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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 20 (62 total).

ESM 10.1 The percent of health care providers who report knowledge, behavior, and confidence change in adolescent health care after Adolescent Champion Model training. (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 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: By 2025, all providers trained in the Adolescent Champion Model will demonstrate a change in their knowledge, behavior, and confidence when caring, counseling, and connecting with adolescent patients.

Numerator: Number of providers who complete ACM training and report knowledge, behavior, and confidence change.

Denominator: Total providers who complete ACM training

Significance: During Indiana's needs assessment process, the community identified quality of healthcare and trusted healthcare as a priority. While adolescents are generally a healthy population, preventive visits are important to identify and educate about at-risk health conditions or behaviors. Preventive visits in adolescence are also beneficial for the long-term health benefits they can provide to individuals and ultimately, communities. By recruiting Indiana clinics to implement the University of Michigan's Adolescent Champion Model to further increase the quality of care provided to youth, we hope to impact the overall percentage of youth receiving a wellness visit in the past year. The adolescent Champion model is an 18-month process designed to drive health centers to become adolescent-centered. It is a multi-faceted intervention to address a health center's environment, policies, and practices to ensure that all aspects of a visit to the health center are youth-centered.

Data Sources and Data Issues: Internal program data from the Maternal and Child Health Adolescent Team and University of Michigan AHI Team

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 The number of adolescents trained on Teen Pregnancy Prevention/Positive Youth Development curriculum (Oklahoma)

Measure Status: Active

Evidence Level: There is limited research on this strategy related to this NPM. However, there is a growing body of evidence supporting this strategy related to other NPMs. 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 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: To empower adolescents to make responsible, healthy decisions to enable them to better transition into adulthood

Numerator: The number of adolescents trained on Teen Pregnancy Prevention/Positive Youth Development curriculum

Denominator: Count

Significance:

Data Sources and Data Issues: Research has shown that youth who possess a greater number of health assets/protective factors are less likely to engage in high-risk behaviors such as sexual activity, illicit drug use, and alcohol use. Evaluations from the trainings capture each participant’s opinion of the training as it pertains to how well they feel the training prepared them for resisting or saying no to peer pressure, knowing how to manage stress, forming friendships that keep them out of trouble, making health decisions about drugs and alcohol, etc. Goesling B, Colman S, Trenholm C. Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review, Mathematica Policy Research. ASPE Working Paper. Department of Health and Human Services.

Year: 2021

Unit Type: 10000, Unit Number: MCH sessions data recording tool completed by PREP staff, Adolescent Health Specialists, Health Educators, and School Health Nurses

ESM 10.1 Proportion of adolescents aged 12 to 19 that received an adolescent well visit in the past year (Alabama)

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: Increase the proportion of adolescents aged 12 to 19 that received an adolescent well visit in the county health departments in the past year

Numerator: Number of adolescents aged 12 to 19 that received an adolescent well visit in the county health departments in the past year

Denominator: Number of adolescents aged 12 to 19

Significance: Early identification of developmental disorders is critical to the well-being of adolescents and their families.

Data Sources and Data Issues: Electronic Health Records from County Health Departments

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percentage of Child and Teen Checkups (C&TC) where depression screenings are occurring for adolescents enrolled in Minnesota Health Care Programs (MHCP) (Minnesota)

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 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 the number of adolescents that get access to depression screenings to help reduces adolescent suicide and suicide ideation

Numerator: Number of adolescents (10-20 years old), in MHCP, that received a Mental Health Screening in the calendar year

Denominator: Number of adolescents (10-20 years old), in MHCP, that had at least one C&CT visit the calendar year

Significance: Minnesota has seen higher rates of suicide among youth than the national average for a long time. It is the second leading cause of death among people ages 10-24 and it is important to acknowledge that suicide is not experienced equally across age groups, genders, or geography in Minnesota. Although helping young people prevent depression, suicide, and other mental health challenges is a community-wide effort, primary care providers are well situated to discuss risks, provide screening, and offer interventions. Offering screening and follow-up at preventive visits helps ensure that young people receive mental health services and support from family and peers. MHCP financed 43.3% of all births (28,550 infants) in 2019 and covers a similar proportion of Minnesota’s adolescents. MDH’s C&TC program, in collaboration with MHCP, provides training to providers around screening tools and best practices. Targeting the high-risk (i.e. medically or categorically needy) adolescents is important. These young people have access to less resources for support and are at higher risk of depression, suicide, and other mental health challenges.

