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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 14 (14 total).

ESM 13.1.1 Proportion of at-risk pregnant women who report receiving a preventive dental visit during pregnancy by piloting the First Steps Program. (Alabama)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

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: To assist identified at-risk women in having healthy pregnancies to avoid poor birth outcomes by obtaining the health, dental, and social services needed.

Numerator: At-risk pregnant women in need of health, dental, and social services who receive needed services.

Denominator: At-risk pregnant women in need of health, dental, and social services.

Significance: By implementing the First Steps Program, comprehensive healthcare services will be promoted for low-income pregnant women. The program's goal will be to assist identified at-risk women in having healthy pregnancies, to avoid poor birth outcomes, and to assist mothers in obtaining the health, dental, and social services that they need.

Data Sources and Data Issues: Data Sources: ADPH PRAMS Data Alabama Medicaid Agency Alabama Social Services Program Data Data Issues: Data issues will vary depending upon the data source in use.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Preventive Dental Visit During Pregnancy (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 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: To increase the number of pregnant women who have a preventive dental visit during pregnancy

Numerator: Number of pregnant women with Medicaid who have a dental visit during pregnancy

Denominator: Total number of pregnancy women with Medicaid

Significance: Preventive dental visits are indicative of overall health of both mother and infant.

Data Sources and Data Issues: Medicaid Data from Office of Oral Health

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Percent pregnant women enrolled in Medicaid with at least one preventative dental service during prenatal period (Illinois)

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 proportion of Medicaid-enrolled pregnant women receiving preventative dental visits during pregnancy

Numerator: # women with a live birth paid for by Medicaid who received at least one preventative dental service during pregnancy

Denominator: # women with a live birth paid for by Medicaid

Significance: This ESM will measure an expected outcome of strategy #9-E: Participate in the Partnership for Integrating Oral Health Care into Primary Care project with DOH and a local health department to integrate the interprofessional oral health core clinical competencies into primary care practice, particularly for pregnant women and adolescents. Illinois Medicaid covers dental services for all adults, including pregnant women, but the largest barrier to receipt of services is a lack of available providers. Through this strategy, Illinois will expand the number of primary care centers who provide oral health risk assessment, screening, fluoride varnish, anticipatory guidance, direct referral to care and completion of first dental appointment for pregnant women. By increasing capacity for dental services in primary care settings, Illinois hopes to increase the proportion of women who receive preventative dental services and who are connected to a dental home.

Data Sources and Data Issues: DATA SOURCE: Illinois Department of Healthcare and Family Services (Medicaid)

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.1.2 Proportion of at-risk pregnant women who are educated about the importance of receiving preventive dental care during pregnancy and assist with linking Medicaid insured to needed dental services by piloting the First Steps Program. (Alabama)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-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: To identify maternity health care providers serving Medicaid insured maternity patients. Train and educate 25% of these health care providers about the importance of maternity patients receiving preventative oral health services during pregnancy.

Numerator: The total number of currently established Maternity Care Districts in which ADPH staff have provided care coordination. Goal: Two of the 14 Maternity Care Districts.

Denominator: The total number of currently established Maternity Care Districts that provide maternity care services throughout the state. There are 14 established Maternity Care Districts.

Significance: Through the implementation of the First Steps Program, maternity health care providers will have increased knowledge of the importance of maternity patients receiving preventive oral health care services. The identified providers will educate their maternity patients with this information and assist their maternity patients with accessing preventive oral health services. In September 2017, Alabama Medicaid released a Request for Proposal (RFP) for Maternity Health Care Coordination for the 15 Simple Counties currently receiving maternity care coordination services from ADPH social work staff. Once Medicaid identifies a Maternity Care Provider, it is anticipated ADPH will transfer any open maternity case to the selected provider. Ongoing Oral Health education to maternity patients insured by Medicaid is one of the required components of the RFP. This component helps to insure maternity patients continue to receive oral health education and the importance of at least a preventive visit during their pregnancy. As of March 2018, Medicaid has not finalized their plans for Maternity Care Coordination services for Medicaid insured maternity patients. Currently, ADPH social work staff is continuing to provide maternity care coordination services in 15 Simple Counties throughout the state. ADPH staff will continue to provide education in regard to the importance of accessing preventive oral health care services and linking patients to needed services. Until Medicaid’s plans are finalized, the Office of Oral Health staff and other ADPH social work program staff will collaborate with Medicaid about continuing to educate and train maternity providers in regard to the importance of patients receiving preventive oral health care services.

