Khadijia Tribié Reid, MD, MPH Pediatrician and public health advocate
Published 6:30 am ET Mar 12,2021
Last month, Carolina’s Cape Fear region received big news. Basketball icon Michael Jordan donated $10 million to Novant Health to build two primary care clinics in New Hanover County. He delegated these dollars to create clinics that will provide primary and mental healthcare in the same space. This model is called integrated primary–behavioral care. As a physician, I can testify that expanding integrated care is just what the doctor ordered.
Under an integrated care model, medical providers, counselors, psychiatrists, and social workers collaborate to get patients what they need to be healthy. This model recognizes the link between medical and physical health. As a professional, integrated care has revolutionized the way I practice medicine. Here are just a few ways providers can use primary-behavioral health integration.
MedNorth Health Center is proud to have partnered with Mission Mobile Medical to expand our services to include a medical mobile unit. While it has served as the center of our COVID-19 testing efforts, we know that the mobile unit will contribute to our mission of expanding access to care for all.
By Kendall McGee|September 19, 2020 at 10:01 PM EDT – Updated September 20 at 4:16 PM
Full Storyand Video: https://www.wect.com/2020/09/19/first-year-cape-fear-fights-eliminate-racial-disparities-infant-mortality-rates/
WILMINGTON, N.C. (WECT) – A task force comprised of local health advocates and physicians are banding together to address concerning racial gaps in the Cape Fear’s infant mortality rates.
Black infants are less likely to survive to their first birthday than white infants. North Carolina is the 11th worst state in the nation for infant death with a consistent and stagnant gap in outcomes among African Americans and Non-Hispanic whites.
After a 2018 report highlighting the racial disparities in infant mortality rates, New Hanover Regional Medical Center identified eliminating those gaps as a top priority. The effort has grown since then and blossomed into a robust network of helpers, known as First Year Cape Fear.
“Knowing that babies are dying –Black babies are dying at a higher rate and that Black moms are also dying at a higher rate is really striking. It’s disappointing, it’s frustrating to know, especially because we know the root cause of this is racism,” said First Year Cape Fear’s lead, Marissa Bryant Franks.
Franks is also the health equity outreach coordinator at NHRMC.
In New Hanover County, Black babies are 2.3 times more likely to die in their first year of life than white babies. In Columbus County its 2.2 times, and in Pender County, Black babies are 4.8 times more likely to die than white infants.
Dr. Naomi Flock is a community family physician at Med North who serves as a physician voice for First Year Cape Fear.
“I just don’t think there’s a way to deny it when you really talk to these moms and hear what they’ve experienced,” said Dr. Flock.
According to the organization, Black women in the Cape Fear experience higher rates of preterm birth, cesarean delivery, maternal chronic disease, and face obstacles related to breastfeeding and accessing prenatal care.
Doctors agree the metric of infant mortality is an indicator of a much more widespread problem.
“Infant mortality is really that reflection of the overall health of society so that’s just a snapshot a pulse a mirror image of what’s going on,” said Dr. Naomi Flock.
To change the outcome for Black infants, First Year Cape Fear is focusing on making sure Black mothers have the care and support they need. The group is asking for mothers to tell their stories and pushing forward with research, awareness campaigns and education for providers and families alike.
“We’re working on organizing some sessions to learn from moms to hear from them ‘what is your experience in navigating the healthcare system what are some of the things that maybe you’ve experienced as far as bias in the care that you received and the quality of care that you received?’” said Franks.
Franks hopes that by listening to the stories of mothers in the community, First Year Cape Fear can come up with strategies to improve the quality of care families receive and also connect black mothers to the resources they need to have healthy pregnancies and raise healthy babies.
This summer, the group secured a grant to bring in a community health worker and two dulas to serve needy mothers. The program will help 30 women each year for the next two years and is expected to kick off in October.
While the grant is a big step, Franks says its just the beginning of their journey.
“As a community we have to band together to combat this issue just as we would any other public health crisis or a public health issue because once again this is all rooted in racism. We’ve seen racism bubble up in so many ways just this year alone throughout our country and when we look at things that are happening In our communities it’s easy to turn a blind eye to things like infant mortality,” said Franks.
“MedNorth continues to celebrate National Health Center Week by recognizing Children’s Health Awareness. Here is a reminder from our Pediatric Medical Director, Dr. Khadijia Tribié, about the importance of well child visits and keeping up with immunizations. For children who do not need vaccines, your child can be seen by virtual appointment using Telehealth. Don’t skip your next well child visit! Contact us if you are in need of an appointment.”
MedNorth Health Center seeks to share information about COVID-19/Coronavirus from the Centers for Disease Control, the NC Department of Health & Human Services, and the New Hanover County Health Department for our community with facts about the virus.
From New Hanover County Government:
Currently, there are confirmed cases of novel coronavirus (COVID-19) in New Hanover County and evidence of community transmission. Please visit the New Hanover County Website here for the most up to date figures on number of confirmed cases.
-If you are a MedNorth patient and are experiencing FEVER, COUGH, or TROUBLE BREATHING, please call 910-202-8628 BEFORE your visit. Our nurse triage line will provide you with further instruction.
This is a rapidly evolving situation and information will be updated as it becomes available.
WHAT IS THE CORONAVIRUS (COVID-19)? A respiratory disease caused by a novel (new) coronavirus that was first detected in China and which has now been detected in almost 90 locations internationally, including in the United States.
HOW TO PROTECT AGAINST THE SPREAD OF CORONAVIRUS?
