Find State ESMs

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: 8. Build and support a workforce

Service Recipient: Activities related to systems-building

Goal: Collaborate with DOE to increase the number of counties receiving professional learning opportunities that connect mental health and physical health for PHEs and Health Councils, and youth (i.e., trauma-informed care, Youth Mental Health 1st Aid trai

Numerator: Number of counties receiving training, resources, and tools to promote the connection between mental health and physical health

Denominator: Total number of TN counties (n=95)

Significance: There is a synergistic relationship between good mental health and physical health. For example, physical activity promotes healthy weight as well as good mental health. Trusted county professionals and organizations, such as PHEs, health councils, local schools, and youth groups, are a key channel for raising awareness of the connection between mental health and physical health. TDH can support these professionals and groups with evidence-based training, technical assistance, and other resources. Values for this measure will be simple counts derived from program reports and tracking databases that are being developed.

Data Sources and Data Issues: Reduce the proportion of children and adolescents with obesity — NWS04 Increase interprofessional prevention education in health professions training programs — ECBPD08 Increase the proportion of children and adolescents who get preventive mental health care in school — EMCD06

Year: 2021

Unit Type: Percentage, Unit Number: 100

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the number of children enrolled in public school physical education class, who are in the normal or healthy weight zone for BMI

Numerator: Number of school personnel who participated in CSH training whose post-test demonstrated an increase in knowledge of evidenced-based physical activity practices and curriculum and SHS physical activity services

Denominator: Number of school personnel who participated in CSH training

Significance: Increases in physical activity supports reduction in obesity.

Data Sources and Data Issues: ADH School Health Services

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Infrastructure and Environmental Supports for Physical Activity". Find other NPM 8 community-level strategies in MCHbest.

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

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: To increase the percent of children whose access to engagement in physical activity is increased due to improvements in the built environment.

Numerator: Number of children, ages 6-11, who benefit from improvements to the built environment (via geographic proximity)

Denominator: Total number of children ages 6-11

Significance: Opportunities for engagement in physical activity outside of school is equally as important as during school hours. Children who live in areas with safe and supportive built environments are more likely to be physically active. By scanning and understanding built environment initiatives from the last five years, ISDH will create a baseline percentage of children ages 6-11 who have been impacted by these projects.

Data Sources and Data Issues: Reports from funded grantees; Purdue Extension Community Wellness Coordinator initiative data (in SNAP-Ed Annual Report); census tract data; school enrollment data from DOE.

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Moderate. Aligns with Individual Counseling by Health Professionals. Find other NPM 8 provider-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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To increase the percentage of LHD primary care clinics writing HPHP prescriptions annually.

Numerator: Number of LHD primary care clinics writing HPHP prescriptions

Denominator: Total number of LHD primary care clinics

Significance: Regular physical activity among children is a critical component to maintaining healthy weight or losing excess weight. The HPHP provides an easy and fun way for people to use state parks to remain active, and the program provides incentives for participation as well. Electronic health records show provider referrals from the West region are low as compared to other TDH regions. Increasing provider referrals from TDH clinics in the West region will promote physical activity and address health equity. Values will derive from the number of LHD primary clinics writing HPHP prescriptions.

Data Sources and Data Issues: NWS-04: Reduce the proportion of children and adolescents with obesity; PA-09: Increase the proportion of children who do enough aerobic physical activity

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

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

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of TN Gold Sneaker certified childcare facilities

Numerator: Number of TN Gold Sneaker certified childcare facilities

Denominator: Count

Significance:

Data Sources and Data Issues: The Gold Sneaker Initiative provides a framework, guidance, and policies pertaining to healthy nutrition, physical activity, tobacco prevention, and other health issues for childcare providers. In addition, Gold Sneaker is now a requirement for one component of the DHS 3-Star Quality rating, which gives childcare facilities an additional incentive to be certified and to follow policies. Values will be a simple count of the number of current, active Gold Sneaker certified childcare centers.

Year: 2021

Unit Type: 1050, Unit Number: Gold Sneaker Initiative tracking system, which is continuous and up to date; no known issues

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Invidual Counseling by Health Professionals". Find other NPM 8 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: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of TN Healthy Parks Health Person (HPHP) prescriptions written

Numerator: Number of TN Healthy Parks Health Person (HPHP) prescriptions written

Denominator: Count

Significance:

Data Sources and Data Issues: Studies have shown that when a doctor or other health care provider writes a prescription or recommends a certain course of action or behavior to a patient, the patient’s likelihood of adopting that behavior increases tremendously. In that regard, there has been good success thus far with the HPHP prescription program encouraging patients to download and use the HPHP app. Values will derive from the number of times the TDH EHR system shows that the HPHP prescription program was used with a patient, provided that a check off box is developed for the system.

