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Strengthen the Evidence for Maternal and Child Health Programs

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Find State ESMs


Displaying records 1 through 8 (8 total).

ESM 15.1 The number of state loan repayment program registered sites that offer assistance with insurance applications. (Arizona)

Evidence Level: Moderate. Aligns with MCHbest strategy "Insurance Enrollment Helpline". Find other NPM 15 strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: No similar strategies found in Innovation Hub.

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

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: By 2025, 900 total sites in the state loan repayment program will offer assistance with insurance applications.

Numerator: The number of sites in the state loan repayment program will offer assistance with insurance applications.

Denominator:

Significance: Federally Qualified Health Centers are important safety net providers in rural areas. FQHCs are outpatient clinics that qualify for specific reimbursement systems under Medicare and Medicaid. They include federally-designated Health Center Program awardees, federally-designated Health Center Program look-alikes, and certain outpatient clinics associated with tribal organizations. Approximately 1 in 5 rural residents are served by the Health Center Program, according to the Health Resources and Services Administration (HRSA) Bureau of Primary Health Care (BPHC). Health centers provide a comprehensive set of health services including primary care; behavioral health; chronic disease management; preventive care; and other specialty, enabling, and ancillary services, which may include radiology, laboratory, dental, transportation, translation, and social services

Data Sources and Data Issues: Primary Care Office

Year: 2023

Unit Type: Count, Unit Number: 1,000

ESM 15.1 The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs (Connecticut)

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

Alignment with field-based evidence through Innovation Hub: Best. Aligns with Coalition of stakeholders to assess community systems, develop and implement strategies, and build capacity documented by the Innovative Approaches: Community Systems Building Grants for Children and Youth with Special Health Care Needs (CYSHCN) (NC) program in AMCHP's Innovation Hub. Promising. Aligns with Community-based care coordination program as documented by the Oregon Care Coordination Program (OR) program in AMCHP's Innovation Hub.

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 directed to professionals

Goal: To increase the number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Numerator: The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Denominator:

Significance: American Academy of Pediatrics highlighted the importance of continuous and adequate insurance with a policy statement. The major problems cited were cost-sharing requirements were too high, benefit limitations, and inadequate coverage of needed services. Inadequately insured children are more likely to have delayed or forgone care, lack a medical home, be less likely to receive needed referrals and care coordination, and receive family-centered care. Reference: https://www.mchevidence.org/tools/npm/15-adequate-insurance-coverage.php

Data Sources and Data Issues: United Way 2-1-1 database, the statewide toll-free information line, provides a description of services and contact information for community organizations including those that help families understand services that are available and covered by insurance for all children including those with special health care needs.

Year: 2023

Unit Type: Count, Unit Number: 1,000

ESM 15.1 Establishment of Cross-Agency Coordination Committee between DPH and Medicaid (Delaware)

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

Alignment with field-based evidence through Innovation Hub: No similar strategies found in Innovation Hub.

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

Service Type: Systems level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Work with Medicaid partners to develop the structure, process, and policy that will support the creation of the Cross-Agency Coordination Committee (CACC).

Numerator: Structure and schedule for CACC

Denominator:

Significance: As described in our recently signed MOU, the CACC will work to establish a multi-disciplinary coordination committee who will be responsible for working together on training, messaging, case management, and procedures. The overarching goals of this committee is to ensure that the mothers and families in Delaware who are eligible for services are given a clear understanding of where and how they can obtain those services. This group will address any redundant services and activities between agencies as well as filling any gaps in services that exist.

Data Sources and Data Issues: CACC meeting minutes.

