Find State ESMs

Measure Status: Active

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

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: 2021

Unit Type: Count, Unit Number: 1000

Measure Status: Active

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

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: Count

Significance:

Data Sources and Data Issues: 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

Year: 2021

Unit Type: 1000, Unit Number: 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.

Measure Status: Active

Evidence Level: Expert. Aligns with MCHbest strategy 15.6 "Continuous and Adequate Insurance” . Find other NPM 15 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 percentage of families receiving family-to-family support who report increased confidence in navigating care for their child

Numerator: Number of families who completed the post survey and reported increased confidence in a minimum of one area

Denominator: Number of families who received family-to-family support and completed the 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 funding family-to-family support. Through family-to-family support, the parent/caregiver is linked with another parent who helps answer their questions, provides support, and helps them navigate the system. After receiving family-to-family support, families typically report that they’re more knowledgeable of the system of care and are more competent/confident in navigating the system. Those who are more confident in their ability to navigate and access care may be more likely to have (or gain access to) adequate and consistent insurance.

Data Sources and Data Issues: Data Source: The percentage of families reporting increased confidence is collected via a survey that is distributed to parents by the family support grantee after the families have received their support. The survey is distributed to all families who have received support around 2 months after they have completed the service. In the survey, families are asked the following question: “Since receiving support and/or information, via email or phone, from someone with the CONNECTED Program, do you feel more confident in your ability to (Please check all that apply): • Get information about community resources, (such as financial information, PCA services, educational supports) when needed • Make decisions about your child’s healthcare • Navigate the healthcare system to get services your child needs • Take care of your child’s healthcare needs The 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. The numerator will be the number of parents who checked off that they had increased confidence in at least one of the four areas listed above. The denominator is the total number of families who completed the survey after receiving family-to-family support. Limitations of Data: The data only includes those who completed the post-survey they were sent after receiving support and/or information. There may be a bias in the population who completes the survey versus those who do not. Another limitation is that the data is only gathered via post survey and is based on parent report. A potentially more valid way of gathering this information would be conducting a pre- and post-survey, where parents/caregivers could note the change they experienced from one point to the next.

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "On-Site Medical Practice Care Coordination Services". Find other NPM 15 practice-level strategies in MCHbest.

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

Service Type: Systems level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Increase the adequacy of insurance for children and youth with special health care needs (CYSHCN).

Numerator: Number MCO and CCC Care Coordinators that attend statewide meeting

Denominator: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 1000, Unit Number: VDH CYSHCN Program Documents

Measure Status: Active

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

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: Text

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: Yes/No, Unit Number: CACC meeting minutes.

Measure Status: Active

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

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: 2021

Unit Type: Percentage, Unit Number: 100

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

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, 100% of Title V staff and contractors that receive education on insurance coverage options for children and pregnant women.

Numerator: Number of Title V staff and contractors that receive education on insurance coverage options for children and pregnant women.

Denominator: Total number of Title V staff and contractors

Significance: While national health transformation presents an opportunity for millions of currently- uninsured Americans to obtain health insurance coverage, it does not guarantee that all children and families will have access to care that is adequate, affordable, and continuous. Gaps in care may remain for women and children, particularly children and youth with special health care needs. Navigating through the turbulent currents of health care reform will be challenging, particularly where cultural and linguistic barriers, health disparities, immigration status will impact health outcomes. A trained MCH workforce can ensure that programs are built with this understanding in mind to better support health equity initiatives throughout the state.

Data Sources and Data Issues: Primary Care Office

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

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

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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 4, Unit Number: MCH program data

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "On-Site Medical Practice Care Coordination Services". Find other NPM 15 practice-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Increase the adequacy of insurance for children and youth with special health care needs (CYSHCN).

Numerator: Number of MCO/CCC regions that commit to partnering with each other

Denominator: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 100, Unit Number: VDH CYSHCN Program Documents

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: 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: 2021

Unit Type: Percentage, Unit Number: 100

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: By 2025, 5 learning opportunities on the insurance coverage for children and pregnant women would be provided to external maternal and child health partners.

Numerator: Number of learning opportunities on the insurance coverage for children and pregnant women would be provided to external maternal and child health partners

Denominator:

Significance: While national health transformation presents an opportunity for millions of currently- uninsured Americans to obtain health insurance coverage, it does not guarantee that all children and families will have access to care that is adequate, affordable, and continuous. Gaps in care may remain for women and children, particularly children and youth with special health care needs. Navigating through the turbulent currents of health care reform will be challenging, particularly where cultural and linguistic barriers, health disparities, immigration status will impact health outcomes. A trained MCH workforce can ensure that programs are built with this understanding in mind to better support health equity initiatives throughout the state.

Data Sources and Data Issues: Primary Care Office

Year: 2021

Unit Type: Count, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "On-Site Medical Practice Care Coordinaton Services". Find other NPM 15 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: 2. Investigate and address health problems

Service Recipient: Activities directed to families/children/youth

Goal: By 2025, Arizona will increase the percentage of adults that have a personal doctor or healthcare provider by 10%.

Numerator: Respondents in the BRFSS that indicate 'Yes, only one' and 'more than one' to the question: "Do you have one person you think of as your personal doctor or health care provider?"

Denominator: All respondents to the question.

Significance: Access to a provider is critical to support one's health. This measure was created to capture the work that the Primary Care Office currently does with increasing the availability of providers across the state.

Data Sources and Data Issues: Arizona Behavioral Risk Factor Surveillance System

Year: 2021

Unit Type: Percentage, Unit Number: 100