Year: 2021

Unit Type: 350, Unit Number: TDH EHR tracking of HPHP prescription check off box. This check off box has not yet been incorporated into the TDH EHR template.

Measure Status: Active

Evidence Level: Moderate. Aligns with Infrastructure and Environmental Supports for Physical Activity. Find other NPM 8 systems-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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of school and community based physical activity clubs or completed built environment projects

Numerator: Number of physical activity clubs or completed built environment projects

Denominator:

Significance: Physical activity clubs and community built environment projects increase both access to and availability of physical activity opportunities in the community. Clubs have the additional benefit and reinforcement of being a fun, group activity. Values will be simple counts of the number of such clubs and projects as reported to TDH through LHDs and other sources.

Data Sources and Data Issues: The CDHP/OPP tracking database of physical activity clubs and the OPP and Project Diabetes tracking databases of completed built environment projects. Historically, it has been difficult to determine what PA clubs are current and/or still active.

Year: 2021

Unit Type: Count, Unit Number: 812

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. It appears that this ESM is targeting nutrition, which is related to physical activity, but distinct. Think of ways to incorporate physical nutrition messaging into the Double Up Food Bucks Program.

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities related to systems-building

Goal: To increase the percentage of eligible venues (e.g., farmers’ markets and farmers’ stores) in counties targeted by Nourish Knoxville that offer the Double Up Food Bucks Program.

Numerator: Number of eligible venues in targeted counties that offer the Double Up Food Bucks Program

Denominator: Total number of eligible venues in targeted counties

Significance: The consumption of healthier foods, especially fruits and vegetables, and healthier beverages is critical to maintaining or achieving healthy weight. Studies have shown that accessibility of healthy food choices influences healthy eating patterns. Concerted community planning and action among a diversified network of partners is critical to addressing low food security and increasing availability, access, affordability, and consumption related to healthier food and beverage options. Farmers’ markets and farmers’ stores, the TN Department of Health, the TN Department of Human Services (SNAP), and organizations such as Nourish Knoxville are key stakeholders in this effort. Partnerships can leverage shared resources in an effective and efficient manner. Values for this measure will be a simple list and number of eligible venues and the number of those venues offering the Double Up Food Bucks Program.

Data Sources and Data Issues: Nourish Knoxville tracking database and program reports related to eligible venues and the reach of the Double Up Food Bucks Program in targeted counties (currently six); no known data issues

Year: 2021

Unit Type: Percentage, Unit Number: 100

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase provider ACE and TIC knowledge

Numerator: Staff who increased knowledge as a result of training

Denominator: Total number of staff who participated in staff training

Significance: Training on the science of ACEs is necessary to transform the organization and community partners into service delivery systems that are trauma informed and leaders who plan with prevention in mind. Over the course of the year, TDH will provide refresher training to its Child Fatality Review team members in the Building Strong Brains curriculum and will implement evidence based strategies for ACEs prevention and mitigation. This will increase awareness of ACEs.

Data Sources and Data Issues: REDCap survey tool- Limitation(s): data collection tool is still under development

Year: 2021

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: There is limited research in the evidence base to support this strategy; search for other strategies or promising practices for this NPM.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Increase the number of students who attend schools in Florida Healthy School Districts (ages 12-17).

Numerator: The number of school districts that apply for the evidence-based Florida Healthy School District recognition.

Denominator:

Significance: The Florida Healthy School District Self-Assessment Tool was developed by experts from state agencies, school districts, and community partners to assist districts in achieving the highest standards in infrastructure and the eight component areas of the Centers for Disease Control and Prevention’s (CDC) Coordinated School Health (CSH) model. It was piloted, field tested and fully vetted prior to its release in 2009. Districts that earn recognition as a Florida Healthy School District have made a high level commitment to meeting the health needs of students and staff by removing barriers to learning and maximizing district resources through the implementation of the CSH/Whole School, Whole Community, Whole Child (WSCC) approach including physical education and physical activity.

