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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 20 (30 total).

ESM 7.1.1 The number of strategies developed to address injury prevention among children across the spectrum of prevention (Oregon)

Measure Status: Active

Evidence Level: There is limited research in the evidence base 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: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: To develop injury prevention strategies across the spectrum of prevention

Numerator: The number of strategies developed

Denominator: N/A

Significance: Unintentional injury is the leading cause of death for children ages 1 through 11. For those who survive severe injuries, many will have lasting challenges such as disability and chronic pain. Education, stronger laws, and safer environments can prevent and reduce serious injuries. Effective strategies, such as increasing knowledge and changing attitudes and behaviors, passing and enforcing legislation and policies that encourage safe behaviors, and changing the design of products and the environment, can prevent many injuries and improve the quality of life for children and adolescents, as well as their families.

Data Sources and Data Issues: State Tracking

Year: 2020

Unit Type: Simple Count, Unit Number: 20

ESM 7.1.1 Proportion of maternity centers with prenatal courses including Virginia's injury prevention curriculum (Virginia)

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=7&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 7 patient/practice/community-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: 8. Build and support a workforce

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 with prenatal courses including Virginia's injury prevention curriculum

Denominator: Number of maternity centers

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; piloting evaluation tool in REDCap to track information from maternity centers

Year: 2020

Unit Type: Percentage, Unit Number: 100

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" (https://www.mchevidence.org/tools/strategies/7-2.php). Find other NPM 7 caregiver-level strategies in MCHbest. (note: xxx should be the audience field 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: 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; Simple 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: 2020

Unit Type: Simple 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 (https://www.mchlibrary.org/evidence/state-esms-results.php?q=review&NPM=7&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/7-child-safety.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: 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: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.1.1 Percent of families served in home visiting programs who have reports of child maltreatment (Arkansas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Education During Home Visiting Programs" (https://www.mchevidence.org/tools/strategies/7-1.php). Find other NPM 7 caregiver-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 directed to families/children/youth

Goal: Increase parenting skills to help parents avoid maltreatment.

Numerator: Number of families served in home visiting programs who have substantiated reports of maltreatment

Denominator: Number of families served in home visiting programs

Significance: Child maltreatment has lifelong effects (ACEs) on health and well-being. It also increases emergency department visits.

Data Sources and Data Issues: Evaluation data from the ADH Maternal, Infant, and Early Childhood Home Visiting Program

Year: 2020

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 in the Friday Beat newsletter (Texas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). 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: 3. Inform and educate the public

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: N/A

Significance: 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.

Data Sources and Data Issues: 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.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.1.1 Number of injury prevention activities done by local Simple County health departments (Arizona)

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=county+health+department&NPM=7&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/7-child-safety.php).

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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: By 2025, the local Simple County health departments will have completed 20 activities on injury prevention.

Numerator: Number of injury prevention activities at the local Simple County health departments

Denominator: none

Significance: ADHS provides funding to Simple County health departments to implement programs that address our state priority needs and selected National Performance Measures (NPMs). This ESM is meant to capture all activities that the local Simple County health departments are working on to impact the NPM.

Data Sources and Data Issues: Healthy Arizona Families IGA

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.1.1 Number of comprehensive home assessments completed (Pennsylvania)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of comprehensive home assessments completed

Numerator: The number of homes that received a comprehensive home assessment through the Pennsylvania Safe and Healthy Homes Program.

Denominator: N/A

Significance: This number identifies the number of homes that have been evaluated for health and safety hazards that could cause injury to children and adolescents ages 0-19. The holistic approach of a comprehensive home assessment has been demonstrated to be less expensive than conducting separate assessments and subsequent intervention of individual hazards. The Pennsylvania Safe and Healthy Homes Program will focus on hazards that are leading causes of injuries that lead to hospitalizations. The regions of the Pennsylvania Safe and Healthy Homes Program have a total injury rate higher than the state rate, both a fatal and nonfatal injury rate higher than the state rate or a fatal injury rate more than two times the state rate for individuals under age 25.

Data Sources and Data Issues: Quarterly reports from Pennsylvania Safe and Healthy Homes Program will provide this information.

Year: 2020

Unit Type: Simple Count, Unit Number: 10,000

ESM 7.1.1 Number of community members receiving training or technical assistance about preventable child injuries or death and promoting injury prevention activities including child maltreatment, child passenger, gun, water, fire, pedestrian, ATV, or more. (Kentucky)

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=training&NPM=7&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/7-child-safety.php.

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: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Decrease by 5% the rate of emergency room visits among children ages 0-19 years by September 30, 2025.

Numerator: NA

Denominator: NA

Significance: Providing education and outreach on all causes for preventable child injury will raise awareness of prevention activities to reduce the overall rate of preventable child injuries resulting in hospitalization or emergency room visits.

