Based on expertise, local and national research, and qualitative research with local and state leaders in Infant Mortality, there are 13 Engagement and Public Policy Agenda items for First Year Cleveland (FYC). These agenda items fall within four categories:
1. Public Engagement – Further Engage the Public Sector Around Social Determinants of Health (SDOH); Activate FYC Stakeholders to Advocate and Educate; and Develop a Community of Residents Prepared and Motivated to Use Civic Engagement.
2. System Financing – Expand Medicaid Reimbursement Options and Increase Reimbursement Rates to Include Services that Reduce Infant Mortality; Identify New or Existing Billing Codes and Episodes that Will Cover Services Shown to Reduce Infant Mortality; Increase Funding from Federal or State Resources; and Require the Inclusion of a Social Determinant of Health within Medicaid and Managed Care Organization Contract Agreements.
3. Social Determinants of Health – Increase Access to Transportation; Explore or Promote Paid Family and Medical Leave; Improve the Quality of Affordable Housing; and Support Ohio Criminal Justice Reform Efforts Through Passage of The Safe and Healthy Communities Ballot Initiative.
4. Maternal and Child Maternal Health and Well-Being – Support Enforcement and Expansion of Tobacco 21 and Support Reproductive Health and Justice.
The Engagement and Public Policy Agenda, along with supporting data and rationale, are outlined in the Roadmap.