Search Results: MCHLine

Annotation: The overall goal of the this project was to demonstrate effective models for the necessary components of an emergency medical services for children (EMSC) system and the integration of those components into currently operating adult-oriented systems. The project has outlined the six major components of an EMSC system: (l) System description, (2) prevention, (3) education, (4) standards of care, (5) quality assurance, and (6) research and development. The project comprised seven subprojects whose activities included educating the public, the prehospital care provider, and the rural physician about the assessment and management of pediatric emergencies; comparing the efficacy of ground versus air transport; defining the degree of psychological impairment caused by head injury; identifying the rehabilitation facilities available locally, regionally, and nationally; and increasing compliance with safety belt/child restraint legislation. [Funded by the Maternal and Child Health Bureau]

Keywords: Cost-Benefit Analysis, Data Collection, Emergency Medical Services, Emergency medical technicians, Facilities For, First Aid, Head Injuries, Health Professionals, Paramedics, Rehabilitation, Seat Belts/Restraints for Children

Annotation: The Arkansas Demonstration Project utilized a broad-based approach to evaluate and improve the outcome of pediatric emergencies in Arkansas. It involved interaction with many statewide agencies, including various offices of the Arkansas Department of Health and the Area Health Education Centers (AHECs) of the University of Arkansas for Medical Sciences. The project was designed with four primary purposes: (1) Increase the level of knowledge regarding the consequences of critical illness and injury in children in the State of Arkansas; (2) improve the emergency medical services provided to those children during the project period and after, particularly to handicapped and minority children; (3) determine the effectiveness of the proposed methodologies for the reduction of morbidity and mortality associated with childhood illness and injury; and (4) determine effective methods of imparting the knowledge gained to other States in a manner resulting in the adoption of effective programs by those States. [Funded by the Maternal and Child Health Bureau]

Keywords: Ambulances, Child Education of Health Professionals, Data Bases, Data Collection, Disabled, Emergency Medical Services, Emergency Medical Technicians (EMTs), Emergency medical technicians, Minorities, Morbidity, Mortality, Networking

Annotation: The primary purpose and goal of this project was the validation of scales for measuring cognitive and physical or general adaptive morbidity, the Pediatric Cerebral Performance Category Scale (PCPC) and Pediatric Overall provides the means of evaluation needed to reach the EMSC goal to evaluate emergency medical care of children as outlined in the EMSC 5 year plan. A secondary purpose of the study was to obtain supplemental data on the nature and severity of adverse outcomes of psychosocial adjustment for children and families with a broad range of cognitive and functional outcomes following childhood emergencies. This study and other work by the investigator will facilitate the identification of the population of children and families at high risk for emergencies in order to guide the development of a suitable intervention in a future phase of study. A cohort of 200 PICU discharges were accumulated consecutively over a 22 month enrollment period to a maximum of 25 patients in each of the eight cells of the study. The patients were then followed up with the Vineland Adaptive Behavior Scale and a battery of psychological tests. We find that the POPC and PCPC scales differentiate well between children of varying cognitive and general adaptive functional abilities as measured by the StanfordBinet, Bayley, and Vineland instruments. They should provide a useful tool for future studies which require outcome assessment. Maternal assessments may not be suitable substitutes for clinician assessments as mothers tend to rate children lower (less morbidity) than the nurse rater. Additional outcome analyses are still in progress. [Funded by the Maternal and Child Health Bureau]

Keywords: Emergency Medical Services for Children, Emotional Health, Mental Health, Morbidity, Research

Annotation: This project had two components: Part 1, based in the Department of Health's Office of Emergency Medical Services, coordinated project efforts and served as a focus for emergency medical services for children (EMSC) in the State, including children with special health needs and minority children and their families. Part 2 involved the State's emergency medical services (EMS) community in three subcontracts that addressed (1) training for emergency medical technicians, paramedics, physicians, and nurses; (2) pediatric trauma issues; and (3) pediatric illness issues. [Funded by the Maternal and Child Health Bureau]

