#DC Mat ernalHealth

lth ea lH na ter Ma #DC DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH Healthy Babies Start with Healthy Women PROGRAM GUIDE

Wednesday, September 12th 9:00 a.m. – 3:00 p.m. WELCOME FROM THE MAYOR

Welcome to Washington, DC, and thank you for joining us at the District’s inaugural Maternal and Infant Health Summit. Throughout today, with the help of mayors, healthcare providers, policy makers, and other leaders and experts, we will share best practices and develop strategies for improving maternal and infant health. Together, we will begin the process of developing a nationwide agenda that addresses disparities in health outcomes, builds strong families and healthy environments, and ensures that all women receive high-quality healthcare before, during, and after childbirth. By equipping mothers and stakeholders with information and best practices, we can advance the health and well-being of women in Washington, DC and in communities across the country.

THANK YOU FOR JOINING US. LET’S GET TO WORK.

Muriel Bowser, Mayor ABOUT MAYOR MURIEL BOWSER PROGRAM OVERVIEW

As Mayor of her hometown, Muriel Bowser is Bringing together mayors, healthcare experts, committed to building pathways to the middle policymakers and members of the community, class and making sure every Washingtonian the inaugural Mayor Muriel Bowser Maternal gets a fair shot. Washington, DC is a growing and Infant Health Summit will inform attendees and prospering city—now 700,000 residents on trends and initiatives in maternal health. strong. To keep up with this growth, the Bowser Administration remains focused on making Led by Washington, D.C. Mayor Muriel Bowser, DC’s prosperity more inclusive, advancing a mayoral panel will present lessons learned DC values, and building safer, stronger, and across respective jurisdictions. Thought leaders healthier neighborhoods across all eight will share ideas on improving preconception wards of the District. health, advancing best quality health services and care, strengthening families and promoting During her first term, Mayor Bowser has taken healthy environments. Other panelists will bold steps to expand employment opportunities, share innovations in perinatal health, including end homelessness, and invest in programs and initiative successes, overcoming disparities in policies that set more families up for success. underserved populations, reducing risk factors Today, Washington, DC is a diverse and inclusive for poor birth outcomes and best practices for city, a leader in tech and innovation, and a before, during and after pregnancy. place where residents and entrepreneurs of all backgrounds can thrive. During lunch Cathy Hughes will host a conversation with Mayor Muriel Bowser and Sworn in on January 2, 2015, Mayor Bowser Valerie Jarrett on the critical importance of pledged to bring a fresh start to the District maternal and infant health. of Columbia and foster a culture of inclusion, transparency, and action. Prior to her time Combining the perspectives of those presenting as Mayor, Bowser served as the Ward 4 and in attendance, we plan to advance a frame- Councilmember on the Council of the work to improve maternal and infant health, District of Columbia. and in turn, lay the groundwork for healthy and happy mothers and future generations. Attendees will have the opportunity to connect with each other and engage with thought leaders THE DISTRICT’S between sessions and at the health fair following FRAMEWORK the event. On-site childcare will be provided. to improve maternal and infant health is based on the overarching goal to ensure that every community understands its health risks and role in improving perinatal health outcomes.

DCMaternalHealth.com 1 AGENDA

9:00 a.m. – 3:00 p.m. MAYOR KAREN STACEY D. STEWART FREEMAN-WILSON President, March of Dimes SUMMIT HEALTH FAIR Gary, Indiana, First Vice President, KELLY SWEENEY MCSHANE 9:00 – 9:30 a.m. National League of Cities President and CEO Community of Hope REGISTRATION/LIGHT MAYOR VI LYLES BREAKFAST IN FOYER Charlotte, NC Objectives: ✔ Provide overview of current 9:30 – 9:35 a.m. MAYOR LOVELY WARREN trends in maternal and infant Rochester, NY health including maternal WELCOME mortality, infant mortality, birth MAYOR KAREN WEAVER outcomes and health disparities Flint, MI 9:35 – 9:45 a.m. ✔ Present best practices in OPENING REMARKS healthcare and community 10:25 – 10:30 a.m. health to improve maternal MAYOR MURIEL BOWSER DC Mom Speaks and infant health ✔ Share recommendations for LAQUANDRA S. healthcare and public policy NESBITT, MD, MPH 10:30 – 11:05 a.m. at federal, state, and local Director, DC Department PANEL 2: “A Healthy Start level to improve maternal of Health for All: Why Maternal and and infant health Infant Health Matters” 9:45 – 10:25 a.m. Moderator: 11:05 – 11:20 a.m. PANEL 1: Mayoral Panel: DR. ROGER A. MITCHELL JR. BREAK Sharing best practices District of Columbia Chief and lessons learned Medical Examiner 11:20 – 11:25 a.m. Moderator: DR. MICHAEL LU DC Mom Speaks MARIA HARRIS TILDON Professor and Senior Associate CareFirst BlueCross Dean for Academic, Student BlueShield & Faculty Affairs, Former MAYOR MURIEL BOWSER Director of Maternal and Washington, DC Child Health Bureau, HRSA MAYOR TONI HARP MARIA GOMEZ New Haven, CT President and CEO, Mary’s Center