Data Sources and Data Issues: Data Source: Minnesota Health Care Program (MHCP) claims and encounter data. MHCP include Medical Assistance (Minnesota’s Medicaid Program) and MinnesotaCare. Limitations: Claims data is only as good as what is submitted on the bill. Services that providers know in advance will be denied may be inconsistently submitted as bills and therefore, inconsistently recorded in the files. Covered services for which claims are not submitted are not included in the data. Some components of treatments may not be included in bills (and therefore in the claims data) if reimbursement rates are very low, even if the treatment is provided.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percentage of adolescents, ages 10 through 19, receiving school-based preventive health services. (Virgin Islands)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "School-based Health Centers". Find other NPM 10 consumer/patient-level strategies in MCHbest.

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

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 percentage of students receiving school based preventive health care services in the school setting.

Numerator: 590

Denominator: 11803

Significance: Adolescence is a period of major physical, psychological, and social development. As adolescents move from childhood to adulthood, they assume individual responsibility for health habits, and those who have chronic health problems take on a greater role in managing those conditions. Initiation of risky behaviors is a critical health issue during adolescence, as adolescents try on adult roles and behaviors. Risky behaviors often initiated in adolescence include unsafe sexual activity, unsafe driving, and use of substances, including tobacco, alcohol, and illegal drugs. Receiving health care services, including annual adolescent preventive well visits, helps adolescents adopt or maintain healthy habits and behaviors, avoid health‐damaging behaviors, manage chronic conditions, and prevent disease. Receipt of services can help prepare adolescents to manage their health and health care as adults. The Bright Futures guidelines recommends that adolescents have an annual checkup starting at age 11. The visit should cover a comprehensive set of preventive services, such as a physical examination, discussion of health‐related behaviors, and immunizations. It recommends that the annual checkup include discussion of several health‐related topics, including healthy eating, physical activity, substance use, sexual behavior, violence, and motor vehicle safety.

Data Sources and Data Issues: Title V Program

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percentage of adolescents ages 12-21 at MCH-contracted health centers who have at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year (New Hampshire)

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. (note: make sure that data is from federal sources, not program data).

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 adolescents ages 12-21 at the MCH-contracted health centers who have at least one comprehensive well-care visit with a PCP or OB/GYN practitioner each year

Numerator: number of adolescents 12-21 years of age at the MCH-contracted health centers who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year

Denominator: total number of adolescent patients ages 12-21 years of age at the MCH-contracted health centers by the end of the measurement year

Significance: Recognizing that the health of adolescents is largely impacted by behavioral patterns developed during this developmental period, NH MCH collaborates with state and local partners to increase access to health care and promotes annual well-care visits for families and adolescents. The well-care visit is a prime opportunity for health care providers to screen and counsel adolescent/family about key areas including: mental and behavioral health, tobacco and substance use, violence and injury prevention, sexual behavior and nutritional health.

Data Sources and Data Issues: DHHS will collect adolescent well-care visit data from MCH-contracted Community Health Centers per Primary Care contracts exhibit A. The MCH Performance Measure was changed from 12-17 years of age to 12-21 years of age as of July 1, 2015. During the January 2016 reporting DHHS determined that this change caused some issues with data collection and reporting. DHHS has provided technical support to reduce reporting issues.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percentage of adolescents accessing preventive care who report being referred by their school. (Northern Mariana Islands)

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: 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: The goal is to increase the number of adolescents accessing annual visits by partnering with the public school system to facilitate referrals.

Numerator: Number of adolescents accessing preventive care who report being referred by their school.

