Skip Navigation

Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 20 (28 total).

ESM 3.1 Risk Appropriate Perinatal Care (Maryland)

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: VLBW babies will be born in a Level III+ Neonatal Intensive Care Unit

Numerator: Number of VLBWs born in an inappropriate level hospital

Denominator: Number of VLBW born in an appropriate level hospital

Significance: Infants born in appropriate level hospitals have a decreased risk of adverse outcomes

Data Sources and Data Issues: VSA Data

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Ratio of maternal to infant hospital transports among very low birth weight infants (Illinois)

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=transport&NPM=3&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/3-perinatal-regionalization.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: 9. Conduct evaluation, research and CQI

Service Recipient: Activities related to systems-building

Goal: To ensure that pregnant women at high risk of poor maternal and neonatal outcomes are appropriately transferred to a Level III facility prior to delivery

Numerator: among very low birth weight births, # where mother was transported to delivery hospital prior to delivery

Denominator: among very low birth weight births, # where infant was transported to another hospital within 24 hours after delivery

Significance: This ESM will measure an output of strategy #3A: Maintain a strong system of regionalized perinatal care by supporting perinatal network administrators and outreach/education coordinators and identifying opportunities for improving the state system Ideally, hospitals would transport women prior to delivery to ensure risk-appropriate care for both the mother and newborn infants. Transports of infants after delivery may indicate The percent of women transported prior to delivery is an important process measure of the outputs of the perinatal system. It will track how whether changes initiated through policy and quality improvement projects are affecting the percent of women transported to a risk-appropriate facility. By ensuring high-risk pregnant women are appropriately transferred to Level III facilities, we would anticipate that the percent of infants delivered in risk-appropriate facilities (NPM #3) would increase.

Data Sources and Data Issues: DATA SOURCE: birth certificates DATA ISSUES: among very low birthweight (350-1499g) infants delivered in Illinois birthing hospitals or St. Louis, MO hospitals that are part of the Southern Illinois network

Year: 2020

Unit Type: Ratio, Unit Number: 1

ESM 3.1 Proportion low-risk births attended by a licensed midwife (New Mexico)

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: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase proportion of women with low-risk birth who are attended by a Licensed Midwife or a Certified Nurse Midwife at home or in a free-standing birth center

Numerator: Number of births attended by LM or CNM at home or in center

Denominator: Number of low-risk births (no hypertension, diabetes, obesity or other definable morbidity factors)

Significance: Home births or births attended by a licensed midwife are less likely to be invasive or involve non-medically indicated induction, C-section or other medicalized procedures when not needed.

Data Sources and Data Issues: Birth certificate, MANA, PRAMS and/or hospitalization data may be used

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of very low birth weight (VLBW) infants born in a hospital with a Level III+ Neonatal Intensive Care Unit (NICU) (Florida)

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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Increase the availability of Level III beds in NICUs.

Numerator: Number of very low birthweight infants

Denominator: Number of Level III NICU beds

Significance: To ensure that the state has the capacity for all very low birthweight infants to be born in a Level III NICU.

Data Sources and Data Issues: Florida CHARTS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of hospitals surveyed to determine Obstetric and Neonatal Level of Care. (Indiana)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Adopt Standard Definitions for Hospital Level of Care" (https://www.mchevidence.org/tools/strategies/3-5.php). Find other NPM 3 system-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: 9. Conduct evaluation, research and CQI

Service Recipient: Activities related to systems-building

Goal: All delivery hospitals in Indiana are providing risk-appropriate care as determined by Indiana rules based on the ACOG consensus statement.

Numerator: Number of hospitals who have been surveyed by MCH hospital surveyors

Denominator: Number of birthing hospitals in Indiana.

Significance: The goal of levels of perinatal care is to reduce infant mortality, including existing disparities, by encouraging the growth and maturation of systems for the provision of risk-appropriate care specific to maternal health needs. To standardize a complete and integrated system of perinatal regionalization and risk-appropriate maternal care, this classification system establishes levels of maternal care that pertain to basic care (level I), specialty care (level II), sub-specialty care (level III), and regional perinatal health care centers (level IV). The level of care designation process will provide a level of confidence that infants born in Indiana are delivered and cared for post delivery at a hospital that can best support their gestational age and medical diagnosis and related risk.

