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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 21 through 40 (111 total).

ESM 1.1 Percent of media outlets utilized to promote preventive medical visits. (American Samoa)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Media Campaign". Find other NPM 1 strategies in MCHbest.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: Increase number of women ages 21 - 44 utilizing available preventive medical visits.

Numerator: Number of media outlets utilized to promote medical visits.

Denominator: Total number of media outlets.

Significance: Preconception health and other maternal diseases and risks/complications in future pregnancies and births can be addressed at medical preventive visits. This can help ensure that women receive adequate preventive health care and minimize complex problems that may derive from chronic illness or other risks factors that may lead to unfavorable conditions during pregnancies such as Gestational Diabetes. Women who are healthy prior to pregnancy usually have better pregnancy and birth outcomes than those who are not. There are ten media outlets in total: - 5 radio local stations - 3 TV stations for advertisements - Movie Theater - Local newspaper

Data Sources and Data Issues: ASMCH Title V

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of Maternal and Infant Community Health Collaboratives (MICHC) program participants engaged prenatally who have created a birth plan during a visit with a Community Health Worker (CHW) (New York)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: The baseline value for this measure, taken from 6-month program period of 10/1/19-3/31/20, is 57.2%. The program has set a one-year improvement target of 5%, to 57.2% of participants, for 2022.

Numerator: Number of MICHC participants engaged prenatally who have created a birth plan during a visit with a CHW

Denominator: Number of MICHC participants engaged prenatally with a CHW

Significance: Through the Maternal & Infant Community Heath Collaboratives (MICHC) program, community health workers (CHWs) conduct basic health and well-being assessments in the prenatal and postpartum periods, using standardized evidence-based and/or validated screening tools, to identify and prioritize needs of the individuals and families served. Assessments are completed at enrollment and updated throughout clients’ service periods and individualized care plans are developed based on the needs identified. CHWs receive annual training on how to talk with families about difficult topics like mental health and depression, using a trauma informed care approach, and including how to manage emergency situations. CHWs also connect clients and families to needed services and provide enhanced social support. CHWs help ensure early and consistent participation in preventive and primary health care services, including early prenatal care, particularly for those individuals not engaged in care and other supportive services. CHWs provide health information to increase clients’ knowledge and ability to self-advocate and make informed health care decisions, with the goal of helping families achieve optimal health, self-sufficiency, and overall well-being.

Data Sources and Data Issues: Data for this measure will come from quarterly and annual reports submitted by local MICHC contractors.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of local health jurisdictions that have adopted a protocol to ensure that all persons in MCAH Programs are referred for enrollment in health insurance and complete a preventive visit (California)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Patient Navigation". Find other NPM 1 Patient/Consumer level strategies in MCHbest.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Systems level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: The goal is to increase the number of women who have healthcare coverage and complete a preventive healthcare visit.

Numerator: No. of local health jurisdictions that have a protocol to ensure that all persons referred for insurance enrollment also complete a preventive visit appointment

Denominator: 61 local health jurisdictions

Significance: Having health insurance coverage facilitates entry into the healthcare system. Lacking health insurance is a barrier to getting preventive services.

Data Sources and Data Issues: Data Source: MCAH Local Health Jurisdiction Annual Progress Report Data Issues: Activities planned as they relate to strategies outlined in the Action Plan focus on the provision of insurance coverage as the principal means for ensuring access to healthcare. The referral protocol to be adopted should, at minimum, have the following components: 1) insurance status verification; 2) a plan to assist women in signing up for health insurance; 3) scheduling a client for a preventive visit with a provider; and, 4) a tracking mechanism to identify whether a client has completed a doctor’s visit

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of initial program cervical screening tests that are conducted among women who have never been screened or not screened within the last 10 years (Georgia)

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn't align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Meet or exceed the CDC guideline for the percentage of initial program cervical screening tests that are conducted among women who have never been screened or not screened within the last 10 years.

