Mother/Infant Opioid Substance Use Treatment and Recovery Effort (MOSTaRE)
Interested in Getting Involved?
Need More Info?
The MOSTaRE Initiative will:
- Emphasize family-centered care that maintains the maternal-infant dyad
- Address treatment and prevention of substance exposure during pregnancy for mother and infant
Started September 2022 is open to all Minnesota birthing facilities and an ongoing enrollment. Engagement will include monthly action calls (available only to hospital teams) and monthly ECHO calls available to all. This project will satisfy new CMS guidelines for hospitals to collaborate with state PQCs. Hospitals interested will receive an orientation packet with details.
For more information please contact Ella Rusnacko firstname.lastname@example.org
By December 2023, our aim is to increase the identification and treatment of substance use disorders (SUDs) in pregnant people and substance exposure in infants by 50% or more in order to improve pregnancy and postpartum outcomes, increase the use of non-pharmacologic methods for treating infants exposed to opioids and reduce the average length of stay for these infants.
The Mother/Infant Opioid and Substance use Treatment and Recovery Effort (MOSTaRE) purpose is to work with providers, hospitals, and other stakeholders to improve identification, clinical care, and coordinated treatment/support for pregnant and parenting individuals with opioid use disorder and their infants through a family-centered care approach.
The MOSTaRE Initiative will emphasize family-centered care that maintains the dyad and will address treatment and prevention of substance exposure during and after pregnancy for both mother and infant.
Team Membership (includes both infant/perinatal arms)
- Infant Team Members include: NICU, general pediatric or family practice provider, community treatment and support partners, women with lived experience
- Perinatal Team Members include: prenatal, delivery, and postpartum providers; treatment and community support members, women with lived experience
Family Of Measures
Stratify by race/ethnicity where available.
- SUD among pregnant and postpartum people (SS1)
- Severe Maternal Morbidity (SMM) (including transfusion codes) among people with SUD (SS2)
- Severe Maternal Morbidity (SMM) (excluding transfusion codes) among people with SUD (SS3)
- Proportion of pregnancy associated deaths due to overdose (SS4)
- Percent of newborns exposed to substances in utero who were discharged to either birth parent (O1)
- Percent of pregnancy and postpartum people who received or were referred to recovery treatment services (O3)
- Length of stay of all opioid exposed newborns
- Percent of pregnant and postpartum people screened for SUDs (P1)
- Number of Provider and Nursing education-SUDs (P5)
- Number of Provider and Nursing education- Respectful and Equitable Care (P6)
- Resource Mapping/ Identification of Community Resources (S1)
- Number of Patient Event Debriefs (S2)
- General Pain Managment Guidelines (S3)
- OUD Pain Managment Guidelines (S4)
- Validated Verbal Screening Tools and Resources Shared with Prenatal Care Sites (S5)
Response to changes in reporting of Prenatal Exposure to Controlled Substances
CPS Panel featuring Hennepin, Ramsey, Anoka,
and Beltrami County
May 11, 2022
Steve Rummler Hope Network! Join us for our 7th Annual Gala. On October 27, 2023, we’re coming together to celebrate the strength of our network while supporting our important mission. Please join us.
MOSTaRE Faculty Lead
MD, Ob/GYN | HealthPartners
MOSTaRE Faculty Lead
Rachel is an Mpls native who went to South High School. Undergrad at New York University, Master’s in Bioethics at Columbia University, Medical School at the U of MN, Pediatrics Residency at the University of WI in Madison. Currently working as a Peds Hospitalist, covering Newborn Nursery, Special Care Nursery, Peds Floors, and Peds Consults in Bemidji, MN at Sanford Bemidji Medical Center. Special interests include health equity, pediatric and adult bioethics/conflict resolution/decisionmaking, pediatric hospice, and palliative care. Previous work as an EMT, Spanish, and French medical interpreter.
MNPQC Executive Branch
Anne Walaszek, MPH (Anishinaabe) is the Maternal and Child Health Quality Improvement Specialist in the Women and Infant Health Unit at the Minnesota Department of Health. In her role, she leads two quality improvement grants, the Perinatal Quality Collaborative and the Communities Collaborating to Prevent Girls Opioid Abuse. Ms. Walaszek has experience working at a national non-profit addressing cancer inequities within American Indian and Alaska Native communities. In this role, she provided leadership for a clinic and community health approach to develop and implement culturally tailored evidence-based interventions to effectively build capacity in health systems across Indian Country. Her public health experience reflects grant writing, program development, research and data management throughout her experiences at the Minnesota Department of Health Diabetes Program, Institute of Child Development at the University of Minnesota, and SAMHSA for their Child, Adolescent and Family Branch. She is a 2017 recipient of the Lou Fuller Award for Distinguished Service in Eliminating Health Disparities.
Ed.D., Hospital & Health Care Consultant, Contractor, and Advisor to Improvers and Learners.
MPO Executive Director/Treasurer, MNPQC Co-Director
Susan has been a Clinical Nurse Specialist in Women’s Health for over 30 years. She has a long history with MPO as a volunteer, conference presenter, planning committee member, and has served on the Board of Directors. She is currently the MPO Executive Director and Co-Director of the Minnesota Perinatal Quality Collaborative (MNPQC).
She enjoys the outdoors, hiking and kayaking, and loves the solitude of their cabin in the Boundary Waters.