Data Sources and Data Issues: KY MCH Packages REDCap data system, KY CFR and Injury Prevention Program, TRAIN

Year: 2020

Unit Type: Simple Count, Unit Number: 50,000

ESM 7.1.2 The number of critical partners engaged in the development of upstream strategies to address child injury (Oregon)

Measure Status: Active

Evidence Level: There is limited research in the evidence base 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: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: To engage critical partners in upstream strategy development to address child injury

Numerator: The number of critical partners engaged

Denominator: N/A

Significance: Unintentional injury is the leading cause of death for children ages 1 through 11. For those who survive severe injuries, many will have lasting challenges such as disability and chronic pain. Education, stronger laws, and safer environments can prevent and reduce serious injuries. Effective strategies, such as increasing knowledge and changing attitudes and behaviors, passing and enforcing legislation and policies that encourage safe behaviors, and changing the design of products and the environment, can prevent many injuries and improve the quality of life for children and adolescents, as well as their families. Critical partners in the development of these strategies include Local Title V Grantees, Oregon Public Health Division, Health Promotion and Chronic Disease Prevention Program, Oregon Public Health Division, Injury and Violence Prevention Section, Oregon Health Authority, Health Transformation Office, Coordinated Care Organizations, 211Info Resource and Referral, Oregon Health Plan, Oregon Office of Childcare, Oregon Early Learning Division, Oregon Safe Kids Coalition (includes Oregon Poison Control, Marine Board, Trauma Nurses Talk Tough, Fire Marshals Office), State Child Fatality Review Team, and Oregon Pediatric Society.

Data Sources and Data Issues: State Tracking

Year: 2020

Unit Type: Simple Count, Unit Number: 50

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 (https://www.mchlibrary.org/evidence/state-esms-results.php?q=death+review&NPM=7&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/7-child-safety.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: 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: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.1.2 Number of individuals trained on injury prevention through the Medical Child Abuse Resources and Education System (MEDCARES) grant. (Texas)

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=injury+prevention+training&NPM=7&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/7-child-safety.php).

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 families/children/youth

Goal: Provide trainings to individuals on injury prevention best practices and intervention methods to best inform future injury prevention strategies.

Numerator: Number of individuals trained in injury prevention best practices and intervention methods in the MEDCARES grant.

Denominator: N/A

Significance: Unintentional injury is the leading cause of death and disability among children, both in Texas and the United States as a whole. Many aspects of the environment in which children live (physical, social, cultural, economic, etc.) have impacts 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 9 years, those who work with children at risk need to increase their knowledge of the potential risks impacting this population. MEDCARES providers will lead trainings to educate them on injury prevention best practices and intervention methods to best inform future injury prevention strategies and interventions.

Data Sources and Data Issues: Data Source: Medical Child Abuse Resources and Education System (MEDCARES) MEDCARES is a grant program that improves services related to the prevention, assessment, diagnosis, and treatment of child abuse and neglect in hospital or academic health care settings through funding, collaboration, and outcome reporting, in addition to providing direct services. Data Issues: MEDCARES is a legislatively mandated program and activities are contingent on legislation and being appropriated funds. This number is also could be duplicated due to the same individual attending multiple trainings. Covid-19 may impact the number of trainings conducted over the next two years.

Year: 2020

Unit Type: Simple Count, Unit Number: 20,000

ESM 7.1.2 Number of health and safety hazards identified through comprehensive home assessments (Pennsylvania)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of health and safety hazards identified

Numerator: The number of health and safety hazards identified through comprehensive home assessments performed through the Pennsylvania Safe and Healthy Homes Program.

Denominator: Not applicable.

Significance: This number identifies the number of health and safety hazards that have been identified in homes that have been evaluated for health and safety hazards that could cause injury to children ages 0-9. The holistic approach of a comprehensive home assessment has been demonstrated to be less expensive than conducting separate assessments and subsequent intervention of individual hazards. The Pennsylvania Safe and Healthy Homes Program will focus on hazards that are leading causes of injuries that lead to hospitalizations. The regions of the Pennsylvania Safe and Healthy Homes Program have a total injury rate higher than the state rate; both a fatal and nonfatal injury rate higher than the state rate; or a fatal injury rate more than two times the state rate for individuals under age 25.

Data Sources and Data Issues: Quarterly reports from Pennsylvania Safe and Healthy Homes Program will provide this information. The projected objectives are calculated by multiplying the number of home assessments completed by the average number of hazards identified in each home. It is estimated there will be an average of 8 hazards identified in each home that an assessment is completed in.

Year: 2020

Unit Type: Simple Count, Unit Number: 10,000

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" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 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: 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: n/a

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 child restraint and restraint systems reduce injury and injury severity in children.

