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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 9 (9 total).

ESM 7.1.1 The number of strategies developed to address injury prevention among children across the spectrum of prevention (Oregon)

Measure Status: Active

Evidence Level: There is limited research in the evidence base 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: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: To develop injury prevention strategies across the spectrum of prevention

Numerator: The number of strategies developed

Denominator: N/A

Significance: Unintentional injury is the leading cause of death for children ages 1 through 11. For those who survive severe injuries, many will have lasting challenges such as disability and chronic pain. Education, stronger laws, and safer environments can prevent and reduce serious injuries. Effective strategies, such as increasing knowledge and changing attitudes and behaviors, passing and enforcing legislation and policies that encourage safe behaviors, and changing the design of products and the environment, can prevent many injuries and improve the quality of life for children and adolescents, as well as their families.

Data Sources and Data Issues: State Tracking

Year: 2020

Unit Type: Simple Count, Unit Number: 20

ESM 7.1.1 Percent of sites operating mobile fitting and car seat inspection stations to ensure car seats are properly installed. (Indiana)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Person-to-Person Interventions Outside the Clinical Setting" (https://www.mchevidence.org/tools/strategies/7-2.php). Find other NPM 7 caregiver-level strategies in MCHbest. (note: xxx should be the audience field 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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Increase the percentage of sites trained and operating mobile fitting and car seat inspection stations to ensure car seats are properly installed.

Numerator: # of new sites operating mobile fitting and car seat inspection stations in current year

Denominator: N/A; Simple Count

Significance: Based on strong evidence of effectiveness, the Community Preventive Services Task Force recommends car seat laws and car seat distribution plus education programs to increase restraint use and decrease injuries and deaths to child. Injury is the leading cause of child mortality. For those who suffer non-fatal severe injuries, many will become children with special health care needs. Effective interventions to reduce injury exist but are not fully implemented in systems of care that serve children and their families. Reducing the burden of nonfatal injury can greatly improve the life course trajectory of infants, children, and adolescents resulting in improved quality of life and cost savings.

Data Sources and Data Issues: Reports from Indiana Criminal Justice Institute and Automotive Safety Program in Indiana.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.1.1 Percent of preventable child deaths due to injury reviewed by the MCDR with at least one prevention recommendation that is specific and actionable (including a "who, what, when") and targets systems above the individual level. (Alaska)

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=review&NPM=7&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/7-child-safety.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: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: To reduce preventable child injuries and deaths by developing viable primary prevention recommendations.

Numerator: Preventable child deaths due to injury reviewed by the MCDR with at least one prevention recommendation that is specific and actionable and targets systems above the individual level.

Denominator: Preventable deaths due to injury reviewed by the MCDR.

Significance: The Maternal Child Death Review Program (MCDR) is an evidence-based program partially funded by Title V which exists to prevent future deaths through a multidisciplinary expert review of all child deaths. The impact of the program is greatly improved when it produces public health recommendations that include a specific action (“what”), responsible party (“who”) and a timeframe for carrying out the action (“when”). The program has been working to move away from vague recommendation language that loosely targets individuals or communities (i.e. “Increase off-road vehicle safety education for children”), and to aim recommendations at specific levels of system intervention with clear action steps (i.e. “Healthcare providers should discuss off-road vehicle safety and helmet use with caregivers during well-child visits.”) The MCDR has also made recent improvements in its dissemination of recommendations, including publication of quarterly reports which include all recommendations generated in the preceding quarter. The value and usefulness of these publications will be greatly enhanced by actionable recommendations as described in this strategy measure.

Data Sources and Data Issues: MCDR Database.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.1.1 Number of community members receiving training or technical assistance about preventable child injuries or death and promoting injury prevention activities including child maltreatment, child passenger, gun, water, fire, pedestrian, ATV, or more. (Kentucky)

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=training&NPM=7&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/7-child-safety.php.

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: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Decrease by 5% the rate of emergency room visits among children ages 0-19 years by September 30, 2025.

