Skip Navigation

Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 20 (111 total).

ESM 1.1 Toolkit developed and distributed to help family planning clinics reduce barriers to care among males, teens and LGBTQ+ persons (Tennessee)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=quality+improvement&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: One toolkit developed and distributed

Numerator: n/a

Denominator: n/a

Significance: Males, teens and LGBTQ+ persons are considered priority populations by the Tennessee Department of Health’s Title X Family Planning Program. The toolkit will be used by clinics to remove barriers to care among these populations and create a more welcoming environment, which in turn is expected to improve access to and utilization of family planning services among these populations.

Data Sources and Data Issues: Completion of this activity will be reported directly by program staff

Year: 2020

Unit Type: Text, Unit Number: Yes/No

ESM 1.1 The number of service sites and community partners utilizing the new preconception assessment tool developed by the Oklahoma State Department of Health and CoIIN team (Oklahoma)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=preconception+assessment&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Increase the number of service sites utilizing the new preconception health tool

Numerator: The number of service sites utilizing the new preconception health assessment tool developed by the Oklahoma State Department of Health CoIIN team

Denominator: NA

Significance: Improved health before conception will improve birth outcomes for both mother and infant. Preconception health care is “the medical care a woman or man receives from the doctor or other health professionals that focuses on the parts of health that have been shown to increase the chance of having a healthy baby. Preconception care seeks to reduce the risk of adverse effects for women and infants by optimizing women's health and knowledge before planning and conceiving a pregnancy." Recommendations to Improve Preconception Health and Health Care - United States. MMWR 55 (RR06); 1-23. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5506a1.htm

Data Sources and Data Issues: Public Health Oklahoma Client Information System (PHOCIS), Oklahoma State Department of Health and Oklahoma Health Care Authority (OHCA) practice facilitation data

Year: 2020

Unit Type: Simple Count, Unit Number: 200

ESM 1.1 The number of interconception services provided to Healthy Start clients (Florida)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=interconception&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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: To increase the number of interconception care services provided to clients in the Healthy Start Program

Numerator: Number of interconception services provided to Healthy Start clients

Denominator: N/A

Significance: Interconception care helps providers identify and modify biomedical, behavioral, and social risks to a woman’s health or pregnancy outcome through prevention and management. The goal to improve the woman’s health and help reduce health risks to her future baby, resulting in improved outcomes for newborns and mothers.

Data Sources and Data Issues: Department of Health, Health Management System

Year: 2020

Unit Type: Simple Count, Unit Number: 80,000

ESM 1.1 The number of home visiting clients that receive education on the well-woman visit from Salt Lake Simple County Home Visiting Program staff. (Utah)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=home+visit&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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 families/children/youth

Goal: Increase the number of home visiting clients that receive education on the well-woman visit from Salt Lake Simple County Home Visiting Program staff.

Numerator: Simple Count of women enrolled in Salt Lake Simple County Home Visiting who receive education on the well-woman visit.

Denominator: N/A

Significance: A trusted professional, like a home visitor is an effective messenger on the importance of a well-woman visit. Educating and encouraging home visiting clients to schedule and attend a well-woman exam can help them maintain a healthy lifestyle and minimize health risks.

Data Sources and Data Issues: Salt Lake Simple County Home Visiting Program Data

Year: 2020

Unit Type: Simple Count, Unit Number: 999

ESM 1.1 Support Simple County public health departments who have identified increasing preventive medical visits for women as a priority need in their communities. (Montana)

Measure Status: Active

Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.

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 Simple County public health departments who have identified increasing preventive medical visits for women as a priority need in their communities.

Numerator: Total number of Simple Counties choosing to use MCHBG funding for activities to increase preventive medical visits for women which have met their activity goals.

Denominator: Total number of Simple Counties choosing to use MCHBG funding for activities to increase preventive medical visits for women.

Significance: The FCHB will contract with CPHDs interested in increasing preventive medical visits for women. These Simple 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.

