{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:24:16Z","timestamp":1787862256526,"version":"build-2784847793"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>SUMMARY<\/jats:title>\n                    <jats:p>New York City\u2019s (NYC) maternal health crisis drew close attention in the late 2010s, driven by alarming data: Approximately 30 women died annually during childbirth in NYC, Black non-Hispanic women were 12 times more likely to die than white women, and more than 3,000 women experienced life-threatening birth complications each year. In response, NYC committed $12.8 million in July 2018 to reduce maternal mortality and eliminate racial disparities.<\/jats:p>\n                    <jats:p>NYC Health + Hospitals (H+H)\u2014the nation\u2019s largest public health system, serving 1.1 million patients annually with roughly 15,000 births per year\u2014became the primary vehicle for this initiative. With 80 percent of the system\u2019s deliveries covered by Medicaid and a patient population that is 51.2 percent Hispanic and 27.1 percent Black, H+H is uniquely positioned to lead the fight against maternal health inequity.<\/jats:p>\n                    <jats:p>Three flagship programs anchor H+H\u2019s response to the city\u2019s maternal mortality rate. The OB Simulation Program, launched in 2012 and expanded in 2018, was the first in the nation to use mannequins of color to train thousands of providers in obstetric emergencies. The Maternal Home Program, piloted at H+H\u2019s Kings County Hospital in 2019 and scaled system-wide by 2021, has served more than 10,341 patients, generating more than 33,000 referrals for social, behavioral health, and community resources. The Cardio-Obstetrics Program located at Kings County Hospital targets cardiovascular disease\u2014the leading cause of maternal death among Black women\u2014through screening, education, and community outreach. These programs are a health equity imperative, made more urgent by impending federal Medicaid cuts resulting from the H.R.1 One Big Beautiful Bill Act (passed on July 4, 2025).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/hap.0000000000000253","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:00:32Z","timestamp":1787749232000},"page":"13-18","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Leading with Innovation: Maternal Health Transformation in New York City Health + Hospitals"],"prefix":"10.1097","volume":"43","author":[{"given":"Wendy Clarke","family":"Wilcox","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Frontiers of Health Services Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/HAP.0000000000000253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:00:09Z","timestamp":1787860809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/HAP.0000000000000253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/hap.0000000000000253","relation":{},"ISSN":["0748-8157","2475-2797"],"issn-type":[{"value":"0748-8157","type":"print"},{"value":"2475-2797","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}