Mom’s Heart Matters

Client

https://gafcp.org

Solutions

Care Companion™
GoMo Chat™
Care Communications™
Remote Patient Monitoring™

Building a Safety Net for New Moms

Mom’s Heart Matters (MHM) is an interactive digital therapeutic designed to reduce the disproportionately high hypertension-related mortality rate among postpartum women of color. The program utilizes Bluetooth enabled blood pressure cuffs combined with personalized delivery of health management resources to address clinical needs and social determinants of health to enable better health management.

MHM was launched in January 2023 in Hinesville, Georgia and created in partnership between Georgia Family Connection Partnership, Amerigroup, Georgia OBGYN Society, Morehouse School of Medicine, and Liberty Regional Medical Center with support from the Annie E. Casey Foundation.

An interactive digital platform that delivers tools and resources to participants to guide them along their perinatal journey, reducing hypertension-related mortality and improving overall health and wellness. Using Bluetooth-enabled blood pressure cuffs, the clinical care team is able to remotely monitor patient status 24/7 via real-time readings. Sophisticated logic and business rules identify hi-risk readings and escalate concerns to avoid potential adverse events.

The evidence-based program creates a safety net for high-risk moms that seamlessly integrates physical, behavioral, and social drivers of health with the power of technology and behavioral science.
An interactive digital platform that delivers tools and resources to participants to guide them along their perinatal journey, reducing hypertension-related mortality and improving overall health and wellness. Using Bluetooth-enabled blood pressure cuffs, the clinical care team is able to remotely monitor patient status 24/7 via real-time readings. Sophisticated logic and business rules identify hi-risk readings and escalate concerns to avoid potential adverse events.
PROGRAM OBJECTIVES: PROGRAM OUTCOMES:
  • Reduce hypertension related maternal mortality
    • Earlier intervention to reduce SUD/OUD related adverse events
    • Reduce SDoH related disparities, including blood pressure monitoring, breastfeeding initiation and continuation rates, maternal functioning and mental health
 Of the participants opted into remote blood pressure monitoring, 23% had escalations of which 100% were successfully addressed with real-time interventions

The most common causes for escalations:
SUD, Mental Health, SDoH, Breastfeeding
  • Increase active engagement with target audience
 100% felt they were being “actively engaged” through this platform
  • Improve patient and member experience
 100% were “extremely satisfied” with the platform’s engagement tools, content, and interactions95% retention rate among all enrolled participants

100% of participants would recommend the program

"This is a wonderful program, and it really has made a huge difference. Even if you can save one mom, it is priceless. Our patient can now watch her child graduate high school you can't put a price on that."

Heather Daniels, R.N./B.S.N., Perinatal Services, Director at Liberty Regional Medical Center

Program Components

  • Care Communications:

    Upon enrollment, participants receive text messages to support their postpartum journey both physically and emotionally, with some including links to tailored resources. Topics include access to care, breastfeeding, cardiovascular health, medication/ device management, mental and emotional coping strategies, parenting and substance use.

  • Care Companion:

    This cloud-based learning management system(LMS) provides vetted educational content that is personalized by participants’ self-expressed priorities and interests, structured into easy-to-follow sections to promote independent education, learning and self-care management.

  • GoMo Chat:

    Much like a typical text conversation, GoMo Chat allows (secure) live messaging between participants and their care team, enabling in-the-moment, on demand conversations.

  • Remote Patient Monitoring (RPM):

    Utilizing Bluetooth-enabled blood pressure cuffs, the program empowers moms to be actively involved in their care management. Real time data collection enables clinical care teams to monitor patients anywhere, at any time and to act in the moment to avoid potential adverse events.

  • Secure Data Collection and Reporting:

    Engagement and experience data is collected and analyzed and reported back to providers for ongoing quality, clinical delivery and service improvement.

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