Background:
The Healthy Births for Healthy Communities (HBHC) Project is a public-private effort of the Steans Family Foundation and other private foundations, the Illinois Departments of Healthcare and Family Services [(HFS), Titles XIX-Medicaid and XXI-SCHIP], and the Department of Human Services (Title V-MCH, Title X-Family Planning and WIC) focused on reducing the racial/ethnic disparity in adverse pregnancy outcomes in two Chicago communities. The Interconceptional Care (ICCP) component of HBHC is a pilot with the potential for statewide implementation by HFS based on “lessons learned.” Because HFS covers 49% of the state's births, if the ICCP pilot is effective, its impact will be felt throughout the practice community.
The ICCP targets women who had a low birthweight infant or fetal loss in their most recent pregnancy. Women are enrolled in a medical care home; based on the use of an ICCP interconception screening tool, they are provided medical and psychosocial services. Each woman is assigned to a tripartite team of a medical provider, nurse case-manager, and lay case-manager and develops self-management and reproductive health goals. A multi-component evaluation has been designed.

Objectives:
This presentation will provide information on approaches for integrating preconception/interconception care into public delivery systems and primary practice. It will provide a description of the ICCP, discuss the development process, document services used by participants, and compare the service array to services recommended by Lu and Kotelchuck, 2006.

Methods:
1) The history of the ICCP will be reviewed through minutes and drafts of all project documents. 2) Services provided to each ICCP participant will be documented; a profile of service delivery for ICCP participants in the project's first five months will be generated.

Results:
1) Successes and challenges will be summarized. 2) Service use data will be presented and compared to services recommended by Lu and Kotelchuck.

Conclusion and implications for practice:
These data will provide insights about the development of an interconceptional program for high-risk women, provide an early portrait of their service needs, and serve as a basis for the statewide spread of an interconception/preconception strategy for use by Illinois, and other states and locales who seek to develop similar programs.