Data Sources and Data Issues: MCH Internal Data collected by hospital survey staff

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of delivering hospitals convened at a meeting to share data and discuss the Alabama Perinatal Regionalization System Guidelines (Alabama)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "State Policies/Guidelines" (https://www.mchevidence.org/tools/strategies/3-2.php). Find other NPM 3 state-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: 1. Assess and monitor population health

Service Recipient: Activities related to systems-building

Goal: Convene the delivering hospitals to share data and discuss the Alabama Perinatal Regionalization System Guidelines.

Numerator: Number of delivering hospitals represented at the meeting

Denominator: Number of delivering hospitals in Alabama

Significance: Related to Maternal, Infant, and Child Health (MICH)-33: Increase the proportion of very low birth weight (VLBW) infants born at Level III hospitals or subspecialty perinatal centers. Low birth weight or premature infants born in risk-appropriate facilities are more likely to survive. Multiple studies indicate VLBW infant mortality is lower for infants born in a Level III center (higher level of care), and higher for infants born in non-Level III centers. Implementation of this measure ensures that a system of regionalized care is implemented and VLBW infants are referred to the appropriate level of care facility before delivery.

Data Sources and Data Issues: Alabama's State Perinatal Program's Meeting Sign-In Sheets

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of community clinics with extended service hours offering services to facilitate access to preventive visits (Federated States of Micronesia)

Measure Status: Active

Evidence Level: Strategy and ESM aligns with priority, however it is not in direct alignment with NPM (more aligned with NPM 1). See other ESMs for this NPM (https://www.mchlibrary.org/evidence/state-esms-results.php?q=&NPM=3&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 3 practice-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: Increase percentage of women who received early and adequate prenatal care

Numerator: # of community clinics offering extended service hours

Denominator: Total number of community health centers

Significance: Early screening and detection leads to early treatment/intervention which save lives.

Data Sources and Data Issues: Public Health Data, Hospital Data

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of birthing hospitals with final level of perinatal care designation, in accordance with updated regulations and standards (New York)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Adopt Standards Defiintions for Hospital Level of Care" (https://www.mchevidence.org/tools/strategies/3-5.php) . Find other NPM 3 hospital-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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: The baseline value for this measure will be determined in 2021, after regulations are adopted. The program has set a target to update designations for 50% of hospitals within the first year, and 100% within 5 years.

Numerator: Number of birthing hospitals with final level of perinatal care designation

Denominator: Number of birthing hospitals

Significance: NYS historically has been a leader in establishing systems of perinatal regionalization, with consistently high performance in this measure. Building on that success, the Title V program is currently engaged in a multi-year effort to expand and update perinatal regionalization standards and designations for the state’s birthing hospitals and centers. As this work progresses, it is essential to closely monitor the success of designating birthing hospitals in accordance with updated regulations as well as performance and outcome measures to ensure that quality of care and key health outcomes are maintained or improved.

Data Sources and Data Issues: Data for this measure will come from hospital surveys and site visit reports from IPRO/NYSDOH staff

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of birth facilities with level of care documented using the CDC LOCATe tool. (North Carolina)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Statewide Assessment of Personnel, Resources, and Capabilities of Birthing Facilities" (https://www.mchevidence.org/tools/strategies/3-6.php). Find other NPM 3 system-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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: By 2025, 100% of birth facilities will have levels of neonatal and maternal care documented in an effort to ensure risk appropriate care is provided for infants and mothers.

Numerator: Number of birthing facilities in NC which have completed the CDC Levels of Care Assessment Tool (CDC LOCATe) and been assigned appropriate maternal and neonatal levels of care within the past five years

Denominator: Total Number of birthing facilities in NC

Significance: Ensuring that infants are born at facilities that are equipped to meet the need of both the infant and the mother is important to improve both maternal and neonatal outcomes. The LOCATe tool is a hospital survey on obstetric and neonatal practices and services which classifies maternal and neonatal levels of care based on responses to survey questions that are tied to criteria found in the 2015 ACOG/SMFM maternal levels of care and the 2012 AAP neonatal levels of care.

