Search Results: MCHLine

Annotation: This report describes a project to improve the oral health of school-age children in an area in New York where there is a health professional shortage and most residents have low incomes. Topics include delivery-system design, interdisciplinary care, client/community education, continuous quality improvement, sustainability, evaluation, and resources and capabilities. Links to a cover letter and combined enrollment form; links to video programs; and the process, out- come, and impact indicators/minimal data set are also provided. [Funded by the Maternal and Child Health Bureau]

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Keywords: Children's Health Insurance Program, Community health centers, Comprehensive health care, Final reports, Health services delivery, Interdisciplinary approach, Local initiatives, Medicaid, Model programs, New York, Oral health, Oral health care, Program improvement, Quality assurance, Rural population, Schools, Service integration, Systems development

Annotation: These data-to-action success stories focus on programs in three states: Maryland, New York, and Rhode Island. The Maryland program focused on providing oral health counseling to pregnant women, the Rhode Island program focused on providing continuing education for oral health professionals to promote optimal care among pregnant women, and the New York program focused on monitoring oral health care during pregnancy using New York State Pregnancy Risk Assessment Monitoring System data. Each program description includes a problem overview, a program activity description, and program activity outcomes.

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Keywords: Access to health care, Collaboration, Maryland, New York, Oral health, Pregnant women, Rhode Island, Safety, State programs

Annotation: This research brief provides information about the dentist and dental hygienist work force in New York state, including the concentration of dentists vs. dental hygienists, the concentration of dentists in urban vs. rural areas, the diversity of the oral health work force compared with the diversity of the state’s population, the ages of dentists and dental hygienists, and the educational attainment of dental hygienists. Sources and limitations of the data are described.

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Keywords: Age factors, Cultural diversity, Dental hygienists, Dentists, Educational attainment, Health disparities, New York, Oral health, Rural environment, Urban environment, Work force

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Keywords: Adolescent pregnancy, City agencies, Interdisciplinary approach, New York, Policy development, Prevention programs, Prevention services, Public health

Annotation: This issue brief provides a history and overview of Bright Futures, a national program to promote children's current and future health through a set of guidelines that aim to improve the quality of health promotion and preventive services for children. The brief discusses the role of Bright Futures in the Affordable Care Act, and provides past and present examples of state health agencies' efforts to implement Bright Futures. Topics include initiation and funding, activities, and lessons learned in Illinois, New York, Virginia, and Washington. Brief descriptions of efforts in Maine, Nevada, North Carolina, North Dakota, and Oregon are also included, as well as recommendations for states.

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Keywords: Adolescents, Bright Futures, Children, Guidelines, Health care reform, Health promotion, Illinois, Infants, National programs, New York, Pediatric care, Preventive health services, Quality assurance, State agencies, Virginia, Washington

Annotation: This issue brief describes information about the status of oral health in New York state and opportunities for preventing oral disease in adults, pregnant women, and children. Topics include the costs associated with oral disease and solutions at the individual level (e.g., brushing and flossing, eating healthy foods, drinking fluoridated tap water) and at the community level (e.g., increasing access to fluoridated water, fluoride varnish, and school-based dental sealant programs).

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Keywords: Community based services, Dental sealants, Fluorides, Health status, New York, Oral health, Prevention programs, Preventive health services, School based clinics, State programs, Water

Annotation: This brief presents findings of the New York State early childhood caries system dynamics model as they relate to cost-effective care delivery and reducing risks for disease. It discusses policy options to align the oral health-care-delivery system with established caries-management science. Topics include focusing care on an individual child's level of risk for disease, approaches for crafting dental benefits in a cost-effective manner, community water fluoridation, and motivational interviewing.

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Keywords: Cost effectiveness, Dental caries, Disease management, Health care delivery, Models, New York, Policy development, Population surveillance, Service delivery systems, State initiatives, Young children

Annotation: This case study highlights how state- and community-based organizations in Alabama, New York, and Texas used the root cause analysis (RCA) process to identify the social conditions (risk and protective factors) influencing adolescent pregnancy in their communities and create action plans to address these factors. Topics include using RCA to engage youth and diverse stakeholders, using RCA to develop a strategic plan, lessons learned from the RCA process, and recommendations.