Keywords: Databases, Education, Emergency Medical Services for Children, Injury Prevention, Preventive Health Care, Professional Education in EMSC

Annotation: This project aimed to supplement the three (out of 110) hours in pediatric and childbirth training mandated by the U.S. Department of Transportation's curriculum standards for basic EMT training. The project trained EMTs who were nominated by state EMS directors and who returned to train other EMTs in their states. Audiovisual aids were made available to graduates for their use in local training. By the end of 1988 the project trained 190 EMTs. [Funded by the Maternal and Child Health Bureau]

Keywords: Continuing Education, Education of Health Professionals, Emergency Medical Services, Emergency Medical Technicians (EMTs), Injuries

Annotation: This brief provides information about Medicaid-covered dental visits and dental-related emergency department visit rates during the perinatal period. The information is based on 2018–2019 Medicaid and State Children’s Health Insurance Program encounter data and dental claims from over 200,000 women during the postpartum period from 45 states and the District of Columbia. It presents variations in receipt of oral health care during the perinatal period according to enrollee age, state of residence, extent of Medicaid coverage of dental services, and state Medicaid expansion status.

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Keywords: Emergency room, Health care utilization, Low income groups, Medicaid, Oral health, Perinatal health, Perinatal services, Postpartum care, Pregnant women

Annotation: This brief provides key findings from the State of Oral Health Equity in America 2024 Survey, a nationally representative survey of over 9,000 adults’ attitudes, experiences, and behaviors related to oral health. Information is included about dental visits in the past year by home-ownership status, planned dental visits in the coming year by income level, emergency department visits for oral health care by educational attainment, having a dental home by health insurance status, self-rated oral health by sexual orientation, importance attached to cultural humility in oral health care by race, and importance attached to diversity in oral health care by income level.

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Keywords: Behavior, Cultural competence, Educational attainment, Emergency medical services, Health equity, Health insurance, Income factors, Oral health, Oral health care, Sexual identity, Surveys

Annotation: In this episode of the AIM for Safer Birth podcast series, host Christie Allen is joined by Dr. Kristen Dillon, Chief Medical Officer at the Federal Office of Rural Health Policy within the U.S. Department of Health and Human Services (HHS). With an extensive background in public health, rural healthcare, and health policy, Dr. Dillon shares her journey from an urban upbringing in the San Francisco Bay Area to a dedicated career in rural medicine, including her experience overseeing Oregon's Pandemic Response Unit and working on health policy in Speaker Nancy Pelosi's office. Dr. Dillon discusses the unique challenges and solutions in providing quality maternity care in rural areas, the importance of telehealth and collaborative networks, and the critical role of emergency care providers. This episode is part of the AIM series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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Keywords: Access to health care, Collaboration, Emergency medical services, Federal initiatives, History, Maternal health, Policy development , Rural health, State initiatives, Telemedicine

Annotation: This infographic for consumers provides information about the safety of getting oral health care, including routine care and emergency care, during pregnancy.

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Keywords: Consumer education, Emergency medical services, Health care utilization, Oral health, Pregnant women, Safety

Annotation: This workbook addresses obstetric emergency triage and care for health care providers, particularly those in nonobstetric settings and maternity care deserts. The workbook presents evidence on the critical access challenges facing pregnant and postpartum patients, noting that one in 12 women live in areas with low or no access to maternal health care and that 41.7% of Missouri counties are defined as maternity care deserts compared to 32.6% nationally. It outlines comprehensive strategies for hospitals without obstetric services, including implementation of education and simulation drills for emergency deliveries and maternal emergencies such as hypertension, sepsis, and hemorrhage, creation of emergency medication kits, use of algorithms and early warning systems, and establishment of partnerships with tertiary medical centers for consultation and transfer agreements. The workbook details the complete Alliance for Innovation on Maternal Health Emergency Triage and Care Patient Safety Bundle components, covering readiness requirements such as rapid response team identification, recognition and prevention measures including pregnancy screening protocols, response protocols for routine births in nonobstetric settings and obstetric emergencies, and reporting and systems learning processes including huddles and debriefs. It emphasizes trauma-informed care principles and respectful, equitable care for all patients, and includes extensive resources for obstetric triage tools, emergency protocols, simulation training materials, transport guidelines, telehealth consultation resources, and patient education materials. The workbook specifically addresses Missouri's challenges with rural hospital closures and provides evidence-based practices to ensure continual readiness for obstetric patients in all hospital settings.