Numerator: Number of initial program cervical screening tests (first ever valid Pap test or HPV test) that are conducted among women who have never been screened or not screened within 10 years

Denominator: Number of women with their first ever valid Pap test or HPV test, funded through the Breast and Cervical Cancer Program (BCCP)

Significance: A well-woman or preconception visit provides a critical opportunity to receive recommended clinical preventive services, including screening, counseling, and immunizations, which can lead to appropriate identification, treatment, and prevention of diseases to optimize the health of women before, between, and beyond potential pregnancies. A key component of a well-woman visit for a reproductive-aged woman is the development and discussion of her reproductive life plan to align with her current and future plans. Prevention, screening, and management of chronic conditions such as diabetes, and counseling to achieve a healthy weight and smoking cessation, can be advanced with a well-woman visit to promote women’s health prior to and between pregnancies and improve subsequent maternal and perinatal outcomes. The annual well-woman visit is recommended by the American College of Obstetrics and Gynecologists (ACOG).

Data Sources and Data Issues: Data Source: Breast and Cervical Cancer Program (BCCP) Clinical Data

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of clients receiving an annual preventative reproductive health exam that receive a PAP test and/or will be current with receiving the recommended PAP screening schedule, as per ACOG and USPSTF Guidelines (Connecticut)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of women with a preventative reproductive health exam who received a PAP test and/or are current with receiving their recommended PAP screening schedule.

Numerator: # of women with a preventative reproductive health exam who received a PAP test and/or are current with receiving their recommended PAP screening schedule

Denominator: Total number of women that received a preventative reproductive health exam

Significance: The American College of Obstetricians and Gynecologists Committee (ACOG) Opinion (2014) states that the annual health assessment should include screening, evaluation and counseling, and immunizations based on age and risk factors and should include a physical examination. The physical examination will include obtaining standard vital signs, determining body mass index, palpating the abdomen and inguinal lymph nodes, and making an assessment of the patient’s overall health. The ACOG guidelines for cervical cytology screening published in May 2009 recommend beginning cervical cancer screening at age 21 years, irrespective of sexual activity of the patient. This is based on the current understanding of human papillomavirus infection in the adolescent patient and the pathophysiology of invasive cervical cancer. The CDC reports that cervical cancer is the easiest gynecologic cancer to prevent, with regular PAP and HPV screening tests and follow- up. The Pap test looks for precancerous cell changes on the cervix that might become cervical cancer if they are not discovered early and treated appropriately. The HPV test looks for the human papilloma virus that can cause these cell changes. Health disparities exist in CT, as they do nationally. At risk populations have higher rates of teen births, STDs, HIV, and chronic disease and often lack access to care. Evidence-based reproductive health services were provided in accordance with national standards, regardless of the patient’s inability to pay. The 12 CT RHS centers are geographically located in the state’s largest cities and areas of high teen birth rates. The services are inclusive, gender neutral and patient friendly.

Data Sources and Data Issues: Annual contract statistical reports. Centers for Disease Control (http://www.cdc.gov/cancer/cervical/basic_info/screening.htm) American College of Obstetrics and Gynecology (ACOG) Guidelines (2014) U.S. Preventive Services Task Force (USPSTF) Position Statement (2012)

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of births with less than 18 months spacing between birth and next conception (Hawaii)

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn't align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To support reproductive life planning and healthy birth outcomes by increasing intervals of birth spacing (births spaced from 18 month to next conception).