Numerator: NA

Denominator: NA

Significance: Providing education and outreach on all causes for preventable child injury will raise awareness of prevention activities to reduce the overall rate of preventable child injuries resulting in hospitalization or emergency room visits.

Data Sources and Data Issues: KY MCH Packages REDCap data system, KY CFR and Injury Prevention Program, TRAIN

Year: 2020

Unit Type: Simple Count, Unit Number: 50,000

ESM 7.1.2 The number of critical partners engaged in the development of upstream strategies to address child injury (Oregon)

Measure Status: Active

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

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: To engage critical partners in upstream strategy development to address child injury

Numerator: The number of critical partners engaged

Denominator: N/A

Significance: Unintentional injury is the leading cause of death for children ages 1 through 11. For those who survive severe injuries, many will have lasting challenges such as disability and chronic pain. Education, stronger laws, and safer environments can prevent and reduce serious injuries. Effective strategies, such as increasing knowledge and changing attitudes and behaviors, passing and enforcing legislation and policies that encourage safe behaviors, and changing the design of products and the environment, can prevent many injuries and improve the quality of life for children and adolescents, as well as their families. Critical partners in the development of these strategies include Local Title V Grantees, Oregon Public Health Division, Health Promotion and Chronic Disease Prevention Program, Oregon Public Health Division, Injury and Violence Prevention Section, Oregon Health Authority, Health Transformation Office, Coordinated Care Organizations, 211Info Resource and Referral, Oregon Health Plan, Oregon Office of Childcare, Oregon Early Learning Division, Oregon Safe Kids Coalition (includes Oregon Poison Control, Marine Board, Trauma Nurses Talk Tough, Fire Marshals Office), State Child Fatality Review Team, and Oregon Pediatric Society.

Data Sources and Data Issues: State Tracking

Year: 2020

Unit Type: Simple Count, Unit Number: 50

ESM 7.1.2 Number of individuals trained on injury prevention through the Medical Child Abuse Resources and Education System (MEDCARES) grant. (Texas)

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=injury+prevention+training&NPM=7&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/7-child-safety.php).

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 families/children/youth

Goal: Provide trainings to individuals on injury prevention best practices and intervention methods to best inform future injury prevention strategies.

Numerator: Number of individuals trained in injury prevention best practices and intervention methods in the MEDCARES grant.

Denominator: N/A

Significance: Unintentional injury is the leading cause of death and disability among children, both in Texas and the United States as a whole. Many aspects of the environment in which children live (physical, social, cultural, economic, etc.) have impacts on injury risk. Both fatal and nonfatal childhood injuries are very costly; in addition to the burden of death and disability, childhood injuries can result in substantial economic costs, including medical costs for the child and lost work days for caregivers. In order to impact the number of injury-related hospital admissions per population ages birth to 9 years, those who work with children at risk need to increase their knowledge of the potential risks impacting this population. MEDCARES providers will lead trainings to educate them on injury prevention best practices and intervention methods to best inform future injury prevention strategies and interventions.

Data Sources and Data Issues: Data Source: Medical Child Abuse Resources and Education System (MEDCARES) MEDCARES is a grant program that improves services related to the prevention, assessment, diagnosis, and treatment of child abuse and neglect in hospital or academic health care settings through funding, collaboration, and outcome reporting, in addition to providing direct services. Data Issues: MEDCARES is a legislatively mandated program and activities are contingent on legislation and being appropriated funds. This number is also could be duplicated due to the same individual attending multiple trainings. Covid-19 may impact the number of trainings conducted over the next two years.

Year: 2020

Unit Type: Simple Count, Unit Number: 20,000

ESM 7.1.3 Number of health and safety interventions performed as a result of health and safety hazards identified through comprehensive home assessments (Pennsylvania)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 state-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: 5. Create/champion/implement policy

Service Recipient: Activities related to systems-building

Goal: Annually increase the number of health and safety interventions performed

Numerator: Number of health and safety interventions performed as a result of health and safety hazards identified through comprehensive home assessments through the Pennsylvania Safe and Healthy Homes Program.

