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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 9 (9 total).

ESM 6.1 Proportion of new home visitors trained to provide ASQ within 6 months of hire. (Arizona)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy 6.1 "Home Visiting Programs" (https://www.mchevidence.org/tools/strategies/6-1.php). Find other NPM 6 caregiver-level strategies in MCHbest.

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

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: By 2020, 90% of new home visitors trained to provide ASQ from a ‘certified ToT.’

Numerator: Number of home visitors trained to provide ASQ by a ‘certified ToT’ within 6 months of hire

Denominator: Number of new home visitors who have been employed for at least 6 months

Significance: This measure will ensure that all home visitors follow fidelity to the ASQ tool and ensure standardization of assessments throughout the state’s home visiting programs. Improved quality of assessments indicates stronger identification of developmental delays which result in stronger referrals to provide quality developmental resources for families in need.

Data Sources and Data Issues: In-house data from Health Start’s training matched with in-house data from MIECHV, HRPP, Health Start (number of new hires).

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.1 Percent of providers serving children and families participating in learning collaborative. (American Samoa)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Quality Improvement Programs in Health Care Settings" (https://www.mchevidence.org/tools/strategies/6-3.php). Find other NPM 6 practice-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: 4. Support and mobilize partners

Service Recipient: Activities directed to professionals

Goal: Increase providers' competencies by establishing a learning collaborative that develops a strong family/professional partnerships by Implementing a quality improvement learning collaborative to improve developmental screening practices (e.g. t

Numerator: Number of providers who report they utilize their training in improving family/professional partnerships to improve developmental screenings.

Denominator: Total number of providers who serve children up to 35 months.

Significance: There is strong evidence that interventions during pregnancy and early childhood have some of the greatest impacts on children’s lifelong health and development. Although parents’ knowledge and practices greatly affect their children’s healthy development, parenting education is lacking at the population level. A national study of new parents found that information was cited as one of their greatest needs. In a California study, the majority of parents (including 70% of Spanish-speaking parents) believed they did not have adequate knowledge to care for their young children. It has been difficult to reach parents who face barriers of literacy, language, poverty or disability with easy-to-use and engaging information. The First 5 Kit for New Parents is an innovative, evidence- based approach to reach new parents with information about parenting practices and community resources. The “Kit” is a low-cost, multi-media collection of information for parents of children 0-5 years and their providers. It includes DVDs (featuring celebrities, experts and diverse parents), and printed materials that were written to be widely accessible to parents, including those with limited literacy, and those who speak Spanish, Cantonese, Mandarin, Vietnamese, Korean or English. Since 2001, the Kit has been distributed free of charge to 500,000 California parents each year through diverse perinatal and childcare programs. The Kit model was evaluated in a 3-year longitudinal survey of intervention and comparison groups of English- and Spanish-speaking parents and providers. Findings showed high Kit usage (87%) and satisfaction (94%). Parents in the intervention group showed significantly greater knowledge gains and reported better practices than parents in the comparison group. Providers considered the Kit a valuable resource to incorporate into their educational programs. The Kit model has now been adapted and extended to four other states and has reached over five million families.

Data Sources and Data Issues: UDS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.1 Percent of children, ages 9 through 35 months, who received a parent-completed developmental screen during an infant or child visit provided by a participating program (Kansas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy 6.3 "Quality Improvement Programs in Health Care Settings" (https://www.mchevidence.org/tools/strategies/6-3.php). Find other NPM 6 practice-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 increase the percent of children who receive a developmental screening

Numerator: Number of children, ages 9 through 35 months, that received a parent-completed developmental screening tool as part of an infant or child well visit

Denominator: Number of children, age 9 through 35 months

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics (AAP) recommends screening tests begin at the nine month visit. The developmental screening measure is endorsed by the National Quality Forum and is part of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP. Council on Children With Disabilities; Section on Developmental Behavioral Pediatrics; Bright Futures Steering Committee; Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics. 2006 Jul;118(1):405-20. http://pediatrics.aappublications.org/content/118/1/405

Data Sources and Data Issues: Data Application and Integration Solution for the Early Years (DAISEY): Web-based comprehensive data collection and reporting system/shared measurement system used by all MCH grantees to capture client and visit/service data

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.1 Number of providers that receive developmental screening training who report initiating developmental screenings with parents in their practices (Georgia)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Provider Training" (https://www.mchevidence.org/tools/strategies/6-2.php). Find other NPM 6 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the number of providers that receive developmental screening training who report initiating developmental screening with parents in their practices

Numerator: Number of providers that receive developmental screening training who report developmental screenings with parents in their practice

Denominator: N/A

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics (AAP) recommends screening tests begin at the nine month visit. The developmental screening measure is endorsed by the National Quality Forum and is part of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP.

