About Us

Integrated Maternal Health Services Program

Improving birth outcomes and reducing costs among communities disproportionately impacted by health disparities.

A smiling pregnant woman and her daughter laugh together, capturing a joyful moment of connection and happiness.

About Us

Integrated Maternal Health Services Program

Improving birth outcomes and reducing costs among communities disproportionately impacted by health disparities.

Healthy Mothers. Healthy Babies.

The Integrated Maternal Health Services (IMHS) program in Clark County, Nevada, is a partnership between Comagine Health, the Kirk Kerkorian School of Medicine at UNLV Department of Gynecologic Surgery & Obstetrics, and the UNLV School of Public Health. IMHS is an integration of the Southern Nevada Pathways Community HUB with the Maternity Medical Home model to provide comprehensive and culturally responsive care to address existing silos and gaps in maternal care.

The key aims of the IMHS program include:

  • Improving maternity care for pregnant women

  • Improving birth outcomes

  • Increasing early access and entry into prenatal care in the first trimester

  • Maintaining ongoing retention in continuing care up to one year postpartum

  • Addressing behavioral, psychological, and social factors for pregnant and postpartum women

  • Creating a centralized “no wrong door” approach for access to services, care, and resources

Small child smiles for picture with baby sibling.

SNV HUB Participant Testimonial

The motive of this letter is to express how sincerely grateful I am for the help this program has offered. [My CHW] has helped me overcome the difficulties and struggles I was facing. Her help and compassion has been essential to me. She was always willing to provide me with different resources such as food, transportation, schooling, hospitals, and dentists. I would like to refer everyone to this program, especially all the women who have needs like mine.

-Yadira G., SNV HUB Participant

SNV HUB Participant Testimonial

The motive of this letter is to express how sincerely grateful I am for the help this program has offered. [My CHW] has helped me overcome the difficulties and struggles I was facing. Her help and compassion has been essential to me. She was always willing to provide me with different resources such as food, transportation, schooling, hospitals, and dentists. I would like to refer everyone to this program, especially all the women who have needs like mine.

-Yadira G., SNV HUB Participant

SNV HUB Participant Testimonial

The motive of this letter is to express how sincerely grateful I am for the help this program has offered. [My CHW] has helped me overcome the difficulties and struggles I was facing. Her help and compassion has been essential to me. She was always willing to provide me with different resources such as food, transportation, schooling, hospitals, and dentists. I would like to refer everyone to this program, especially all the women who have needs like mine.

-Yadira G., SNV HUB Participant

What is the Maternity Medical Home Model?

The Maternity Medical Home model (MMH) is based on the Patient-Centered Medical Home approach. The MMH model incorporates seven key elements:

  • 1
    A personal physician
  • 2
    A physician-led medical practice
  • 3
    A focus on the whole person
  • 4
    Coordinated and integrated care
  • 5

    A focus on quality and safety

  • 6
    Enhanced access to care
  • 7

    Recognition of the model’s value to patients through payment

The model highlights the central role of pregnant women and their connection to health care and community services. It also emphasizes a collaborative approach where medical, behavioral and social services interact bidirectionally to support maternal health.

The Maternity Medical Home Model

Infographic illustrating the relationship between community services and health care.

The IMHS Pilot: April 2025 – September 2026

During the IMHS Pilot Phase, we will be testing out the model that was developed during the Design Phase.

Clinical MMH community health workers (CHWs) will implement a social determinants of health screening at the UNLV Shadow Lane clinic with patients attending obstetrics appointments. Those that screen positive for a social need will receive a referral to the SNV HUB and be connected with a CHW from one of the SNV HUB care coordination agencies.

Once a patient is enrolled into the Pathways program, they will receive a comprehensive risk assessment to identify personal needs and open relevant Pathways, including the Pregnancy Pathway.

IMHS Project Goals

Short-Term Outcomes for Pregnant Women and Babies

  • Increase health-related social needs (HRSN) and clinical risk screening during each trimester
  • For women identified as having an HRSN or specialty care needs, increase referrals to the SNV HUB or appropriate specialty care
    • Provide timely referrals to appropriate resources and address the identified needs
  • Increase the number of first trimester visits with an obstetrics provider
  • Increase the number of completed postpartum care visits between 7 and 84 days after delivery
  • Increase the number of newborns who receive recommended follow-up care with a pediatrician within 48 to 72 hours after discharge from the hospital

Long-Term Clinical-Level Outcomes

  • Increase in full-term birth and healthy birth weight babies in disproportionately impacted populations
  • Increase the number of pregnant women receiving timely prenatal and postpartum care
  • Reduction in maternal mortality, pregnancy associated deaths and severe maternal morbidity in disproportionately impacted populations

Long-Term System-Level Outcomes

  • Increased number of agencies participating in the community-based care coordination network
  • Long-lasting system relationships and infrastructure that builds the integrated maternal health system
Portrait of Nadia Gomez, MD, MBA

“The maternal health crisis and lack of health care equity in this space has illuminated a deep need for us to invest in the care of one of society’s most vulnerable populations.

“This program is critical to improving care for pregnant people and creating a robust safety net for them, so they have the opportunity to thrive.

“This program is essential to decrease maternal morbidity and improve maternal and infant health outcomes.”

Nadia Gomez, MD, MBA
Co-Principal Investigator
Kirk Kerkorian School of Medicine at UNLV Department of Gynecologic Surgery & Obstetrics

IMHS Project Phases

Phase 1: Program Design

Initially the IMHS program was designed to serve as a demonstration, using Human-Centered Design (HCD) to identify the needs and challenges of pregnant women in Clark County, Nevada.

HCD was conducted with clinicians, social service providers, and community members. Key recommendations were compiled and disseminated to the IMHS Steering Committee. The project was then transitioned into design mode, with two workgroups (Maternity Medical Home and the SNV HUB) preparing workflows and decision-support tools for the pilot.

Phase 2: Pilot Implementation

The pilot phase launched April 4, 2025, in partnership with UNLV Shadow Lane clinic, the SNV HUB and three care coordination agencies. The goal of the pilot is to enroll 300 pregnant women between April 2025 and September 2026.

Phase 3: Scale Up and Spread

Following the pilot, a learning collaborative will be launched to cross-train regional providers in the IMHS model and to engage health plans in aligning incentives with desired behaviors that reduce costly complications for members. This effort will support the sustainability and expansion of the IMHS model in Clark County.

IMHS Program Partners

Clinical Partners

Care Coordination Agencies

Supporting Organizations

IMHS Program Partners

Clinical Partners

Care Coordination Agencies

Supporting Organizations

Contact Us To Learn More About Becoming a Partner