Envision

Maternal and Infant Health

 

The healthcare goals for people in this group

 

Staying healthy and flourishing

The healthcare concerns of the group

 

Major Components of Health Care

Prenatal services, delivery, and perinatal care; fertility control and enhancement

Goals for Health Care

Staying healthy

 

How people in this group use healthcare

 

Visits to healthcare provider’s offices, health clinics, occupational health, and use of health information available to the public

 

Vision for Healthy Adults and Children

 

Cost:

Basic cost for health care services, treatments and support services are covered fully. In addition where appropriate lifestyle related interventions, screening and prevention activity are also covered.

 

Coverage:

The coverage is universal and not dependent on the condition, stage of life or ability to pay. Current arrangements through Medicare, the VA or other insurers will continue to provide services. Easy to use tools to most effectively choose health coverage plan. Prevention and early diagnosis is fully covered under his health plan. Additionally lifestyle improvements are also covered. Supplemental insurance may be purchased. Plans may compete of riders for additional services. Employers may also provide additional services

 

Access:

The healthy person selects his provider for prevention utilizing a Primary Care physician, local pharmacy, or certified health club. The person has a primary care doctor who will coordinate their care and provide resources for health lifestyle, screening and preventive activity. There are community resources available for various healthy activities. Public web sites and other media services as well as social organizations promote Optimal Care. Certified health clubs provide more specialized services. Equal access to health care services; equal access to healthy lifestyle choices, health education, and maintenance; opportunities tailored to situation. Administrative needs are minimal.

 

Quality Healthcare:

Patient Centered (No Helplessness or Unjustified Routines): Care is patient centric and is provided with dignity, cultural sensitivity and respect for the person. Information is provided in age and education level appropriate manner. Informed and shared decisions reflecting parents’ values (constrained by legal limits).

 

Safe (No Harm): Care that is provided will be safe from errors. This will be of particular importance regarding immunizations and programs for physical activity. Minimal and known risk from false positive or false negative screenings.

Effective (No Needless Failures): Specific outcomes will be measures and adjustment in the services made. Recommendations from national agencies and groups will be followed.

 

Efficient (No Waste): For brief acute episodes, diagnosis is made and care provided in timely efficient manner. For immunizations particularly for children, a plan is formulated according to an informed dialogue with the person or their legal representatives. Government and professional association guidelines are readily available and are transparent. Regulatory agencies oversee quality of services, and advertising to consumers.

 

Timely (No Needless Delays): Evaluation and treatment for brief acute episode is available promptly. Convenient and responsive scheduling, no waiting for health care services; immediate access to results of tests; immediate access to clinical guidance and other information; timely education and support;

 

Equitable (No Unjustified Variation): Preventive services are provided universally with no bias due to personal characteristics. Regulatory agencies oversee quality of services, and advertising to consumers.

 

Coordination of Care (Social Determinants): 

Care is patient centric and revolves around the patient (person who is frail) and their doctor (clinician). Public health services that have provisions for early identification of community trends. Education regarding risk factors and practical ways to avoid them. For identified problem and secondary prevention, care is coordinated regionally, through medical records, supported by privacy provisions.

 

Innovation (Public Reporting and Transparency:

The goal of innovation is to improve quality of the person thorough achieving and maintaining optimal function. Personalized medicine, identified early susceptibility based on genetics, technological tools to assure compliance with treatments and ability to monitor response to interventions. Utilization of personal medical records that can automatically provide reminders of needed screening, immunizations and monitoring response. A personal record of treatments for acute episodes including medications and side effects that is paper or electronic based. Advance care plans available for those interested. Access to information about treatment options is available in language and level of education of the person. Secure message capability.

 

Maternal and infant care by the numbers  

 

Population (in United States)

10 million (4 million mothers and babies, 2 million fertility problems)

Cost/Person/Year

$12,000 per delivery, $2,000 per infant, $1,000 per fertility problem

Total Cost/Year

$60 billion

 

The healthcare goals for people in this group

 

Healthy babies, low maternal risk, control of fertility

Typical Example

 

Mrs. Brown, a 26-year-old waitress, had regular contact with her gynecologist for contraception and general health monitoring until deciding to become pregnant. A year later, she sought fertility treatment and had monitoring through normal pregnancy and delivery. Her newborn’s checkups and immunizations follow national guidelines.

My Optimal Well-being

 Healthy Adults and Health Children