Denominator: Number of adolescents accessing preventive care.

Significance: The adolescent well-visit is an opportunity for adolescents to receive healthcare, counseling, and guidance to help teens identify and adopt or modify behaviors to avoid damage to health, effectively manage chronic conditions, or to prevent disease. Adolescent healthcare is critical for establishing lifelong healthy behaviors and prepares adolescents for transition into adult healthcare.

Data Sources and Data Issues: Data will be collected via a survey instrument.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of youth-serving programs that provide training on adult preparation subjects, such as accessing health insurance, maintaining their routine preventive medical visits, healthy relationships, effective communication, financial literacy, etc. (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 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: Baseline values for this measure will be using data from 10/1/2020-3/31/2021. Improvement targets will be determined after the baseline has been established.

Numerator: Number of youth-serving programs that provide training on adult preparation subjects for adolescents with and without special health care needs to prepare them for a transition into adulthood

Denominator: Number of youth-serving programs that provide training on adult preparation subjects for adolescents with and without special health

Significance: Adolescence is a critical stage of development when children grow physically, cognitively, emotionally, and socially to become adults. The lifestyle choices, behaviors, and relationships established during this time can affect an adolescent’s current and future health. Comprehensive and inclusive reproductive health care and education are opportunities to help adolescents avoid or mitigate risky sexual behaviors. Title V Programs also provide enabling services to adolescents, such as referrals to and linkages with community services and social supports to holistically address health and wellness, including mental health and social determinants of health.

Data Sources and Data Issues: Data for this measure will come from biannual reports and annual data requests submitted by local adolescent health providers.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of Youth Health Promoters (YHP) reached with the PR Youth Health Literacy Toolkit (PR-YHLT) that increase their awareness regarding how to use the health care system (pre-post survey) in Puerto Rico by September 2021-2025 (Puerto Rico)

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

Service Type: Enabling services level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: To increase the percentage of youths reached with the PR-YHLT increased their awareness regarding how to use the health care system by September 2025.

Numerator: The number of YHP surveyed after receiving PR-YHLT with increased perception of how to use the healthcare system.

Denominator: The number of YHP reached with the PR- YHLT.

Significance: The patient Protection and Affordable Care Act of 2010, defines health literacy as the degree to which an individual has the capacity to obtain, communicate, process and understand health information and services to make the appropriate health decisions. Young people need to be empowered to make informed and appropriate decisions about health, including attending the annual health visit and participate in treatments. Cultural competency is vital in the implementation of public health initiatives. The implementation of culturally competent PR Youth Health Literacy Toolkit will help to empower Puertorrican youths about health including the importance to attend the annual health visit. The implementation of this toolkit will incorporate the experience from the piloting programs with YHPs island wide.

Data Sources and Data Issues: PRYHLT Pre and post intervention surveys.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of students who have a comprehensive wellness visit at school-based health centers. (Alaska)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "School-based Health Centers". Find other NPM 10 school-level strategies in MCHbest.

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 number of youth who receive preventive health services.

Numerator: Number of students who receive a comprehensive wellness visit at school-based health centers.

Denominator: Number of students who attend schools with school-based health centers.

Significance: Adolescent well-care visits are a comprehensive assessment of health with a primary care practitioner or an OB/GYN practitioner during the measurement year. Assessing physical, emotional and social development is important at every stage of life, particularly with children and adolescents. Behaviors established during childhood or adolescence, such as eating habits and physical activity, often extend into adulthood. Well-care visits provide an opportunity for providers to influence health and development. They are a critical opportunity for screening and counseling.

Data Sources and Data Issues: Data will be obtained from administrators of the three current districts that have school based health centers, Juneau, Bethel and Anchorage. The number of students who had wellness visits each school year will be requested, as well as the number of students in each school with school based health centers. Foreseeable issues include school closures because of the current COVID-19, which may skew the data. We may adjust indicator objectives accordingly.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of School Based Health Center clients who are male (Massachusetts)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "School-based Health Centers" (https://www.mchevidence.org/tools/strategies/10-1.php). Find other NPM 10 patient-level strategies in MCHbest.