Data Sources and Data Issues: The Women's Health Branch (WHB) will keep an internal log of birthing facilities that complete the LOCATe tool within each calendar year. The WHB is working with the Division of Health Services Regulations to update the existing neonatal rules and to develop maternal health rules.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Percent of Arkansas birthing hospitals that complete the CDC Levels of Care Assessment Tool (CDC LOCATe) annually (Arkansas)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Statewide Assessment of Personnel, Resources, and Capabilities of Birthing Facilities" (https://www.mchevidence.org/tools/strategies/3-6.php). Find other NPM 3 hospital-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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: To decrease preterm and low birth weight births and to improve birth outcomes

Numerator: Number of Arkansas birthing hospitals that completed the CDC Levels of Care Assessment Tool (CDC LOCATe)

Denominator: Number of Arkansas birthing hospitals

Significance: A significant cause of infant mortality is prematurity. Maternal and newborn intensive care for very premature deliveries and births has reduced mortality for those most at risk. Regionalization of NICUs seeks to increase the likelihood that a mother and infant receive risk-appropriate medical care in order to reduce maternal and infant morbidity and mortality, and to minimize cost.

Data Sources and Data Issues: Family Health Branch administrative records

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Number of hospitals verified annually through the Neonatal Center Designation Program (Georgia)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Adopt Standard Definitions for Hospital Level of Care" (https://www.mchevidence.org/tools/strategies/3-5.php). Find other NPM 3 system/state-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 1. Assess and monitor population health

Service Recipient: Activities related to systems-building

Goal: Verify all Georgia birthing hospitals are operating at the level of care designation authorized through the DCH Certificate of Need program.

Numerator: Number of hospitals verified annual through the Neonatal Center Designation Program

Denominator: N/A

Significance: Very low birth weight infants (<1,500 grams or 3.25 pounds) are the most fragile newborns. Although they represented less than 2% of all births in 2010, VLBW infants acSimple Counted for 53% of all infant deaths, with a risk of death over 100 times higher than that of normal birth weight infants (≥2,500 grams or 5.5 pounds). VLBW infants are significantly more likely to survive and thrive when born in a facility with a level-III Neonatal Intensive Care Unit (NICU), a subspecialty facility equipped to handle high-risk neonates. In 2012, the AAP provided updated guidelines on the definitions of neonatal levels of care to include Level I (basic care), Level II (specialty care), and Levels III and IV (subspecialty intensive care) based on the availability of appropriate personnel, physical space, equipment, and organization. Given overwhelming evidence of improved outcomes, the AAP recommends that VLBW and/or very preterm infants (<32 weeks’ gestation) be born in only level III or IV facilities.

Data Sources and Data Issues: Data Source: DPH Office of Women's Health- Neonatal Center Designation Program Data

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 3.1 Number of hospitals participating in the Opioid Exposed Newborns and/or Opioid Use Disorder projects (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=3&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/3-perinatal-regionalization.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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: To ensure that hospitals participating in the Opioid Exposed Newborns and Opioid Use Disorder projects continue with implementation

Numerator: Number of hospitals participating in the OEN and OUD projects

Denominator: Number of birthing hospitals in Tennessee

Significance: By continuing the implementation of the Opioid Use Disorder (OUD) and Opioid Exposed Newborns (OEN) projects in participating hospitals, the quality of care available for infants in this vulnerable circumstance will be improved statewide. The goals for these projects include reducing the stigma surrounding OUD and promoting universal screening using evidence based screening tools in all pregnant women to screen for substance abuse disorders. The project also involves mapping state resources for pregnant women with OUD. Through detecting cases of infants exposed to opioids prenatally and identifying the parts of the state with resources available, one outcome will be opioid exposed infants increasingly being born at high level perinatal centers.

Data Sources and Data Issues: Family Health and Wellness tracking tool

Year: 2020

Unit Type: Scale, Unit Number: 18

ESM 3.1 Number of families estimated to receive SIDS risk reduction materials from the Local Health Jurisdictions (LHJ). (California)

Measure Status: Active

Evidence Level: Strategy and ESM aligns with priority, however it is not in direct alignment with NPM (aligns more closely with NPM 5). See other ESMs for this NPM (https://www.mchlibrary.org/evidence/state-esms-results.php?q=&NPM=3&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 3 family-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: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Decrease the number of SUID/SIDS deaths in California, a leading cause of infant mortality, by increasing awareness and providing safe sleep education materials and resources and identifying risk factors to all parents and caregivers.

