We are tremendously excited to be able to work together as a North Country Maternity Care Network, to ensure that every pregnant person in the North Country has access to the highest quality care as close to home as possible.
Daisy J. Goodman, DNP, MPHDartmouth Health’s Dartmouth Hitchcock Medical Center (DHMC) has been selected for a grant from the Health Resources & Services Administration’s Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. The four-year grant will fund the North Country Maternity Network, a consortium of hospitals, community-based services and state agency partners to create and support the maternal health infrastructure in New Hampshire’s North Country. The amount for the first year of the grant is $991,467.
RMOMS was created in response to the barriers women in rural communities face to receiving adequate obstetric care. As of September 2022, 10 RMOMS awardees in nine states were funded to test programs that address unmet needs for their target populations. These populations may have suffered from poorer health outcomes, health disparities, and other inequities.
“The North Country region of New Hampshire faces unique challenges in providing perinatal care,” said Daisy J. Goodman, DNP, MPH, Associate Professor of Obstetrics and Gynecology at DHMC and the Geisel School of Medicine at Dartmouth. “Over the past two decades, three of the five critical access hospitals in northern New Hampshire have closed their inpatient labor and delivery units, which has also led to the loss of prenatal care providers for surrounding communities. We are tremendously excited to be able to work together as a North Country Maternity Care Network, to ensure that every pregnant person in the North Country has access to the highest quality care as close to home as possible. It is a huge privilege to work with the deeply committed partners in the Network who have come together for this work, which include the remaining critical access hospitals providing maternity care in the North Country, Federally Qualified Health Centers, regional home visiting and social service organizations, community organizations, and community members.”
The accepted proposal DHMC created to obtain the grant included some of the following planned initiatives:
- Standardize prenatal screening across the North Country Maternity Network
- Prepare and implement evidence-based obstetrics pathways
- Develop criteria and referral workflows for responding to high-risk medical, behavioral, substance-use disorder, and other social needs
- Plan high risk care coordination, including the option of doula support services for North Country residents
- Improve site-based telehealth to provide complex care in the community
All four members of New Hampshire’s Washington, D.C., delegation—Sen. Jeanne Shaheen (D-NH), Sen. Maggie Hassan (D-NH), Rep. Ann McLane Kuster (D-NH), and Rep. Chris Pappas (D-NH)—wrote a letter of support to the Health Resources & Services Administration in support of this grant for DHMC.
About Dartmouth Health
Dartmouth Health, New Hampshire’s only academic health system and largest private employer, serves patients across New England. Dartmouth Health provides access to more than 2,300 providers in nearly every area of medicine, delivering care at its flagship hospital, Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH. Its network of hospitals, outpatient centers, clinics and home care facilities, spans a broad geographical area. Year after year, DHMC is named the #1 hospital in New Hampshire by U.S. News & World Report, and is consistently recognized for high performance in numerous clinical specialties and procedures. Dartmouth Health includes Dartmouth Cancer Center, northern New England’s only National Cancer Institute-designated Comprehensive Cancer Centers and one of less than than 60 total nationally; Dartmouth Health Children’s, which includes the state’s only children’s hospital (Children’s Hospital at DHMC/CHaD) and more than 20 locations around the region; eight member hospitals in Lebanon, Keene, Claremont, Hampstead, and New London, NH, and Windsor and Bennington, VT; Dartmouth Health Home Care; Dartmouth Health Connected Care Center for Telehealth, serving patients as far away as Texas; and more than 30 primary and multi-specialty clinics across New Hampshire and Vermont. Through its partnership with Dartmouth College, Dartmouth’s Geisel School of Medicine and the White River Junction VA Medical Center, Dartmouth Health trains nearly 400 medical residents and fellows annually and performs cutting-edge research and clinical trials with international impact. Dartmouth Health and its more than 16,000 employees are committed to serving the healthcare needs of everyone in the communities it serves and to providing every patient with exceptional, state-of-the-art, personalized care. Learn more at dartmouth-health.org.