Pathways Community HUB in Ohio: Lessons Learned

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Conference Proceeding

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Publication Title

APHA's 2020 VIRTUAL Annual Meeting and Expo

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Background: Ohio has a high disparity in infant birth outcomes. In 2017, black infants died at three times the rate as white infants. Ohio Commission on Minority Health has been scaling the Pathways Community HUB Model since 2016 geared primarily toward at-risk minority pregnant women. The purpose of this study was to document the lessons learned from this initiative. Methods: The HUB Model utilizes a care coordination model, has national certification, implemented by community health workers (CHWs), and a “pay for performance” approach with payments linked to achieving outcomes. Quantitative and qualitative data were collected related to the activities of Pathways Community HUB projects from Akron Summit County, Community Health Access Project, Health Care Access Now, Hospital Council of Northwest Ohio, Mahoning County, and United Way of Central Ohio/Franklin County for 2018-19. Results: The Pathways were successful in lowering infant deaths among minorities in 2018-19.A thematic analysis found that continuous quality improvement was the key for HUB success, there was a need to continually expand the pathways with links to more care coordination agencies, involvement of the mother in decision making was helpful, client-CHW relationship was vital for success, use of motivational interviewing was found to be effective, and use of pregnancy checklist as a tool for monitoring was beneficial. Conclusions: The HUB Model is an evidence-based approach is useful in Ohio in reducing infant deaths in minorities. It has improved the birth outcomes for minority populations and needs to be strengthened and replicated in the coming years.


Infant mortality; Maternal and child health; Minority health; HUB Model


Maternal and Child Health | Medicine and Health Sciences | Public Health



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