Numerator: Number of families estimated to receive SIDS risk reduction material from their LHJs.

Denominator: NA

Significance: Infants born prematurely, low birth weight, and very low birth weight have a higher risk of SIDS than infants born at term. Providing risk reduction education and materials, including information about the dangers of environmental smoke exposure and prone sleeping, to all families giving birth in California can reduce the risk of infant death due to SIDS. This ESM aligns with Objective 2, Strategy 3 of the Action Plan.

Data Sources and Data Issues: Data source: LHJ Year End Survey Data issues: data is a self-reported estimate; information is not available on demographics of the ‘estimate’ or how the ‘estimate’ was obtained.

Year: 2020

Unit Type: Simple Count, Unit Number: 1,000,000

ESM 3.1 Number of birthing hospitals re-designated with updated standard operating procedures [Note: this ESM actually reports a percent, even though the title indicates a number count.] (Marshall Islands)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Adopt Standard Definitions for Hospital Level of Care" (https://www.mchevidence.org/tools/strategies/3-5.php). Find other NPM 3 hospital-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: 9. Conduct evaluation, research and CQI

Service Recipient: Activities related to systems-building

Goal: Update perinatal regionalization standards and designations and implement updated performance measures for hospitals in Majuro and Ebeye.

Numerator: Number Birthing Facilities Re-designated with standard operating procedures

Denominator: Total Number Birthing Facilities in the state

Significance: It is imperative for the RMI to ensure all hospitals are functioning in accordance with current standards of care for both maternal and infant outcomes.

Data Sources and Data Issues: Endorsed SOPs

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.1 Generate a report to examine data trends with regard to racial/ethnic disparities in VLBW births at Level I and Level II facilities. (South Carolina)

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: Public health services and systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Produce at least one yearly report describing the trends and activities surrounding VLBW births at Level I and Level II facilities.

Numerator: One report published from MCH Research and Planning in collaboration with Vital Statistics

Denominator: One report published from MCH Research and Planning in collaboration with Vital Statistics

Significance: This report will allow the MCH Bureau to share trends and issues in regard to VLBW births at Level I and Level II facilities for the purposes of public health intervention.

Data Sources and Data Issues: SC Perinatal Regionalization System

Year: 2020

Unit Type: Text, Unit Number: Yes/No

ESM 3.2 Percent of LHDs who are utilizing the NC Psychiatry Access Line (NC-PAL) (North Carolina)

Measure Status: Active

Evidence Level: Strategy and ESM aligns with priority, however it is not in direct alignment with NPM. See other ESMs for this NPM (https://www.mchlibrary.org/evidence/state-esms-results.php?q=&NPM=3&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 3 practice-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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: By 2025, 75% of LHDs will use the NC-PAL in an effort to assist primary care providers in addressing the behavioral health needs of pregnant and post-partum patients.

Numerator: Number of LHDs who are utilizing the NC-PAL

Denominator: Number of LHDs providing maternal health services

Significance: Depression and anxiety during pregnancy and the postpartum period are common and have significant negative impacts on mother and child. Suicide is a leading cause of maternal mortality. Evidence-based efforts for screening, assessment, and treatment improve maternal and infant mental health, as well as overall family health, throughout the lives of women and children. NC-PAL or the NC Psychiatry Access Line, is a telephone consultation program designed to assist primary care providers in addressing the behavioral health needs of pediatric, pregnant, and post-partum patients. When primary care providers have a question about perinatal mental health, they can call the NC-PAL to be connected with the information they need. Care coordinators respond to questions within the scope of their expertise, provide resources and referrals, and can connect providers to psychiatric perinatal mental health specialists. Board-certified psychiatric perinatal mental health specialists can assist with diagnostic clarification and medication questions.

Data Sources and Data Issues: NC MATTERS Report

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.2 Percent of birthing hospitals who complete the CDC Levels of Care Assessment Tool (CDC LOCATe) annually (Marshall Islands)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Statewide Assessment of Personnel, Resources, and Capabilities of Birthing Facilities" (https://www.mchevidence.org/tools/strategies/3-6.php). Find other NPM 3 hospital-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: 9. Conduct evaluation, research and CQI

Service Recipient: Activities related to systems-building

Goal: To accurately identify the neonatal and maternal level of care provided at the birthing hospitals in the RMI.

