pocket for maternity care and delivery These are high costs Once you re pregnant you can t buy health insurance to cover yourself Some plans don t even cover pregnancy High deductible plans typically marketed to consumers between ages 20 and

    Original URL path: http://www.momobile.org/news/PregnantandUninsured.html (2016-05-02)
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  • <Childbirth Crisis page 3>
    space and insurance issues The Philadelphia Business Journal s John George examines the main three root causes of OB unit closures 04 24 07 Labor Pains Rising Malpractice rates hospital closings make life more difficult for Philly s expecting mothers Kristin Pazulski outlines the impact of closing OB units and under funded maternity services for women and the economic rationale driving the crisis 04 12 07 OB Review Suggests Rough Future for Hospital The Chestnut Hill Local covers the rally to keep Chestnut Hill Hospital s OB unit open Kristin Pazulski reports 04 06 07 Maternity Care Coalition Holds Protest at Chestnut Hill Hospital KYW News Radio reporter David Madden quotes MCC s Bette Begleiter from the rally at Chestnut Hill Hospital 04 06 07 The Maternity Ward Blues The epidemic of closures here needs some good hard thinking Daily News editorial covering the rally at Chestnut Hill Hospital to keep OB services open and a review of what should be done to address the larger crisis 03 15 07 MOMobile Staff Fears Turn Taken By Maternity Units Staff writer Diane Villano reports on the OB crisis facing communities in Northeast Philadelphia 03 01 07 Alarming News for Childbearing Families JoAnne Fischer s letter to the editor responding to the closure of Jeanes Hospital s obstetrics unit the 14th OB unit in our region to close in 11 years 02 14 07 Remember ALL Pregnant Women in Prescription for Pennsylvania In an opinion editorial MCC reviews the Governor s new healthcare plan 2 10 07 Midwives Needed JoAnne Fischer s letter to the editor responding to a Philadelphia Inquirer article A push to stop Midwives 1 19 07 Pa Creates New Class of Hospital Payments to Aid Temple John George of the Philadelphia Business Journal quotes MCC s Childbirth at

    Original URL path: http://www.momobile.org/ChildbirthCrisispage3.html (2016-05-02)
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  • <Northeast Philadelphia Town Hall Meeting>
    Youth Organization Mayfair Community Development Corporation Millbrook Civic Association Parkwood Civic Association Rhawnhurst Town Watch Somerton Youth Organization Somerton Civic Association Tacony Civic Association The Academy Sabres Upper Holmesburg Civic Association and Upper Northwood Community Council Watch the video shown at the Northeast Town Hall meeting Families in Northeast and all of Philadelphia must have access to safe and affordable prenatal care and birthing options The time to act is now Live in Northeast Philadelphia Ask your city councilperson Pennsylvania State senator and representative as well as your Federal Senators and House representative to bring maternity services back Also ask them to support state wide insurance legislation called CAP or Cover All Pennsylvanians click to read a pdf that explains CAP pdf courtesy of Philadelphia Unemployment Project Find your state and federal legislators by entering your zip code at www congress org Mayor Michael Nutter 215 545 9700 Email Mayor Michael Nutter PA Senator Senator Christine Tartaglione 215 533 0440 Email Sen Tartaglione Senator Leanna M Washington 215 242 0472 Email Sen Washington Senator Michael J Stack III 215 281 2539 Email Sen Stack Senator Shirley Kitchen 215 227 6161 Email Sen Kitchen PA House Representative Representative Dennis M O Brien 215 632 5150 Email Rep O Brien Representative George T Kenney Jr 215 342 1700 Email Rep Kenney Representative John Perzel 215 331 2600 Email Rep Perzel Representative Michael P McGeehan 215 333 9760 Email Rep McGeehan Representative John P Sabatina Jr 215 342 6204 Email Rep Sabatina Representative Michael H O Brien 215 503 3245 Email Rep O Brien Representative John J Taylor 215 744 2600 Email Rep Taylor Representative Tony J Payton Jr 215 744 7901 Email Rep Payton Representative Mark B Cohen 215 924 0895 Email Rep Cohen Representative Dwight Evans 215 549 0220 Email Rep

    Original URL path: http://www.momobile.org/NortheastPhiladelphiaTownHallMeeting.html (2016-05-02)
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  • <Hospital Closings>
    Jefferson University Hospital BIRTH CENTERS OPEN Bryn Mawr Birth Center Valley Birthplace Woman Care Top of page Capacity Concerns for OB Units Regional OB Unit Capacity charts show the occupancy rate in 1996 compared to 2006 for Bucks Chester Delaware Montgomery and Philadelphia counties Capacity is an area of concern for practitioners and families The literature recommends a capacity around 75 and in 2006 4 of the 8 remaining OB units in Philadelphia were operating above this capacity one at 107 5 Table 13 Furthermore anecdotal evidence suggests that OB practitioners and hospital staff are overwhelmed and patients are frustrated about overcrowded facilities and traveling further distances to receive care The Philadelphia Department of Public Health commissioned a Drexel University report Obstetric Care for Philadelphia Residents 1997 2004 The following is an excerpt Individual hospitals make their own determinations as to what occupancy level they are comfortable with taking into account fiscal pressures risk and provider workload Several states and organizations have published ideal obstetric occupancy rates sometimes varying for urban and rural areas or small vs large hospitals Table 13 Industry Recommendations for Obstetric Unit Occupancy Rate Source Recommendation for obstetric occupancy NY State Department of Health 75 in an urban area Virginia Certificate of Need 80 Illinois Health Facilities Planning Board 75 for hospitals with 11 25 beds 78 for hospitals with 26 or more beds Department of Defense 70 American College of Obstetrics and Gynecology 75 NICU occupancy target 75 Table 13 citations New York State Department of Health Acute Care Facilities Illinois Health Facilities Planning Board 03 21 2005 Department of Defense Planning Criteria for Health Facilities Strategies for Cutting Hospital Beds The impact on patient services Excerpt courtesy of report author Jennifer Kolker MPH Assistant Professor Drexel University School of Public Health Department of Health