Data Sources and Data Issues: Alabama Medicaid, ADPH Programs providing services to Medicaid insured maternity patients.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.1.2 Percent of pregnant women who receive at least one oral health service through Medicaid during the perinatal period (Michigan)

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: To increase the percentage of women who utilize the perinatal adult dental benefit for pregnant women within the state of Michigan

Numerator: Number of pregnant women on Medicaid with at least one oral health service between the time the plan becomes aware of her pregnancy until 3 months postpartum (perinatal period)

Denominator: Number of pregnant women on Medicaid during the perinatal period

Significance: To improve outcomes and increase dental benefit utilization for pregnant women in Michigan, significant effort has been made to enhance the adult dental Medicaid benefit. Pregnant women are now placed within a Medicaid health plan which leads to greater availability of providers who accept that plan. Thus far, analysis has been unavailable as to utilization, but data are anticipated to be available beginning in 2020. The data will be analyzed with the anticipation that a targeted analysis of racial and geographic disparities will be able to be completed.

Data Sources and Data Issues: The MDHHS Oral Health Program will obtain data on an annual basis through a data use agreement and IRB with the CHEAR (Child Health Evaluation and Research) Center at the University of Michigan. CHEAR has access to the data warehouse and the technical ability to analyze the data. Data issues may include delays in obtaining data as well as the inability to determine type of oral health services rendered.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 The number of sites participating in the Nebraska Early Dental Health Starter Kits Educational program. (Nebraska)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver/Parent Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-2-2.php). Find other NPM 13.2 caregiver-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: To increase the percent of children (ages 1 through 17) receive preventive oral health care services.

Numerator: NA

Denominator: NA

Significance: A significant percentage of Nebraska’s population lives in rural locations, including approximately 125,000 children ages 1-9 and many low-income children and youth eligible for Medicaid benefits do not receive mandated preventive dental services. More than half of Nebraska is considered a state designated general dentist shortage area.

Data Sources and Data Issues: Program Data, the Office of Oral Health and Dentistry

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 13.2.1 Proportion of infants and children, ages 1 through 17 years, who report receiving a preventive dental visit in the past 12 months by piloting the Home by One Program. (Alabama)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver/Parent Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-2-2.php). Find other NPM 13.2 patient-level strategies in MCHbest.

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 proportion of Alabama's at-risk infants and children, ages 1-17 years, who had a preventive dental visit during the past 12 months.

Numerator: Number of infants/children ages 1-17 years who received a preventive dental visit in the past 12 months.

Denominator: Number of infants/children ages 1-17 years in Alabama.

Significance: The implementation of the Home by One Program can increase the proportion of infants/children in Alabama who have established dental homes and are accessing routine preventive dental visits.

Data Sources and Data Issues: Data Sources: Alabama Medicaid Agency Utilization Rate Data (for preventive dental visits); Alabama Children's Health Insurance Program (CHIP) Utilization Rate Data (for preventive dental visits); and Alabama Blue Cross Blue Shield Utilization Rate Data (for preventive dental visits). Data Issues: Data issues will vary depending upon the data source in use.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 Preventive and any dental services for children enrolled in Medicaid or CHIP (CMS-416) (New Jersey)

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 use of preventive and any dental services for children enrolled in Medicaid or CHIP (CMS-416)

Numerator: Number of children (<19) enrolled in Medicaid or CHIP reported receiving any dental or oral health services

Denominator: Number for children (<19) enrolled in Medicaid or CHIP

Significance: Oral health care remains the greatest unmet health need for children. Insufficient access to oral health care and effective preventive services affects children’s health, education, and ability to prosper. Monitoring ESM #13.1 (Preventive and any dental services for children enrolled in Medicaid or CHIP) will allow the tracking of progress on NPM #13 for the large number of low-income children enrolled statewide in Medicaid or CHIP.