2 DCMaternalHealth.com 11:25 a.m. – 12:00 p.m. 12:00 – 1:00 p.m. DR. AUDRA MEADOWS Chair, Massachusetts Perinatal PANEL 3: “Community LUNCHEON Quality Collaborative Driven Solutions: The Key A conversation with to Sustainable Progress” CATHY HUGHES featuring DR. MELISSA FRIES MAYOR MURIEL BOWSER Reproductive Geneticist Moderator: and VALERIE JARRETT and High Risk Obstetrician, DR. TANYA ROYSTER MedStar Washington Director, District of Columbia Hospital Center Department of Behavioral Health 1:00 – 1:05 p.m. Objectives: BRENDA RHODES MILLER DC Mom Speaks ✔ Describe current Executive Director, DC Campaign recommendations and to Prevent Teen Pregnancy 1:05 – 1:40 p.m. standards of care for SARAH BARCLAY HOFFMAN PANEL 4: “Place Matters… expectant women, including high-risk pregnancies Assistant Director, Early and So Does Quality: Childhood Innovation Network Clinical Innovations in ✔ Explain initiatives at local, Perinatal Health” state, and national level CHERIE CRAFT designed to improve quality CEO/Founding Executive Moderator: of obstetrical care (i.e. 17p, Director, Smart From the Start DR. PAMELA aspirin, MMRC, etc) RILEY, MD, MPH ✔ Describe factors that Objectives: Medical Director, contribute to the success of ✔ Describe evidence based DC Department perinatal initiatives designed initiatives to decrease teen of Health Care Finance to improve healthcare quality pregnancy and advance the ✔ Explain the health and social DR. HUGH E. MIGHTY goals of reproductive justice impact on women and Dean, College of Medicine ✔ Share best practices in newborns of healthcare community based/community & Vice President, Clinical led initiatives that address Affairs, Howard University social determinants of health 1:40 – 2:00 p.m. DR. DANA SMITH and health disparities NEXT STEPS Maternal Fetal Medicine ✔ Share best practices/strategies Specialist, Kaiser Permanente LAQUANDRA S. in preconception and NESBITT, MD, MPH interception care to reduce Director, DC Department risk factors for poor birth outcomes that rely on public- of Health private and/or academic- community partnerships

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MAYORS

MAYOR KAREN MAYOR TONI HARP MAYOR VI LYLES FREEMAN-WILSON New Haven, Connecticut Charlotte, North Carolina Gary, Indiana Toni Nathaniel Harp is the On Dec. 4, 2017, Vi Lyles Karen Freeman-Wilson 50th Mayor of New Haven. was sworn in as the 59th has been the Mayor of First elected in 2013, she mayor of Charlotte, North her hometown since 2012 actively advocates for Carolina. As a Democratic becoming the first female social justice for all residents leader, she is known for her to lead Gary and the first and for Women’s Rights strong commitment toward African-American female with an attention to pay creating jobs, expanding Mayor in Indiana. She equity. Mayor Harp is the affordable housing options attributes the progress in first African American and supporting safe, livable Gary to the efforts of “Team woman to lead the Elm City neighborhoods. Under her Gary,” a group that includes as Mayor. She commenced leadership, the City of city staff, members of other her leadership service over Charlotte continues to government branches and two decades ago as a grow into a center of those in the corporate, member of New Haven’s business enterprise and educational and non-profit Board of Aldermen and cultural diversity. arena. She is the First Vice later State Senator for President of the National Connecticut’s General League of Cities and Assembly’s 10th district. Chairperson of the Criminal and Social Justice Committee of the U.S. Conference of Mayors.

4 DCMaternalHealth.com OUR APPROACH aligns with nationally- lth recognized best practices, rnalHea #DCMate and reflects the core principles identified to decrease perinatal health disparities and improve maternal and child health.

