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OKQ Newsletter

One Key Question Newsletter: February

The ACA and Preventative Reproductive Health Care
Many people are asking “What if I lose coverage?” because of the administration’s pledge to repeal the Affordable Care Act (ACA) with the help of a willing majority in Congress…

Everyone with health insurance will be affected–whether covered through employers, a private health plan purchase on an ACA marketplace or health insurance made possible through the ACA’s Medicaid expansion. Women have a lot to lose, whether it’s in their own health coverage, or coverage for their families. From guaranteed coverage for maternity care to no-cost birth control and an annual well- woman exam, health care will be stripped away from millions of people who deserve the dignity to be able access the services they need to thrive. One Key Question® is based on the ability for providers to connect people to preventive reproductive health care to best support their pregnancy intention. Repealing the ACA would only jeopardize many women’s health and the progress we’ve made.

More information here.

A word from Zeenia Junkeer, ND, OFRH Director of Equity and Community Engagement

      “As a primary care physician and reproductive health advocate, I am excited about the potential to understand how OKQ can be leveraged as a culturally responsive strategy to understand and support women’s family planning needs. For many of us, our world has shifted over the last few months and we are now, more than ever, concerned about our communities’ ability to access quality health care services, including comprehensive reproductive health services. I believe the integrated approach OKQ aims to bring to primary care settings will help to eliminate barriers faced when patients need access to preventative services. Increasing holistic services offered for women and people who can become pregnant, without seeking specialty care, is an important aspect in decreasing barriers to accessing the full range of health care services.
Another critical component to offering reproductive health care is understanding how implicit bias might affect the care we give to whom. A great way to start learning about implicit bias is through the online Harvard Implicit Association Test (IAT).”  

Health Metrics
Oregon’s Coordinated Care Organizations
The 2017 Measure Sets for health improvement include:
  • Effective contraceptive use among women at risk of unintended pregnancy
  • Timeliness of Prenatal Care

One Key Question® is the #1 recommended clinical strategy to help your health center meet the ECU metric, by integrating pregnancy intention screening in a routine way and effectively connecting patients to the follow-up care they need.

National Quality Forum (NQF) :
The NQF recently endorsed Clinical Performance Measures of Contraceptive Caresubmitted by the U.S. Office of Population Affairs (OPA). “These measures fill an important gap in reproductive health care, and can be used to strengthen women’s and men’s access to client-centered contraceptive care. “OPA anticipates that these measures will encourage providers to screen all women and men for pregnancy intention,offer the full range of most and moderately effective methods, and use client-centered approach to counseling.”

Preconception Care
As part of Infant Mortality Awareness Month, OKQ was featured in a blog post for the National Institute for Children’s Health Quality(NICHQ). Zhandra Levesque, MPH, Associate Project Director at NICHQ said, “When healthcare providers understand how to open conversations about pregnancy planning and systems are designed to support every woman, then risks and negative health outcomes will be reduced for moms and babies.”
Contact us to learn more about OFRH consultation to support your health center in implementing One Key Question®. 

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