Data Sources and Data Issues: Annual Center for Medicaid and Medicare Services (CMS) 416 Report

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 Percent of children enrolled in Medicaid, ages 1 through 17, who had a preventive dental visit in the past year (Delaware)

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 percent of children enrolled in Medicaid, ages 1 through 17, who had a preventive dental visit in the past year

Numerator: Number of children enrolled in Medicaid who received a preventative dental visit in the last year

Denominator: Number of children who received a preventative dental visit in the last year

Significance: Preventive dental visits ensures children have a bright and healthy smile. It also spares children the aches of tooth decay. We know the sooner families start regularizing their child’s dental visits, the better their oral health will be throughout their lives.

Data Sources and Data Issues: National Survey for Children's Health

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 Percent of children ages 1-18 enrolled in Medicaid with at least one preventative dental service (Illinois)

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 proportion of Medicaid-enrolled children receiving preventative dental visits

Numerator: # children 1-18 enrolled in Medicaid who received at least one preventative dental service

Denominator: # children 1-18 enrolled in Medicaid and continuously eligible for EPSDT for 90 days

Significance: This ESM will measure an expected outcome of strategy #9-B: Partner with the DOH to support and assist school personnel and families across Illinois to access: oral health education, dental sealants, fluoride varnish, Illinois All Kids (Medicaid) enrollment, and dental home referrals; and, comply with Illinois’ mandatory school dental examinations for children in kindergarten, second, sixth and ninth grades. Illinois Medicaid covers dental services for all children, but the largest barrier to receipt of services is a lack of available providers. Through this strategy, Illinois will support school-based dental services, thus increasing access to oral health risk assessment, screening, fluoride varnish, anticipatory guidance, direct referral to care and completion of first dental appointment for pregnant women. By increasing capacity for dental services in schools, Illinois hopes to increase the proportion of children who receive preventative dental services and who are connected to a dental home.

Data Sources and Data Issues: DATA SOURCE: Illinois Department of Healthcare and Family Services (Medicaid), CMS-416 EPSDT reporting form

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 Number of pregnant women in Medicaid population receiving at least one dental visit within the last year. (New Mexico)

Measure Status: Active

Evidence Level: Strategy and ESM aligns with priority, however it is not in direct alignment with NPM. See other ESMs for this NPM (https://www.mchlibrary.org/evidence/state-esms-results.php?q=&NPM=13&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 13.2 patient-level strategies in MCHbest.

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 number/percent of pregnant women with Medicaid who have at least one preventive or treatment visit during pregnancy or in past year

Numerator: Number of women in PRAMS or Medicaid claims with at least one visit in year before delivery

Denominator: Number of women in PRAMS or Medicaid claims who were pregnant or delivered for that year

Significance: Oral health before and during pregnancy is recommended and contributes to better birth outcomes and better maternal oral health.

Data Sources and Data Issues: PRAMS survey is primary source

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.1 Number of children and youth provided with preventive oral health services through a SBHC. (District of Columbia)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School/Preschool Interventions" (https://www.mchevidence.org/tools/strategies/13-2-1.php). Find other NPM 13.2 school-level strategies in MCHbest.

Measurement Quadrant: Quadrant 3: Measuring quantity 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: To increase oral health referrals among children and youth through the SBHCs. Increase SBHC oral health education and referrals for children and youth.

Numerator: Number of children and youth provided with preventive oral health services through a SBHC.

