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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 8 (8 total).

ESM 5.1 The percentage of infants delivered at birthing hospitals participating in the sleep sack program (Oklahoma)

Measure Status: Active

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

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

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 birthing hospitals participating in the safe sleep program

Numerator: The number of births occurring at birthing hospitals participating in the sleep sack program

Denominator: The number of resident live births

Significance: Providing a consistent message about infant sleep safety is essential to reducing sleep-related infant deaths. Hospital-based programs provide opportunities to give accurate and consistent infant safe sleep information to hospital staff and enable modeling of safe sleep practices. Increasing the number of birthing hospitals participating in the safe sleep program will directly increase the number of parents and caregivers receiving infant safe sleep education and the number of babies utilizing sleep sacks. This in turn will lead a reduction in infant deaths related to unsafe sleep conditions. Safe to Sleep Campaign. Eunice Kennedy Shriver National Institute of Child Health and Human Development. U.S. Department of Health and Human Services.

Data Sources and Data Issues: Vital Statistics Data, Health Care Information, Center for Health Statistics, Oklahoma State Department of Health and MCH Sleep Sack Program

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Promote the complete Infant Safe Sleep Environment (no co-sleeping, on back, and no soft bedding) (New Jersey)

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 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: Increase the use of the Infant Safe Sleep Environment (on co-sleeping, on back, no soft bedding)

Numerator: Mothers reporting Infant Safe Sleep Environment (no co-sleeping, on back, and no soft bedding) on the NJ PRAMS survey

Denominator: Mothers completing the NJ PRAMS survey

Significance: Tracking infant safe sleep practices using PRAMS data will inform the NJ DOH whether educational efforts to train health professionals and awareness campaigns targeting caregivers is having an impact on infant safe sleep practices. More information other than the percent of infants placed to sleep on their backs (NPM #5) is needed to ensure adherence to the complete Infant Safe Sleep message. Reporting NJ PRAMS data on co-sleeping and soft bedding in addition to on back would provide a more complete message on Infant Safe Sleep education.

Data Sources and Data Issues: NJ PRAMS Survey

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Percent of PRAMS respondents who report their infants (under 1 year of age) were laid to sleep in a high-risk sleep position and /or environment (Nevada)

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: 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: Reduce the number of infants (under 1 year of age) who are laid to sleep in a high-risk sleep position and/or environment

Numerator: Number of PRAMS respondents who report their infants (under 1 year of age) were laid to sleep in a high-risk sleep position and /or environment

Denominator: Number of PRAMS respondents

Significance: In 2016, the American Academy of Pediatrics (AAP) developed specific recommendations expanding on the importance of sleep position for infants up to 1 year old. To reduce the risk of SIIDS, for safe sleep in a supine position (wholly on the back) for every sleep by every caregiver until the child reaches 1 year of age. Side sleeping is not safe and is not advised.

Data Sources and Data Issues: Nevada Pregnancy Risk Assessment Monitoring System; Data represents 2018 calendar year births. Nevada PRAMS receives data in fall of the preceding birth year, resulting in a year lag (2019 data is not received until fall 2020). That is why 2018 calendar year was used. 2018 Nevada PRAMS data had a response rate of 39.4% which is under the Centers for Disease Control and Prevention (CDC) required response rate threshold of 55% to publish data. Interpret data with caution due to the response rate.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Percent of infants enrolled in home visiting who are always placed to sleep on their back, without bed-sharing or soft bedding (New Hampshire)

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=home+visit&NPM=5&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/5-safe-sleep.php).

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: By January 2022, 50% of infants enrolled I home visiting will always be places to sleep on their back, without bed-sharing or soft bedding

Numerator: Number of infants (less than 1 year old) enrolled in home visiting whose primary caregiver reports always placing the infant on their back, without bed-sharing or soft bedding.

Denominator: Number of infant (less than 1 year old) enrolled in the home visiting program

Significance: The American Academy of Pediatrics recommends that infants be put to sleep on their backs to reduce the risk of Sudden Infant Death Syndrome (SIDS); also that home visitors are trained on safe sleep using an evidence-based curriculum, prenatally through age one, to support maternal and infant health.

