mnoll
WI - Wisconsin Centering Consortium
Posts: 1
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Post by mnoll on Nov 19, 2015 17:21:29 GMT -5
Does anyone have a CenteringPregnancy program that utilizes one group space that is shared by different referring clinics/hospitals? The scheduler and facilitators could also be shared. If you do this, does each clinic/hospital keep their own patients in separate groups or do the groups mingle patients? How has this worked for you? Are there cost savings? Are groups offered more often because you have a larger pool of people to recruit from? Thank you for any input you may have!
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Post by John Craine on Nov 20, 2015 6:45:09 GMT -5
We have a health clinic in Boston that is in a somewhat similar situation. Patients deliver at either of two of the large Boston hospitals. Because medical records and protocols differ between hospitals it presents challenges for the clinic staff. They try to group women by hospital and then have providers from those hospitals do the belly checks and facilitate groups. The hospital providers are reluctant to assume the liability for protocols for the other hospital, therefore the clinic also provides its own facilitation team for mixed groups. The challenge is getting sufficient enrollment in two different types of groups.
I think the concept of a shared space is fine. It is quite conceivable for multiple clinics to share a community Centering space, with each clinic recruiting from its own patient population and providing its own facilitation teams. The only challenge would be scheduling the space to avoid conflicts, but since Centering visits are all mapped out in advance, this would be relatively easy.
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Post by Tanya Munroe on Nov 20, 2015 11:57:07 GMT -5
John is this also the model in the HMHB program in Florida? I know there is some "sharing" going on. Marilyn I will keep my thinking hat on, I know there are other scenarios like this. I can connect you to the Boston health centers if you'd like.
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Post by John Craine on Nov 20, 2015 12:39:41 GMT -5
Healthy Mothers, Health Babies of Palm Beach County (FL) is a service agency that manages several Centering locations. They do not provide direct prenatal care but rather contract with local providers and train them in Centering facilitation. HMHB leases and maintains the group meeting space and manages patient scheduling. I believe they get their patients through referrals from OB practices in the areas they serve. It's a successful implementation model and they have a very serious quality assurance component.
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