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Keywords: Access to care, Emergency health services, Missouri, Obstetrical care, Resources for professionals, Rural health, State initiatives, Triage

Annotation: This workbook serves as a resource for health care providers addressing maternal sepsis recognition and treatment in pregnant and postpartum patients. The workbook presents evidence on maternal sepsis as the body's life-threatening response to infection, noting that between 2017 and 2019, infection was the fourth leading cause of pregnancy-related death in the United States, with Black women having more than twice the risk of maternal sepsis compared to white women. Included are key challenges in maternal sepsis recognition and recommended procedural approaches. The workbook details the complete Alliance for Innovation on Maternal Health Sepsis in Obstetric Care Patient Safety Bundle components, covering readiness requirements including multidisciplinary team protocols and rapid response procedures, recognition and prevention measures such as evidence-based sepsis screening tools and infection prevention protocols, response protocols emphasizing early antibiotic administration within one hour and source control measures, and reporting and systems learning processes including multidisciplinary case reviews and bias consideration. The workbook addresses Missouri-specific data showing infections as the fifth leading cause of pregnancy-related deaths from 2018-2020, with sepsis as the fourth leading indicator for severe maternal morbidity and significant racial disparities noted, and includes extensive resources for sepsis evaluation flow charts, screening tools, simulation training scenarios, order sets, and patient education materials.

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Keywords: Emergency health services, Guidelines, Infectious complications complications, Missouri, Protocols, Resources for professionals, Sepsis, State initiatives

Annotation: These resources for oral health professionals provide guidance on immediate and urgent care for traumatic oral injuries, including fractures and luxations of permanent teeth, avulsion of permanent teeth, and traumatic injuries to primary teeth. Topics include diagnosis, treatment planning, follow-up care, and outcomes. Special considerations for trauma to primary teeth, immature versus mature permanent teeth, avulsion of permanent teeth, and patient/parent instructions are included. The guidelines are available in Arabic, Bahasa, Croatian, English, Farsi, French, German (Austrian), Greek, Hebrew, Hindi, Italian, Korean, Lithuanian, Mandarin Chinese, Nepali, Portuguese, Romanian, Spanish, Russian, Tamil (India), Turkish, Ukranian, Urdu, and VIetnamese.

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Keywords: Critical care, Emergency medical services, International health, Non English language materials, Oral health, Oral health care, Outcome and process assessment, Resources for professionals, Trauma care

Annotation: This document presents information from a survey conducted by Families USA of 14 states that cover emergency-only oral health services. Selected topics include what can be learned from states that offer emergency-only coverage, how responding states’ dental benefits differ, states in which managed-care plans provide adults with extra offerings, costs to states of paying for emergency department visits when appropriate oral health services are not available, the limited availability of alternative oral health care resources for adults, and the inadequacy of emergency-only dental care for individuals with serious medical conditions.

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Keywords: Costs, Dental insurance, Emergency medical services, Low income groups, Medicaid, Oral health, Oral health care, State programs, Surveys

Annotation: This report describes what is known about the availability of trauma centers for children and the outcomes for children treated at different types of facilities. The report also examines how, if at all, federal agencies are involved in supporting pediatric trauma care and how these activities are coordinated. Topics include the location of high-level pediatric trauma centers, the percentage of children who live within 30 miles of a high-level pediatric trauma center, and how well such centers work to lower mortality. Additional topics include federal interagency coordination to support hospital-based pediatric trauma care activities and training and resources available to physicians and nurses for pediatric trauma care. Examples are included.

