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    Maryland Department of Health
    Maternal and Child Health

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    Statewide Integrated Health Improvement Strategy Initiatives (SIHIS)

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    Background

    In 2019, the State of Maryland collaborated with the Center for Medicare and Medicaid Innovation (CMMI) to establish the domains of healthcare quality and delivery that the State could impact under the Total Cost of Care (TCOC) Model. As a result of the collaboration with CMMI, the State entered into Memorandum of Understanding (MOU), that required Maryland to provide a proposal for the Statewide Integrated Health Improvement Strategy (SIHIS) to CMMI by December 31, 2020. SIHIS aligns with statewide efforts across three domains that are interrelated: 1) Hospital Quality 2) Care Transformation Across the System and 3) Total Health Population: (a) Diabetes (b) Opioid Use Disorder and (c) Maternal and Child Health. Within the Maternal and Child Health domain, there are two goals: 

    1. To reduce the severe maternal morbidity rate, and 
    2. To decrease asthma-related emergency department visit rates for ages 2-17.  
    Severe maternal morbidity (SMM) is defined by the U.S. Centers for Disease Control and Prevention (CDC) as “ unexpected outcomes'' of labor and delivery that result in significant short-or long-term consequences to a woman's health. For more information about SIHIS’s maternal and child health goals, please visit the Health Service Cost Review Commission (HSCRC)’s SIHIS webpage here. 

    Maternal and Infant  Health Initiatives Related to SIHIS

    The Prevention and Health Promotion Administration (PHPA)/Maternal and Child Health Bureau (MCHB) has provided grant opportunities for Home-Visiting Expansion and CenteringPregnancy, funding made available by the HSCRC to support SIHIS Initiatives. These efforts support and complement Maryland’s Medicaid efforts to improve maternal health, particularly  Medicaid Home Visiting Services and Medicaid CenteringPregnancy Services. To learn more about Medicaid’s Maternal and Infant Health Initiatives, please visit Medicaid Maternal and Infant Health Initiatives. 

    Maternal Health Improvement Strategic and Action Plan

    These initiatives are part of the broader Maternal Health Improvement Strategic and Action Plan developed by the Maternal Health Task Force. The Task Force is convened by the Maryland Department of Health (MDH) to address the needs of pregnant and postpartum women in Maryland. The task force brings together a diverse group of key stakeholders, including officials from state health governing bodies, departments, and agencies; professional organizations; maternity health care providers,
    insurance payers, patient advocacy groups and local community organizations. 
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    ​ Que​​stions? ​

    Email: Mdh.MCHB@maryland.gov and please indicate “SIHIS” within the subject line.