Numerator: Number of Births with interval < 18 months between birth and next conception

Denominator: Total number of Births

Significance: Research shows that effective contraception can help with birth spacing, reduce the risk of low-weight and premature births, and support a woman’s longer term physical and emotional well-being. The Centers for Disease Control and Prevention has identified Long Acting Reversible Contraception (LARC) as among the most effective family planning methods with a pregnancy rate of less than 1 pregnancy per 100 women in the first year. LARC’s intrauterine devices (IUDs) and contraceptive implants are highly effective methods of birth control and can last between 3 and 10 years (depending on the method). Incorporating pregnancy intention screenings in routine and proactive settings where reproductive health age women are likely to be screened every 3 months to a year, regardless of the reason for a women’s visit supports the use of One Key Question®(OKQ) and multiple opportunities for these interventions with discussions that can lead to opportunities for preconception care and contraceptive services. References: Department of Health and Human Services, Centers for Medicaid and Medicaid Services, CMCS Informational Bulletin, April 8, 2016, State Medicaid Payment Approaches to Improve Access to Long-Acting Reversible Contraception; Augustin Conde Agueldo, MD, MPH; Anyeli Rosas-Bermudez, MPH; Ana Cecilia Kafury-Goeta, MD (2006). Birth Spacing and Risk of Adverse Perinatal Outcomes: A Meta-analysis. JAMA 295 (15): 1809-1823. Trussell J. Contraceptive efficacy. In: Hatcher R, Trussell J, Nelson A, Cates W, Kowal D, Policar M, eds. Contraceptive Technology. 20th ed. New York, NY: Ardent Media; 2011:779-863. Oregon Foundation for Reproductive Health One Key Question®.

Data Sources and Data Issues: Data source is vital statistics, Office of Health Status Monitoring. Calculation of interval is based on birth certificate data with valid clinical estimate of gestational age of index birth and prior live birth. Pregnancy Interval = ConceptionDate – Last Live Birth (following HRSA CoIIN to reduce infant mortality outcome measure).

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of birthing hospitals implementing AIM hypertension model (Ohio)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Systems level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Increase the percent of birthing hospitals who implement the AIM hypertension model.

Numerator: Number of birthing hospitals who implement the AIM hypertension model

Denominator: Number of birthing hospitals

Significance: Mothers can experience substantial health and safety issues throughout the duration of their pregnancy and after childbirth, including severe maternal morbidity and pregnancy-related death. The top underlying causes of pregnancy-related death in Ohio include cardiovascular and coronary conditions, infections, hemorrhage, preeclampsia and eclampsia, and cardiomyopathy. To address these issues, the Ohio Department of Health (ODH) has initiated the Ohio Maternal Safety Quality Improvement Project (QIP). The QIP aims to implement a data-driven model created by The Alliance for Innovation on Maternal Health (AIM) to establish interventions in maternity care hospitals in Ohio, with the goal of reducing preventable maternal mortality and severe maternal morbidity and a focus on women who are Medicaid eligible or enrolled, uninsured, black, and/or have a mental health diagnosis.

Data Sources and Data Issues: Program data

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of activity goals to increase preventive medical visits for women which are met by county public health departments using MCHBG funding for the work. (Montana)

Measure Status: Active

Evidence Level: This ESM is population-based (measures access to/receipt of care), thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To support county public health departments who have identified increasing preventive medical visits for women as a priority need in their communities.

Numerator: Number of activity goals met to increase preventive medical visits for women, by county public health departments using MCHBG funding to support the work.

Denominator: Total number of activity goals to increase preventive medical visits for women, by county public health departments using MCHBG funding to support the work.

Significance: The FCHB will contract with CPHDs interested in increasing preventive medical visits for women. These counties will implement and evaluate at least two community-level activities during the fiscal year. As part of supporting these activities, the FCHB provides resources on evidence-based/informed strategies and best practices. This will raise community-level understanding on the importance of preventive medical visits for women, and the range of needs which can be addressed. The FCHB also provides training and support on community needs assessment, and on activity goal setting and evaluation.

