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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 5 (5 total).

ESM 11.1 Percent of CYSHCN who have a comprehensive care plan in place as evidence that they are receiving care in a well-functioning system (Connecticut)

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

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 percentage of CYSHCN receiving care coordination services (beyond simple information and referral) through the Connecticut Medical Home Initiative for CYSHCN (CMHI) who have a comprehensive care plan in place.

Numerator: # of CYSHCN receiving care coordination through CMHI with a comprehensive care plan documented in the MAVEN reporting database

Denominator: # of CYSHCN receiving care coordination through CMHI documented in the MAVEN reporting database

Significance: The American Academy of Pediatrics (AAP) proposed a definition of the medical home in a 1992 policy statement. A 2002 AAP statement contained an expanded and more comprehensive interpretation of the concept and an operational definition of the medical home. The AAP developed the medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective to every child and adolescent. A pediatric medical home is a family-centered partnership within a community-based system that provides uninterrupted care with appropriate payment to support and sustain optimal health outcomes and is a standard to maintain in a well-functioning system for Children & Youth with Special Health Care Needs (CYSHCN). The 2015 National Committee for Quality Assurance (NCQA) Patient-Centered Medical Homes (PCMH) Evidence Report indicates that PCMHs are saving money by reducing hospital and emergency department visits, reducing health disparities, and improving patient outcomes. The Connecticut Medical Home Initiative (CMHI) works to expand the number of NCQA level 2 and 3 recognized medical homes in CT. DPH conducts a Family Medical Home Survey on an ongoing basis as a validation of data reported by care coordinators to include questions regarding family involvement in care planning.

Data Sources and Data Issues: DPH Connecticut Medical Home Initiative Care Coordination MAVEN database. DPH care coordination contractual program statistical reports. DPH conducted Family Medical Home Survey.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 11.1 Percent of children with special health care needs ages 0-17 years who receive family-centered care (Colorado)

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=family-centered+care&NPM=11&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/11-medical-home.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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase family-centered care among children ages 0-17 years with special health care needs who receive family-centered school from 86.9% (2017-2018) to 91.2% (2025).

Numerator: Number of children with special health care needs ages 0 through 17 years who had a health care visit in the past 12 years and received family-centered care

Denominator: Number of children with special health care needs ages 0 through 17 years who had a health care visit in the past 12 years

Significance: When our policies, systems, and providers use the family-centered approach, families are more likely to access meaningful supports & services, thereby creating environments where families are engaged, involved, and supported. Strategies will focus on investing in and influencing people, process and technology to adopt family-centered practices to increase equitable access to and use of specialty care; enhance provider and system capacity to bridge healthcare and other partners; support communication and collaboration between community-based programs and partners; and use data to identify, illuminate, and address access, utilization, and outcome inequities.

Data Sources and Data Issues: National Survey of Children’s Health

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 11.10 Number of community-based provider partnerships established by the Child Rehabilitation and Sickle Cell Community-Based programs (Pennsylvania)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Alliance and Mid-level Providers" (https://www.mchevidence.org/tools/strategies/11-3.php). Find other NPM 11 provider/practice-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: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of partnerships engaging community-based providers established by Child Rehabilitation and Sickle Cell Community-Based programs by eight per year

Numerator: Simple Count of formal partnerships with community-based service providers entered into by the Specialty Care Program Child Rehabilitation and Sickle Cell Community-Based Programs

Denominator: N/A

Significance: By tracking formal partnerships between community-based services and other providers the Specialty Care Program can gauge the impacts of support, barriers and the social determinants of health on everyday-life tasks and improve access to supportive services for individuals with the identified chronic health conditions.

Data Sources and Data Issues: Data source will be the Data Collection and Recording Tool developed for the Specialty Care programs. Data will be self-reported by grantee, and verified with copies of written partnership documents.

Year: 2020

Unit Type: Simple Count, Unit Number: 10

ESM 11.4 Number of medical provider collaborative agreements established by Child Rehabilitation and Sickle Cell Community-Based programs  (Pennsylvania)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Alliance and Mid-level Providers" (https://www.mchevidence.org/tools/strategies/11-3.php). Find other NPM 11 provider/practice-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: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of collaborative agreements with medical providers through the Child Rehabilitation and Sickle Cell Community-Based programs by eight per year

Numerator: The numerator is a Simple Count of formal collaborations with medical care providers established through the Specialty Care Program Child Rehabilitation and Sickle Cell Community-Based Programs.

Denominator: N/A

Significance: By tracking the collaborations developed, what types of providers are engaging in collaboration, and how these entities interact, the Specialty Care Program can gauge the impact service accessibility and provision for individuals with the identified chronic health conditions.

Data Sources and Data Issues: Data source will be the Data Collection and Recording Tool developed for the Specialty Care programs. Data will be self-reported by grantee and verified with copies of written collaborative agreements.

Year: 2020

Unit Type: Simple Count, Unit Number: 10

ESM 11.9 Number of calls received through the SKN Helpline (Pennsylvania)

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: Enabling services level of pyramid

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

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of calls received through the Special Kids Network (SKN) Helpline by program promotion

Numerator: Number of calls received through the SKN Helpline

Denominator: N/A

Significance: SKN is an information and resource helpline which assists providers and parents of children and youth with special health care needs (CSCHCN) to access local services and supports. SKN connects families to resources within their community to allow CSCHN to be successful and develop to their full potential. SKN serves children and youth with physical, developmental, behavioral, or emotional needs from birth through age 21 across Pennsylvania. The SKN Helpline provides information and resources on topics such as education, transportation, housing, funding sources, transitional resources, equipment and assistive devices, advocacy, and childcare. The BFH will conduct program promotion by providing outreach to community members, local organizations and CSHCN and their families. The BFH will collaborate with community-based organizations, faith-based organizations, health care agencies, social service agencies and other agencies or organizations to assist in the promotion of the SKN Helpline. These agencies and families that we connect with through outreach will be provided information regarding the SKN Helpline and will be encouraged to contact the SKN helpline to access information on services and supports.

Data Sources and Data Issues: Data will be collected by the BFH using SKN call logs.

Year: 2020

Unit Type: Simple Count, Unit Number: 1,000

   

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.