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) led by the Ohio Department of Mental Health and Addiction Services (ODHMAS).  OPQC successfully implemented an NAS care bundle in 52 Level II and III NICUs across the state. OPQC is building on both of 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 Plus initiative.  OPQC is working in collaboration with the 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 Plus 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 in addition to various support organizations.  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 builds on the expertise of faculty who provide successful maternity medical homes for pregnant women with OUD prototypes and those who developed and implemented neonatal abstinence syndrome care bundles.  These faculty 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
  • Increase 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

Resources

Key Driver Diagram

MOMS+ Project Information (One Pager)

Provider Resources

Pause Before You Prescribe Opioids (brochure for clinicians who prescribe to women of reproductive age)

Your Recovery is the Priority (poster for women in treatment)

Patient Resources

Are You in Treatment or Recovery? (brochure for women in treatment)

Your Recovery is the Priority (poster for women in treatment)

"Neonatal Abstinence Syndrome: A Guide for Families"

Action Period Call Schedule

  • July 19, 2019
  • August 16, 2019
  • September 20, 2019

Previous Action Period Calls

2018 Learning Session

2019 Regional Meetings

 

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.