Maternal Opiate Medical Supports Plus (MOMS+)

 

Between 2004 and 2011, the diagnosis of opioid abuse or dependence grew 491 percent among delivering mothers in Ohio. One result of maternal OUD is neonatal abstinence syndrome (NAS), which is a drug withdrawal syndrome that may occur in opioid-exposed newborns shortly after birth.The OUD and NAS epidemics are steadily increasing, overwhelming social service systems and public payers. 
In 2015, it was reported that one baby suffering the effects of NAS is born in the United States every 25 minutes 
 

Ohio tested models of care for pregnant women with OUD in a project known as Maternal Opiate Medical Supports (MOMS).  OPQC successfully implemented an NAS care bundle in 52 Level II and III NICUs across the state. OPQC will build on these previous efforts to test and spread a “Mentor-Partner” model to improve care and outcomes for pregnant women with OUD and their infants in the MOMS+ initiative.  OPQC will work in collaboration with the Ohio Department of Mental Health and Addiction Services (ODHMAS), the Ohio Department of Medicaid (ODM), and the Ohio Department of Health (ODH) efforts to optimize the maternity medical home and improve outcomes for pregnant women with OUD and their infants.   
The goal of MOMS+ is to improve care and outcomes for the mother-infant dyad by supporting maternity care providers in the care of pregnant women with OUD, working closely with those who provide medication assisted treatment (MAT) and behavioral health (BH) therapy.  OPQC recognizes that the need for MAT, BH, and social services for OUD, a chronic disease, is not going to end at the time of delivery.  A reliable plan for coordination of care and continued support for the mother-infant dyad is needed in the postpartum period. 

The “Mentor-Partner” model in the MOMS + initiative will build on the expertise of faculty who provide successful maternity medical homesfor pregnant women with OUD prototypes and those who developed and implemented neonatal abstinence syndrome care bundles.  These faculty will serve as Mentors to build the capacity and capability of Partner maternity care practices. The project aims to:

  • Increase the identificationof pregnant women with OUD
  • Increase the % of women during pregnancy who receive PNC, MAT, BH counseling each month
  • Improve the communication amongst OB, OTP, and Community Resources
  • Inrease the % of women with negative toxicology screen at delivery 
  • Decrease the % of full term infants with NAS requiring pharm treatment
  • Increase the % of babies who go home with their mother
  • Improve the hand-off for continued care following pregnancy

Key Driver Diagram

MOMS+ Project Information (One Pager)

Action Period Calls

  • December 7, 2018

Learning Session

  • November 1, 2018
    For videos, photos, and slides, click here
The OPQC MOMS+ Project is funded by the Medicaid Technical Assistance and Policy Program (MEDTAPP) and administered by the Ohio Colleges of Medicine Government Resource Center. The views expressed on this website are solely those of the authors and do not represent the views of state or federal Medicaid programs.