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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 6 (6 total).

11.1 Percent of CSHCN families who received care coordination services from CSHCN staff in the past year. (American Samoa)

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 CYSHCN families of CYSHCN accessing their medical homes.

Numerator: Number of CSHCN received care coordination from CSHCN staff in the past year.

Denominator: Total number of CSHCN clients.

Significance: Lack of transportation was one of the challenges hindering families from accessing their medical homes. By offering transportation means when available helps in increasing utilization and family satisfaction.

Data Sources and Data Issues: CSHCN survey.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

11.1 Number of policies, practices, and resources changed to support improved outcomes for CYSHCN by counties implementing Innovative Approaches strategies. (North Carolina)

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: To improve the health of children and youth with special health care needs by improving community-wide systems of care through implementation of the Innovative Approaches Initiative strategies, particularly the systems change approach

Numerator: Number of policy/practice/resource changes achieved using Innovative Approaches strategies for CYSHCN

Denominator: N/A

Significance: The purpose of the Innovative Approaches (IA) initiative is to thoroughly examine and foster improvement for community-wide systems of care that will effectively meet the needs of families of children and youth with special health care needs, resulting in increased family satisfaction with services received and improved outcomes for children and youth with special health care needs.

Data Sources and Data Issues: Data provided by the State Director of the Innovative Approaches Initiative collected via the Innovative Approaches Strategic Results Framework

Year: 2018/2020

Unit Type: Count, Unit Number: 100

11.2 Percent of satisfaction of access to care for families of children with special health care needs who received care in a patient centered medical home or by a primary care provider. (Florida)

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 percentage of family satisfaction with access to care received in a patient-centered medical home and/or primary care for children that have special health care needs.

Numerator: Percent of families reporting at least an 80% satisfaction rate

Denominator: All families surveyed

Significance: Patient experience is main component of achieving high-quality care. Systematic review of studies demonstrates positive association between patient experience and clinical effectiveness and patient safety, decreasing health care costs. The identified priority need included primary care, and not just patient-centered medical home, which necessitated the inclusion of this in the measure. The results of this measure will help drive quality improvement activities, driven by family input, to improve access.

Data Sources and Data Issues: Survey: University Florida Institute for Child Health Policy

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

11.3 Percentage of families served by SHS family support contracts indicating satisfaction. (North Dakota)

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 satisfaction rate of families served by SHS family support contracts each year.

Numerator: Number of families indicating satisfaction (at least a 3 or higher on the 5-point scale) with services received through SHS family support contracts.

Denominator: Total number of families served through SHS family support contracts

Significance: Providing primary care to children in a “medical home” is the standard of practice. Research indicates that children with a stable and continuous source of health care are more likely to receive appropriate preventive care and immunizations, are less likely to be hospitalized for preventable conditions, and are more likely to be diagnosed early for chronic or disabling conditions. Children with chronic illnesses are more likely to have frequent doctor and hospital visits. These treatments may be painful or frightening. Hospital stays are difficult for everyone, but especially children. Children are away from home and family, their routine is disrupted, and they just don’t feel well. The American Academy of Pediatrics (AAP) specifies seven qualities essential to a medical home, including care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate and culturally effective.

Data Sources and Data Issues: Data Source: Survey data reported from Family Voices of North Dakota Data Issues: None Note: The data is collected based on federal fiscal year (October through September).

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

11.3 Number of providers participating in a learning collaborative, education and/or statewide technical assistance. (Pennsylvania)

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: Annually increase the number of pediatric providers participating in a learning collaborative, education and/or statewide technical assistance.

Numerator: Number of pediatric providers participating in learning collaboratives, education and/or statewide technical assistance.

Denominator: Not applicable.

Significance: The medical home concept was introduced by the American Academy of Pediatrics almost 40 years ago with focus on the location of a child’s medical record, particularly a child with a special health care need. Since that time, medical home has expanded to be more of a home base for care delivered through a partnership between a healthcare provider and the child/family being served and has grown to encompass adult care as well. The original guidelines have been updated on several occasions and continue to stress care that must be accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. Evidence continues to build that demonstrates the medical home approach to care shows associations pediatric medical homes and improved health outcomes, increase in family satisfaction with care provided and decreased healthcare costs. The NPM focuses on the number of children having a medical home and the best way to ensure that children have access to providers practicing the components of medical homes is to focus on training, education and provision of technical assistance, with particular attention paid to providers within health care systems and medical training programs.

Data Sources and Data Issues: Numerator will be compiled from several data sources each fiscal year. The BFH funds a vendor to implement the PA Medical Home Initiative which focuses on building the number of medical homes available to children and youth with special health care needs. The vendor will report quarterly and annually the number of pediatric providers participating in any of the mentioned activities as an unduplicated number. Additionally, the Medical Home Program Project Officer will report on practices involved in these activities aside from those provided by the vendor as an unduplicated number.

Year: 2018/2020

Unit Type: Count, Unit Number: 10,000

11.7 Percent of families that report they feel more confident managing child’s condition thanks to the information and support received at the CSHCNP. (Puerto Rico)

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: For 2020, at least 95.5% CSHCNP families report they feel more confident managing child’s condition thanks to information and support received from the CSHCN Program.

Numerator: Number of participant families in the CSHCNP Family Survey that report they feel more confident managing child’s condition after CSHCNP intervention.

Denominator: Number of CSHCNP families that participate of the CSHCNP Family Survey.

Significance: This measure will help us know impact of CSHCNP services on caregivers’ degree of confidence to manage child’s condition.

Data Sources and Data Issues: CSHCN Program Family Satisfaction Survey

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.