Numerator: Number of birthing hospitals who complete the CDC Levels of Care Assessment Tool (CDC LOCATe) annually

Denominator: Number of hospitals in the RMI

Significance: Ensuring infants are born at facilities that are equipped to meet the need of both the infant and the mother is important to improve both maternal and neonatal outcomes. The LOCATe tool is a hospital survey on obstetric and neonatal practices and services which classifies maternal and neonatal levels of care based on responses to survey questions.

Data Sources and Data Issues: MCH Program

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 3.2 Number of TIPQC learning sessions held (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Continuing Education of Hospital Providers" (https://www.mchevidence.org/tools/strategies/3-1.php). Find other NPM 3 provider-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: 8. Build and support a workforce

Service Recipient: Activities related to systems-building

Goal: To increase number of TIPQC learning sessions held

Numerator: Number of TIPQC learning sessions held

Denominator: n/a

Significance: Offering obstetric health care providers opportunities for professional training and education is critical to ensuring the highest level of care for Tennessee mothers and infants. TIPQC learning sessions offer providers opportunities to increase their knowledgebase about new and emerging topics and stay abreast on the most current guidelines.

Data Sources and Data Issues: Family Health and Wellness tracking tool

Year: 2020

Unit Type: Simple Count, Unit Number: 3

ESM 3.2 Number of steps of the CDC's Level of Care Assessment Tool (LOCATe) Process completed in order to design and align the Alabama Perinatal Regionalization System Guidelines with the national criteria for the Maternal Levels of Care (Alabama)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Statewide Assessment of Personnel, Resources, and Capabilities of Birthing Facilities" (https://www.mchevidence.org/tools/strategies/3-6.php). Find other NPM 3 hospital-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Implement the CDC's Level of Care Assessment Tool (LOCATe) Process in order to align and implement the national criteria for the Maternal Levels of CareQuadrant 3: Measuring quantity of effect (# of "is anyone better off")

Numerator: Number of steps of the CDC's Level of Care Assessment Tool (LOCATe) Process completed

Denominator: Number of steps of the CDC's Level of Care Assessment Tool (LOCATe) Process completed

Significance: Creation of a system that aligns the maternal levels of care with Alabama Perinatal Regionalization System Guidelines utilizing CDC LOCATe ensures that there is a regionalized system for neonates and moms in our state. The CDC LOCATe tool is designed to help states and other jurisdictions monitor neonatal and maternal risk appropriate care. CDC LOCATe uses the minimum information necessary to identify a facility’s neonatal level of care, based on criteria by American Academy of Pediatrics, and maternal level of care based recently published criteria by the American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine. According to the CDC, the steps of the CDC LOCATe Process are as follows: Step 1: BUILD SUPPORT FOR PARTICIPATION - An agency or organization serving as a state champion for CDC LOCATe identifies stakeholders to help encourage birth facilities to use the CDC LOCATe tool. The champion builds relationships with facilities to work toward statewide participation. Step 2: BEGIN USING TOOL TO COLLECT DATA - The champion sends the CDC LOCATe web link to facilities in the state and follows up with those that don't respond. Step 3: ANALYZE DATA AND SHARE RESULTS - The champion sends data to CDC to analyze. CDC assesses levels of maternal and neonatal care and sends back results that can be used and shared as desired.

Data Sources and Data Issues: Alabama Perinatal Regionalization System Data

Year: 2020

Unit Type: Simple Count, Unit Number: 3

ESM 3.2 Number of providers that complete training on non-punitive conversation regarding substance use [Note: this ESM actually reports a percent, even though the title indicates a number count.] (South Carolina)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Continuing Education of Hospital Providers" (https://www.mchevidence.org/tools/strategies/3-1.php). Find other NPM 3 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To encourage appropriate provider screening and counseling regarding substance use for positive impact.

Numerator: Number of prenatal providers trained

Denominator: All prenatal providers

Significance: Increasing effective communication regarding substance use among providers can lead to prevention and referral/treatment for misuse and abuse.

Data Sources and Data Issues: DHEC Programs, BOI

Year: 2020

Unit Type: Simple Count, Unit Number: 123,456

    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.