Denominator: N/A

Significance: Oral healthcare remains the greatest unmet health need among youth. Insufficient access to oral health care and effective preventive services affects children’s health, education, and ability to prosper. Early dental visits teach children the importance of dental health, and increase the likelihood that they will seek dental care proactively throughout life. Adult family members who receive regular oral health care are more likely to take their children to a dentist and teach them appropriate health behaviors at home. Additionally, adults that seek regular oral health care are less likely to transmit tooth decay bacteria to their children. State Title V Maternal Child Health programs have long recognized the importance of improving the availability and quality of oral health services for children and their families. States monitor and guide service delivery to assure that all children have access to preventive oral health services. Strategies for promoting oral health include increasing the capacity of State oral health programs to provide school-based preventive services, monitor oral health epidemiologic trends, and implement programs that enhance the dental healthcare system. Here is an update for the data passage using the FY 2015 CMS-416 data: Oral Health: During Fiscal Year 2015, 59% of children ages 3-9 years that were enrolled in Medicaid for 90 or more continuous days received preventive dental care. Utilization was 51% among such children 10-18 years of age, however only 17% of enrolled children under 3 years of age utilized preventive dental services.

Data Sources and Data Issues: 1. DOH Oral Health Program 2. District of Columbia School Based Health Centers

Year: 2020

Unit Type: Simple Count, Unit Number: 100,000

ESM 13.2.1 Collaborate with Medicaid. Percent of Medicaid children who had a preventive dental visit (Utah)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Public Insurance Coverage" (https://www.mchevidence.org/tools/strategies/13-2-4.php). Find other NPM 13.2 state-level strategies in MCHbest.

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 percent of Medicaid children ages 1 - 18 who had a preventive dental visit

Numerator: Number of Medicaid children aged 1-18 who had a preventive dental visit

Denominator: Number of Medicaid children aged 1-18 eligible for Medicaid for 90 days or more

Significance: The Medicaid population is a group that has higher dental needs that those of higher economic status. They are part of the population in Utah that is important to concentrate on in improving this measure.

Data Sources and Data Issues: CMS-416 Report for Utah, Numerator = line 12b 'Total' Medicaid children ages 1 - 18 years who had a preventive dental visit; Denominator = line 1b 'Total' Medicaid children ages 1 - 18 years eligible for 90 days or more.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 13.2.2 Number of children ages 1-17 years receiving preventive dental care from a dentist. (District of Columbia)

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: 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 oral health prevention among children between the ages of 1-17 years.

Numerator: Number of children ages 1-17 years receiving preventive dental care from a dentist.

Denominator: N/A

Significance: Oral healthcare remains the greatest unmet health need among youth. Insufficient access to oral health care and effective preventive services affects children’s health, education, and ability to prosper. Early dental visits teach children the importance of dental health, and increase the likelihood that they will seek dental care proactively throughout life. Adult family members who receive regular oral health care are more likely to take their children to a dentist and teach them appropriate health behaviors at home. Additionally, adults that seek regular oral health care are less likely to transmit tooth decay bacteria to their children. State Title V Maternal Child Health programs have long recognized the importance of improving the availability and quality of oral health services for children and their families. States monitor and guide service delivery to assure that all children have access to preventive oral health services. Strategies for promoting oral health include increasing the capacity of State oral health programs to provide school-based preventive services, monitor oral health epidemiologic trends, and implement programs that enhance the dental healthcare system. Here is an update for the data passage using the FY 2015 CMS-416 data: Oral Health: During Fiscal Year 2015, 59% of children ages 3-9 years that were enrolled in Medicaid for 90 or more continuous days received preventive dental care. Utilization was 51% among such children 10-18 years of age, however only 17% of enrolled children under 3 years of age utilized preventive dental services.

Data Sources and Data Issues: 1. DOH Oral Health Program

Year: 2020

Unit Type: Simple Count, Unit Number: 14,000

   

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.