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

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 proportion of SBHC clients who are male to more closely reflect the overall student population in Massachusetts

Numerator: Number of male clients at all SBHCs

Denominator: Number of total clients at all SBHCs

Significance: The following studies have shown that SBHCs increase access to care and quality of care for underserved adolescents: - Allison, Mandy A., et al. "School-based health centers: improving access and quality of care for low-income adolescents." Pediatrics 120.4 (2007): e887-e894. - McNall, Miles A., Lauren F. Lichty, and Brian Mavis. "The impact of school-based health centers on the health outcomes of middle school and high school students." American Journal of Public Health 100.9 (2010): 1604-1610. SBHCs offer comprehensive primary care within schools where young people spend most of their time, contributing to engagement in adolescent preventive care. SBHC clinicians are skilled in motivational interviewing and have extensive knowledge of critical issues impacting the students they serve. SBHC clinicians are well integrated within their schools and are knowledgeable about appropriate services within their communities to ensure that students are connected with a medical home. In addition, every effort is made by SBHC staff to help students develop the skills they will need to navigate the health care system upon graduation from high school. Because young men are less likely than women to receive care from SBHCs, this ESM is specifically tracking the percentage of clients who are male, with the goal of reaching a proportion more similar to the student population in the state.

Data Sources and Data Issues: School Based Health Center program database

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of Medicaid pediatric providers sending text reminders for annual well visits for 10-19-year-olds linking patients to web-based well visit information (Wyoming)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Reminders/Navigator Program". Find other NPM 10 Patient/consumer 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: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Increase percent of Medicaid pediatric providers sending text reminders for annual well visits for 10-19 year olds linking patients to web-based well visit information

Numerator: # of Medicaid Providers sending text reminders for annual well visits for 10-19 year olds linking patients to web-based well visit information

Denominator: # of Medicaid Providers in Wyoming

Significance: It is important for providers to engage directly with adolescent patients to encourage preventive care through well-visits, and to educate adolescent patients about the value of annual well-visits.

Data Sources and Data Issues: Medicaid; providers

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of Medicaid EPSDT eligible adolescents, ages 15 through 18, who received at least one initial or periodic screen. (North Dakota)

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: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of Medicaid EPSDT eligible adolescents that receive at least one initial or periodic screen.

Numerator: Number of Medicaid EPSDT eligible adolescents, ages 15 through 18, who received at least one initial or periodic screen during the past year.

Denominator: Number of Medicaid EPSDT eligible adolescents ages 15 through 18 during the past year.

Significance: Adolescents face a variety of health risks and health problems including unintended pregnancies, sexually transmitted diseases, substance-use disorders, and depression, among others. Getting an annual well-visit provides an opportunity for adolescents to discuss any physical, emotional, and behavioral health issues they may have. Medicaid provides comprehensive benefits for children, known as Early Periodic Screening Diagnosis and Treatment (EPSDT) services. Medicaid also provides health and long-term care for millions of America’s poorest and most vulnerable people. By working towards improving the number of Medicaid-eligible adolescents receiving their annual EPSDT visit, progress will be made with the sector of the adolescent population that needs it the most.

Data Sources and Data Issues: State-level data obtained from the North Dakota Department of Human Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. This is also referred to as Health Tracks. Supporting information for Medicaid obtained from the Kaiser Family Foundation (KFF).

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of Medicaid EPSDT eligible adolescents, ages 12 through 17, who received at least one initial or periodic screen (Nevada)

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: To increase the number of adolescents, ages 12 through 17, receiving preventive well visits.

Numerator: Number of Medicaid EPSDT eligible adolescents, ages 12 through 17, receiving at least one initial or periodic screen

Denominator: Total adolescents, ages 12 through 17, who are eligible for EPSDT

Significance: Adolescents face a variety of health risks and health problems including unintended pregnancies, sexually transmitted diseases, substance use disorders, and depression, among others. Getting an annual well-visit provides an opportunity for adolescents to discuss any physical, emotional and behavioral health issues they may have.