    Original URL path: http://www.momobile.org/HospitalClosings.html (2016-05-02)
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  • <Ask Key Questions>
    a complete list of hospital closings from 1997 to the present check out our Maternity Units Access page If a maternity unit closes or threatens to close these are some of the questions that need to be answered What are the transition plans for informing families and redirecting them to new services Who has been informed about the closing and the transition plans Do the remaining hospitals have the capacity to absorb the births previously covered by the closing maternity unit Where will the families want to receive care What are the profit and loss statements for maternity care due to low private and commercial insurance reimbursement rates How will this closure impact the remaining hospitals that are also suffering under financial duress Is maternity care inherently unprofitable or just not as profitable as other services If maternity care is unprofitable for all local hospitals do we as a community support this as a reason for all maternity units to close Who will take responsibility for a thoughtful process that respects families and determines which maternity services survive What can we do together The problem we re facing Decisions to close maternity units have ramifications far beyond a single health

    Original URL path: http://www.momobile.org/ObstetricsAccess.html (2016-05-02)
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  • Philadelphia Prenatal Care Access
    site listed no longer offered prenatal care Out of more than 1 500 listings only 139 providers at 61 prenatal care sites were available The wait time for an appointment averaged just above the two week standard Since the summer MCC met with all three MCOs and the Pennsylvania Department of Welfare The unintended consequences of inaccurate information was recogized and changes were made by some of the MCOs to assure consumers have accurate and easily accessible information Over the years staff at MCC and Philadelphia Citizens for Children and Youth PCCY have conducted research solely on the Philadelphia Health Care Centers Overall the average wait time has decreased by one week from 5 to 4 weeks However there is a wide range of availability for a prenatal care appointment from 3 days to up to 7 weeks enatal Appointments in Philadelphia Health Centers HEALTH CARE CENTER First Available date calling March 20 2007 First Available date calling August 7 2006 First Available date calling August 5 2005 First Available date calling February 2005 2 1720 S Broad 19145 Refers clients to Health Center 2 7 weeks September 19 14 weeks November 15 8 weeks 3 553 S 43rd 19104 5 weeks April 19 contacted 8 8 3 days August 10 3 weeks August 25 6 weeks 4 4400 Haverford 19104 3 weeks April 12 5 weeks September 7 3 weeks August 22 10 weeks 5 1920 N 20th 19121 1 5 weeks March 30 2 weeks August 18 2 weeks August 19 4 weeks 6 321 W Girard 19123 4 5 weeks April 18 4 weeks August 30 2 weeks August 17 2 weeks 9 131 E Chelten 19144 3 weeks April 9 6 weeks September 11 3 weeks August 29 2 weeks 10 2230 Cottman Av 19149 3

    Original URL path: http://www.momobile.org/draftPhiladelphiaPrenatalCareAccess.html (2016-05-02)
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  • <Norristown Prenatal Care Access>
    to 2 9 weeks in 2007 Over the same period MCO websites have listed an average of 89 providers as available to provide prenatal care When calling an average of 14 providers are actually available subtracting duplicate listing between the MCOs Prenatal appointments in Norristown all MCOs All MCOs of Providers Listed on MCO Websites of Individual providers available Average wait time for an appointment August 2005 115 15 6 weeks August 2006 87 15 5 5 weeks August 2007 64 12 2 9 weeks These numbers reflect the actual number of providers among the three MCOs excluding duplicates between their lists The charts below show the individual data collected for each of the three managed care organizations MCOs Prenatal appointments in Norristown MCO 1 MCO 1 of Providers Listed on MCO Websites of Individual providers available Average wait time for an appointment August 2005 69 6 5 weeks August 2006 32 11 5 weeks August 2007 33 11 3 weeks These numbers reflect the actual number of providers among the three MCOs excluding duplicates between their lists Prenatal appointments in Norristown MCO 2 MCO 2 of Providers Listed on MCO Websites of Individual providers available Average wait time for an appointment August 2005 24 2 7 weeks August 2006 17 10 7 5 weeks August 2007 21 7 3 4 weeks These numbers reflect the actual number of providers among the three MCOs excluding duplicates between their lists These providers were discovered in the process of calling None of them were listed on the MCO s website That is of the 21 listings 21 were incorrect and 7 providers were unlisted but available Prenatal appointments in Norristown MCO 3 MCO 3 Listed Providers of Individual providers available Average wait time for an appointment August 2005 22 7 N A

    Original URL path: http://www.momobile.org/NorristownPrenatalCareAccess.html (2016-05-02)
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