MAYOR CATHERINE E. PUGH MAYOR LOVELY WARREN MAYOR KAREN WEAVER Baltimore, Maryland Rochester, New York Flint, Michigan As the 50th Mayor of the Mayor Lovely Ann Warren Karen Williams Weaver City of Baltimore, Catherine is Rochester’s first female was born and raised in Flint, Elizabeth Pugh has pursued an and second African-American Michigan. Mayor Weaver aggressive agenda to revitalize mayor. She is also Rochester’s has served in the Flint and neighborhoods, create path- youngest mayor. Her admin- Genesee County Community ways of opportunity for young istration focuses on job in a variety of roles including: people and enhance the safety creation, fostering safer and The Hurley Board of of citizens, while ushering in a more vibrant neighborhoods Managers; The Community new era of community policing and improving educational Foundation of Greater Flint; and accountability within the opportunities for Rochester’s Priority Children and has Baltimore Police Department. residents. She is a member of served as Flint NAACP As a public servant since 1999, the African-American Mayors Freedom Fund Chair. Her Mayor Pugh understands that Association board of trustees, love for the arts led her to solutions to the most complex the U.S. Conference of Mayors, serve on the board of the challenges are best determined and the National League of Flint Institute of Arts as well through collaboration and Cities Youth Education and as past president of the sustained partnerships. Families Committee. Pierians Inc., Flint Chapter, a group dedicated to exposing the arts to inner city youth.

DCMaternalHealth.com 5 PANELISTS

DR. MICHAEL LU DR. AUDRA MEADOWS KELLY SWEENEY MCSHANE Professor and Senior Obstetrician – Gynecologist President & CEO Associate Dean for Brigham & Women’s Hospital Community of Hope Academic, Student Dr. Meadows cares for women Kelly Sweeney McShane & Faculty Affairs before, during and after pregnancy is CEO of Community of George Washington to ensure positive pregnancy and Hope, which provides primary University birth experiences. As an Obstetrician care at three health centers Dr. Lu is senior associate and Gynecologist at The Brigham and works to end family dean at George Washington and Women’s Hospital and faculty homelessness. Kelly serves University School of Public at Harvard Medical School, Dr. on the Board of the DC Health. He was director Meadows teaches residents and Primary Care Association of the federal Maternal medical students and devotes time and on the Interagency and Child Health Bureau to prenatal care practice innovation Council on Homelessness. in the Obama Administration, and advocacy. Her clinical, public Kelly was recognized as a during which he launched health and policy initiatives aim to Woman Who Means Business major national initiatives to prevent preterm birth and infant by the Washington Business reduce maternal and infant mortality, achieve health equity and Journal in 2017. She received mortality. He was formerly create value. At BWH, she is the a MBA from Georgetown professor of obstetrics- Director of Practice Quality and University and a BA from gynecology at UCLA. Innovation in the Ambulatory Harvard University. Obstetrics Practice. In Massachusetts, Dr. Meadows holds leadership roles with the Massachusetts Perinatal Quality Collaborative (MPQC) and PNQIN (the Perinatal Neonatal Quality Improvement Network of Massachusetts). 6 DCMaternalHealth.com BRENDA RHODES MILLER SARAH BARCLAY HOFFMAN DR. DANA SMITH Executive Director Assistant Director Obstetrician – Gynecologist DC Campaign to Prevent Early Childhood Innovation Mid-Atlantic Permanente Teen Pregnancy Network / Children’s Medical Group Brenda Rhodes Miller is National Health System Dana Smith, MD is a Maternal- the founding executive Sarah Barclay Hoffman, MPP, Fetal Medicine specialist director of DC Campaign is a Program Manager with in the Department of to Prevent Teen Pregnancy Children’s National Health Obstetrics and Gynecology. which was established to System, where she oversees an Dr. Smith was born in cut the city’s teen pregnancy early childhood and perinatal Washington DC and rate in half. DC Campaign mental health portfolio. She also completed her undergraduate has accomplished its mission serves as Assistant Director of education at the University of twice since 1999 and is the Early Childhood Innovation Maryland, where she earned dedicated to making teen Network, a DC collaborative a degree in Biochemistry. She pregnancy a thing of the past. promoting resilience in families then received her medical and children from pregnancy degree from Northwestern through age 5. University Feinberg School of Medicine in Chicago. She joined the Mid-Atlantic Permanente Medical Group in 2014 and is pleased to return to home closer to family and serve the community in which she was raised.