Data Sources and Data Issues: Data Source: Children 1st Quarterly Report Data as reported by C1st District Coordinators and programmatic reports from medical societies

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 6.1 Children receiving a developmental screening using a parent-completed screening tool. (Virgin Islands)

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 percent of children receiving developmental screening using a parent-completed tool.

Numerator: 100

Denominator: 200

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics (AAP) recommends screening tests begin at the nine month visit. The developmental screening measure is endorsed by the National Quality Forum and is part of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP. Council on Children With Disabilities; Section on Developmental Behavioral Pediatrics; Bright Futures Steering Committee; Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics. 2006 Jul;118(1):405-20. http://pediatrics.aappublications.org/content/118/1/405

Data Sources and Data Issues: Title V pediatric and specialty clinics.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.2 Percentage of children receiving an ASQ within 1 year of program enrollment. (Arizona)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy 6.1 "Home Visiting Programs" (https://www.mchevidence.org/tools/strategies/6-1.php). Find other NPM 6 caregiver-level strategies in MCHbest.

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

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 2020, 85% of children enrolled in home visiting will receive at least 1 ASQ within 1 year of enrollment.

Numerator: Number of children who receive 1 ASQ within 1 year of enrollment.

Denominator: Number of children enrolled in home visiting.

Significance: This measure will ensure that all enrolled children in a State home vising program receive at least 1 developmental screening. This measure builds congruence among the state’s 3 home visiting programs. The measure allows for rapid and consistent identification of developmental delays which result in stronger referrals to provide quality developmental resources for families in need.

Data Sources and Data Issues: In-house data with in-house data from MIECHV, HRPP, Health Start

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.2 Percent of children that screen with concern that are referred to appropriate intervention services by providers (Georgia)

Measure Status: Active

Evidence Level: There is limited research in the evidence base to support this strategy.

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 percentage of children that screen with concern that are referred to appropriate intervention services by providers

Numerator: Number of children that screen with concern that are referred to appropriate intervention services by providers

Denominator: Total number of children referred to intervention services

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics (AAP) recommends screening tests begin at the nine month visit. The developmental screening measure is endorsed by the National Quality Forum and is part of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP.

Data Sources and Data Issues: Data Source: SendSS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.3 Percent of children participating in an evidence-based home visiting program who received age appropriate developmental screening, (Guam)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Home Visiting Programs" (https://www.mchevidence.org/tools/strategies/6-1.php). Find other NPM 6 caregiver-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: Achieve a comprehensive, coordinated, and integrated state and community system of services for children, and promote a universal system of developmental screening

Numerator: Percent of children participating in an evidence-based home visiting program who received age-appropriate developmental screening

Denominator: Percent of children participating in an evidence-based home visiting program

Significance: Home visitors build a trusting relationship with families and, therefore, are well equipped to help families complete an ASQ developmental screening. Studies show that the earlier a delay is recognized and intervention is begun, the better the child’s chance of substantial improvement. Developmental screening is one of the best things you can do to ensure a child’s success in school and life. Home visitors need to receive training so they use the ASQ correctly, including how it is communicated to families and, if needed, how to make an appropriate referrals

Data Sources and Data Issues: program-level data from Guam's evidence-based home visiting programs; data issues: quality of data is dependent on home visitor data entry

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 6.3 Number of new community partners who implement developmental screening and make referrals to their local public health district (Georgia)

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=community+partner&NPM=6&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/6-developmental-screening.php).

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: 4. Support and mobilize partners

Service Recipient: Activities related to systems-building

Goal: Increase the number of new community partners who implement developmental screening and make referrals to their local public health districts

Numerator: Number of new community partners who implement developmental screenings and make referrals to their local public health district

Denominator: N/A

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics (AAP) recommends screening tests begin at the nine month visit. The developmental screening measure is endorsed by the National Quality Forum and is part of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP.

Data Sources and Data Issues: Data Source: Children 1st Quarterly Report as reported by C1st District Coordinators and other Maternal and Child Health Program Data

Year: 2020

Unit Type: Simple Count, Unit Number: 10

   

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.