Year: 2023

Unit Type: Text, Unit Number: Yes/No

ESM 15.1 15.1 Increase the percentage of CYSHCN who report having insurance when receiving services (Washington)

Evidence Level: **Not sure what they are doing - checked State Action plan in Box

Alignment with field-based evidence through Innovation Hub: Aligns with Innovation Hub's Expanded eligibility for WV CYSHCN through enhanced screening Program https://amchp.org/wp-content/uploads/2021/09/Spring-2021_WV-CYSHCN_Practice-Handout-Emerging.pdf

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

Service Type: Systems level of pyramid

Essential Public Health Services: 2. Investigate and address health problems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of CYSHCN who have access to third party paid insurance.

Numerator: The number of CYSHCN who indicate they have insurance on their Child Health Intake Form.

Denominator: The total number of CYSHCN who have a Child Health Intake Form filled out

Significance: Adequate insurance is critical for CYSHCN to receive needed services that their families can afford. Tracking the percent of CYSHCN receiving services will help to ensure that this population continues to be able to access care.

Data Sources and Data Issues: The data will come from the Child Health Intake Form (CHIF) a data collection instrument used in Washington State to track CYSHCN to assure they receive appropriate services. The form is filled out by county/local CYSHCN directors and/or neurodevelopmental centers.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 15.2 # of Children with Medical Complexities Advisory Committee (CMCAC) meetings and/or sub-committee meetings attended to improve support of these children included Medicaid coverage. (Delaware)

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

Alignment with field-based evidence through Innovation Hub: Best. Aligns with Coalition of stakeholders to assess community systems, develop and implement strategies, and build capacity as documented by the Innovative Approaches: Community Systems Building Grants for Children and Youth with Special Health Care Needs (CYSHCN) (NC) program in AMCHP's Innovation Hub. Promising. Aligns with Coalition of family organizations, nonprofits, and professionals as documented by the Washington Statewide Leadership Initiative Coalition (WA) program in AMCHP's Innovation Hub.

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: For Title V/MCH to participate and stay engaged in the CMCAC meetings and share information with Family Shade and other CYSHCN partners.

Numerator: Number of meetings attended by Title V/MCH

Denominator:

Significance: During development of Delaware’s Plan for Managing the Health Care Needs of Children with Medical Complexity (the Plan), it became evident early in the planning process that there would not be enough time to perform an in-depth analysis of the full continuum of care for children with medical complexity. The data needed to perform a quantitative analysis is very detailed and complex. Therefore, the first recommendation made as a result of the Plan development, was for DMMA to continue working with stakeholders to address the needs of this vulnerable population. As a result, the Children with Medical Complexity Advisory Committee (CMCAC) was developed. This group meets quarterly to strengthen the system of care, increase collaboration across agencies, encourage community involvement, and ultimately ensure that every child with medical complexity has the opportunity to receive the adequate and appropriate health care services they need and deserve.

Data Sources and Data Issues: MCH program data

Year: 2023

Unit Type: Count, Unit Number: 4

ESM 15.2 Care coordinators reporting increased knowledge in serving CYSHN and their families after participating in Community of Practice webinars (Minnesota)

Evidence Level: Emerging. Aligns with Family Leave, Workplace Policies, State Laws. Find other NPM 4 workplace-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Cutting-Edge. Aligns with Workplace Lactation Policies strategy as documented by the Reducing Breastfeeding Disparities in California through Lactation Accommodation Workgroup program in AMCHP's Innovation Hub.

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 percentage of care coordinators who report increased knowledge in topic area after participating in webinars sponsored by Minnesota’s Pediatric Care Coordination Community of Practice

Numerator: Number of care coordinators who completed post survey and reported they strongly agree they have increased knowledge of webinar topic

Denominator: Number of care coordinators who completed post survey

Significance: The strategy related to this measure is, “Building the Capacity of Communities by Cultivating Knowledge and Improving Collaboration.” One of Minnesota’s approaches toward building community capacity is sponsoring a Pediatric Care Coordination Community of Practice (CoP) where care coordinators can learn about best practices in coordination and network/connect with one another. After participating in CoP activities, participants typically report that they’re more knowledgeable of the system of care and are more competent/confident in helping families navigate the system. Those who are more confident in their ability to navigate and access care may be more likely help families gain access to adequate and consistent insurance.