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PANELISTS

HUGH E. MIGHTY, MD, MBA, FACOG CHERIE CRAFT, M.ED Dean, College of Medicine & CEO/Founding Executive Director Vice President, Clinical Affairs Smart from the Start Howard University Cherie Craft, M.Ed grew up in a low-income Hugh E. Mighty, MD, MBA, FACOG serves as Boston community and is passionately the Dean of the Howard University College of committed to bettering the lives of underserved Medicine and Vice President of Clinical Affairs. children and families. As the founding CEO Dean Mighty oversees the College of Medicine’s of Smart from the Start, her goal is to help academic programs and provide oversight for families thrive and to promote school- the administrative and financial operation of readiness, all while creating environments the College of Medicine. Dean Mighty also conducive to healthy child development. serves as Vice President of Clinical Affairs, having oversight of the relationship between the academic enterprise and the hospital and responsibility for the development and direction of the Faculty Practice Plan. He is a tenured professor on the faculty in the Department of Obstetrics and Gynecology with a specialty in Maternal Fetal Medicine. Dean Mighty brings to Howard University a passion for working to create lasting positive change at both institutional and community levels.

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DR. MELISSA FRIES STACEY DAVIS STEWART Reproductive Geneticist and High Risk Obstetrician President MedStar Washington Hospital Center March of Dimes Dr. Melissa Fries is the chair of the Women’s and Stacey D. Stewart joined March of Dimes as Infants’ Department at Medstar Washington Hospital. its fifth President on January 1, 2017. In this She has spent over 35 years in medicine, caring for role, Stewart heads the organization leading women and infants. Her present clinical role at MWHC the fight for the health of all moms and babies. is as the director of the Special Moms/Special Babies She is responsible for all aspects of the program, caring for women who themselves have organization’s strategy, vision and operations. congenital or genetic disorders or whose babies have been diagnosed with such conditions. She also Stewart came to March of Dimes from is vitally interested in the early prenatal care and United Way Worldwide, where she held the management of complicated maternal health several positions, most recently serving as concerns, and has been a strong promoter of the U.S. President of United Way, the nation’s maternal mental health program as well as the largest nonprofit organization. There she maternal morbidity review committee program provided strategic direction for more than supported by Mayor Bowser. 1,000 local United Ways. Stewart was also responsible for United Way’s national efforts in education, financial stability and health.

DCMaternalHealth.com 9 A CONVERSATION WITH CATHY HUGHES FEATURING MAYOR MURIEL BOWSER AND VALERIE JARRETT

CATHY HUGHES MAYOR MURIEL BOWSER Founder and Chairperson Washington, DC Urban One, Inc Cathy Hughes is a dynamic, media pioneer As Mayor of her hometown, Muriel Bowser is who demonstrates the power of one – one committed to building pathways to the middle woman, one vision, one company – Urban One, class and making sure every Washingtonian formerly known as Radio One. As Founder gets a fair shot. Washington, DC is a growing and Chairperson of Urban One, Inc., the and prospering city—now 700,000 residents largest African-American owned and operated, strong. To keep up with this growth, the Bowser broadcast company in the nation, Hughes’ Administration remains focused on making unprecedented career has spawned a DC’s prosperity more inclusive, advancing multi-media conglomerate that generates DC values, and building safer, stronger, and original content across the spectrums of radio, healthier neighborhoods across all eight television and digital media. She also became wards of the District. the first woman Vice President and General During her first term, Mayor Bowser has taken Manager of a station in the nation’s capital and bold steps to expand employment opportunities, the first African-American woman to chair a end homelessness, and invest in programs and publicly held corporation. She, along with her policies that set more families up for success. son and business partner Alfred Liggins, III, Today, Washington, DC is a diverse and inclusive has grown Radio One, Inc. into a multi-media city, a leader in tech and innovation, and a company that is an urban radio market leader place where residents and entrepreneurs of with 56 stations comprised of hip hop, R&B, all backgrounds can thrive. gospel and talk radio formats.

