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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 5 (5 total).

6.1 Number of practices participating in QI process around developmental screening practices (Maine)

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 related to systems-building

Goal: Conduct QI improvement process with primary care providers around developmental screening practices

Numerator: Number of practices participating in QI process around developmental screening practices

Denominator: NA

Significance: MQC conducted a pilot project as part of Maine’s CHIPRA grant to increase developmental screening using learning collaboratives. This process was so effective that the Office of MaineCare Services (i.e., Maine’s Medicaid program) has continued to fund learning collaboratives focused on other health concerns. A learning collaborative approach promotes not only screening, but also effective referrals and increased access to services by reviewing practice protocols beyond screening.

Data Sources and Data Issues: Source: Maine Quality Counts (MQC) reports Maine Quality Counts applied for the HRSA Early Childhood Comprehensive System Grant (ECCS). As part of this initiative, MQC plans to engage practices in QI processes to improve developmental screening practices. If Maine does not receive ECCS funding, the number of practices engaged will be lower, but MQC will receive Title V funding to ensure this effort moves forward. They will report on the number of providers participating through their annual contract.

Year: 2018/2020

Unit Type: Count, Unit Number: 27

6.1 Number of LPHAs, community and/or health care partners in Colorado that have implemented ABCD quality standards that support early childhood screening, referral and treatment services for developmental needs (Colorado)

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 related to systems-building

Goal: By tracking this measure, the state can better assess and ensure that partners with identified roles on the screening to referral continuum are using evidenced-based best practices relative to their role.

Numerator: Number of local public health agencies, community, and/or health care partners in Colorado that have implemented ABCD quality standards that support early childhood screening, referral, and treatment services

Denominator: Not applicable since ESM is a count

Significance: Having an agreed upon set of quality standards based on evidence and best practices, creates a common foundation for community and health care partners to implement screening and referral processes. Quality standards provide common launching points for partners with various skills and knowledge to implement their roles, increasing the likelihood that the continuum of screenings, referral and treatment will be completed.

Data Sources and Data Issues: Colorado Assuring Better Child Health and Development (ABCD) surveys

Year: 2018/2020

Unit Type: Count, Unit Number: 423

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

Measure Status: Active

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

Service Type: Middle level: enabling services

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: 2018/2020

Unit Type: Percentage, Unit Number: 100

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

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 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

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

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: 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

   

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.