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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 5 (5 total).

ESM 15.1 The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs (Connecticut)

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: 4. Support and mobilize partners

Service Recipient: Activities directed to professionals

Goal: To increase the number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Numerator: The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Denominator: Count

Significance:

Data Sources and Data Issues: American Academy of Pediatrics highlighted the importance of continuous and adequate insurance with a policy statement. The major problems cited were cost-sharing requirements were too high, benefit limitations, and inadequate coverage of needed services. Inadequately insured children are more likely to have delayed or forgone care, lack a medical home, be less likely to receive needed referrals and care coordination, and receive family-centered care. Reference: https://www.mchevidence.org/tools/npm/15-adequate-insurance-coverage.php

Year: 2021

Unit Type: 1000, Unit Number: United Way 2-1-1 database, the statewide toll-free information line, provides a description of services and contact information for community organizations including those that help families understand services that are available and covered by insurance for all children including those with special health care needs.

ESM 15.2 Percent of Title V staff and contractors that receive education on insurance coverage options for children and pregnant women. (Arizona)

Measure Status: Active

Evidence Level: There is limited research on this strategy related to this NPM. However, there is a growing body of evidence supporting this strategy related to other NPMs. In adapting this strategy, you may want to start with a pilot group, collect data, and evaluate to ensure impact with this topic area and your population group(s).

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 directed to professionals

Goal: By 2025, 100% of Title V staff and contractors that receive education on insurance coverage options for children and pregnant women.

Numerator: Number of Title V staff and contractors that receive education on insurance coverage options for children and pregnant women.

Denominator: Total number of Title V staff and contractors

Significance: While national health transformation presents an opportunity for millions of currently- uninsured Americans to obtain health insurance coverage, it does not guarantee that all children and families will have access to care that is adequate, affordable, and continuous. Gaps in care may remain for women and children, particularly children and youth with special health care needs. Navigating through the turbulent currents of health care reform will be challenging, particularly where cultural and linguistic barriers, health disparities, immigration status will impact health outcomes. A trained MCH workforce can ensure that programs are built with this understanding in mind to better support health equity initiatives throughout the state.

Data Sources and Data Issues: Primary Care Office

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 15.2 # of Children with Medical Complexities Advisory Committee (CMCAC) meetings and/or sub-committee meetings attended to improve support of these children included Medicaid coverage. (Delaware)

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: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: For Title V/MCH to participate and stay engaged in the CMCAC meetings and share information with Family Shade and other CYSHCN partners.

Numerator: Number of meetings attended by Title V/MCH

Denominator: Count

Significance:

Data Sources and Data Issues: During development of Delaware’s Plan for Managing the Health Care Needs of Children with Medical Complexity (the Plan), it became evident early in the planning process that there would not be enough time to perform an in-depth analysis of the full continuum of care for children with medical complexity. The data needed to perform a quantitative analysis is very detailed and complex. Therefore, the first recommendation made as a result of the Plan development, was for DMMA to continue working with stakeholders to address the needs of this vulnerable population. As a result, the Children with Medical Complexity Advisory Committee (CMCAC) was developed. This group meets quarterly to strengthen the system of care, increase collaboration across agencies, encourage community involvement, and ultimately ensure that every child with medical complexity has the opportunity to receive the adequate and appropriate health care services they need and deserve.

Year: 2021

Unit Type: 4, Unit Number: MCH program data

ESM 15.3 % of primary caregivers and children with health insurance among Home Visiting participants (Delaware)

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: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of primary caregivers and children with health insurance

Numerator: # of primary caregivers and children (families) with health insurance

Denominator: # of families enrolled

Significance: Health insurance covers essential health benefits critical to maintaining generalhealth, preventive care, treating illness and accidents

Data Sources and Data Issues: MIECHV program data

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 15.3 Number of learning opportunities for external maternal and child health partners on insurance coverage for children and pregnant women. (Arizona)

Measure Status: Active

Evidence Level: There is limited research on this strategy related to this NPM. However, there is a growing body of evidence supporting this strategy related to other NPMs. In adapting this strategy, you may want to start with a pilot group, collect data, and evaluate to ensure impact with this topic area and your population group(s).

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 professionals

Goal: By 2025, 5 learning opportunities on the insurance coverage for children and pregnant women would be provided to external maternal and child health partners.

Numerator: Number of learning opportunities on the insurance coverage for children and pregnant women would be provided to external maternal and child health partners

Denominator:

Significance: While national health transformation presents an opportunity for millions of currently- uninsured Americans to obtain health insurance coverage, it does not guarantee that all children and families will have access to care that is adequate, affordable, and continuous. Gaps in care may remain for women and children, particularly children and youth with special health care needs. Navigating through the turbulent currents of health care reform will be challenging, particularly where cultural and linguistic barriers, health disparities, immigration status will impact health outcomes. A trained MCH workforce can ensure that programs are built with this understanding in mind to better support health equity initiatives throughout the state.

Data Sources and Data Issues: Primary Care Office

Year: 2021

Unit Type: Count, 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.