Data Sources and Data Issues: Florida Partnership for Healthy Schools

Year: 2021

Unit Type: Count, Unit Number: 100

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the number of children enrolled in public school physical education class, who are in the normal or healthy weight zone for BMI

Numerator: Number of school personnel who participated in CSH training whose posttest demonstrated an increase in knowledge of evidenced-based physical activity practices and curriculum and SHS physical activity services

Denominator: Number of school personnel who participated in CSH training

Significance: Increases in physical activity supports reduction in obesity.

Data Sources and Data Issues: ADH School Health Services

Year: 2021

Unit Type: Percentage, Unit Number: 100

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to families/children/youth

Goal: N/A

Numerator: 100

Denominator: 100

Significance: 100

Data Sources and Data Issues: 100

Year: 2021

Unit Type: Percentage, Unit Number: 100

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 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 directed to families/children/youth

Goal: To increase the number of schools in Indiana implementing sustainable programming to increase physical activity in children ages 12-17.

Numerator: Number of schools participating in an activity to improve physical activity in children, ages 12-17

Denominator: N/A; Count

Significance: The best way to know if adolescents are engaging in physical activity is to track whether schools are providing structured programming to encourage PA. We will look at actual programming but also training an policy development to include schools who are working to develop infrastructure to improve or sustain their physical activity programming. We will analyze the current data sources to develop a baseline number of schools who are engaging in this work. We will then track how many new schools are engaging each year.

Data Sources and Data Issues: We will use grantee reports from partners that we fund; School Health Profiles data and YRBS data; annual SNAP-Ed report from Purdue Nutrition Education Program; Wellness Policy data from DOE - the challenge will be getting a truly comprehensive scan of all schools throughout the state; we may need to explore additional data sources and rely on partners to supplement our initial data scan.

Year: 2021

Unit Type: Count, Unit Number: 100

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 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 assist all KY school districts with development of policies for students and staff that address creation of a healthy school nutrition, environment and and multi-component physical education opportunities.

Numerator: Number of school districts receiving technical assistance or professional development training

Denominator: Number of Kentucky School Districts

Significance: This measure will allow KY to address measures taken to reduce the obesity rate among adolescents.

Data Sources and Data Issues: Kentucky Coordinated School Health data

Year: 2021

Unit Type: Count, Unit Number: 173

Measure Status: Active

Evidence Level: Mixed. Aligns with MCHbest strategy "Policies Regarding the Use and Promotion of Local Locations and Resources". Find other NPM 8 state-level strategies in MCHbest.

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

Service Type: Systems level of pyramid

Essential Public Health Services:

Service Recipient: Activities related to systems-building

Goal: To identify which recommendation(s) MCH can assist or lead implementation efforts.

Numerator: Did MCH identify which recommendation we can assist and/or lead?

Denominator: Were recommendations finalized?

Significance: Habits developed during adolescence play a key role in adult health and help prevent diseases. It is important for adolescents feel empowered to have a lifestyle and have access to the resources and support needed to achieve a healthy lifestyle.

Data Sources and Data Issues: PANO program data

Year: 2021

Unit Type: Text, Unit Number: Yes/No

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Infrastructure and Environmental Supports for Physical Activity". Find other NPM 8 community-level strategies in MCHbest.

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

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: We will track the % of adolescents whose access to engagement in physical activity is increased due to improvements in the built environment.

Numerator: Number of adolescents, ages 12-17, who benefit from improvements to the built environment (via geographic proximity)

Denominator: Number of adolescents ages 12-17

Significance: Opportunities for engagement in physical activity outside of school is equally as important as during school hours. Adolescents who live in areas with safe and supportive built environments are more likely to be physically active. We will do a scan of built environment initiatives from the last five years to create a baseline percentage of adolescents ages 12-17 who have been impacted by these projects.

Data Sources and Data Issues: Reports from funded grantees; Purdue Extension Community Wellness Coordinator initiative data (in SNAP-Ed Annual Report); census tract data; school enrollment data from DOE

Year: 2021

Unit Type: Percentage, Unit Number: 100

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 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: Increase adolscent physical activity

Numerator: How many schools receive training

Denominator: # of schools

Significance: Regular physical activity can help children and adolescents improve cardiorespiratory fitness, control weight, reduce symptoms of anxiety and depression, and reduce the risk of developing health conditions

Data Sources and Data Issues: DPH and DOE Program Data

Year: 2021

Unit Type: Text, Unit Number: Yes/No