Data Sources and Data Issues: Home Visiting data (Social Solutions)

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Percent of births delivered at Minnesota hospitals with national Safe Sleep Hospital Certification (Minnesota)

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=safe+sleep+certified&NPM=5&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/5-safe-sleep.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: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of hospitals in MN with national Safe Sleep Hospital certification

Numerator: Number of live births that occurred at hospitals that have any level of the national Safe Sleep Hospital certification during calendar year

Denominator: Number of live births in calendar year

Significance: The National Hospital Safe Sleep Certification Program is an initiative of Crib for Kids that recognizes hospitals for demonstrating leadership around infant safe sleep practices and education and for modeling safe sleep. Safe sleep modeling occurs when hospitals develop, implement, maintain and enforce a safe sleep policy that aims to prevent sleep-related injuries and deaths, and staff in turn serve as role models for safe sleep by intentionally conveying messages and cues to parents that promote sleep safety for infants. Because parents/caregivers tend to imitate the behaviors and practices they observe in the hospital later on at home, it is important that all birthing hospitals in Minnesota seek certification through the national certification program. By participating in this initiative, Minnesota-based birthing hospitals will be required to: (1) develop, implement, and maintain a safe sleep policy based on the American Academy of Pediatrics (AAP) safe sleep recommendations, (2) provide safe sleep training for staff, and (3) offer safe sleep counseling to parents/caregivers prior to discharge. The program was developed based on a growing body of evidence to suggest that parents are more likely to follow safe sleep practices after discharge when they observe safe sleep modeling in hospitals or receive safe sleep education from hospital staff.

Data Sources and Data Issues: Data Source: Cribs for Kids Website https://cribsforkids.org/hospitalcertification/ Limitations of Data: Hospitals are certified for a period of time, if a hospital is certified and doesn’t choose to recertify the estimates could go down.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Parent-Child Interaction (Rhode Island)

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=home+visit&NPM=5&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/5-safe-sleep.php).

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: Increase the number of families that have an annual parent-child interaction assessment

Numerator: Primary caregivers enrolled in home visiting who receive an observation of caregiver-child interaction by the home visitor using a validated tool

Denominator: Primary caregivers enrolled in home visiting

Significance: MIECHV provides evidence-based home visiting services to at-risk women and caregivers with young children to improve the lives of children and families. Healthy Families America used the CHEERS Check-In tool- that is a tool developed by the national Healthy Families America office that has been tested and validated. Nurse-Family Partnership uses the DANCE and similar to HFA that is a tool that the Nurse-Family Partnership National Service Office requires NFP sites to use. Parents as Teachers uses the Infant/Toddler Home Observation Measurement of the Environment (HOME).

Data Sources and Data Issues: Efforts to Outcomes Home Visiting Database

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.3 Percent of infants enrolled in a home visitation program that are always placed to sleep on their backs, without bed-sharing or soft bedding (West Virginia)

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=home+visit&NPM=5&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (lhttps://www.mchevidence.org/tools/npm/5-safe-sleep.php).

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: Increase the percentage of infants enrolled in a home visitation program that are always placed to sleep on their backs, without bed-sharing or soft bedding to 93% by 2024

Numerator: Number of infants (aged less than 1 year) enrolled in a home visitation program whose primary caregiver reports that they are always placed to sleep on their backs, without bed-sharing or soft bedding

Denominator: Number of infants enrolled in a home visitation program who were aged less than 1 year during the reporting period

Significance: By asking primary caregivers to report sleep practices regularly, home visitors will have additional opportunities to provide safe sleep education and reinforce the risks of unsafe sleep.

Data Sources and Data Issues: Data will be collected from WV Home Visitation Programs.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.3 Number of elderly caregivers trained (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver Education" (https://www.mchevidence.org/tools/strategies/5-1.php). Find other NPM 5 caregiver-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 directed to families/children/youth

Goal: Expand availability of safe sleep training for elderly caregivers

Numerator: Number of elderly caregivers trained in safe sleep practices

Denominator: n/a

Significance: Though most educational efforts focus on parents of infants, many young families rely on the help of grandparents and other older relatives to care for children. First-time mothers and fathers are also likely to hold the opinion of their parents in high regard when determining how to care for their new infant. For these reasons, it is critical that older Tennesseans be equipped with the best information and training, especially considering some of the recommendations have changed since their children were infants and their experience may not reflect the most current guidelines. The unit type was selected as percentage, but because of the difficulty in estimating the exact denominator, this measure will also be tracked as a raw number (total number of elderly caregivers that have gone through safe sleep training).

Data Sources and Data Issues: Family Health and Wellness tracking tool

Year: 2020

Unit Type: Simple Count, Unit Number: 25

   

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.