History and Mission
MAMA'S Neighborhood began as this -- a project that funders support for a limited time to address a problem.
What is a grant?
Patients in this disposition are eligible for MAMA'S Neighborhood.
What is pregnant? (We will also accept What is postpartum up to 3 months?)
It's how often Community Health Workers ask patients questions from the PSI.
What is once every three months or once a trimester?
MAMA'S Neighborhood is considered a ___-forward program because this role brings patients into the program and sticks with them for up to one year postpartum.
What is Community Health Worker (CHW) or Care Coordinator (CC)?
This Community Health Worker has been dubbed "The Machine" for the volume of intakes she completed while serving her site alone.
Who is Miriam Andrade?
The medical specialty under which MAMA'S Neighborhood operates:
What is Obstetrics and Gynecology?
The insurance system that pays for MAMA'S Neighborhood services:
What is Medi-Cal?
It's DHS's electronic health system that keeps all patient documentation.
What is ORCHID?
Where patients with high mental health screeners are sent for follow-up assessment
What is social work?
This leadership team member and Ob/Gyn is a twin whose sibling is a neurologist.
Who is Dr. Nuriya Robinson?
This was MAMA'S Neighborhood's first year in existence.
2014
The three files patients complete to be considered enrolled in MAMA'S Neighborhood:
What is the patient consent, patient HIPAA, and Integrated Care Plan (ICP)?
This spreadsheet keeps track of patients for Community Health Workers, social work supervisors, medical directors, program leadership, and Medi-Cal insurance plans.
What is the 3-2-1 list?
This care team member, only available at medical centers, can answer patient questions about health issues in pregnancy like gestational diabetes.
Who is the MAMA'S PHN?
This is the name of the only heavily restricted site that MAMA'S has ever been available at.
What is Century Regional Detention Facility (CRDF)?
MAMA'S Neighborhood's mission is to reduce poor birth outcomes and specifically this outcome.
What is preterm birth?
One reason a patient might be disenrolled from programming:
What is: The patient has moved from the service area? Or The patient has requested to be disenrolled? Or The patient has completed 12 months postpartum with the program? Or The patient no longer has a DHS Medi-Cal plan?
This is the second of four steps to transfer a patient to a different MAMA'S team.
What is contact the CHWs at the new site to ask who can take on the patient?
This MAMA'S team provides a class series on what happens during pregnancy and after delivery.
What is the MAMA'S Health Education Team?
This Health Education Assistant began as a Community Health Worker.
Who is Susana Galvan? (We will also accept Who is Luz Bacilio? and Who is Ernestina "Tina" Mojarro?)
The five specialties that create the MAMA'S Neighborhood care team:
What are Community Health Workers, Social Workers, Public Health Nurses, Health Educators, and Ob/Gyns (doctors)?
It's the score assigned to patients based on their responses to the MAMA'S Neighborhood intake.
What is the Global Stress Score (GSS)?
This is the last of four steps to transfer a patient to a new MAMA'S team.
What is change the CHW name and site on the 3-2-1 list?
This MAMA'S team tracks performance for MAMA'S Neighborhood care teams, clinic staff, and grant funders.
What is the WHPI/MAMA'S Data Team?
From 2017 through 2020, this version of MAMA'S Neighborhood met the highest need patients in their homes.
What is MAMA'S Visits?