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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 11 (11 total).

ESM 5.1 Safe Sleep (Maryland)

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 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 directed to families/children/youth

Goal: Increased numbers of infants will be placed on their backs to sleep. Challenges to safe sleep practices will be addressed

Numerator: Number of infants less than 6 months placed on their backs to sleep

Denominator: Total number of infants less than six months old

Significance: Reduction in infant mortality

Data Sources and Data Issues: PRAMS, home visiting programs assessing safe sleep environments

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Percent of infants of 6 months of age, in Title V Home Visiting Program (HVP), placed to sleep in a safe environment in Puerto Rico by September 2021-2025 (Puerto Rico)

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 2025, increase the percentage of infants of 6 months of age, in Title V Home Visiting Program, placed to sleep in a safe environment.

Numerator: Infants of 6 months of age, in Title V HVP placed on their backs, on a separate approved sleep surface, and without soft objects or loose bedding by September 2025.

Denominator: Infants of 6 months of age, in Title V Home Visiting Program.

Significance: In Puerto Rico sleep-related Sudden Unexpected Infant Deaths (SUIDs), was among the leading causes of infant deaths between 1 to 12 months of age in 2016 and as the first cause in 2017 and 2018. The PR-PRAMS results raise concern of the knowledge and practices of safe sleep in PR, with only 8.7% placing their infants in a safe sleeping environment. Recognizing this as a priority, the PR Title V Home Visiting Program proposes to promote infant safe sleep practices among participants, by offering prenatal and post-partum orientation and evaluating safe sleep practices. Participants in the HVP receive orientation on Safe Sleep practices beginning in the second trimester of pregnancy and continued in the post-partum period. The participants for this program are chosen based on the identification of risk factors that increase infant mortality such as adolescent pregnancy, chronic disease, previous pregnancy lost, and maternal age older than 35 years.

Data Sources and Data Issues: Title V Home Visiting Program logs, reports and produced documents.

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 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 5.1 % of PRAMS moms who report having a home visit and report their baby sleeps on a separate approved sleep surface (Wyoming)

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 % of PRAMS respondents who received a home visit, who put their infants to sleep on a separate, approved surface.

Numerator: # of women reporting their infant is put to sleep on a separate approved sleep surface

Denominator: # of women reporting having a home visit since their baby was born.

Significance: This will help us better understand the impact of the home visitation program on safe sleep behaviors as well as better understanding who is participating in the home visitation program.

Data Sources and Data Issues: PRAMS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.1 Increase the number of Maternal Infant Health Program agencies that have staff trained to use the concepts of motivational interviewing with safe sleep (Michigan)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy 5.3 "Health Care Provider Training" (https://www.mchevidence.org/tools/strategies/5-3.php). Find other NPM 5 Provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Improvements in how home visitors talk to families about infant safe sleep will lead to improvements in parent behavior, with the ultimate goal to reduce the number of sudden unexpected infant deaths.

Numerator: N/A - this is a Simple Count

Denominator: N/A - this is a Simple Count

Significance: Positively impacting parental behavior requires addressing known barriers to implementing safe sleep practices: parental knowledge and misconceptions, preference and situation; social determinants of health; and family practices and culture. Increased skills by MIHP providers on how to promote behavior change will increase the likelihood families will follow the safe sleep guidelines. MIHP agencies serve approximately 20,000 pregnant moms on Medicaid annually. Targeting MIHP providers helps to reach the most high-risk mothers and families.

Data Sources and Data Issues: Maternal Infant Health Program (MIHP). MIHP Agencies provide the data after staff have completed the training Helping Families Practice Infant Safe Sleep (Safe Sleep 201).

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 5.2 Percent of families enrolled in a home visitation program who received safe sleep education from a trained home visitation provider on the first visit after child’s birth (West Virginia)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver/Parent Education" (https://www.mchevidence.org/tools/strategies/5-1.php). Find other NPM 5 caregiver-level strategies in MCHbest.

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: Provide Safe Sleep education on the first visit after child’s birth to 88% of families enrolled in a home visitation program

Numerator: Number of families (with a child less than 1 year) enrolled in a home visitation program who received safe sleep education on the first visit after child’s birth from a trained home visitor

Denominator: Number of families enrolled in a home visitation program with a child aged less than 1 year during the reporting period

Significance: Increasing the number of families who receive Safe Sleep education will help to reach those families who did not receive the education in the hospital and will also serve to reinforce the message for those families who did receive the education prior to hospital discharge. Many families feel more comfortable having conversations and asking questions with their trusted home visitor with whom they have built a good relationship. Safe Sleep education delivered during home visits will help to overcome barriers related to safe sleep practices.

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

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.2 % of PRAMS moms who report having a home visit and report their baby sleeps without soft objects or loose bedding (Wyoming)

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: 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 % of moms, who report a home visit, who put infant to sleep without soft objects or loose bedding.

Numerator: # of women responding their infant is put to sleep without soft objects or loose bedding

Denominator: # of women reporting having a home visit since their baby was born.

Significance: This will help us better understand the impact of the home visitation program on safe sleep behaviors as well as better understanding who is participating in the home visitation program.

Data Sources and Data Issues: PRAMS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 5.2 Number of professionals trained to education on, identify, and model safe infant sleep environments (Georgia)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Health Care Provider Education" (https://www.mchevidence.org/tools/strategies/5-3.php). Find other NPM 5 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the number of professionals (e.g. nurses, home visitors, first responders) trained in safe infant sleep practices.

Numerator: Number of professionals that attend safe infant sleep trainings

Denominator: N/A

Significance: Successful methods for improving parent safe sleep knowledge range from hospital staff education to crib distribution programs. Such efforts have been shown to increase parental knowledge, reduce bed-sharing rates, increase supine sleeping rates, and decrease incidences of Sudden Unexpected Infant Death (SUID). An increase in the number of professionals modeling safe sleep behaviors/environments should lead to an increase in parents following best practices related to safe sleep environments.

Data Sources and Data Issues: Data Source: Safe Infant Sleep Program Data

Year: 2020

Unit Type: Simple Count, Unit Number: 500

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 5.8 Number of reflective supervision cohort groups held (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Health Care Provider Education" (https://www.mchevidence.org/tools/strategies/5-3.php). Find other NPM 5 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To provide reflective supervision cohort groups in each grand region of Tennessee (West, Middle and East) for the EBHV workforce

Numerator: Number of reflective supervision cohort groups

Denominator: n/a

Significance: The availability of the supervision cohort groups for the evidence-based home visiting workforce will be a crucial resource in building the infant mental health best practices among the professionals in this field. The cohort groups will allow for collaboration between home visiting professionals to make use of shared resources in the areas of training, sustainability, and the promotion of infant mental health principles.

Data Sources and Data Issues: FHW

Year: 2020

Unit Type: Simple Count, Unit Number: 72

   

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.