Novel coronavirus (COVID-19) spreads in similar ways as a common cold or the flu spread, and the steps to preventing coronavirus transmission are similar to the steps to preventing other respiratory illnesses, including:
Wash hands frequently with soap and water, and for at least 20 seconds each time.
Avoid touching your eyes, nose and mouth with unwashed hands.
Avoid close contact with people who are ill.
Cover your mouth and nose with a tissue when you cough or sneeze.
Do not reuse tissue after coughing, sneezing, or blowing your nose.
Clean and disinfect surfaces that are frequently touched (like your phone, tablet, and daily work surfaces).
WHAT ARE THE SYMPTOMS? Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.
The following symptoms may appear 2-14 days after exposure.*
FEVER
COUGH
SHORTNESS OF BREATH
HOW IS COVID-19 SPREAD?
Person-to-person spread. The virus is thought to spread mainly from person-to-person.
Between people who are in close contact with one another (within about 6 feet).
Through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
Can someone spread the virus without being sick?
People are thought to be most contagious when they are most symptomatic (the sickest).
Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.
Spread from contact with contaminated surfaces or objects
It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.
CAN SOMEONE SPREAD THE VIRUS WITHOUT BEING SICK?
People are thought to be most contagious when they are most symptomatic (the sickest).
Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.
WHO IS MOST AT RISK?
Older adults
People who have serious chronic medical conditions like:
Heart disease
Diabetes
Lung disease
Please visit the following websites for the most up to date information about COVID-19:
WILMINGTON – The Wilmington Lions Club will offer free vision screenings and hearing screenings, 2 a.m.-3 p.m. Thursday, Oct 3, in front of the MedNorth Health Center, 925 N. Fourth St.
The screenings that take place on the unit are screenings only, and should not be confused with complete eye examinations or hearing exams. The vision and hearing screenings will be held on the NC Vision Mobile Unit.
The NC Mobile Unit properly named The 21st Century Mobile Screening Unit, continues to be a great asset to the communities throughout North Carolina.
The 21st Century Vision Mobile Unit allows Lions Clubs to accomplish many worthwhile objectives, the most important of which is the early detection of vision problems.
The Vision Van is available to all Lions Clubs in North Carolina to conduct vision screenings in their communities For more information on the Wilmington Lions Club,//e-clubhouse.org/ sites/wilmingtonnclionsclub/ index.php or https://www.facebook.com/ wilmingtonnclionsclub/.
The US Department of Health and Human Services (HHS) is awarding nearly $107 million in Quality Improvement Awards to 1,273 health centers across the US. MedNorth Health Center is among those award recipients.
“(These) awards recognize especially high-achieving health centers. America’s health centers are essential to producing results on our actionable public health challenges, like HIV/AIDS and the opioid crisis, as well as to building a healthcare system that delivers better value and puts the patient at the center”, said HHS Secretary Alex Azar.
Quality Improvement Awards recognize the work that health centers do to address health priorities by designating health centers that ranked in the top 1 – 2% in one or more key areas – behavioral health, diabetes prevention and management, and heart health – as National Quality Leaders. The awards also recognize achievements in improving cost-efficient care delivery while increasing quality, reducing health disparities, increasing both the number of patients served and patients’ ability to access comprehensive services, advancing use of health information technology, and delivering patient-centered care.
The awards, totaling $58,000, were for projects that address issues in the realm of health and wellness, WIN’s grant focus for 2019.
Five New Hanover County-based nonprofit organizations have received grants from Women’s Impact Network of New Hanover County (WIN). The grantees were introduced at WIN’s annual Grants Celebration Luncheon May 23.
The awards, totaling $58,000, were for projects that address issues in the realm of health and wellness, WIN’s grant focus for 2019.
MedNorth and Nourish NC each received a $24,000 grant.
MedNorth, which primarily serves the county’s uninsured and underinsured population with primary care, dental services and behavioral health care, plans to use its grant to enhance its services through purchases in four areas, according to CEO Althea Johnson:
blood pressure monitors for patients who will use them to manage and report their blood pressure.
Car seats for newborns whose families cannot afford them. Althea Johnson, MedNorth CEO, believes that having a car seat will encourage more new mothers to bring their newborns to the clinic within the first five days of birth for well-baby checks, and to visit the clinic themselves for post-natal checkups.
Wire loops used in a treatment known as Loop Electrosurgical Excision Procedure (LEEP) to remove abnormal cells from women’s cervixes, therefore reducing the incidence of cervical cancer.
A new autoclave to sterilize instruments.
Steve McCrossan, CEO of Nourish NC, said his organization will use its grant funds for two programs that have shown great promise during recent pilot periods:
A partnership with Nunnelee Specialty Pediatric Clinics, which serve chronically ill children, that will provide – in the doctors’ offices – boxes containing 25 meals’ worth of food and a voucher for fresh produce and meats, to patients identified as suffering from food insecurity.
Toddler Tummy, a program that will send the same box and voucher with personnel from Smart Start and Coastal Horizons who make home visits to clients with young children.
“Food insecurity has a very debilitating effect on a child’s mind and body,” McCrossan said. “Food is medicine.”
Three New Hanover County organizations received small grants.
The DisAbility Resource Center will use its $2,000 grant to compile a health and wellness resource guide to help the population it serves.
Smart Start of New Hanover County plans to apply its $3,500 grant to its ABC (Attachment and Bio-Behavioral Catchup) Positive Parenting program, which helps very young children who have had adverse experiences form secure attachments to their caregivers.
With its $4,500 grant, Wilmington Lions Club will purchase a tonometer, a gauge used to measure the fluid pressure inside the eye – an indicator of glaucoma. The new tonometer will be used by eye care professionals working through community outreach programs.