Data Sources and Data Issues: FCHB - The number of counties choosing to use MCHBG funding to address this performance measure may change from year to year. Details on activities, goals, and evaluation plans are submitted by the CPHDs on their yearly pre-contract survey. Outcomes are reported on their annual Compliance & Activities report.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Participation in the Women's Community Health Initiative for Preventing Cardio Vascular Disease. (Nebraska)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of women accessing preventive healthcare for cardio vascular disease,

Numerator: The number of sites participating in the initiative

Denominator: The number of potential sites identified

Significance: In Nebraska, African American, American Indian, and Hispanic women were more likely to be obese compared to white women. Racial disparities also exist in diagnoses of diabetes and hypertension, with higher rates for African American, American Indian, and Hispanic women than their white counterparts in Nebraska. According to the CDC, various cardiovascular diseases rank among the leading causes of death in women of all races.

Data Sources and Data Issues: Program Data, Women's Health Initiatives.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 # of women who receive preconception counseling and services during annual reproductive health and preventive visit at family planning clinics (Delaware)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of women of reproductive age receiving family planning services.

Numerator: Total # of women of reproduction age that received family planning servicess

Denominator: Count

Significance:

Data Sources and Data Issues: Family planning visits not only help women to avoid unintended pregnancies, but also help a women prepare for healthy pregnancies by addressing important preventive care issues among women of reproductive age.

Year: 2021

Unit Type: 20000, Unit Number: FPAR Title X/Family Planning Data

ESM 1.1 % of WIC clients with a positive response to Whooley questions that received a PHQ 9 screening (South Dakota)

Measure Status: Active

Evidence Level: body of evidence supporting this strategy related to other NPMs. It is reasonable to assume that this strategy will also prove effective with this NPM, but additional research is needed. In adapting this strategy, you may want to start with a pilot group, collect data, and evaluate to ensure impact with this topic area and your population group(s).

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Address mental health in women by measuring the percentage of WIC clients with a positive response to Whooley questions that received a PHQ 9 screening.

Numerator: # of WIC clients with a positive response to Whooley questions that received a PHQ 9 screening

Denominator: # of positive PHQ 2 generated from the WIC assessment

Significance: A Pregnancy and Postpartum WIC Assessment provides a critical opportunity to identify mental health needs and improve subsequent maternal and infant outcomes by providing appropriate referrals to address mental health issues.

Data Sources and Data Issues: code added to the state's Time Keeping System for a PHQ 9 screening

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Number of women, ages 18 through 44, with a past year preventive medical visit in an Arkansas Department of Health local health unit (Arkansas)

Measure Status: Active

Evidence Level: This ESM is based on state data and measures access to/receipt of care, thus doesn't align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 3: Measuring quantity of effect (# of "is anyone better off")

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of women who have a preventive medical visit at an ADH LHU

Numerator: Women ages 18-44 receiving a preventive health visit at an ADH LHU

Denominator: Not applicable

Significance: A well woman/preventive visit provides an opportunity for women to receive recommended clinical preventive services, including screening, counseling, and immunizations, which can lead to the appropriate identification, treatment, and prevention of disease to optimize the health of women before, between, and beyond potential pregnancies. The annual well woman visit has been endorsed by the American College of Obstetrics and Gynecologists (ACOG) and was also identified among the women's preventive services required by the Patient Protection and Affordable Care Act to be covered by private insurance plans without cost-sharing.

Data Sources and Data Issues: ADH's electronic health record. Includes appointment types for women ages 18-44 years: (1) family planning (FP) initial and annual (FPAR) and (2) well woman (WW) with BreastCare, WW with FP, WW without FP and WW follow-up visits.

Year: 2021

Unit Type: Count, Unit Number: 100000

ESM 1.1 Number of women who responded to Pregnancy Risk Assessment Monitoring System (PRAMS). (Indiana)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Direct services level of pyramid

Essential Public Health Services: 1. Assess and monitor population health

Service Recipient:

Goal: To increase PRAMS participation to improve the health of mothers and infants by reducing adverse health outcomes.