Data Sources and Data Issues: Virginia Department of Health, Office of Family Health Services, Division of Prevention and Health Promotion (DPHP); the DPHP tracks the inventory disseminated

Year: 2020

Unit Type: Simple Count, Unit Number: 100,000

ESM 7.1.3 Number of health and safety interventions performed as a result of health and safety hazards identified through comprehensive home assessments (Pennsylvania)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of health and safety interventions performed

Numerator: Number of health and safety interventions performed as a result of health and safety hazards identified through comprehensive home assessments through the Pennsylvania Safe and Healthy Homes Program.

Denominator: Not applicable.

Significance: This number identifies the number of health and safety interventions that have been performed to reduce the leading causes of injuries to children ages 0-9. All allowable interventions are evidence based or evidence informed and have a direct connection to the prevention of injuries that often lead to hospitalization. The families targeted with the Pennsylvania Safe and Healthy Homes Program frequently do not have the education to understand the need for these interventions and more importantly do not have the available resources to otherwise implement the interventions.

Data Sources and Data Issues: Quarterly reports from Pennsylvania Safe and Healthy Homes Program will provide this information. It is estimated that grantees will provide an average of 5 interventions (give items to residents) per home assessed. The number of interventions does not equal the number of hazards found as not all hazards require a Simple Countable item intervention.

Year: 2020

Unit Type: Simple Count, Unit Number: 10,000

ESM 7.1.4 Number of CDR recommendations implemented annually (child health) (Pennsylvania)

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=death+review&NPM=7&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/7-child-safety.php).

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: 5. Create/champion/implement policy

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: N/A

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: 2020

Unit Type: Simple Count, Unit Number: 10

ESM 7.1.5 Number of ConcussionWise trainings to athletic personnel (Pennsylvania)

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=training&NPM=7&State=&RBA_Category=&MCH_Pyramid=&Recipient=Activities+directed+to+professionals&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/7-child-safety.php).

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Annually increase the number of ConcussionWise trainings provided by the Safety in Youth Sports program to athletic personnel

Numerator: The number of ConcussionWise trainings provided to athletic personnel

Denominator: N/A

Significance: Evidence shows that repeated head injuries or experiencing multiple head injuries during a short period of time can lead to much more serious injury. It is essential that youth athletes are immediately removed from play in the event of a suspected concussion, that an appropriate medical professional evaluate the potential injury, and that evidence-based return to play protocol is followed to ensure the health and safety of youth athletes. To accomplish this, athletic personnel must receive effective, evidence-based training as they are responsible for decisions involving removal from play and following return to play protocol. Athletic personnel who take the ConcussionWise training will be equipped with the knowledge and skills to identify a potential head injury, appropriately remove athletes from play, and follow effective return to play protocol.

Data Sources and Data Issues: Data will be collected through quarterly reports from the vendor/grantee.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

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" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

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

Numerator: NA

Denominator: NA

Significance: 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.

Data Sources and Data Issues: Program Data, Nebraska Injury Prevention.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.2.1 Reduce Simple Count of suicide-related hospitalizations in adolescents, ages 10 - 19. (Indiana)

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

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: By increasing awareness and use of screening tools, we aim to decrease suicide attempt rates by youth ages 10 - 19.

Numerator: Suicide-related hospitalizations, ages 10 - 19

Denominator: Total inpatient hospitalizations, ages 10 - 19

Significance: Suicide is the third leading cause of death for young people between the ages of 10 and 24 in the U.S., acSimple Counting for approximately 4,500 deaths per year. State Maternal and Child Health programs are all involved in providing and promoting a broad range of approaches to address youth suicide.

Data Sources and Data Issues: ISDH Inpatient Hospitalization Database - HCUP SID

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.2.1 Percentage of high school students who wear a seatbelt (New Hampshire)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions"(https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-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: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of high school students wearing seatbelts

Numerator: number of students reporting seatbelt use

Denominator: total number of students responding to this question on YRBS

Significance: Unintentional injuries among children and young adults up to age 24 are a significant cause of premature deaths and serious injuries, many of which have life-altering impacts. Motor vehicle crashes are the leading cause of these injuries; many of these would be mitigated or even prevented if seatbelts were used consistently.

Data Sources and Data Issues: NH YRBS data (https://nccd.cdc.gov/youthonline) YRBS is a self-reported survey and students may respond positively to questions about wearing a seatbelt because there is a law in NH requiring people under 18 to wear seatbelts. School participation in the survey is voluntary, so data is not captured from 100% of NH students. The number of students who do respond is considered high enough to be representative of the state as a whole, but data is not reliable at a sub-state level.

Year: 2020

Unit Type: Percentage, Unit Number: 100

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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.