Data Sources and Data Issues: FCHB - The number of Simple Counties choosing to use MCHBG funding in this way may change from year to year.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Proportion of women age 15-55 who report receiving a preventive medical visit in the past 12 months by increasing total enrollment percentage in the Well Woman Program 2 points annually. (Alabama)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Community-Based Group Education" (https://www.mchevidence.org/tools/strategies/1-2.php). Find other NPM 1 community-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the proportion of women age 15-55 who report receiving a preventive medical visit in the past 12 months

Numerator: Number of women age 15-55 who report having received a preventive visit in the past year

Denominator: Number of women age 15-55 in Alabama

Significance: By implementing the Well Woman protocol, we can not only monitor the number of women who receive preventive medical visits, but we can also help improve the health outcomes for women and children.

Data Sources and Data Issues: BRFSS Question 3.4 National Survey of Children's Health K4Q20 Issues: State-level samples; NSCH not completed on an annual basis

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percentage of women who report an increase in access to preventive services. (Northern Mariana Islands)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Designated Clinics/Extended Hours" (https://www.mchevidence.org/tools/strategies/1-7.php ). Find other NPM 1 practice-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: The goal is to increase the number of women accessing preventive health services by expanding clinic hours.

Numerator: Number of women surveyed who report increase access to preventive health services.

Denominator: Number of women surveyed.

Significance: Evidence suggests that expanded hours increases access and provides opportunities for working women and others with schedule challenges to access care.

Data Sources and Data Issues: The data source will be a survey of women who visit the health department/CHCC clinics.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percentage of women screened in pediatric clinics at the piloting clinics. (North Dakota)

Measure Status: Active

Evidence Level: This ESM is population-based (measuring 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: 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.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percentage of women in Title X sites receiving preconception services. (Virgin Islands)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=preconception+service&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: To increase the percent of women receiving preconception services through family planning clinics.

Numerator: Number of women receiving preconception services through family planning clinics in the past year.

Denominator: Number of women accessing services through family planning 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. 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 Affordable Care Act (ACA) to be covered by private insurance plans without cost-sharing.

Data Sources and Data Issues: Community Health Clinic; Family Planning Clinics

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percentage of women assessed for pregnancy intention using One Key Question (Idaho)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=family+planning+counseling&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Through collaboration with the Idaho Family Planning program, increase pre- and interconception education and referrals to prenatal care and well-woman care using One Key Question.

Numerator: Number of women assessed for pregnancy intention using One Key Question

Denominator: Number of women served through Family Planning

Significance: Currently, Idaho’s Family Planning program provides education about and referral to prenatal care for pregnant women. The MCH leadership team intends to implement the OKQ in collaboration with this program to increase referrals to prenatal care. The OKQ initiative was developed by the Oregon Foundation of Reproductive Health (OFRH) to help families with their reproductive health needs (OFRH, 2012). Research shows that using the OKQ in a primary care setting has helped improve preventive health care services for women during pre- and interconception care (Bellance, Stranger Hunter, 2013). OKQ key results have shown an increase use of contraception for women not intending to become pregnant, an increase in long-term contraception device usage, and an increase in preconception care for those women with the intention to become pregnant (Kay, Stranger Hunter, 2014). The MCH program aims to collaborate with the Family Planning programs to increase the use of OKQ during family planning visits to increase the number of women seeking out preventive health visits, receiving pre-conception care, and early prenatal care.

Data Sources and Data Issues: Source: Idaho Family Planning Program

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women, ages 18 through 44, with a preventive medical visit in the past year who reported using the “Women of Reproductive Age Preventive Care Pocket Guide” in Puerto Rico by September 2021-2025 (Puerto Rico)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=education&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=Activities+directed+to+families%2Fchildren%2Fyouth&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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: By 2025, increase the use of the Women of Reproductive Age Preventive Care Pocket Guide as part of the preventive medical visits of women in reproductive age.

Numerator: Women, ages 18 through 44, with a preventive medical visit in the past year who reported using the Pocket Guide by September 2025 (ongoing).

Denominator: Women, ages 18 through 44, with a preventive medical visit in the past year.

