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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 6 (6 total).

1.1 Percent of Title V maternal health participants that received education on continuing their health care coverage. (Iowa)

Measure Status: Active

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

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase Title V maternal health participants' knowledge on the topic of continuing their health insurance coverage.

Numerator: New field in WHIS collecting number of women educated about how to get help for how to receive health insurance coverage.

Denominator: Total number of women who receive direct or enabling services from a MH agency

Significance: Health insurance plays an important role because women with insurance are more likely to obtain preventive health care. Women are more vulnerable to loose their coverage as they may depend coverage through their partners job, so if he looses his job or they are divorced or widowed they may have no insurance. Also income eligibility decreases after pregnancy so many women lose Medicaid eligibility 60 days post partum.

Data Sources and Data Issues: Will need to add a field in WHIS (Maternal Health data system) to capture if a maternal health client received education on the topic of continuing health insurance coverage.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

1.1 Percent of local health jurisdictions that have adopted a protocol to ensure that all persons in MCAH Programs are referred for enrollment in health insurance and complete a preventive visit (California)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: The goal is to increase the number of women who have healthcare coverage and complete a preventive healthcare visit.

Numerator: no. of local health jurisdictions that have a protocol to ensure that all persons referred for insurance enrollment also complete a preventive visit appointment

Denominator: 61 local health jurisdictions

Significance: Having health insurance coverage facilitates entry into the healthcare system.. Lacking health insurance is a barrier to getting preventive services.

Data Sources and Data Issues: Data Source: MCAH Local Health Jurisdiction Annual Progress Report Data Issues: Activities planned as they relate to strategies outlined in the Action Plan focus on the provision of insurance coverage as the principal means for ensuring access to healthcare. The referral protocol to be adopted should at minimum, have the following components: 1) the protocol should include insurance status verification; 2) a plan to assist women to sign –up for health insurance; 3) scheduling a client with a provider for a preventive visit; and, 4) a tracking mechanism,to identify if a client has completed a doctor’s visit

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

1.1 Increase by 3% the percent of women with primary care coverage who are receiving services through RHWP clinics (Ohio)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: BMCH clinics are working to make sure women who are eligible are covered by private or public insurance. Tracking this measure will help us know if we are providing the support needed for women to access this coverage.

Numerator: The number of women covered by either private or public insurance seen in ODH RHWP clinics

Denominator: The total number of women seen in ODH RHWP clinics

Significance: This measure will be used to document whether women being seen in a Reproductive Health and Wellness Program clinics who do not currently have coverage for primary care services are being provided the support necessary to obtain such coverage. In 2012 the Kaiser Women’s Health survey found that more than half of uninsured women ages 18-65 reported going without or delaying needed care because they could not afford the cost.

Data Sources and Data Issues: Ahler’s & Associates Title X Database

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

1.2 Title V effort to influence key policies that impact either the rate or quality of preventive medical visits for women of childbearing age in Washington (Washington)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: This ESM will track and measure promotion effort to influence key policies and practices that improve either the rate or quality of preventive medical visits for women of childbearing age in Washington in a given year.

Numerator: Number of sub-phases in the policy model in which the Title V program has worked on in the reporting year

Denominator: Number of sub-phases in the Policy Influence model (15)

Significance: Many federal, state and local policies impact the rate and quality of preventive medical visits for women of childbearing age in Washington, and Title V rarely has direct decision-making authority over those policies or the establishment of new policies. Title V programs work to influence those policies and related outcomes through convening stakeholders and decision-makers; providing technical assistance and training on existing policies; educating and informing stakeholders and assisting decision-makers to review and evaluate existing policies, identify alternatives and implement new and existing policy. This measure will enable Title V to monitor effort on influencing key policies impacting the rate and quality of well-women medical visits in a given year, while promoting an evidence-informed approach to policy influence that will shed light on which activities undertaken by Title V entities result in policy improvement. The measure is based on and aligns with major theories of policy development and implementation, including but not limited to Ripley (in McCool, D.C., ed. Public Policy Theories, Models and Concepts (1995)) and Anderson (Anderson, J.E. Public Policymaking 6th ed. (2006). Additional information on this approach is detailed in the CYSHCN domain plan, under the title, Adequate Insurance Coverage and Health Care Access for MCH Consumers.

Data Sources and Data Issues: Data for this ESM will come from WA DOH Title V staff tracking the number of sub-phases which the program has worked on during the reporting year.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

1.3 Title V progress on influencing key policies that impact either the rate or quality of preventive medical visits for women of childbearing age in Washington (Washington)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: This ESM will track and measure progress on influencing key policies and practices that improve either the rate or quality of preventive medical visits for women of childbearing age in Washington in a given year.

Numerator: Number of sub-phases in the policy model in which progress was made during the reporting year.

Denominator: Number of sub-phases in the Policy Influence model (15)

Significance: Many federal, state and local policies impact the rate and quality of preventive medical visits for women of childbearing age in Washington, and Title V rarely has direct decision-making authority over those policies or the establishment of new policies. Title V programs work to influence those policies and related outcomes through convening stakeholders and decision-makers; providing technical assistance and training on existing policies; educating and informing stakeholders and assisting decision-makers to review and evaluate existing policies, identify alternatives and implement new and existing policy. This measure will enable Title V to monitor progress on influencing key policies impacting the rate and quality of well-women medical visits in a given year, while promoting an evidence-informed approach to policy influence that will shed light on which activities undertaken by Title V entities result in policy improvement. The measure is based on and aligns with major theories of policy development and implementation, including but not limited to Ripley (in McCool, D.C., ed. Public Policy Theories, Models and Concepts (1995)) and Anderson (Anderson, J.E. Public Policymaking 6th ed. (2006). Additional information on this approach is detailed in the CYSHCN domain plan, under the title, Adequate Insurance Coverage and Health Care Access for MCH Consumers.

Data Sources and Data Issues: Data for this ESM will come from WA DOH Title V staff tracking the number of sub-phases in which there has been progress made during the reporting year.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

1.4 Reduce the percent of uninsured women in reproductive age in Puerto Rico, by September 2017-2021 (ongoing) (Puerto Rico)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: At least 1% of uninsured women in reproductive age in Puerto Rico, by September 2017 (ongoing).

Numerator: Number of WRA uninsured.

Denominator: Total population of WRA.

Significance: Many persons are uninsured due to decreasing employer sponsored insurance coverage and rising health care costs. Uninsured women of reproductive age lead to many public health problems for women in general, and for newborns due to lack or limited prenatal care. Decreasing the number of uninsured is a key goal of the Affordable Care Act (ACA), which provides Medicaid coverage to many low-income individuals. In order to reach populations that are uninsured, the MCAH staff (community health workers, health educators, home visiting nurses) will include outreach to uninsured women and refer for Medicaid Program eligibility evaluation. This will strengthen compliance with the Affordable Care Act and assist in assuring more women have access to the Preventive Health Services and Prenatal Services.

Data Sources and Data Issues: PRHIA, ICO, US Census.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

   

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.