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Thought Starter: Ideas to address coordination and/or communication between HCPs for consistent care and advice for new and expectant moms

How might we enable better coordination/communication between Health Care Providers (HCPs) & HCPs & pregnant/new moms? Please Build On This!

Photo of Kate Rushton
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In no more than 3 sentences, please tell us who your idea is designed for and how it reimagines the new life experience.

This thought starter is to encourage ideas for HCPs that enable better coordination of care/communication of advice and information saving time, resources and alleviating new/expectant moms (and her support network's) concerns when she receives conflicting advice/information and inconsistent care.

Expectant and new moms can suffer from an uncoordinated approach to their pregnancy planning and delivery, as well as conflicting information between health care providers (HCPs).  

For example, a patient could get the recommendation from their rheumatologist to continue their immunology treatment whereas when she goes to her OBGYN, the recommendation could be to stop. What should she do?

What products and services could enable a coordinated response and/or consistent advice and information from different HCPs to support expectant and new moms?

These products and services should be easy to use and not too time consuming, yet still, ensure the accuracy of information that is delivered in a timely fashion. 

I am unable to develop an idea from this thought starter. Please do develop your own ideas in this topic area.

Additional background information/supporting research:

'Early and regular prenatal care throughout a pregnancy plays a critical role in the health and wellbeing of mother and baby. Women on Medicaid generally begin prenatal care later in pregnancy and have fewer medical visits during their pregnancy than their non-Medicaid enrolled peers.'

“For women in rural areas, issues such as transportation may be keeping them from accessing coverage,” she says. “In addition, cultural or language barriers may prevent some women of color from obtaining care.”

Source: 

Coordinated care organizations lead to more timely prenatal care, Synergies, JULY 31, 2017

'Megan and Mark, of Wadsworth, had been doing research since learning of their baby's diagnosis and had lots of questions. But instead of talking to doctors on separate visits, they got to spend time with their entire medical team assembled in one place.

This included a pediatric neurosurgeon, neurologist, neonatologist, high-risk obstetrician, radiologist, geneticist, and the coordinator of the hospital's spina bifida clinic.

"They can get mixed messages," said Michelson. "That's what's great about bringing everyone to the same table. It's kind of magical for patients to see their child's entire care team together in one room. It's very reassuring."

"It makes us feel at ease to know everyone is on the same page," said Megan.

Source: Expectant parents appreciate coordinated care, Akron Children's Hospital, 2016-08-10 10:45:45 by Holly Pupino, Media Relations Specialist, as posted on the inside.akronchildrens.org blog.

Below are the findings of research 'Caught in the middle? How women deal with conflicting pregnancy-advice from health professionals and their social networks' that might be of help to ideators in the ideas phase:

'Women faced misalignment of pregnancy-related advice from their health professionals and family/friends. This misalignment led to dilemmas for the women, who were often caught in the middle.'

'For the native Dutch respondents, this misalignment did not seem to present a challenge. They had a strongly articulated preference for the advice of health professionals, and did not fear any social consequences for openly following their advice. For the women with a Turkish/Moroccan background, however, this discrepancy in advice presented a dilemma. Following one piece of advice seemed to exclude also following the other one, which would possibly entail social consequences. These women employed one of the three strategies to deal with this dilemma: a) avoiding the dilemma (secretly not following the advice of one side), b) embracing the dilemma (combining conflicting advice), and c) resolving the dilemma (communicating between both sides).'

'we recommend involving not only caregivers but also women׳s social network in intervention efforts. Interventions could aim to increase the negotiation capacity of the target group, but also to increase the health literacy of the members of their social network to enable the circulation of ‘new’ information within a rather homogeneous, tight-knit network.'

Source: 

Caught in the middle? How women deal with conflicting pregnancy-advice from health professionals and their social networks, Midwifery Journal, Vera L.N. Schölmerich, PhD et al, April 2016Volume 35, Pages 62–69

At what stage is your idea?

  • Back of the Napkin Sketch: I came up with this concept and would love support in making it come to life!

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

I look forward to seeing some ideas from the OpenIDEO community in this topic area.

What skills, input or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

I am unable to take this further. I look forward to seeing the OpenIDEO community developing ideas in this area.

Tell us about your work experience:

I am a Community Manager for this challenge.

This idea emerged from...

  • A group brainstorm

Are you an expecting, new, or experienced mom?

  • no

Are you a healthcare practitioner?

  • no

Are you a current employee of UCB Pharmaceuticals or Sutter Health?

  • no

1 comment

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Photo of Rasal Lia
Team

Hi, Kate Rushton, thanks for your thinking. Do you feel any mobile apps/ video conference for better coordination and communication between HCPs and the Moms at home?
Good wishes.