Data Sources and Data Issues: Data Source: The percentage of care coordinators reporting increased knowledge is collected via a survey that is distributed to participants of activities sponsored by the Minnesota Pediatric Care Coordination Community of Practice. The survey is distributed to all participants in CoP webinars during the webinar and then is sent out again to all registrants after the completion of the webinar. Findings from each webinar are tallied and combined into the final reported amount. In the survey, participants are asked the following question: “To what extent do you agree with the following statement? The information presented increased my knowledge of the topic.” The survey question utilizes a Likert scale for response options, including: • Strongly agree • Agree • Disagree • Strongly disagree The CoP facilitation grantee will provide MDH the data for the post-survey on a regular basis, and MDH will be responsible for analyzing the data to report on the ESM. Limitations of Data: The data only includes those who completed the post-survey they were sent after participating in the webinar. The CoP has approximately a 30% return rate on post surveys for their webinars. There may be a bias in the population who completes the survey versus those who do not – particularly as it relates to acquiescence bias. This bias results in participants being more likely to report positive results. Because of this, we have chosen to only measure those reporting they “strongly agree” that they have increased knowledge rather than including both those who “agree” and “strongly agree.” Another limitation is that the data is only gathered via post survey and is based on participant report. A potentially more valid way of gathering this information would be conducting a pre- and post-survey, where participants could note the change they experienced from before the webinar to after – though this could cause survey fatigue in participants.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 15.3 % of primary caregivers and children with health insurance among Home Visiting participants (Delaware)

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.

Alignment with field-based evidence through Innovation Hub: Best. Aligns with Home visiting program as documented by the Every Child Succeeds (OH/KY) program in AMCHP's Innovation Hub. Best. Aligns with Nurse home visiting program as documented by the Nurse Family Partnership program in AMCHP's Innovation Hub.

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 directed to families/children/youth

Goal: To increase the number of primary caregivers and children with health insurance

Numerator: # of primary caregivers and children (families) with health insurance

Denominator: # of families enrolled

Significance: Health insurance covers essential health benefits critical to maintaining generalhealth, preventive care, treating illness and accidents

Data Sources and Data Issues: MIECHV program data

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 15.3 Increase percentage of uninsured children served by Child Development Clinics (CDCs) who are referred to Medicaid (if eligible) and/or other financial resources (Virginia)

Evidence Level: Moderate. Aligns with MCHbest strategy "Expansion of Coverage Eligibility (Partnerships with Mediciad)". https://www.mchevidence.org/tools/strategies/15-3.php Find other NPM 15 practice-level strategies in MCHbest. https://www.mchevidence.org/tools/strategies/search/refine.php?NPM=15

Alignment with field-based evidence through Innovation Hub: Aligns with Innovation Hub's Expanded eligibility for WV CYSHCN through enhanced screening Program https://amchp.org/wp-content/uploads/2021/09/Spring-2021_WV-CYSHCN_Practice-Handout-Emerging.pdf

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 uninsured children served by the Child Development Clinics are able to better access Medicaid and/or other financial resources to pay for services they need.

Numerator: Number of uninsured children served by the CDCs who are referred to Medicaid and/or other financial resources

Denominator: Number of uninsured children served by the CDCs

Significance: The VDH Title V MCH needs assessment identified that health insurance for health care services for CYSHCN is both an asset and a frustration for families. The assessment also demonstrated that parents struggle to understand their insurance and what it provides. Examples of barriers mentioned included: filling out required paperwork; understanding information about insurance/confusion; being able to access certain medications; language issues; not having insurance at all; and MCO/benefit changes mid-year that at times may disrupt services provided.

Data Sources and Data Issues: VDH CYSHCN Program Documents

Year: 2023

Unit Type: Percentage, Unit Number: 100

   

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