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The University of Tennessee Health Science Center Earns a $1.7 Million
Grant from BlueCross BlueShield to Expand Infant Mortality Project
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Blues
Project to Enroll 1,000 At-Risk Mothers in Memphis, Chattanooga
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Memphis,
Tenn. (May 3, 2010) – The University of Tennessee
Research Foundation has received a $1.7 million grant from the BlueCross BlueShield of Tennessee
Foundation to expand the Blues Project (BLUES) in Shelby and Hamilton Counties
in Tennessee. BLUES, a study aimed at reducing infant mortality rates, is
administered by the University of Tennessee Health Science Center (UTHSC). The project provides TennCare-eligible
pregnant women access to quality prenatal care and services through clinic-based
group visits at approved community health centers. Additional services include case management,
social support, patient education, and referrals to community resources. Participants
can access services from onset of pregnancy until the child’s second birthday. Each site includes
a team of professionals providing clinical and social services.
After the Bluff City was dubbed as having the highest
infant mortality rate among the nation’s 60 largest cities in 2004, BLUES
Phases I and II were launched in Memphis between 2005 and 2009. The study, which assists large numbers of
women, has served nearly 1,000 at-risk mothers resulting in more than 900 healthy
deliveries, only 0.24 infant deaths and 9 percent low birth weight babies.
The $1.7 million grant will be used for the Phase III expansion to
extend services to 500 pregnant women at two health care centers in Chattanooga
(Hamilton County), as well as to an additional 500 women in Shelby County.
In 2006, Hamilton County posted the second-highest
infant mortality rate (11.2 deaths per 1,000 live births) in the state and the
highest African-American infant mortality rate (23.7 deaths per 1,000
births). From 2001 to 2005, nearly 16
percent of Hamilton County’s live births were born preterm. Of the preterm deliveries, 72 percent
resulted in infant deaths. Hamilton
County has the highest occurrence of low birth weight in the state at 12
percent. The low birth weight for its
African-American babies is almost double that of whites (18.6 percent compared
to 9.7 percent, respectively).
Given the expansion into Hamilton County, BLUES purposes
to: (1) duplicate the BLUES model to prove the effectiveness of intervention
for decreasing infant mortality risks (prematurity and low birth weight); (2) compare
the birth and child health outcomes of the Hamilton County participants to
those in Shelby County, and (3) establish the Blues Project as an effective,
data-driven and cost-efficient model for reducing the health disparity of
infant mortality in Tennessee.
“We want to demonstrate the scalability of BLUES and
work to build a self-sustained structure of care that will expand, not only in
the state of Tennessee, but across the country in cities with similar
demographics to Memphis,” said Kimberly Lamar, PhD,
MPH, MSEH, principal investigator of BLUES and assistant professor for the UTHSC
Department of Preventive Medicine. The
BLUES model is holistic in scope compared to other programs and empowers women
to overcome social and economic barriers adversely affecting their health and
that of their children. Results show African-American
BLUES mothers have made significant improvements in their educational and
employment goals by the end of their second year follow-up.
“The $1.7 million BlueCross BlueShield grant will
also be used to measure the impact of patient education, social support and
prenatal care on infant mortality in pregnant women,” stated Dr. Lamar. “The overall goal of BLUES is to
decrease primary risk factors of infant mortality.”
BLUES works to reduce: preterm and low birth weight
deliveries, maternal and neonatal hospital days, infant death rates within the
first year of life, emergency room visits, hospitalizations, and accidental
child injuries. Additionally, by the end
of the 24-month postpartum period, BLUES serves to improve the mother’s
educational status, employment status, parenting skills and psychosocial status
(stress, depression, mental health, substance abuse, and incidences of domestic
violence).
Dr. Lamar emphasizes that intervention
only at the clinic level is not sufficient for significantly addressing health
disparities.
As the flagship statewide academic health system, the mission of the University of Tennessee Health Science Center is to bring the benefits of the health sciences to the achievement and maintenance of human health, with a focus on the citizens of Tennessee and the region, by pursuing an integrated program of education, research, clinical care, and public service. Offering a broad range of postgraduate training opportunities, the main campus is located in Memphis and includes six colleges: Allied Health Sciences, Dentistry, Graduate Health Sciences, Medicine, Nursing and Pharmacy. UTHSC has additional colleges of Medicine and Pharmacy plus an Allied Health Sciences unit in Knoxville, as well as a College of Medicine campus in Chattanooga. For more information, visit www.uthsc.edu.
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This study
quantifies the economic impact of the UTHSC on the economy of the state of Tennessee for FY2010.
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