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Keywords: Access to health care, Emergency medical services for children, Federal agencies, Health care delivery, Injuries, Interagency cooperation, Outcome and process assessment, Pediatric care, Pediatric hospitals, Training, Trauma care, Trauma centers, Work force

Annotation: This report presents findings from a review of studies on the use of emergency departments for nontraumatic oral health conditions and oral health care. The report discusses variations in target populations, outcomes of interest, predictive factors, data sources, and research methods. Recommendations for future research are included.

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Keywords: Emergency room data, Health care utilization, Hospital emergency services, Oral health, Oral health care, Research methodology, Utilization review

Annotation: This resource is designed to assist states and communities in developing a coordinated response to the immediate and long term needs of infants and children affected by Zika virus (ZIKV), and their families. Contents include an overview of ZIKV, infection, and outcomes; systems of care as a public health approach for comprehensive care for infants and children exposed to ZIKV; and an overview of federal and state programs serving children affected by ZIKV. [Funded by the Maternal and Child Health Bureau]

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Keywords: Assessment, Child health, Community coordination, Comprehensive health care, Emergency medical services for children, Federal programs, Health care systems, Infant health, Infection control, Neonatal screening, Policy development, Population surveillance, Program coordination, Program planning, Quality assurance, Resources for professionals, Service coordination, Service integration, Special health care needs, State programs, Systems development, Virus diseases, Work force

Annotation: This brief reports findings on trends in visits to emergency departments for oral health care for the period 2006 through 2012. Topics include visits and charges broken down by patient age and primary payer, and policy implications.

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Keywords: Data analysis, Emergency room data, Financing, Health care utilization, Hospital emergency services, Oral health, Oral health care, Policy development, Statistical data, Trends

Annotation: This guide for maternal and child health (MCH) programs and their partners provides a synthesis of program and policy recommendations and offers a framework to support states in identifying next steps. Contents include strategies and planning tools for strengthening maternal data systems, increasing the value of an investment in maternal health, enabling healthy living, improving access to care, ensuring high quality health care for women, and ensuring readiness and response to obstetric emergencies.

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Keywords: Access to health care, Emergency medical services, MCH programs, MCH services, Maternal health, Mothers, Policy development, Preventive health services, Program improvement, Program planning, Quality assurance, Systems development, Women's health services

Annotation: This report focuses on emergency department (ED) referral programs for non-traumatic dental conditions. It describes the inappropriate use of EDs to address non-traumatic dental conditions and provides guidelines and recommendations related to this topic, best practice criteria, and state practice examples. A summary of evidence supporting ED referral programs for non-traumatic dental conditions is included. ED use for dental-related conditions; trends in ED referral programs for non-traumatic dental conditions; implications for practice, policy, and cost; and programs for reducing ED use for non-traumatic dental conditions are discussed.

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Keywords: Emergency medicine, Guidelines, Hospital emergency services, Model programs, Oral health, Referrals, Research

Annotation: This website is a compendium of resources related to medical and public health issues of children in disasters and emergencies. Contents include links to journal articles and other documents and materials that may be useful in preparedness, mitigation, response and recovery activities. Resources are national or international in scope. Topics include natural disasters; chemical and biological agents, radiologicals and nuclear, and explosives (CBRNE); psychological and behavioral health; and special topics such as children with disabilities, school and care providers, hospital preparedness, resilience, and pandemics.

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Keywords: Child care, Communicable diseases, Databases, Disaster planning, Disasters, Emergencies, Emergency medical services for children, Hospitals, International health, Mental health, Resilience, Resources for professionals, Schools, Special health care needs