Helping Medicaid Offer Maternity Services Act

S. 116: MOMs Act: Alliance for Innovation on Maternal Health

Involvement of stakeholders and organizations (Gillibrand, 2019).
State assistance in improving maternal health (Gillibrand, 2019).
Reduction in variation in maternal care standards (Gillibrand, 2019).
Primarily data-driven and evidence-based practices (Gillibrand, 2019).
Elimination of preventable maternal mortality and morbidity (Gillibrand, 2019).
Implementation of best practices for maternal safety (Gillibrand, 2019).

S. 116: MOMs Act: Maternal Morbidity and Mortality Prevention Grant Program

Medical facilities are allowed to use grants to buy equipment (Gillibrand, 2019).
Funds may be used for staff training to match new standards (Gillibrand, 2019).
Facilities with a mortality review committee are prioritized in funds distribution (Gillibrand, 2019).
Prioritization of facilities serving low-income, at-risk, and rural populations (Gillibrand, 2019).
Reports on the implementation are needed after two years (Gillibrand, 2019).
Reports should be publicly available after one year (Gillibrand, 2019).

Impact on Nursing Practice Standards if Passed

Therapeutic communication for mental health assessment in mothers and pregnant women.
Heightened presence before, during, and after birth.
Prompt identification of maternal venous and thromboembolism.
Enhanced care in the case of obstetric hemorrhage.
We are ensuring equally respectful treatment of minority groups and the elimination of any discriminating behaviors.
We are participating in the review of mortality and morbidity rates.

Impact on Nursing Practice Standards if not Passed

Use of state legislation on pregnancy and maternity.
Maintenance of current nursing practice standards.
Use of established practices in a given medical facility.
Use of usual government funds for equipment and continuing education.
They are ensuring that employees meet educational requirements to work in obstetric nursing.
Monitoring and health assessment as prescribed in a given medical facility.

Impact on My Own Nursing Practice if Passed

Nurses study new legislation closely.
Nurses compare established practices to those prescribed by the new standards.
Nurses learn how to use new equipment.
Participation in staff training on preventing morbidity and mortality.
We are communicating the importance of care to patients.
We are educating colleagues and exposing violations.

Impact on My Own Nursing Practice if not Passed

Nurses use practices compliant with current legislation.
Nurses uphold the existing federal standards of prenatal and postnatal care.
Use of existing equipment for birth assistance and monitoring.
Nurses uphold the standards set at a given medical facility.
Nurses make an effort to address mortality and morbidity in pregnant women and mothers based on their knowledge and existing standards.

Communication-Based on Nursing Practice

Communication-based on evidence-based practice.
Plenums for discussing complicated cases.
Communication of changes to nursing practice.
Staff training about the use of the new equipment.
Heightened surveillance of complicated cases.
Encouragement of communication between nurses and discussion of best practices enlisted in S. 116: MOMs Act.

Communication-Based on Nursing Standards

Arrangement of meetings at medical facilities for communicating nursing standards.
Observation of colleagues in action and discussion of new standards application.
Continuing education on leading causes of maternal mortality.
I am revising labor assistance standards to reduce primary cesarean birth.
Diversity training to address the issue of racism and other types of discrimination.
I am revising nursing assistance in the case of prenatal, birth, and postnatal complications.

Communication-Based on Nurse-Patient Outcomes

Alarming mortality rate: 20 deaths per 100,000 births (Americas Health Rankings, 2018).
Many women receive little to no prenatal and postnatal care (Lassi, Mansoor, Salam, Das & Bhutta, 2014).
Hospitals and birthing centers gather statistics on nurse-patient outcomes.
Nurses hold meetings to communicate statistics on outcomes.
Two-sided, continuous communication with mortality review committees.
The need to improve nurse-patient outcomes is communicated regularly based on recent research within a facility.

Impact on the Community

Improved prenatal care for women in the community.
Women have fewer concerns regarding pregnancy complications due to enhanced prenatal care.
Pregnant womens and mothers mental health is stable due to the presence of a support system.
Pregnant women can count on legal support in the case of a negative health outcome.
Women have a better understanding of their rights and liberties.
Women are more aware of the changes in legislation and can make well-informed decisions.

References

Americas Health Rankings. (2018). Maternal mortality in United States in 2018. Web.

Gillibrand, K. (2019). S. 116: MOMS Act. Web.

Lassi, Z. S., Mansoor, T., Salam, R. A., Das, J. K., & Bhutta, Z. A. (2014). Essential pre-pregnancy and pregnancy interventions for improved maternal, newborn and child health. Reproductive Health, 11 (Suppl 1), S2.

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