Data Sources and Data Issues: Data Source: Nevada Title V/MCH Program

Year: 2021

Unit Type: Count, Unit Number: 100000

ESM 10.1 Percent of AFLP participants who received a referral for preventive services. (California)

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: 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 AFLP participants receiving a referral for preventive services.

Numerator: Number of active youth with at least one referral in “Family Planning” or “Primary Preventive Health Care” during reporting period.

Denominator: Active youth who need a preventive services referral, defined as a youth with an AFLP service file open in reporting period (including those enrolled prior to period start date) who had at least one visit after their enrollment visit.

Significance: Awareness about and gaining access to youth-friendly, quality health care services are critical to the health and well-being of the adolescent population. American Academy of Pediatrics recommends adolescents and young adults (11-21) receive an annual preventive care visit (Link to Preventive Pediatric Health Care Recommendations Schedule: https://brightfutures.aap.org/Pages/default.aspx https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf. ) Access to and use of a contraceptive method among sexually active adolescents, for example, are known essentials to avoid unintended pregnancy and rapid repeat birth. Furthermore, correct and consistent use of condoms are highly effective in reducing sexually transmitted diseases, which are increasing in adolescents in recent years.

Data Sources and Data Issues: Data is obtained from the Adolescent Family Life Program (AFLP) management information system known as Penelope. Information on youth need for preventive services obtained from youth assessments at program entry and each six-month interval of enrollment. Information on referrals provided is collected on a rolling basis. "A youth in need of preventive services" is defined as active youth who has not had a preventive visit (including prenatal care) in the 12 months prior to their most recent assessment. The current assessment forms assess preventive services in 6-month intervals. These items need to be revised to ensure the assessments capture a 12-month period to correspond with the time period for this indicator. Other issues include potential missing data as a result of youth not responding to questions in assessments or assessments that are not administered on time.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of adolescents who have a wellness check-up passport. (American Samoa)

Measure Status: Active

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

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

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 percentage of adolescents ages 10 - 17 years receiving a well-visit by 2% annually, for the next five years.

Numerator: Number of adolescents ages 10 - 17 years with a wellness check-up passport.

Denominator: Total number of adolescents 10 - 17 years I the reporting year.

Significance: Adolescence is a period of major physical, psychological, and social development. As adolescents move from childhood to adulthood, they assume individual responsibility for health habits, and those who have chronic health problems take on a greater role in managing those conditions. Initiation of risky behaviors is a critical health issue during adolescence, as adolescents try on adult roles and behaviors. Risky behaviors often initiated in adolescence include unsafe sexual activity, unsafe driving, and use of substances, including tobacco, alcohol, and illegal drugs. Receiving health care services, including annual adolescent preventive well visits, helps adolescents adopt or maintain healthy habits and behaviors, avoid health-damaging behaviors, manage chronic conditions, and prevent disease. Receipt of services can help prepare adolescents to manage their health and health care as adults. The Bright Futures guidelines recommend that adolescents have an annual checkup starting at age 11. The visit should cover a comprehensive set of preventive services, such as a physical examination, discussion of health-related behaviors, and immunizations. It recommends that the annual checkup include discussion of several health, related topics, including healthy eating, physical activity, substance use, sexual behavior, violence, and motor vehicle safety. Establishing an adolescent well-visit passport to include weight management, reproductive health and behavioral health screening and counseling, based on Bright Futures.

Data Sources and Data Issues: UDS

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of adolescents ages 12 through 17 attending educational awareness on preventive medical visits in the schools (Federated States of Micronesia)

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: 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 educational awareness on healthy behaviors and risk behaviors to adolescents ages 12-17 years old in the schools.

Numerator: Number of adolescents ages 12 through 17 attending educational awareness on preventive medical visits

Denominator: Total number of adolescents ages 12 through 17 in the schools

Significance: Women who become pregnant during their teens are at increased risk for medical complications, such as premature labor, and social consequences.

