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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 14 (14 total).

13.1.1 Increase the 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

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

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: 2018/2020

Unit Type: Percentage, Unit Number: 100

13.1.2 Increase the 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

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and 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 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 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

13.1.3 Increase awareness of expanded Medicaid coverage for adult dental health care. (Delaware)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Work with DPH staff, contractors, and community partners to ensure pregnant mothers who have AmeriHealth Caratias Delaware MCO coverage know of the oral health benefits available to them during their pregnancy.

Numerator: # of community presentations completed

Denominator: n/a

Significance: Expanded oral health care coverage in Delaware for adults ages 21 and over has been non-existent in the past. The recent contract negotiations between Delaware Medicaid and Managed Care Organization, AmeriHealth Caritas Delaware has established coverage for adults aged 21 and over that includes one annual exam and one set of oral x-rays per year. It is crucial that we ensure that pregnant mothers over the age of 20 are aware of these benefits and make an appointment for an oral health check-up during their pregnancy.

Data Sources and Data Issues: Total count of presentations made by DPH staff, contractors and community partners that support education and awareness of expanded Medicaid MCO oral health care coverage for adults.

Year: 2018/2020

Unit Type: Count, Unit Number: 5

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

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

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: 2018/2020

Unit Type: Percentage, Unit Number: 100

13.2.1 Percent of high risk children, ages 1 through 17, who have had a preventive dental visit in the past year (Connecticut)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase preventive dental visits among high risk children.

Numerator: The number of children, ages 1 through 17 eligible for HUSKY( Medicaid) who had a preventive dental visit in the past year

Denominator: The number of children ages 1-17 that were eligible for HUSKY( Medicaid) services in the past year

Significance: The DPH Office of Oral Health (OOH) and its partners recognize the integral role of maintaining oral health across the lifespan, beginning before a child is born and continuing until the end of life. Poor oral health impacts overall health and well-being; a child’s ability to learn, grow and thrive; self-esteem; employability; and overall quality of life. The “Life Course Theory” conceptual framework points to broad social, economic and environmental factors as underlying causes of inequalities in health, with oral health being no exception. The OOH works to advance improvements in oral health by addressing both the risk and protective factors which contribute to reducing the oral disease across the lifespan, with an emphasis on the most vulnerable populations. The two most prevalent oral diseases, dental caries (cavities) and periodontal (gum) disease are chronic, communicable, bacterial infectious diseases that are almost entirely preventable and manageable if detected in the early stages of the disease. Dental caries is the most common, chronic disease in children, five times more common than asthma and seven times more common than hay fever. If a child develops tooth decay at an early age, they are more likely to have a lifetime of pain and suffering from poor oral health. While these diseases are present across the population, disparities exist in individuals with low-socio economic status and in racial and ethnic minorities.

Data Sources and Data Issues: CMS database (Medicaid population ages 1-17)

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

13.2.1 Number of children that receive dental sealants per school year. (North Dakota)

Measure Status: Active

Measurement Category: Category 3: measuring quantity of effect (# of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of children receiving dental sealants through the school-based sealant program.

Numerator: Number of students receiving sealants per school year

Denominator: Not Applicable

Significance: Oral health is a vital component of overall health. People with limited access to preventive oral health services are at greater risk for oral disease. The burden of oral disease is not uniformly distributed throughout North Dakota (ND). Access to oral health services is an ongoing concern and challenge. Vulnerable and underserved populations face a variety of barriers to oral health care including transportation issues, lack of insurance or ability to pay for care, inability to take time off work to go to the dentist or transport their children, limited availability of providers accepting Medicaid and lack of understanding of the importance of good oral health and its impact on overall health. The limited oral public health infrastructure, particularly in rural counties and lower economically impacted state regions, provides limited options for families in need. The existing oral health safety-net facilities are overburdened and cannot take on more patients without expanding their infrastructure. Sealants in childhood are cited as one of the most cost-effective evidence-based practices of reducing the likelihood of tooth decay later in life. The Seal!ND is a program was established in ND in 2008 to increase access to preventive dental care to underserved populations. Public Health Hygienists administer the program and provide oral health screenings, oral health education, dental sealants, and fluoride varnish. Between 2008 and 2015, the Seal!ND program provided preventive oral health services to 2,893 children. The program will continue to expand targeting schools with 40 percent or more students enrolled in a free and reduced-fee lunch program.

Data Sources and Data Issues: North Dakota Department of Health – Oral Health Program – Seal!ND School-based Sealant Program Database. Note: The data is collected based on the school year (August through July).

Year: 2018/2020

Unit Type: Count, Unit Number: 1,995

13.2.1 Number of children provided with dental sealants through state program (Illinois)

Measure Status: Active

Measurement Category: Category 3: measuring quantity of effect (# of "is anyone better off")

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: To provide school aged children with dental sealants to protect their permanent teeth from decay

Numerator: # children provided dental sealants

Denominator: not applicable

Significance: Dental sealants are an important preventative oral health service for preventing dental decay on children’s permanent teeth. The Title V program provides funding to the IDPH Oral Health program to support dental services for children throughout Illinois, particularly those on Medicaid or without any dental insurance. This ESM will measure the number of children reached annually by this strategy. (Measure added July 2018)

Data Sources and Data Issues: IDPH Oral Health Program

Year: 2018/2020

Unit Type: Count, Unit Number: 1,000,000

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

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

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: 2018/2020

Unit Type: Count, Unit Number: 100,000

13.2.1 Increase the 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

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

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: Through implementation of the Home by One Program, we 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

13.2.1 Fluoride varnish applications for children in local health departments (Kentucky)

Measure Status: Active

Measurement Category: Category 3: measuring quantity of effect (# of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of children who receive fluoride varnish applications in local health departments

Numerator: The number of children receiving fluoride varnish applications in the local health departments

Denominator: None

Significance: Fluoride varnish and the application of dental sealants are preventive health strategies used to meet the needs of our youngest Kentuckians who live in pockets of the state without pediatric dentists or where providers do not accept Medicaid or treat uninsured populations. The availability of this service provides dental services to those who may be unable to access services otherwise.

Data Sources and Data Issues: Custom Data Processing (all local health departments) Reports

Year: 2018/2020

Unit Type: Count, Unit Number: 40,000

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

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

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: 2018/2020

Unit Type: Percentage, Unit Number: 100

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

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: Increase oral health prevention among children between the ages of 1-13 years.

Numerator: Number of children ages 1-13 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: 2018/2020

Unit Type: Count, Unit Number: 14,000

13.2.3 # of pediatric practices who are providing fluoride treatments (Delaware)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to professionals

Goal: Increase the number of pediatric practices who are providing fluoride treatments

Numerator: Number of pediatric practices who are providing fluoride treatments

Denominator: N/A

Significance: Fluoride is a key oral prevention method to prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It also reverses early decay. In children under 6 years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth.

Data Sources and Data Issues: Medicaid

Year: 2018/2020

Unit Type: Count, Unit Number: 40

13.2.3 Number of health care providers provided with oral health training to increase awareness of oral health issues and preventive care. (District of Columbia)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase awareness of family oriented oral health issues, including maternal and child oral health. Provide oral health training and increase awareness of oral health issues and preventive care among health care providers and social service personnel

Numerator: Number of health care providers provided with oral health training

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: 2018/2020

Unit Type: Count, Unit Number: 100,000

   

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.