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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 12 (12 total).

ESM 7.1.1 Percent of sites operating mobile fitting and car seat inspection stations to ensure car seats are properly installed. (Indiana)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Person-to-Person Interventions Outside the Clinical Setting". Find other NPM 7 caregiver-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the percentage of sites trained and operating mobile fitting and car seat inspection stations to ensure car seats are properly installed.

Numerator: # of new sites operating mobile fitting and car seat inspection stations in current year

Denominator: N/A; count

Significance: Based on strong evidence of effectiveness, the Community Preventive Services Task Force recommends car seat laws and car seat distribution plus education programs to increase restraint use and decrease injuries and deaths to child. Injury is the leading cause of child mortality. For those who suffer non-fatal severe injuries, many will become children with special health care needs. Effective interventions to reduce injury exist but are not fully implemented in systems of care that serve children and their families. Reducing the burden of nonfatal injury can greatly improve the life course trajectory of infants, children, and adolescents resulting in improved quality of life and cost savings.

Data Sources and Data Issues: Reports from Indiana Criminal Justice Institute and Automotive Safety Program in Indiana.

Year: 2021

Unit Type: Count, Unit Number: 100

ESM 7.1.1 Percent of preventable child deaths due to injury reviewed by the MCDR with at least one prevention recommendation that is specific and actionable (including a "who, what, when") and targets systems above the individual level. (Alaska)

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: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: To reduce preventable child injuries and deaths by developing viable primary prevention recommendations.

Numerator: Preventable child deaths due to injury reviewed by the MCDR with at least one prevention recommendation that is specific and actionable and targets systems above the individual level.

Denominator: Preventable deaths due to injury reviewed by the MCDR.

Significance: The Maternal Child Death Review Program (MCDR) is an evidence-based program partially funded by Title V which exists to prevent future deaths through a multidisciplinary expert review of all child deaths. The impact of the program is greatly improved when it produces public health recommendations that include a specific action (“what”), responsible party (“who”) and a timeframe for carrying out the action (“when”). The program has been working to move away from vague recommendation language that loosely targets individuals or communities (i.e. “Increase off-road vehicle safety education for children”), and to aim recommendations at specific levels of system intervention with clear action steps (i.e. “Healthcare providers should discuss off-road vehicle safety and helmet use with caregivers during well-child visits.”) The MCDR has also made recent improvements in its dissemination of recommendations, including publication of quarterly reports which include all recommendations generated in the preceding quarter. The value and usefulness of these publications will be greatly enhanced by actionable recommendations as described in this strategy measure.

Data Sources and Data Issues: MCDR Database.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.1 Number of School Health Friday Beat newsletters per fiscal year with at least one injury prevention resource provided (Texas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions". Find other NPM 7 school-level strategies in MCHbest.

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

Service Type:

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: To have at least one injury prevention resource in each issue of the Friday Beat, to educate teachers, school administrators, and other interested individuals on injury prevention topics.

Numerator: Number of School Health Friday Beat bi-weekly newsletter issues per year that include at least one injury prevention resource.

Denominator: Count

Significance:

Data Sources and Data Issues: Unintentional injury is the leading cause of death and disability among children and adolescents, both in Texas and the United States as a whole. School is one environment in which children spend a significant portion of their day, so this environment could definitely have an impact on injury risk. Both fatal and nonfatal childhood injuries are very costly; in addition to the burden of death and disability, childhood injuries can result in substantial economic costs, including medical costs for the child and lost work days for caregivers. In order to impact the number of injury-related hospital admissions per population ages birth to 19 years, teachers, school administrators, nurses, and other interested individuals need to increase their knowledge of the potential risks impacting this population at school, in the community, and at home, and be provided strategies to reduce the risk. This measure will ensure that injury prevention resources are included in each issue of the School Health Friday Beat newsletter.