Significance: Preventive health care visits open the door to early identification and management of conditions and diseases that can affect a woman’s mental and physical health and wellbeing. Too often, women are not aware of the desirability of the annual preventive care visit, screenings and immunizations according to age and risk factors. The Women of Reproductive Age Preventive Care Pocket Guide sets out the recommended visit and service schedule and is a handy, portable tool that serves both as a guide to the recommended schedule and a place to record visits and test results. The Pocket Guide will be distributed through the health insurance companies, in community health education events, and to participants of the Home Visiting Program.

Data Sources and Data Issues: PR - BRFSS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women who successfully complete evidence-based or informed home visiting programs (Pennsylvania)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=home+visit&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the number of women completing evidence-based or -informed home visiting programs

Numerator: Number of women who complete Title V home visiting programs

Denominator: Number of women enrolled in Title V home visiting programs

Significance: Home visiting programs support families by providing health check-ups, screenings, referrals, parenting advice, and guidance in navigating other programs and services in the community. Additionally, home visiting programs monitor progress on children’s developmental milestones and help parents to provide a safe and supportive environment for their children to grow. This support and education aim to improve the overall health and well-being of the families served, improve birth outcomes and increase spacing between pregnancies.

Data Sources and Data Issues: Data will come from the Simple County Municipal Health Department home visiting programs' quarterly and annual reporting.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women who reported a routine checkup within past 2 years (BRFSS). (Missouri)

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the percent of women who reported a routine checkup within past 2 years (BRFSS).

Numerator: Number of women, ages 18 through 44, who had a preventive medical visit within past 2 years

Denominator: Number of women, ages 18 through 44

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.

Data Sources and Data Issues: BRFSS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women who receive preventive medical services through community outreach activities (Palau)

Measure Status: Active

Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.

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: Increase by 2% annually the number of women who receive preventive medical services through community outreach activities

Numerator: Number of women ages 18-44 who receive preventive medical services through community outreach activities

Denominator: Number of women ages 18-44

Significance: In 2019, less than 25% of women between the age of 18-44 received preventive medical services. Palau has continued improve ways to improve education and public awareness on the importance of preventive services as well as innovate approaches to bringing services to the community.

Data Sources and Data Issues: Family Planning Database

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women reporting in PRAMS that they had a preventive medical visit in the prior year (Washington)

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: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the percent of women who access preventive health care.

Numerator: The number of respondents to PRAMS who indicated that they had received a preventive health care visit in the year prior to becoming pregnant with their most recent child.

Denominator: The total number of women completing the PRAMS survey.

Significance: Access to preventive health care is an important element to assure that women have their optimal health.

Data Sources and Data Issues: The data will come from question 6 in the Pregnancy Risk Assessment Monitoring System (PRAMS) survey. The PRAMS survey is an ongoing, population-based surveillance system sponsored by the Centers for Disease Control and Prevention (CDC) and the Washington State Department of Health. PRAMS is designed to generate state-specific data for assessing health status and health care before, during, and after pregnancy. Data issues: This survey makes use of self-reported data, there is a low response rate, the survey is only available in English and Spanish.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women program participants (18-44) that received education on the importance of a well-woman visit in the past year. (Guam)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Community-based Group Education" (https://www.mchevidence.org/tools/strategies/1-2.php). Find other NPM 1 community-level 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: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To ensure that women are receiving education on the importance of well-woman visists

Numerator: Number of MCH women (including pregnant and postpartum) program participants who have received education on the importance of a well-women/preventive health visit in the reporting year

Denominator: Number of MCH women (including pregnant and postpartum) program participants

Significance: A well women visit is a way to make sure an individual is staying health. A well-woman visit is an excellent opportunity for counseling patients about maintaining a healthy lifestyle and minimizing health risks. Components of the visit may vary depending on the patients age, risk factors, and physician preference.

Data Sources and Data Issues: MCH Women's Health Clinic Reports

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women program participants (18-44 years) with a preventive medical visit in the past year (Kansas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy 1.2 "Community-Based Group Education" (https://www.mchevidence.org/tools/strategies/1-2.php). Find other NPM 1 patient-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: To increase the number of women that receive well visits/preventive health care

Numerator: Number of women program participants (18-44 years) who have had a well visit during the last 12 months

Denominator: Number of women program participants (18-44 years)

Significance: A well woman visit is a way to make sure an individual is staying healthy. These include a full checkup, separate from a visit for sickness or injury. The focus is on preventive care which includes, but is not limited to, immunizations, screening, education, and counseling.