Dr. Stanhope is a full-time OB/Gyn hospitalist and medical director of Women’s and Children’s services at North Memorial Health Hospital. His clinical interests include hypertension, complex deliveries, and postoperative opioid prescribing. Prior to his current position, he provided contracted OB coverage at a number of facilities, high and low volume, in several states and completed two missions to South Sudan with Doctors Without Borders from which he gained invaluable experience learning the myriad needs and challenges of different facilities and systems face.
Minnesota Department of Health
DNP Student at the University of Minnesota
No bio at this time.
U of M Institute on Community Integration
MD | he/him/his
Professor | Mayo Clinic Alix School of Medicine
Consultant | Mayo Clinic | Department of Pediatric and Adolescent Medicine | Division of Child Abuse Pediatrics | Mayo Clinic Center for Safe and Healthy Children and Adolescents
MA, LPC, LADC- Women Services Programs at the Department of Human Services, Behavioral Health Division.
Lead Neonatal Nurse Practitioner in Duluth, MN for the past 25 years.
Erin is a neonatologist at Children’s Minnesota. She completed her pediatric residency and neonatology fellowship at the University of Minnesota. Dr Plummer specializes in neonatal critical care at Children’s Minnesota. She is originally from Ohio and attended medical school at Wright State University Boonshoft School of Medicine in Dayton, OH. She completed her residency and fellowship at the University of Minnesota Medical Center. Her clinical interests include nutrition, growth, and neurodevelopmental outcomes in premature and critically ill infants. She is passionate about caring for infants hospitalized in the NICU and building relationships with their families. Dr Plummer is involved in the education of neonatal fellows, pediatrics residents, family practice residents and medical students. She lives in Minneapolis with her husband and two children.
University of Minnesota
Erin Morris is a Neonatal-Perinatal medicine fellow at the University of Minnesota. Her research interests include nutrition and neurodevelopment of infants in the NICU and specifically of those with prenatal drug exposures. She is currently involved in a QI project through the University of Minnesota involving the implementation of the Eat, Sleep, Console treatment for infants with prenatal opioid exposures.
Frances Prekker, MD is a Pediatric Hospitalist with Hennepin Healthcare. She is the Medical Director of both the Newborn Nursery and Pediatric Inpatient Unit at Hennepin County Medical Center. She has a special interest in the care of substance-exposed newborns, perinatal substance use, and providing care that preserves the mother-infant dyad. She has led many QI projects at HCMC improving care for infants experiencing withdrawal, keeping moms and babies rooming in together, and reducing bias in newborn drug testing.
MNPQC Board President, University of MN Physicians
Native American Community Clinic
As a physician serving the Native American Community in Minneapolis, Dr Rabie is passionate about addressing the significant health disparities that impact Native Americans in Minnesota. To address these disparities she became buprenorphine waivered, and pursued specialty in Addiction Medicine. She is also passionate about educating the next generation of physicians to provide care to the Native Community in the context of community medicine. She provides care using the lens of harm reduction.
Kelcee currently works in a private practice setting with special training in maternal mental health specifically perinatal mood and anxiety disorders.
She also works in Adult Mental Health as a county case manager, previously working in child protection as well. She has a variety of experiences within rural communities.
Minneapolis American Indian Center
No bio at this time.
Megan is a benefit policy specialist at the Department of Human Services. Her focus is on benefit coverage criteria for Minnesota Health Care Programs which covers Medicaid and MinnesotaCare. She has a doctorate in Occupational Therapy from St. Catherine University and a Masters in Science in Human Services from Capella University. Her goal is to eliminate disparities in health care coverage through policy change.
Meagan Thompson, DNP, APRN, CNM, has a BA in Sociology from the University of Wisconsin Madison in Sociology, with minors in American Indian Studies and Women’s Studies. She worked as a reproductive health educator before returning for her Masters of Nursing (MN) at the University of Minnesota-Twin Cities. In her role as a reproductive health educator, she created educational content to engage young people in their social, emotional, and reproductive health in a variety of settings. After receiving her MN degree, Meagan worked as an RN in a high-acuity tertiary care labor and delivery unit. While working as a bedside nurse, Meagan pursued her Doctorate of Nursing Practice (DNP) degree in the Nurse-Midwifery specialty. During her DNP program, Meagan participated in the Leadership Education in Adolescent Health (LEAH) Fellowship. She worked as part of an interdisciplinary cohort to learn the basics of research, grant writing, and interprofessional collaboration. Her fellowship project examined reproductive outcomes for incarcerated adolescents. Meagan is currently enrolled in a Psychiatric Mental Health Nurse Practitioner (PMHNP) certificate program through the University of Iowa. Upon graduation, she will be a dual-certified CNM/PMHNP provider uniquely qualified to care for perinatal substance use disorders. After graduation from the DNP program, Meagan worked at the University of Iowa where she received funding to implement universal SBIRT and create a maternal substance use disorder (MSUD) clinic. She worked as the primary provider in the MSUD clinic before returning to MN.
University of Minnesota School of Nursing
Tri-County Health Care
RN, BSN, IBCLC, CPST
Sarah is the OB Supervisor of a critical access hospital in Midwestern Minnesota. She has been married to her husband Nathan for 28 years. They live on a farm with beef cattle and pigs, and have 3 children- Daniel is 23, Megan is 18, and Abby is 16. Sarah has worked at TCHC for 28 years, first as a CNA, then LPN, then RN, BSN, IBCLC, and finally OB Supervisor.