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First Year Cleveland Community Action Council Meeting September 5, 2019

This is the agenda for the First Year Cleveland Community Action Council Meeting, featuring updates on various initiatives related to infant mortality and health disparities in Cleveland. Topics include racial bias training, infant mortality data, public policy updates, and community-based research. Join us to stay informed and engaged!

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First Year Cleveland Community Action Council Meeting September 5, 2019

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  1. First Year Cleveland Community Action Council MeetingSeptember 5, 2019 Meeting Agenda Item 1 Welcome and Opening Remarks Co-Chair, Jennifer Bailit

  2. Meeting Agenda Item 2 Executive Director Report

  3. Meeting Agenda Item 3 400 Years of Inequity Summit Art James and Margaret Mitchell

  4. Meeting Agenda Item 4 Update on Cook Ross Racial Bias Training Celina Cunanan for Tenisha Gaines

  5. Meeting Agenda Item 5 Update on Unaudited 2018 and 2019 Infant Deaths Data Report Richard Stacklin

  6. First Year Cleveland – Advisory Council September 5, 2019 RecentInfant Mortality & Birth Outcome Data Presenter: Richard Stacklin, M.Ed. Data Analyst Epidemiology, Surveillance, and Informatics

  7. Presentation Outline • Preliminary 2018 (Comparing to 2017) • Comparison of Preliminary 2018 to Prelim 2019 (through July) • Prematurity & Infant Mortality (IM) Data • Running 4 Quarters of IM & Prematurity Data • 2nd-4th Quarter 2018 & 1st Quarter 2019 Data from ODH – Bureau of Vital Statistics The Department specifically disclaims responsibility for any analyses, interpretations or conclusions.

  8. Comparison of Infant Mortality Data 2018 to 2017

  9. Comparison of 22 Weeks or less Gestation Births - 2018 to 2017

  10. Comparison of Preterm Births 2018 to 2017

  11. Prelim 2018 & Prelim 2019 IMR (through July) 2.1% 18.2% -40.1% 82.4% *2018-2019 data are preliminary

  12. Prelim 2018 & Prelim 2019 Preterm Birth Rate (through July) 1.3% -6.3% 1.8% 2.7% *2018-2019 data are preliminary

  13. Prelim 2018 & Prelim 2019 Infant Deaths by Age of Infant & Sex(through July) 2019 – 1 infant of unknown sex *2018-2019 data are preliminary

  14. Comparing Rolling 12-Month Quarterly Data July 2018-June 2019

  15. IMR by Ethnicity or Race 3rd-4th Quarter (QTR) 2018 & 1st-2nd QTR 2019 *2018 & 2019 data are preliminary

  16. Preterm Birth Rate by Ethnicity or Race 3rd-4th Quarter (QTR) 2018 & 1st-2nd QTR 2019 *2018 & 2019 data are preliminary

  17. Very Preterm Birth Rate by Ethnicity or Race 3rd-4th Quarter (QTR) 2018 & 1st-2nd QTR 2019 *2018 & 2019 data are preliminary

  18. Babies born 22 Weeks or less Gestation by Ethnicity or Race: 3rd-4th Quarter (QTR) 2018 & 1st-2nd QTR 2019 *2018 & 2019 data are preliminary

  19. Summary • Improvementin 2018 Black IM/PTB Rates • Slight Regression of 2018 White IM/PTB Rates • 2018 Hispanic IMR highest since 2013 • 1st QTR 2019 – Poor outcomes • Especially Births < 22 weeks • 2nd QTR 2019 – Good outcomes • Especially Births < 22 weeks

  20. QUESTIONS???

  21. Meeting Agenda Item 6 Update from FYC Public Policy and Engagement Committee Marcia Egbert, Natoya Walker Minor and ACS

  22. Meeting Agenda Item 7 Update from Center for Community Solutions John Corlett

  23. First Year Cleveland Engagement and Public Policy Committee – Contract Update John R. Corlett President and CEO 09/05/19

  24. Community Solutions - Strategic Priorities

  25. First Year Cleveland - Engagement and Public Policy Support provided for: • Tobacco 21 Maternal and Child Health and Wellbeing • Paid family leave Social Determinants of Health • Medicaid reimbursable services supporting healthy pregnancies System Financing

  26. Tobacco 21 Report: • Basics of Tobacco 21 laws • Maternal and infant health benefits of the laws • Baseline tobacco-related health data for the state and county • Ohio landscape: local and state Tobacco 21 policies in place • Best practice in policy development and enforcement

  27. Paid Family Leave Report: • Basics of paid family leave policies • Maternal and infant health and other benefits of paid family leave • Compilation of existing Ohio jurisdictional PFL policies • Recommendations for opportunities to achieve broader paid leave coverage for county employees

  28. Medicaid Report: • Findings from First Year Cleveland member surveys & key informant interviews • Considerations regarding billing for current services and programs of First Year Cleveland • Potential for better utilization of existing billing codes and advocacy for new codes

  29. Next Steps • Finalizing reports • Presentation to the Public Policy and Engagement Committee • Joint public releases

  30. jcorlett@communitysolutions.com www.communitysolutions.com

  31. Meeting Agenda Item 8 Key Events Led by FYC Action Team 2 Tracy Carter

  32. FYC Pregnancy and Infant Loss (PAIL) InitiativeUpcoming Events & Updates

  33. Debra Adams Simmons Executive Editor for Culture at National Geographic

  34. PAIL Community-Based Research Study • 150 African American men and women interviewed • Data analysis will be completed by September 30th • Study findings will be shared with FYC Executive Committee & Community Action Council

  35. Stay Connected! Website: PAILConnect.org Facebook, Instagram & Twitter: @PAILConnectCLE

  36. Meeting Agenda Item 9 Update on Cuyahoga OEI Angela Newman White and Lisa Matthews

  37. Ohio Equity Institute A Collective Impact Approach

  38. Ohio Equity Institute Established in 2014 by Ohio Department of Health and CityMatCH Comprised of 9 counties with highest incidence of Black infant death Focused on upstream and downstream strategies to improve birth outcomes of Black families

  39. Our Community Engagement Work • Identify and implement community driven strategies to improve birth outcomes • Recruitment and engagement of community members to inform the work • Utilize Collective Impact model through Collective Impact Learning Collaborative (CILC)

  40. 2010-2014 Infant Deaths by Zip code

  41. Infant Mortality Rate by Race by Zip code2010-2014 5-Year ACS – Census Data Per 1,000 live births

  42. 44128 One Community strategies Community Building Events Partnership with Faith Based Institutions to increase breastfeeding rates Advocate for labor and delivery services for residents in 44128 and surrounding communities

  43. 44128 Infant Death Count by Race, 2010-2018 From 2010 to 2016, 44128 averaged more than 8 infant deaths per year In 2017, 0 infant deaths!

  44. 44137 One Community

  45. OEI 2.0 Connect pregnant women to services Adopt policies that improve opportunities for women to achieve healthy birth outcomes

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