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Quality Initiatives

The University of New Mexico's Envision New Mexico 2.0 partners with state entities to implement programs aimed at improving New Mexicans' overall health.


The Reducing Breastfeeding Disparities through Quality Improvement Initiative is a three-year effort funded by the W.K. Kellogg Foundation. This project began in May of 2016 in response to the 2014-2015 assessment work, also funded by the W.K. Kellogg Foundation. The goals are to design and implement a statewide quality improvement initiative that leads to measurable progress in:

  • Breastfeeding care and support practices of New Mexico hospitals
  • Improving community clinic-based practices in support of breastfeeding
  • Addressing racial and ethnic disparities in breastfeeding rates in NM

The objectives are to:

  • Facilitate adoption of hospital and clinic-specific strategies for providers and staff to address breastfeeding disparities.
  • Identify barriers and challenges experienced by pediatricians and family medicine providers in community clinics in their efforts to support breastfeeding.
  • Engage community leaders and members throughout the initiative to ensure that quality improvement efforts are focused on, and responsive to, priority populations - Hispanic and native American women.
  • Monitor improvements in hospital and clinic practices and breastfeeding rates among priority populations.

For more information about the initiative, contact Adrienne McConnell, MS.

Optimizing Care for Neonates at Risk for Opiate Withdrawal Syndrome (NOWS-NM)

NOWS-NM is a pilot initiative implemented by Envision New Mexico 2.0 within the Department of Pediatrics at the University of New Mexico Health Sciences Center to provide training and quality implement (QI) support to healthcare providers for infants born with Neonatal Opiate Withdrawal Syndrome (NOWS) and their mothers in rural communities.  The pilot initiative entails preliminary assessment of current provider attitudes and practices concerning care for opiate-using pregnant women and NOWS infants.  Local healthcare practitioners are then provided with instruction and training to increase their knowledge of NOWS and their capacity to implement best practices regarding assessment, diagnosis, and treatment.  Practitioner training is administered through a series of web-based instructional video modules as well as telehealth case consultations with UNM Hospital physicians, nurses, and other NOWS experts.  Post-training improvements in targeted practitioner behaviors are reassessed through medical record reviews of specific service quality indicators.  A primary objective of the training and QI support is to increase capacity among local healthcare practitioners to provide appropriate care for NOWS infants and to reduce the number of medically unnecessary long-distance transports to UNM Hospital for prenatal care, delivery, and postnatal follow-up.

For more information about NOWS-NM, contact Dr. Heather Pratt-Chavez, MD or Sarah Sanders, RN, MS.

Long- Acting reversible Contraceptives (LARC) Mentoring Program

The LARC Mentoring Program is aimed at increasing access to long-acting reversible contraceptives (LARC) for all women of reproductive age in New Mexico. This is accomplished by training primary care providers in LARC procedures and improving clinic flow, billing and coding for more efficient patient care.

  • Education: Training in Reproductive Health Counseling using a non-coercive approach.
  • Training: Hands-on skills training and proctoring for primary care clinicians and staff.
  • Tools: Development of clinical protocols and documentation templates.
  • Addressing Financial and Administrative Barriers: Technical assistance with billing, coding, and support for clinic flow.
  • Health Policy: Collaboration with state agencies, advocates and others to improve health policy for reproductive healthcare in New Mexico.

Our objectives include:

  • Increase access to all forms of contraceptive including IUDs and implants.
  • Improve provider communication on contraceptive options in the context of comprehensive patient-centered counseling.
  • Increase administrative knowledge and support for LARC implementation in clinics.

Since November of 2016 we have trained over 1,000 providers and are expanding yearly into rural and urban communities across the state.

The LARC Mentoring Program is supported by members of the Early Childhood Funders Group and the New Mexico Department of Health.

For more information about the initiative, contact Andrea M Andersen, MPH (


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FRONTERAS (Facilitating Rural Opportunities with New TEchnologies)

FRONTERAS (Facilitating Rural Opportunities with New TEchnologies, Resources and Services) is a rural, outpatient, school-based health center telehealth initiative focused on improved management of pediatric chronic disease. FRONTERAS is increasing access using telehealth applications for direct service delivery, case consultation, and provider, child and family education by pediatric sub-specialists at the University of New Mexico (UNM) in rural school based health centers in NM.

Contact: Jeanene Sisk, 505-925-7600,

Strategic Implementation of SBIRT in School-Based Health Centers (SISS)

The SISS initiative is a three-year effort that began in January 2019 to build upon preliminary testing in 2014-2018 of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, an evidence-based practice approach to identify, reduce, and prevent substance use in school-based health centers in New Mexico.  Contact: Donna Sedillo,