Numerator: Number of women who completed PRAMS

Denominator: Number of women selected to participate in PRAMS

Significance: Indiana began conducting the PRAMS survey in 2017. Data collected is state-specific, population-based on maternal attitudes and experiences before, during, and shortly after pregnancy. PRAMS surveillance currently covers about 83% of all U.S. births. PRAMS provides data that is not available from other sources about pregnancy and the first few months after birth. These data can be used to identify groups of women and infants at high risk for health problems, to monitor changes in health status, and to measure progress towards goals in improving the health of mothers and infants. This data will demonstrate if women are receiving post-partum care and if/when they make the transition from post-partum care to well-woman care.

Data Sources and Data Issues: Indiana PRAMS

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Number of women who responded and participated in PRAMS (District of Columbia)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Systems level of pyramid

Essential Public Health Services: 1. Assess and monitor population health

Service Recipient: Activities directed to families/children/youth

Goal: To obtain information not available from current data sources about maternal behaviors and experiences in pregnancy and early infancy.

Numerator: Count

Denominator: 1000000

Significance:

Data Sources and Data Issues:

Year: 2021

Unit Type: 1. PRAMS, Unit Number: Data from the 2014 DC BRFSS revealed that overall 8079.3% of womenfemales over 18 years had a routine pap testcheckup within the past three years and 85.1% age 21-65 had a pap test in the past three years. 18 Among 18-34 year olds that rate decreases to 69.9%. Data for 2012 also indicated that more than three-quarters of women (81.2%) aged 18 and older reported that they received a pap test within the previous three years. Such findings indicate that District women are engaging in some preventive care services, however rates of women accessing prenatal care are lower. Between 2009 and 2012 the percent of infants born to mothers receiving prenatal care beginning in the first trimester decreased from 74.7% to 65.3%; and the percent of women who initiated prenatal care in the third trimester or had no entry to prenatal care increased from 5.8% to 8.2 %. Infant mortality rates (IMR) in the District have been on a stable downward trend from 2007 through 2013, when the DC IMR reached a historic low of 6.8 infant deaths per 1,000 live births. Although the overall infant mortality rate declined by 31.3% between the years of 2009-2013, significant disparities between racial and ethnic groups persist. African-American infants are five times more likely to expire before their first birthday as compared to white infants. The District’s IMR also remains higher than the national rate. Finally, in comparison, between 2009 and 2012, the neonatal mortality rate (number of neonates dying before reaching 28 days of age per 1,000 live births) increased from 6.3 per 1,000 live births in 2009 to 6.5 per 1,000 in 2012. In contrast, the post neonatal mortality rate (number of infant deaths occurring from 28 days to under 1 year of age, per 1,000 live births), decreased 61.1% with 3.6 per 1,000 live births in 2009 and 1.4 per 1,000 in 2012. It is important to note that due to the low number of infant deaths (less than 100) in the District, year-to-year changes should be interpreted with

ESM 1.1 Number of women referred to well-woman visits by social service providers (WIC and home visiting) (Maine)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Engagement of Other MCH Programs to Disseminate Information and Make Referrals for Well-Women Visits". Find other NPM 12 strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of women referred to well visits by 3-8% per year.

Numerator: Number of women referred to well visits by WIC and home visiting.

Denominator: Count

Significance:

Data Sources and Data Issues: Maine Families Home Visiting program, Women, Infant and Children program, Maine Family Planning, and Public Health Nursing are all service providing agencies to women in the identified population in need of increased access to health care. To that end, during FY21 Maine proposes to work with the local networks to support and promote quality internal training offering to support linking women to their health care providers. This work intends to monitor and promote service staff training on local resources and how to use the various channels for effective referral outcomes. Women referred to well women visits by their trusted service provider is an evidenced-based strategy to close the gap in access to care. We have clean referral data from WIC, MFHV and PHN and we have reviewed with the program/agency leads the need for this data.

Year: 2021

Unit Type: 100000, Unit Number: Maine WIC Program, Maine Families Home Visiting Program, Maine Public Health Nursing Program

ESM 1.1 Number of women receiving assistance, education, or guidance for getting a well woman visit, immunizations, or referral to tobacco cessation programs, substance use programs or other referrals. (Kentucky)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase by 5% the number of women who are screened for well-women preventive health visits, immunizations, and referral to primary care provider by 2025.

