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Strengthen the Evidence for Maternal and Child Health Programs

Find Established Evidence


Displaying records 1 through 2 (2 total).

Brown, C. M., Perkins, J., Blust, A., & Kahn, R. (2015). A neighborhood-based approach to population health in the pediatric medical home. Journal of Community Health, 40(1), 1–11. Access Abstract

NPM: 11: Medical Home
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Patient-Centered Medical Home, CAREGIVER, Home Visit (caregiver), PATIENT/CONSUMER, Home Visits, Outreach (caregiver), Nurse/Nurse Practitioner, Enabling Services
Intervention Description: (1) To improve connections to the medical home for infants from one low-income neighborhood (2) To increase the number of families enrolled in a local home visiting program, and (3) To improve communication between medical staff and home visitors.
Conclusion: Neighborhood-based newborn registries, proactive nursing outreach, and collaboration with a home visiting agency aligned multiple clinics in a low-income neighborhood to improve access to health-promoting services.
Study Design: Quasi-experimental: Nonequivalent control group
Setting: Primary care clinics and a home visiting program in a neighborhood defined by two zip codes
Target Audience: All children born in the intervention and comparison neighborhoods
Data Source: Data from the local children’s hospital’s Emergency Department was used to identify the most common primary medical providers for children from the study zip codes • Newborn registry data (maintained manually with a Microsoft Excel spreadsheet) • Electronic health record data (with an automated newborn registry) • Manual chart review • Automated report of appointment data • Outcome measures using clinic data • Process measures using clinic and home visiting agency data
Sample Size: n=237 (cumulative number of babies on a registry); n=30 (cumulative number of families enrolled in home visiting)
Age Range: Not specified

Petersen, D. J., Bronstein, J., & Pass, M. A. (2002). Assessing the extent of medical home coverage among Medicaid-enrolled children. Maternal and Child Health Journal, 6(1), 59–66. Access Abstract

NPM: 11: Medical Home
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Patient-Centered Medical Home, Continuity of Care (Caseload), PATIENT/CONSUMER, Enabling Services
Intervention Description: In light of the transition of the Alabama Medicaid program to a primary care case management model, we assessed the level to which children had access to a medical home before and after implementation of that model.
Conclusion: State Maternal and Child Health programs are required to report as a performance measure “the percent of children with special health care needs in the state who have a medical/health home” as part of their Block Grant application. Using Medicaid data, this simple measurement strategy can provide an indication of the extent to which at least one population of children receive care through a medical home.
Study Design: Quasi-experimental: Pretestposttest
Setting: Alabama Medicaid-financed primary care
Target Audience: Children with Medicaid in 26 counties
Data Source: Medicaid administrative/claims data
Sample Size: n=60752 (enrolled during baseline); n=64789 (enrolled during postimplementation period)
Age Range: Not specified

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.