Year: 2021

Unit Type: 100, Unit Number: Source: DSHS School Health MCHS is working with School Health to try to ensure that every issue of the Friday Beat newsletter includes at least one injury prevention resource. Approximately 25 newsletter issues will be written/distributed each year (issues are published every other week). The Friday Beat newsletter goes out each week to over 2,500 followers through their distribution list. School Health will provide MCHS with the numbers and topics of the injury prevention resources they include in their bi-weekly Friday Beat issues.

ESM 7.1.1 Number of recommendations from CDR teams that are implemented (child health) (Pennsylvania)

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

Service Type: Systems level of pyramid

Essential Public Health Services: 9. Conduct evaluation, research and CQI

Service Recipient: Activities related to systems-building

Goal: Implement recommendations that are provided from the Child Death Review Team on child health deaths in order to inform child programming

Numerator: The number of recommendations implemented

Denominator:

Significance: Data from Child Death Review can inform providers and systems of care on the need for targeted interventions to reduce the rate of child death

Data Sources and Data Issues: Data will come from child program areas that review and implement recommendations.

Year: 2021

Unit Type: Count, Unit Number: 10

ESM 7.1.1 Number of maternity centers disseminated Virginia's injury prevention curriculum (Virginia)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with Partnerships to Scale Evidence-based Programs and Practices. Find other NPM 7 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: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: Reduce non-fatal injury related hospitalizations for children ages 0 through 9 and adolescents ages 10 through 19.

Numerator: Number of maternity centers disseminated Virginia's injury prevention curriculum.

Denominator:

Significance: This ESM was identified through the Title V needs assessment, Virginia's Well-being Plan, and Healthy People 2020 (IVP 1.2). Research from a variety of external sources indicates that the impact of childhood injuries can be reduced with effective primary prevention strategies.

Data Sources and Data Issues: Virginia Department of Health, Office of Family Health Services, Division of Prevention and Health Promotion; Injury and Violence Prevention Program, piloting evaluation tool in REDCap to track information from maternity centers

Year: 2021

Unit Type: Count, Unit Number: 100

ESM 7.1.1 Number of households participating in evidence-based home visiting programs (Louisiana)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Education During Home Visiting Programs". Find other NPM 7 Patients/Consumers/Caregivers 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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of households receiving injury prevention education during home visiting sessions

Numerator: Number of households enrolled in home visiting during the reporting period

Denominator:

Significance: Evidence-based home visiting programs, such as those supported through the federal MIECHV program and implemented by the Bureau of Family Health, have been linked to improvements in a variety of indicators of child and family health, including those related to child injury and violence. Louisiana MIECHV does not currently collect data on the specific education activities and facilitators utilized during home visits, however all clients receive some education related to child injury prevention. This ESM measures progress in relation to increasing enrollment in evidence-based home visiting programs, and therefore increasing the reach of families benefiting from injury prevention interventions.

Data Sources and Data Issues: MIECHV Annual Performance Report

Year: 2021

Unit Type: Count, Unit Number: 10000

ESM 7.1.2 Percent of child deaths reviewed by Child Fatality Review teams. (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 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: Increase the percentage of child death reviews completed by the CFR teams.

Numerator: Number of child deaths reviewed by CFR teams per calendar year

Denominator: Total number of child deaths in Indiana per calendar year

Significance: Historically, the monitoring of mortality and morbidity trends has been conducted through vital statistics. These rate data are essential for establishing incidence information, bud do not contain the necessary risk factors required for truly understanding effective prevention efforts. Further, these data may be delayed as much as two years, preventing immediate response to health challenges. Comprehensive death scene investigation and data collection conducted by child fatality review teams can offer real-time, well-informed, evidence-based, and customized recommendations for more effective prevention. Increasing the capacity and outputs of Indiana child fatality review teams will allow for the development of more targeted injury prevention recommendations and programming.

Data Sources and Data Issues: National Center for Fatality Review and Prevention Case Reporting System and ISDH Vital Records.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.2 Number of child safety seats disseminated through the LISSDEP network (Virginia)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs". Find other NPM 7 state-level strategies in MCHbest.

