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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 12 (12 total).

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". Find other NPM 7 caregiver-level strategies in MCHbest.

Measurement Quadrant: Quadrant 3: Measuring quantity of effect (# of "is anyone better off")

Service Type: Enabling services 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; 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: 2021

Unit Type: 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 for this NPM or search for other strategies or promising practices.

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

Service Type: 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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.1 Number of households participating in evidence-based home visiting programs (Louisiana)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Education During Home Visiting Programs". Find other NPM 7 Patients/Consumers/Caregivers 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: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of households receiving injury prevention education during home visiting sessions

Numerator: Number of households enrolled in home visiting during the reporting period

Denominator:

Significance: Evidence-based home visiting programs, such as those supported through the federal MIECHV program and implemented by the Bureau of Family Health, have been linked to improvements in a variety of indicators of child and family health, including those related to child injury and violence. Louisiana MIECHV does not currently collect data on the specific education activities and facilitators utilized during home visits, however all clients receive some education related to child injury prevention. This ESM measures progress in relation to increasing enrollment in evidence-based home visiting programs, and therefore increasing the reach of families benefiting from injury prevention interventions.

Data Sources and Data Issues: MIECHV Annual Performance Report

Year: 2021

Unit Type: Count, Unit Number: 10000

ESM 7.1.2 Transportation injury death rate among children 0 - 9 years of age (Oregon)

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: Systems level of pyramid

Essential Public Health Services: 2. Investigate and address health problems

Service Recipient: Activities directed to families/children/youth

Goal: To prevent transportation injury deaths among children ages 0 - 9

Numerator: Number of deaths due to transportation injury among children 0 - 9 years of age

Denominator: Per 100,000 population of children ages 0 - 9

Significance: Motor vehicle/transportation is the leading cause of injury death for children 1-19 years old, and the 3rd leading cause of hospitalization for children 1-9 years old. Transportation related injuries and deaths are preventable through policy changes, education and safer environments.

Data Sources and Data Issues: Vital statistics and census

Year: 2021

Unit Type: Rate, Unit Number: 100000

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 for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type:

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 20000, Unit Number: 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.

ESM 7.1.2 Number of car seats and home safety kits distributed with caregiver education. (Arizona)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs". Find other NPM 7 State/National 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: By 2025, a total of 8,000 car seats and home safety kits will be provided to caregivers with training.

Numerator: The agregate number of care seats and home safety kits distributed to caregivers

Denominator:

Significance: Incentive and education programs reward parents or children with coupons or other prizes for correctly using car seats. Programs offer print materials, videos, or other instructional aids for parents and caregivers. The strategy is effective for increasing car seat and booster seat use. They are recommended by The Guide to Community Preventive Services and/or have been demonstrated to be effective in reviews by the National Highway Traffic Safety Administration.

Data Sources and Data Issues: Safe Kids Coalition

Year: 2021

Unit Type: Count, Unit Number: 10000

ESM 7.1.3 Percent of local county health departments that have at least one staff trained in safe car seat installation and use. (Arizona)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Partnerships to Scale Evidence-based Programs and Practices". Find other NPM 7 State/National level strategies in MCHbest.

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 related to systems-building

Goal: By 2025, 100% of local county health departments will have at least one staff member trained in safe car seat installation and use.

Numerator: Number of local county health departments that have at least one staff member trained

Denominator: Total number of local county health departments

Significance: Car seat distribution programs provide parents with car seats (i.e., infant, convertible, and booster seats) free of charge, via loan, or low cost rental These programs often include efforts to teach parents how to correctly install and use car seats. Programs are generally targeted to low income parents of infants and young children and can be implemented through hospitals, clinics, insurance companies, community organizations, and home visitation. There is strong evidence that car seat distribution and education programs increase car seat use and correct use of car seats. Car seat distribution programs are effective for rural, urban, and suburban populations and for low and high-income populations. Such programs also appear to increase car seat use in tribal communities.

Data Sources and Data Issues: Healthy Arizona Families Integrated IGA

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 7.1.3 Drowning death rate among children 0 - 9 years of age (Oregon)

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: Systems level of pyramid

Essential Public Health Services: 2. Investigate and address health problems

Service Recipient: Activities directed to families/children/youth

Goal: To prevent drowning deaths among children 0 - 9 years of age

Numerator: Number of drowning deaths among children 0 - 9 years of age

Denominator: Per 100,000 population of children ages 0 - 9

Significance: Drowning is the second leading cause of death for children birth to 9, and a leading cause of death for children 10-19 years of age. Drowning is preventable through policy changes, education and safer environments.

Data Sources and Data Issues: Vital statistics

Year: 2021

Unit Type: Rate, Unit Number: 100000

ESM 7.1.4 Poisoning injury rate among children 0 - 9 years of age (Oregon)

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: Systems level of pyramid

Essential Public Health Services: 2. Investigate and address health problems

Service Recipient: Activities directed to families/children/youth

Goal: To prevent poisoning injuries among children 0 - 9 years of age

Numerator: Number of hospitalizations due to poisoning among children 0 - 9 years of age

Denominator: Per 100,000 population of children ages 0 - 9

Significance: Poisoning is the leading cause of injury hospitalization for all ages, 0-19, and the 6th cause of death for children 1-4 years old. Poisoning is preventable through policy changes, education and safer environments.

Data Sources and Data Issues: Hospitalization Data and Census Data

Year: 2021

Unit Type: Rate, Unit Number: 100000

ESM 7.1.7 Completed assessment of injury prevention risk assessment, education, and remediation in Oregon’s public health home visiting programs. (Oregon)

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 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Systems level of pyramid

Essential Public Health Services: 1. Assess and monitor population health

Service Recipient: Activities related to systems-building

Goal: To assess injury prevention efforts in Oregon's home visiting programs.

Numerator: N/A

Denominator:

Significance: In order to better provide technical assistance in the prevention of child injury to the home visiting workforce, Title V first needs to examine what currents efforts are, and where improvements can be made in education or referral services.

Data Sources and Data Issues: State tracking

Year: 2021

Unit Type: Text, Unit Number: Yes/No

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

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: 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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 50000, Unit Number: 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.

ESM 7.2.1 Number of injury prevention activities done by local county health departments specific to adolescents 10-19 years old. (Arizona)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Direct 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 2025, 46% of Arizona's counties will work on strategies to decrease the rate of non-fatal injury hospitalizations amongst adolescents ages 10-19 years.

Numerator: Number of counties working on strategies related to injury prevention in adolescents

Denominator: Total number of counties participating in the HAF IGA

Significance: This metric was developed to support varied initiatives occurring statewide. Counties may engage in health education and promotional activities to reduce non-fatal injury hospitalizations related to motor vehicle accidents, and others items.

Data Sources and Data Issues: Healthy Arizona Families Integrate IGA

Year: 2021

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.