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: 1. Assess and monitor population health
Service Recipient: Activities related to systems-building
Goal: To complete community assessments and infant mortality prevention strategic plans in HTMB Coalition communities with excess sleep-related infant deaths.
Numerator: Yes: 4 local community assessments and infant mortality prevention plans are completed per year through FY2019
No: Less than 4 assessments and plans are completed per year
Significance: Disparities in feto-infant mortality persist across the state. HTMB-CCs are recruited from geographic areas identified through PPOR mapping to have excess deaths in one or more PPOR when compared to a state reference group. Currently participating HTMB-CCs, and organizations to be recruited for development of additional HTMB-CCs are based within areas previously determined to have excess deaths in the Infant Period of Risk (POR). This POR includes deaths occurring among infants in the postneonatal period (between 28 days and 1 year) and born weighing >1500 grams. While not all deaths that occur in the Infant POR are sleep-related, SIDS is the leading cause of postneonatal infant death.
Risk for sleep-related deaths—including SIDS, ill-defined deaths, and accidental suffocation and strangulation in bed—may be decreased by decreasing intrinsic and extrinsic risks, as discussed in a recent commentary by Moon RY and Hauck FR—SIDS Risk: It's More Than Just the Sleep Environment (Pediatrics.2016;137(1): e20153665). Recommendations to address known modifiable risks are described in the AAP TASK FORCE ON SUDDEN INFANT DEATH SYNDROME’s Policy Statement—SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment (Pediatrics. 2016;138(5):e20162938) and the rationale for the recommendations is provided in the Task Force’s corresponding Technical Report (Moon RY et al. Pediatrics. 2016;138(5):e20162940). DSHS will work with HTMB-CCs to assess community needs related to feto-infant mortality and to develop locally-relevant strategic plans to address identified priorities. DSHS anticipates that some HTMB-CCs will identify priorities related to sleep-related death and will develop strategies to address intrinsic and extrinsic risks for these deaths. Ongoing customized technical assistance, capacity building, training and evaluation support will be provided to HTMB CCs for optimal coordination, synergy, collaboration and impact.
Data Sources and Data Issues: Data Source: HTMB Evaluation Reports
HTMB currently supports four (4) Community Coalitions (HTMB-CCs) and an additional 4 will be recruited in FY2018 to strengthen local perinatal infrastructure, assess community needs and priorities, and develop, implement and evaluate initiatives within their communities to reduce disparities in preterm birth and feto-infant morbidity and mortality.
DSHS expects to identify a HTMB Technical Assistance Contractor (HTMB-TAC) in early FY18 to support HTMB-CCs with local community health assessment to include:
• Operational definition of the community of interest;
• Target population demographics, geographic data, socio-economic data, maternal, fetal and infant health and mortality data, racial/ethnic disparities, and community health status information;
• Rapid assessment of relevant community perinatal knowledge, attitudes and practices;
• Gaps, barriers and strengths of local health services and provider characteristics;
• Partners’ organizational capacity, levels of commitment, and operational strengths and potential areas of contribution to CC goals;
• Opportunities to engage new and non-traditional partners; and
• Current locally implemented strategies and interventions relevant to infant mortality.
The HTMB-TAC will support each HTMB-CC in developing a strategic plan to address excess feto-infant mortality. The 4 currently contracted HTMB-CCs are expected to draft assessments and plans in FY2018. The additional 4 HTMB-CCs will begin assessment and planning processes in FY2018 that are anticipated to continue into FY2019.
Achievement is contingent on successful and timely development and execution of contracts; no issues are anticipated.
Unit Type: Text, Unit Number: Yes/No