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

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Reduce non-fatal injury related hospitalizations for children ages 0 through 9 and adolescents ages 10 through 19.

Numerator: Number of child safety seats disseminated through the LISSDEP network

Denominator: Count

Significance:

Data Sources and Data Issues: This ESM was identified through the Title V needs assessment, Virginia's Well-being Plan, and Healthy People 2020 (IVP 1.2). Research from a variety of external sources indicates that child restraint and restraint systems reduce injury and injury severity in children.

Year: 2021

Unit Type: 100000, Unit Number: Virginia Department of Health, Office of Family Health Services, Division of Prevention and Health Promotion (DPHP); the DPHP tracks the inventory disseminated

ESM 7.1.3 Percent of local county health departments that have at least one staff trained in safe car seat installation and use. (Arizona)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Partnerships to Scale Evidence-based Programs and Practices". Find other NPM 7 State/National level strategies in MCHbest.

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 related to systems-building

Goal: By 2025, 100% of local county health departments will have at least one staff member trained in safe car seat installation and use.

Numerator: Number of local county health departments that have at least one staff member trained

Denominator: Total number of local county health departments

Significance: Car seat distribution programs provide parents with car seats (i.e., infant, convertible, and booster seats) free of charge, via loan, or low cost rental These programs often include efforts to teach parents how to correctly install and use car seats. Programs are generally targeted to low income parents of infants and young children and can be implemented through hospitals, clinics, insurance companies, community organizations, and home visitation. There is strong evidence that car seat distribution and education programs increase car seat use and correct use of car seats. Car seat distribution programs are effective for rural, urban, and suburban populations and for low and high-income populations. Such programs also appear to increase car seat use in tribal communities.

Data Sources and Data Issues: Healthy Arizona Families Integrated IGA

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.6 Percent of engaged partner groups including other state departments, local grantees, and affected communities, that report satisfaction with level of engagement in the development of a collaborative child injury report. (Oregon)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with the strategy Partnerships to Scale, Evidence-based Programs and Practices. Find other NPM7 strategies in MCHbest.

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

Service Type: Systems level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: To create a comprehensive statewide child injury report

Numerator: Number of engaged partner groups including other state departments, local grantees, and affected communities, that report satisfaction with level of engagement in the development of a collaborative child injury report

Denominator: Number of partner groups engaged in the development of a collaborative child injury report

Significance: An important piece in the development of a statewide injury report is the engagement of partners, to avoid duplication of efforts, and to ensure that all voices are heard, including those of marginalized communities.

Data Sources and Data Issues: State tracking

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.7 Completed assessment of injury prevention risk assessment, education, and remediation in Oregon’s public health home visiting programs. (Oregon)

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: To assess injury prevention efforts in Oregon's home visiting programs.

Numerator: N/A

Denominator:

Significance: In order to better provide technical assistance in the prevention of child injury to the home visiting workforce, Title V first needs to examine what currents efforts are, and where improvements can be made in education or referral services.

Data Sources and Data Issues: State tracking

Year: 2021

Unit Type: Text, Unit Number: Yes/No

ESM 7.2.1 The number of schools participating in the "Teens in the Driver Seat" program. (Nebraska)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions". Find other NPM 7 school-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: 6. Utilize legal and regulatory actions

Service Recipient: Activities related to systems-building

Goal: Increase the number of schools participating in an evidence-based teen driver safety program.

Numerator: Count

Denominator: 100

Significance:

Data Sources and Data Issues:

Year: 2021

Unit Type: Program Data, Nebraska Injury Prevention., Unit Number: Motor vehicle crashes are the leading cause of death for teens. Teens in the Driver Seat® is a teen driven peer-to-peer educational program that focuses solely on traffic safety and addresses all major driving risks for this age group. Teens, along with a sponsor, help shape the program and are responsible for implementing it.

   

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.