10 DCMaternalHealth.com VALERIE B. JARRETT Former Senior Advisor, Obama Administration Valerie B. Jarrett is a former Senior Advisor to the President under the Obama Administration, notable for being Obama’s longest serving advisor and trusted confidante. She is currently a senior advisor to the Obama Foundation and the media company ATTN:. She also serves on the boards of Ariel Capital Management Holdings, 2U, and Lyft, is a senior fellow at the University of Chicago Law School, and President of the Board of When We All Vote. Under Obama, Ms. Jarrett served as Director of the Offices of Public Engagement and Intergovernmental Affairs and Chaired the White House Council on Women and Girls. She worked throughout her tenure at the White House to mobilize elected officials, business and community leaders, and diverse groups of advocates. She led the Obama Administration’s efforts to expand and strengthen access to the middle class, and boost American businesses and our economy. Ms. Jarrett was also a champion of equality and opportunity for all Americans, and worked to empower woman around the world both economically and politically. She oversaw the Obama Administration’s advocacy efforts to support working families, including policies aimed at raising the minimum wage, and promoting equal pay, paid leave, paid sick days, workplace flexibility, and affordable childcare. She also led the campaigns to reform our criminal justice system, end sexual assault, and reduce gun violence. Ms. Jarrett has a background in both the public and private sectors. She served as the Chief Executive Officer of The Habitat Company in Chicago, Chairman of the Chicago Transit Board, Commissioner of Planning and Development, and Deputy Chief of Staff for Chicago Mayor Richard M. Daley. She also served as the director of numerous corporate and not-for-profit boards including Chairman of the Board of the Chicago Stock Exchange, Chairman of the University of Chicago Medical Center Board of Trustees, and Director of the Federal Reserve Bank of Chicago. Ms. Jarrett has also received numerous awards and honorary degrees, including TIME’s “100 Most Influential People” as well as the Abner J. Mikva Legal Legends Award. Jarrett received her B.A. from Stanford University in 1978 and her J.D. from the University of Michigan Law School in 1981.

DCMaternalHealth.com 11 DC MATERNAL AND INFANT HEALTH PROGRAMS

Chronic Disease Self-Management Program Newborn Metabolic Screening Program Evidence-based program to teach DC residents Ensures all newborns born in the District of skills (such as learning healthier eating habits; Columbia have screening for metabolic and genetic communicating with doctors and making informed disorder, and ensures all abnormal screens receive treatment decisions) to improve chronic appropriate follow up care. Call 1-800-MOM-BABY disease (diabetes, hypertension) outcomes. or 1-800-666-2229 for more information. Call 202-442-5925 for more information. Place-Based Initiatives DC Healthy Start Innovative programs (Smart from the Start and Comprehensive assessments and linkages, health Early Childhood Innovation Network) located in promotion and education for preconception, neighborhoods or housing communities to improve prenatal, interconception, and postpartum health outcomes for children ages zero to five and women and their families. Call 1-800-MOM-BABY their families. These programs meet a critical need or 1-800-666-2229 for more information. to provide multi-generational supports for all the District families who do not want a home visit. DC Quitline Pregnancy Program Offers education, nicotine replacement therapy Special Supplemental Nutrition Program and individual counseling for all District residents. for Women, Infants, and Children (WIC) The Pregnancy Program offers enhanced behavioral Program services include health assessments, support through additional counseling sessions nutrition intervention, education and counseling, and postpartum follow up to prevent relapse. breastfeeding promotion and peer counselor Call 1-800-QUIT-NOW or visitdcquitline.com. support along with a monthly, nutritionally Make the DC Quitline your lifeline today. prescribed tailored food package that includes healthful food options. Help Me Grow Systematically connects children at-risk for Teen Pregnancy Prevention Programs developmental delays and disabilities with needed Seven evidence-based or evidence-informed services through comprehensive physician and programs are being implemented in clinical, school community outreach and centralized information or community-based settings to promote youth and referral centers. Call 1-800-MOM-BABY or social-emotional development and to increase access 1-800-666-2229 for more information. to adolescent-friendly health services. Programs includes Children’s National Medical Center Maternal, Infant Early Childhood Home Generations Program, Sasha Bruce Teen Outreach Visitation (MIECHV) Program, Florence Crittenton Services of Greater Evidence-based home visiting services for at-risk Washington SNEAKERS and PEARLS programs, the pregnant women and parents with young children Urban Institute PASS program, Healthy Babies Inc., up to kindergarten entry. Big Brothers Big Sisters, and Young Women’s Project. Call 202-442-5905 for more information.

12 DCMaternalHealth.com DC STATISTICS

The percentage of preterm births for 1st 2x non-Hispanic Black mothers was DOUBLE THE PERCENTAGE for White mothers. Mothers who entered prenatal care The majority of infant deaths occur during in the 1st trimester 57% THE EARLY NEONATAL PERIOD, during 2015-2016 the first 7 days of the infant’s life.

Mothers who had a history of pre-pregnancy 52% 3x diabetes were 3 TIMES MORE LIKELY to have preterm births.

non-Hispanic The percentage of preterm births was black mothers 45% 45% HIGHER for women who smoked compared to women who did not smoke. 86%

We can non-Hispanic white mothers DECREASE recurrence of preterm births by 64% 33%

Hispanic mothers

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PARTNERS

Lunch Presented by CareFirst BlueCross Blue Shield

Breakfast Presented by Sibley Memorial Hospital

14 DCMaternalHealth.com lth rnalHea #DCMate CONFERENCE MAP

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