Denominator: Not applicable.

Significance: This number identifies the number of health and safety interventions that have been performed to reduce the leading causes of injuries to children ages 0-9. All allowable interventions are evidence based or evidence informed and have a direct connection to the prevention of injuries that often lead to hospitalization. The families targeted with the Pennsylvania Safe and Healthy Homes Program frequently do not have the education to understand the need for these interventions and more importantly do not have the available resources to otherwise implement the interventions.

Data Sources and Data Issues: Quarterly reports from Pennsylvania Safe and Healthy Homes Program will provide this information. It is estimated that grantees will provide an average of 5 interventions (give items to residents) per home assessed. The number of interventions does not equal the number of hazards found as not all hazards require a Simple Countable item intervention.

Year: 2020

Unit Type: Simple Count, Unit Number: 10,000

ESM 7.2.1 The number of schools participating in the "Teens in the Driver Seat" program. (Nebraska)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of schools participating in an evidence-based teen driver safety program.

Numerator: NA

Denominator: NA

Significance: Motor vehicle crashes are the leading cause of death for teens. Teens in the Driver Seat® is a teen driven peer-to-peer educational program that focuses solely on traffic safety and addresses all major driving risks for this age group. Teens, along with a sponsor, help shape the program and are responsible for implementing it.

Data Sources and Data Issues: Program Data, Nebraska Injury Prevention.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.2.1 Number of Texas Health Steps Online Provider Education (OPE) users completing injury prevention modules. (Texas)

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=injury+prevention+training&NPM=7&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/7-child-safety.php).

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase the number of providers taking OPE modules, so providers are better able to educate parents and children on injury prevention strategies and resources, in order to prevent injuries and reduce their consequences.

Numerator: Number of individual users completing one or more Texas Health Steps Online Provider Education (OPE) injury prevention modules per year

Denominator: N/A

Significance: Unintentional injury is the leading cause of death and disability among children and adolescents, both in Texas and the United States as a whole. Many aspects of the environment in which children live (physical, social, cultural, economic, etc.) have impacts on injury risk. Both fatal and nonfatal childhood injuries are very costly. In addition to the burden of death and disability, childhood injuries can result in substantial economic costs, including medical costs for the child and lost work days for caregivers. To impact the number of injury-related hospital admissions per population ages birth to 19 years, parents and professionals need to increase their knowledge of the potential risks impacting this population and strategies available to reduce this risk. Providers need tools to approach adolescents about injury risks and consequences in a manner that will yield the highest benefit. This measure will examine the number of individuals who completed injury prevention-related THS-OPE modules.

Data Sources and Data Issues: Data Source: DSHS Texas Health Steps Online Provider Education (THS-OPE) website data. THS-OPE module data will be utilized to measure the number of providers taking trainings on injury prevention. THS-OPE is an award-winning online program offering free continuing education modules for primary care providers and other health professionals. These modules offer updated clinical, regulatory, and best practice guidelines for a range of preventive health, oral health, mental health, and case management topics. Completion of at least one of the following injury prevention modules will be assessed for this measure: 1) Addressing Adverse Childhood Experiences through Trauma-Informed Care 2) Adolescent Substance Use 3) Behavioral Health: Screening and Intervention 4) Childhood and Adolescent Depression 5) Concussion: Diagnosis, Treatment, and Prevention 6) Culturally Effective Health Care 7) High-Risk Behaviors in Young People: Screening and Intervention 8) Interpersonal Youth Violence 9) Motivational Interviewing 10) Preventing Unintentional Injury 11) Promoting Adolescent Health 12) Recognizing, Reporting, and Preventing Child Abuse 13) Teen Consent and Confidentiality 14) Trauma-Informed Care for Children in Foster Care Data Issues: THS-OPE modules offered may be subject to change, which could impact analysis of trends over time. Specific data on the methods by which many of the adolescent injuries took place is limited.

Year: 2020

Unit Type: Simple Count, Unit Number: 50,000

   

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.