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: ESM 12.1 monitors over 20 services, within 7 categories: PCP; transition-specific services; employment; health insurance; Supplemental Security Income; Shared Plan of Care; and any service tied to ‘transition to adulthood’ as an exceptional event.
Numerator: Number of CYSHCN ages 12-17 years served by SCHS CMUs with at least one transition to adulthood service
Denominator: Number of CYSHCN ages 12-17 years served by SCHS CMUs
Significance: The transition of youth to adulthood has become a priority issue nationwide as evidenced by the clinical report and algorithm developed jointly by the AAP, American Academy of Family Physicians and American College of Physicians to improve healthcare transitions for all youth and families. Over 90% of children with special health care needs now live to adulthood, but are less likely than their non-disabled peers to complete high school, attend college or to be employed. Successful transition to all aspects of adulthood is a critical life course measure for CYSHCN.
Data Sources and Data Issues: The data source is a statewide electronic documentation system used by all 21 county SCHS CMUs. The Case Management Referral System (CMRS) is used to track and monitor services provided to CYSHCN and their families. Included in CMRS is the ability to create and modify an Individual Service Plan (ISP), track services, and create a record of each contact with the child and child's family. The primary limitation of the data is that it is limited to CYSHCN served by SCHS CMUs (i.e., excludes children without special health care needs and CYSHCN not served by SCHS CMUs).
Unit Type: Percentage, Unit Number: 100