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Table 1 Description of sites and implementation (2013)

From: Group prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations

Site

Urban/rural

Percent publicly insured patients

Staffing

Implementation timeframe

Adopters

 A

Urban academic medical center

40% Medicaid

• 23 total staff facilitating

• 13 providers facilitated on average 4.5 groups each

• 10 staff co-facilitated on average 5.2 groups each

• 53 groups over 22 consecutive months

• At least one group starting per month

 B

Urban research clinic within academic medical center

90% Medicaid

• 16 total staff facilitating

• 11 providers facilitated on average 4.8 groups each

• 5 staff co-facilitated on average 10.6 groups each

• 53 groups over 15 consecutive months

• At least one group starting per month, except during two months in the first year

Nonadopters

 C

Urban academic medical center, “satellite” site for Expect With Me

95% Medicaid

• 33.3% of groups did not have a primary co-facilitator

• 10 staff were involved in facilitating or co-facilitating groups

• 5 providers facilitated on average 7.2 groups each, and 5 staff co-facilitated on average 4.8 groups each

• 36 groups over 15 months. Gaps of 1–3 months with no new groups

 D

Rural community hospital, “satellite site” for Expect With Me

Data unavailable

• 7.8% of groups did not have a primary co-facilitator

• 7 staff were involved in facilitating or co-facilitating groups

• 5 providers facilitated on average 2.6 groups each, and 2 staff facilitated on average 6 group each

• Ran 13 groups over 17 months. Gaps of 1–2 months with no new groups

 E

Prenatal care delivered at private offices, “feeder model” for Expect With Me

85% Medicaid

• 90% of groups did not have a primary co-facilitator

• 2 staff were involved in facilitating or co-facilitating groups

• 1 provider facilitated all 10 groups, and 1 staff member co-facilitated one group

• Ran 10 groups over 8 months