The Southern Nevada Health District (SNHD) is applying as a special district government under Component B of the notice of funding opportunity – Entities that have access to population-based state or jurisdiction-wide established public health data systems to identify pregnant people and pregnancy outcomes and conduct longitudinal follow-up.
Clark County is the 13th most populous county in United States and has grown more than 20% since 2010. Clark County is home to more than 72 percent of Nevada’s total population and is the most racially and ethnically diverse county as well non-Hispanic White (45%) and Hispanic persons (32%) form the largest proportion of the total population, followed by 11% of non-Hispanic Black persons, and 14% are persons from other race groups. The Southern Nevada Health District (SNHD) is a special district government which serves as the public health authority across all of Clark County, Nevada. The county covers almost 8,000 square miles and serves more than 2.2 million residents, as well as more than 30 million visitors annually. As such, SNHD’s reach is one of the largest of any local public health organizations in the U.S., The requested funding will enable SNHD to more effectively identify opioid and substance-exposed mother-infant dyads and establish timely NAS and stillbirth related epidemiologic data collection systems to further prevention efforts and build resources to serve the affected populations in Clark County, Nevada.
Purpose: This funding opportunity will help SNHD, in partnership with local health care providers, to build, maintain and expand a jurisdiction wide NAS and stillbirth surveillance data system in Clark County targeting all pregnant individuals, infants and children. The development of this system will allow for improved longitudinal assessment of incidence, prevalence of NAS and stillbirth, as well as to monitor trends, characterize risk factors and disparities, identify prenatal educational and monitoring opportunities. The development of the system will also build organizational capacity and improve collaborations with community partners to inform clinical recommendations and strategies for interventions at the individual and community levels.
Proposed Outcomes to be addressed include: Availability of timely, high quality, modern, and efficient surveillance data related to reporting of key exposures and outcomes that impact pregnant people, infants, and children; Increase implementation of prevention activities and dissemination of findings; Increased access and availability of electronic health records and public health data; Improved surveillance systems data that can be leveraged for emerging threats during pregnancy to pregnant people and their infants; Expanded and strengthened collaborative network to address important public health issues that have an impact during pregnancy and to infants; Availability of timely, high-quality, modern and efficient surveillance data related to reporting of key exposures and outcomes that impact pregnant people, infants, and children.
SNHD has full access to public health datasets with patient identifiers, including vital records, EMS data registry, hospital discharge data, state unintentional drug overdose reporting system, and syndromic surveillance. In addition, SNHD already partners closely with the state of Nevada, local hospitals, Roseman University EMPOWER program, Trac-B, Nevada Mental Health Coalition, Positively Kids, and the Nevada Institute for Children's Research and Policy. Through the current surveillance projects, memoranda of understanding and data sharing agreements between SNHD and Roseman University EMPOWER program, Trac-B, and the Nevada Institute for Children's Research and Policy are already in place and can easily be modified to address any additional data elements needed for successful completion of this project.
