The Women's Hospital at Renaissance

The History of Nurse-Family Partnership

The Nurse-Family Partnership model was developed more than 30 years ago when its founder, Dr. David Olds, began the first of three randomized, controlled trials in Elmira, New York. His vision and commitment were a result of his early experience working in an inner city day care center. He saw the need for care early in a young mother’s pregnancy and through the first two years of her child’s life if social problems like child abuse and neglect were to be reduced.

Nurse-Family Partnership maintains fidelity to its model by using a web-based performance management system designed specifically to collect and report family characteristics, needs, services provided and progress toward accomplishing program goals as recorded by Nurse-Family Partnership Nurse Home Visitors. The Nurse-Family Partnership goals are as follows:
  1. Improve pregnancy outcomes by helping women engage in good preventive health practices, including thorough prenatal care from their healthcare providers, improving their diets, and reducing their use of cigarettes, alcohol and illegal substances;
  2. Improve child health and development by helping parents provide responsible and competent care; and
  3. Improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work.

Nurse-Family Partnership typically costs $4,500 per family per year. The program is funded by a range of private and public funding sources, including Medicaid, Maternal and Child Health Services Block Grant (Title V), Temporary Assistance for Needy Families (TANF), and Social Services Block Grants, in addition to state and local general funds. Beginning in 2007, the Texas state legislature authorized funding for NFP with a combination of TANF and state general funds to serve 1,800 families. In 2009, the legislature reauthorized $17.8 million in biennial funding to not only sustain the existing programs, but expand the Texas Nurse-Family Partnership initiative.

The Patient Protection and Affordable Care Act, enacted in 2010, includes $1.5 billion over five years in mandatory funding for states through the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. The MIECHV Program builds upon federal support initiated in 2008 under the Bush administration as part of the Administration for Children and Families’ Evidence-Based Home Visiting Grant Program, with appropriations growing to $13.5 million by 2010. This discretionary grant program assists states and local entities in building the necessary infrastructure to establish and expand evidence-based home visiting initiatives. The program, administered by the U.S. Department of Health and Human Services (HHS), is the first significant dedicated federal funding for evidence-based early childhood home visitation services. The Nurse-Family Partnership at the Women’s Hospital at Renaissance is the first federally funded program in the United States. The MIECHV grant program is part of a broader array of prevention programs that seek to transform the healthcare delivery system so that it provides more effective, efficient care for children and families at risk for poor health outcomes.

Not only will a public investment in Nurse-Family Partnership profoundly impact families served, but independent research documents that communities also benefit economically. A 2005 RAND Corporation study found that every dollar invested in NFP for higher-risk families can yield a social return of more than five dollars. A report issued by Harvard University’s Center on the Developing Child says scientists can guide policymakers in choosing the right investment in science-based early childhood policies and programs, such as NFP. The report notes: “Early experiences determine whether a child’s developing brain architecture provides a strong or weak foundation for all future learning, behavior, and health.”

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As required by the 2012 Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment;
Hospital Value-Based Purchasing Program; Physician Self-Referral; and Patient Notification Requirements
in Provider Agreements
final rule, Doctors Hospital at Renaissance, Ltd is disclosing that it is seeking an expansion
exception under Section 6001 of the Affordable Care Act of 2010.

Doctors Hospital at Renaissance proudly meets the federal definition of a "physician-owned hospital" (42 CFR § 489.3). As required by law, a list of the hospital's physician owners and investors is available at here. DHR, Ltd. and its affiliated entities comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.