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 2: Measuring quality of effort (% of reach; satisfaction)
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 increase the percent of women who have an annual preventive visit.
Numerator: Number of women 18 through 44 screened at piloting pediatric clinics.
Denominator: Number of women ages 18 through 44 receiving services at piloting pediatric clinics.
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 disease to optimize the health of women before, between, and beyond potential pregnancies. For example, screening and management of chronic conditions such as diabetes, and counseling to achieve a healthy weight and smoking cessation, can be advanced within a well woman visit to promote women’s health prior to and between pregnancies and improve subsequent maternal and perinatal outcomes.
Well child visits are generally well-attended, providing an opportunity to offer elements of the well woman visit in conjunction with the child’s appointment. Depression screening particularly important to reduce health disparities. By partnering closely with pediatric clinics, we have the opportunity to support standardized depression screening, increase health equity, and be a conduit for quality improvement processes.
Data Sources and Data Issues: North Dakota Department of Health. Piloting pediatric clinics.
Unit Type: Percentage, Unit Number: 100