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Keywords: Adolescent pregnancy, Alabama, Case studies, Community action, Community based agencies, New York, Prevention programs, Protective factors, Risk factors, State agencies, Strategic plans, Texas

Annotation: This oral health plan builds upon progress made and lessons learned in implementing previous oral health efforts in New York state and fits within the broader goal of reducing preventable disease and improve the state’s health care system. The plan provides an overview of oral health in New York state. It discusses priority areas for improving health and presents related goals, objectives, and strategies. Prevalence of oral disease in the state, risk factors, and the oral health workforce are also discussed.

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Keywords: Health care delivery, Health education, New York, Oral health, Prevention, Public policy, State materials

Annotation: This brief examines how the transition of children from the Children's Health Insurance Program (CHIP) to Medicaid after the Affordable Care Act goes into effect will affect children, families, and states. The brief offers an introduction to the issue and and overview (including the number of children affected, how children and families will be affected, benefits, cost sharing, enrollment and renewal procedures, access to care, fiscal impact on states, and administrative efficiency). The brief also discusses lesson learned from New York and Colorado from their early transition of coverage (including how children have transitioned, how families have been notified about changes, how delivery systems have affected alignment, and how providers were engaged in the process). Other models used to coordinate CHIP and Medicaid are also discussed.

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Keywords: Access to health care, Adolescents, Children, Children's Health Insurance Program, Colorado, Costs, Eligibility, Enrollment, Families, Health care delivery, Health care reform, Infants, Legislation, Low income groups, Medicaid, New York, Program coordination, State programs, Statistical data, Transitions

Annotation: This report, which is a companion to the Medicaid and CHIP Risk-Based Managed Care in 20 States report, focuses on 20 states' Medicaid and Children's Health Insurance Program (CHIP) managed care payment methods and spending. The states are Arizona, California, Connecticut, Delaware, Florida, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Virginia, and Wisconsin. The report addresses two research questions: (1) how do the 20 states establish capitation rates in their Medicaid and CHIP managed care programs, and how have their approaches to and policies for rate setting changed over the past decade and (2) how does monthly Medicaid spending for four distinct managed care enrollee populations (adults and children, with and without disabilities) vary among the 20 states? The report introduces the issues and presents the study approach, methods, findings, and a discussion.

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Keywords: Adults, Arizona, California, Children, Children's Health Insurance Program, Connecticut, Costs, Delaware, Disabilities, Florida, Managed care, Maryland, Massachusetts, Medicaid, Michigan, Minnesota, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, State programs, Tennessee, Texas, Virginia, Wisconsin

Annotation: This report provides a baseline comparison of coverage and costs to consumers in separate Children's Health Insurance Program (CHIP) plans and benchmark plans in select states; describes how coverage and costs might change in 2014; and describes how access to care by CHIP children compares to other children nationwide. Examples are provided from five states: Colorado, Illinois, Kansas, New York, and Utah.

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Keywords: Access to health care, Children, Children's Health Insurance Program, Colorado, Illinois, Kansas, New York, Utah, Case studies, Families, Health care financing, State programs

Annotation: This guide provides information and guidance for working with pregnant and parenting youth, helping them as they develop both as individuals and as parents through positive casework interactions. The guide encourages a strengths-based approach to ensure the safety of both young parents and their children. It offers suggestions for engaging young parents in conferencing and supportive services while highlighting the importance of maintaining a young parent’s right to privacy and autonomy, and emphasize comprehensive planning for pregnant young people to promote well being, to minimize the need for court intervention, to ensure placement stability and to help young families move more quickly toward permanency. The guide is designed to be used primarily by provider agency case planners, but may also be useful to child protective staff, Family Services Unit staff, parent advocates, attorneys and others who work with this vulnerable population. Topics in planning and services for young parents in out of home care include: legal issues, father participation, collaborative planning and permanency, preventive services, child safety conferences, court intervention, pregnancy-related services, medical home visiting programs, parenting supports, counseling and mental health services, education, child care, and preparing a young parent for leaving foster care. Appendices provide resources for services in adolescent reproductive health, breastfeeding, the WIC program, support services and assistance, teen father support, mentoring and mental health, housing support, legal information, education, hoe visiting, and parenting education programs. Tips sheets are provided on mandatory reporting, early care and education, public housing, and transitional Medicaid.