Data Sources and Data Issues: MCH and Department of Education

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of adolescents 12 through 17 with at least one completed BMI at time of medical visit at all school-based health centers (Connecticut)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "School-based Health Centers". Find other NPM 10 school-level strategies in MCHbest.

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 adolescents 12-17 who have a BMI measured at the time of a medical visit.

Numerator: Number of adolescents 12-17 with at least one completed BMI at the time of a well visit at all School Based Health Centers (Physical)

Denominator: Number of students 12-17 who had at least one well visit at all School Based Health Centers (Physical)

Significance: The U.S. Preventive Services Task Force recommends that clinicians screen children ages 6 to 18 years for obesity and refer them to programs to improve their weight status. The recommendations are explained in the special article, “Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement,” in the February 2010 issue of Pediatrics. The American Academy of Pediatrics (AAP) recommends that periodic measurement of BMI be performed as part of a comprehensive approach to prevention of pediatric overweight, and recommends that BMI be calculated and documented once a year for all children and adolescents. BMI screening and well child visits have been included as clinical outcome measures for the School Based National Quality Initiative - with School Based Health Center sites in Connecticut participating in the national pilot to establish national quality standards for School Based Health Centers.

Data Sources and Data Issues: Funded School Based Health Centers database and annual contractual program reports. Annual School Based Health Centers Medical Results Based Accountability Report Cards. National NQI data portal.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of adolescents (12-17) served by Medicaid with adolescent well visit (Ohio)

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: Increase the percent of adolescents ages 12-17 in county served by Medicaid with adolescent well visit

Numerator: Number of adolescents ages 12 to 17 in counties served by Medicaid with adolescent well visit

Denominator: Number of adolescents in counties served by Medicaid ages 12 to 17

Significance: Adolescence is a period of major physical, psychological, and social development. As adolescents move from childhood to adulthood, they assume individual responsibility for health habits, and those who have chronic health problems take on a greater role in managing those conditions. Initiation of risky behaviors, such as unsafe sexual activity, unsafe driving, and substance use, is a critical health issue during adolescence, as adolescents try on adult roles and behaviors. An annual preventive well visit may help adolescents adopt or maintain healthy habits and behaviors, avoid health‐damaging behaviors, manage chronic conditions, and prevent disease. National Adolescent and Young Adult Health Information Center (2016). Summary of Recommended Guidelines for Clinical Preventive Services for Adolescents up to age 18. http://nahic.ucsf.edu/adolescent-guidelines.

Data Sources and Data Issues: Ohio Department of Medicaid

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 10.1 Percent of adolescent program participants, ages 12 through 17, that had a well-visit during the past 12 months (Kansas)

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: To increase the percent of adolescents who have a preventive medical visit

Numerator: Adolescent program participants, ages 12 through 17, that had a well-visit during the past 12 months

Denominator: Adolescent program participants, ages 12 through 17

Significance: Adolescence is a period of major physical, psychological, and social development. As adolescents move from childhood to adulthood, they assume individual responsibility for health habits, and those who have chronic health problems take on a greater role in managing those conditions. Initiation of risky behaviors, such as unsafe sexual activity, unsafe driving, and substance use, is a critical health issue during adolescence, as adolescents try on adult roles and behaviors. An annual preventive well visit may help adolescents adopt or maintain healthy habits and behaviors, avoid health‐damaging behaviors, manage chronic conditions, and prevent disease. The Bright Futures guidelines recommends that adolescents have an annual checkup from age 11 through 21. The visit should cover a comprehensive set of preventive services, such as a physical examination, immunizations, and discussion of health‐related behaviors including healthy eating, physical activity, substance use, sexual behavior, violence, and motor vehicle safety. The adolescent well-care visit measure for health plans is part of the core measure sets for Medicaid and the National Committee for Quality Assurance. National Adolescent and Young Adult Health Information Center (2016). Summary of Recommended Guidelines for Clinical Preventive Services for Adolescents up to age 18. http://nahic.ucsf.edu/adolescentguidelines.

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: 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.