Numerator: Number of women receiving education on well woman visits, breast/cervical screenings, immunizations, or referrals for evaluation/intervention for tobacco use cessation, substance use treatment, or other health outcomes.

Denominator: Count

Significance:

Data Sources and Data Issues: The well-woman visit provides providers an opportunity to promote a healthy lifestyle and identify earlier potential health risks. By promoting preventive services and counseling during the well woman visit, MCH has an opportunity to improve the overall health and well-being of womenthroughout the lifespan.

Year: 2021

Unit Type: 50000, Unit Number: KY Womens Health Division, MCH REDCap reporting system, and Federally available data, WIC, HANDS referrals

ESM 1.1 Number of women ages 18-44 receiving a preventative health visit through services provided by grantees of the well woman program (Illinois)

Measure Status: Active

Evidence Level: This ESM is based on state data and measures access to/receipt of care, thus doesn't align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 3: Measuring quantity of effect (# of "is anyone better off")

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of women who receive preventative care

Numerator: # women receiving preventative health visit through services provided by grantees of the well woman program

Denominator: Count

Significance:

Data Sources and Data Issues: This ESM will measure an output of strategy #1-C: Implement well-woman care mini grants to assist local entities in assessing their community needs and barriers; and, develop and implement a plan to increase well-woman visits among women ages 18-44 years based on the completed assessment. Through this grant program, the capacity of local entities to increase well woman visits will be strengthened. It is expected that this will translate into increased numbers of well visits provided by these organizations over the grant period.

Year: 2021

Unit Type: 100000, Unit Number: IDPH Office of Women’s Health and Family Services, Well Woman Grant Program

ESM 1.1 Number of women ages 18-44 enrolled in the My 307 Wellness App (Wyoming)

Measure Status: Active

Evidence Level: Moderate. Aligns with "Computerized Reminder System"/"Patient Reminders". Find other NPM 1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the # of women accessing the My 307 Wellness App

Numerator: # of women who enroll during reporting year

Denominator: Count

Significance:

Data Sources and Data Issues: It is important to connect with adult women of reproductive age (18-44) to educate them on what the well woman visit is and what takes place during the well woman visit.

Year: 2021

Unit Type: 10000, Unit Number: My 307 Wellness App monthly enrollment data provided by Wildflower Health

ESM 1.1 Number of technical briefs, analyses or products completed to advance postpartum Medicaid expansion (New Mexico)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Expanded Insurance Coverage/Medicaid Eligibility". Find other NPM 1 strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Systems level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: At least one technical brief completed

Numerator: Number of products for reporting period.

Denominator:

Significance: Expanding pregnancy-related Medicaid coverage is a key strategy area for increasing equitable access to care in the perinatal period.

Data Sources and Data Issues: Medicaid technical briefs, PRAMS data

Year: 2021

Unit Type: Count, Unit Number: 3

ESM 1.1 Number of Reproductive Health Family Planning partners using marketing tools and materials (Wisconsin)

Measure Status: Active

Evidence Level: Moderate. Aligns with "Engagement of Other MCH Programs to Disseminate Information and Make Referrals for Well-Woman". Find other NPM 1 moderate-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities directed to professionals

Goal: 100% of sites will use Reproductive Health Family Planning Program marketing tools and materials.

Numerator: Number of Reproductive Health Family Planning partners using marketing tools and materials

Denominator: Number of Reproductive Health Family Planning partners

Significance: Too few women ages 18 through 44 have an annual preventive medical visit. Marketing tools and materials gives consistent and common messaging throughout Wisconsin. It is a Title X requirement and creates a network and continuity of care so that women receive information about preventive care beyond their well woman visit.

Data Sources and Data Issues: Reproductive Health Family Planning Program mid-year reviews

Year: 2021

Unit Type: Percentage, Unit Number: 100

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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.