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Keywords: Adolescent parents, Adolescents, Child welfare, Family support services, Foster care, New York, Out of home care, Parent education, Social services, State initiatives, Youth in transition programs

Annotation: This final report describes a project in New York to establish and enhance collaboration with community partners and provide oral health training and resources to increase oral health literacy and access to oral health services among individuals with low incomes, especially pregnant women, infants, and young children. The report summarizes project goals and objectives, accomplishments, sustainability efforts, impact on the community and oral health service systems, and lessons learned. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Final reports, Infants, Low income groups, New York, Oral health, Pregnant women, State initiatives, Young children

Annotation: This final report describes a 2007-2012 project between Community Pediatrics at Columbia University and New York Presbyterian Hospital (NYPH), in partnership with the Community Health Worker Institute (CHWI) at Alianza Dominicana, for low-income families with children in Northern Manhattan. The Health Education and Adult Literacy (HEAL) Program seeks to decrease medication errors and increase compliance with treatment given by pediatricians by improving health literacy in the population served. We developed, implemented, and evaluated a culturally and linguistically appropriate curriculum targeted to community health workers and pediatric providers. Increased parent, physician, and community knowledge of disease and medication management was assessed through “pre” and “post” knowledge surveys. Feedback logs of interactions with patients and clients served, measured the impact of the program developed. Report sections include goals and objectives, methodology, evaluation, results/outcomes, a list of publications/products created during the project, a summary of the dissemination or utilization of results, and an outline of future plans/sustainability of the project. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child health, Community programs, Families, Final reports, Health literacy, Health services delivery, Low income groups, New York

Annotation: This report provides information from a study to assess the gap between the need for mental health treatment slots and the number of treatment slots available for children and adolescents throughout New York City. The report discusses the methodology and presents key findings on child and adolescent mental health needs in the Bronx, Brooklyn, Manhattan, Queens, and Staten Island and key findings on capacity and gap analysis. Appendix G of the report, a PowerPoint presentation, is presented in a separate document.

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Keywords: Adolescent mental health, Behavior problems, Child mental health, Health care delivery, Health care systems, Health insurance, Low income groups, Managed care, Medicaid, Mental health problems, New York, Research, Statistical data, Treatment, Uninsured persons

Annotation: This document is a source of information and guidance for case planners in New York City in their work with parenting youth and youth planning for the arrival of their baby in foster care, and in developing appropriate service plans for these youth. It discusses roles for agency case planners in referring both expecting mothers and fathers of health and support systems, discussing the role of resource parents for minors who are expecting, securing a stable placement for expecting youth before baby arrives, as well as developing and executing permanency plans for young parents in out-of-home care. Additional information is provided on health care testing and decision-making, legal aspects of pregnancy and parenting, and understanding funding for baby's essential needs. A practice guide summary is included along with resources for community based services, housing and child care, child welfare services, medical mentoring for pregnant and parenting youth, and prevention services.

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Keywords: Adolescent parents, Adolescents, Child welfare, Family support services, Foster care, New York, Out of home care, Parent education, Social services, State initiatives, Youth in transition programs

Annotation: This document provides information about the Maternal and Child Health Initiative, which focuses on improving maternal and child health outcomes in western and central New York. The report discusses the initiative's five stages of evolution over the past 3 years, and environmental scan of service providers, a zip code analysis, promising models, community conversations, and next steps.

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Keywords: Access to health care, Child health, Communities, Depression, Economic factors, Families, Health services, High risk groups, Infant health, Infant mortality, Initiatives, Low income groups, Mental health, New York, Parents, Poverty, Pregnant women, Prenatal care, Prevention, Research, Service delivery, State initiatives, Stress, Women's health

Annotation: This report provides a portrait of preventive oral health care use among children and adults in New York City. Recommendations to reduce the risk for oral health problems and improve oral health care access are also discussed.

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Keywords: Cities, Data, New York, Oral health, Urban health

Annotation: This brief examines maternal weight and infant mortality in New York City during the period 2008-2010. Contents include information and data on disparities in pre-pregnancy obesity by race and ethnicity. Additional content addresses the relationship between pre-pregnancy weight, infant mortality, mother's education, infant birth weight, and neighborhood poverty.

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Keywords: Adverse effects, Barriers, Cities, Data, Epidemiology, Infant mortality, New York, Obesity, Pregnancy, Urban health