Data Sources and Data Issues: Data Application and Integration Solution for the Early Years (DAISEY): Web-based comprehensive data collection and reporting system/shared measurement system used by all MCH grantees to capture client and visit/service data

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of women program participants (18-44 years) that received education on the importance of a well-woman visit in the past year. (Marshall Islands)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Community-based Group Education" (https://www.mchevidence.org/tools/strategies/1-2.php). Find other NPM 1 patient-level 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: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To ensure that women are receiving education on the importance of well-woman visits

Numerator: Number of MCH women (including pregnant and postpartum) program participants who have received education on the importance of a well-women/preventive health visit in the reporting year

Denominator: Number of MCH women (including pregnant and postpartum) program participants

Significance: A well women visit is a way to make sure an individual is staying health. A well-woman visit is an excellent opportunity for counseling patients about maintaining a healthy lifestyle and minimizing health risks. Components of the visit may vary depending on the patients age, risk factors, and physician preference.

Data Sources and Data Issues: Will develop a collection tool and report to capture client and visit and service data.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of pregnant women who received prenatal care beginning in the first trimester (Nevada)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=prenatal+care&NPM=1&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/1-well-woman-visit.php).

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

Service Type: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: To increase percent of women accessing prenatal care in the first trimester.

Numerator: Number of pregnant women who received prenatal care beginning in the first trimester.

Denominator: Number of pregnant women in Nevada

Significance: Prenatal care access ensures opportunities for the provision of preventive services including screenings, identification of high risk behaviors and nutritional needs, and education for new parents. Prenatal care reduces the risk of pregnancy complications and women who receive prenatal care within their first trimester are more likely to have a healthy birth outcome. Prenatal care visits help monitor maternal and fetal well being throughout pregnancy. Early detection and treatment of potential complications improves chances of healthy pregnancy and healthy infant.

Data Sources and Data Issues: Data Source: Federally available data (FAD)

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 1.1 Percent of Minnesota Perinatal Quality Collaborative (MNPQC) members who completed implicit bias training in the last year (Minnesota)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Provider Education" (https://www.mchevidence.org/tools/strategies/1-6.php). Find other NPM 1 provider-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase the number of MNPQC member and perinatal healthcare professionals in Minnesota that have completed implicit bias training

Numerator: Number of MNPQC members who completed implicit bias training in the last year

Denominator: Number of MNPQC members

Significance: Federal agencies, public health researchers, and professional organizations have elevated the importance of addressing biases and discrimination in maternal care by implementing implicit bias trainings for perinatal healthcare professionals. Through Calls to Action articles and policy implementation throughout the Simple Country, addressing bias in healthcare is a priority to providing equitable care for all pregnant people, regardless of their background. Implicit bias trainings have are offered in a wide variety of settings, providing a training along with continuing education throughout the year with multi-disciplinary groups, will allow the spread of confronting bias throughout different touchpoints in care. Recommendations focusing on improving maternal outcomes deliberately identify providers and health professionals as change agents in addressing their own personal biases, which can directly and indirectly impact the care plan developed with pregnant persons. A key area of focus for the MNPQC is to address health equity in maternal and infant care and identify opportunities to improve patient-provider trust. Moving health equity to a core measure of the MNPQC will allow providers and community members to collaborate on dismantling areas of health that for too long built barriers. A first step to dismantling preconceived or taught thoughts is for the MNPQC steering committee to complete an implicit bias training, with continual opportunities for training throughout the year. This training will be paired with an evaluation tool to allow a tailored approach to improving future trainings with community advocates leading this work.

Data Sources and Data Issues: Data Source: Women’s Health Consultant will maintain a spreadsheet of MNPQC members completion of implicit bias training. Limitations of Data: Though we are tracking implicit bias training we are not able to measure the quality of the training and how much information the member gained from the training.

Year: 2020

Unit Type: Percentage, Unit Number: 100

    Next Page »

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.