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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 6 (6 total).

10.1 Percentage of school-based health centers (SBHCs) able to bill for services rendered. (Washington)

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 related to systems-building

Goal: To gauge the percentag of SBHCs which are able to bill Medicaid and other insurance for the full suite of services they provide their patients

Numerator: Number of SBHCs trained on how to bill Medicaid for services

Denominator: Number of eligible SBHCs to be trained on how to bill Medicaid for services

Significance: Many adolescents, especially high risk youth in vulnerable populations, may have a harder time accessing the medical care system due to many issues (lack of transportation, social isolation, complex life-situations) and might find accessing health care more convenient at school or other settings in which they are more comfortable. Increasing the number of places where such individuals can access care, not just to family planning/STI services, but also mental/behavioral and more general physical health would benefit all. This would be greatly facilitated by reimbursement to the clinics for these services. An increase in the numbers/percent of clinics trained and aided in getting reimbursed would make such a system of care more available.

Data Sources and Data Issues: The source of the data would be program staff at OHC tracking the numbers of trainings and outreach they did with eligible clinics. Definitions of which clinics would be eligible and what a “successful” training/TA session will have to be developed.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

10.1 Percent of annual projected visits that were completed across all School Based Health Centers (SBHCs) (Massachusetts)

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 related to systems-building

Goal: To increase preventive health visits to adolescents at SBHCs

Numerator: Number of annual completed visits at all SBHCs

Denominator: Number of annual projected visits at all SBHCs

Significance: The following studies have shown that SBHCs increase access to care and quality of care for underserved adolescents: - Allison, Mandy A., et al. "School-based health centers: improving access and quality of care for low-income adolescents." Pediatrics 120.4 (2007): e887-e894. - McNall, Miles A., Lauren F. Lichty, and Brian Mavis. "The impact of school-based health centers on the health outcomes of middle school and high school students." American Journal of Public Health 100.9 (2010): 1604-1610. SBHCs offer both comprehensive primary care and behavioral health services within schools where children and adolescents spend most of their time. SBHC clinicians are skilled in motivational interviewing with children and adolescents. They have extensive knowledge of critical issues impacting the students they serve. Each visit to a SBHC, regardless of the reason, serves as an opportunity for clinicians to build a therapeutic relationship with students, aimed at fostering their strengths. At each visit, students are regularly assessed for risk and protective factors to intervene as early as possible. SBHC clinicians are well integrated within their schools and are knowledgeable about appropriate services/resources within their communities ensuring that students are well-connected, including with a medical home. It is an explicit goal of the SBHC Program that all children/adolescents attain health insurance and be connected with a Primary Care Provider. In addition, every effort is made by SBHC staff to help students develop the skills they will need to navigate the health care system upon graduation from high school.

Data Sources and Data Issues: The visit numbers are collected from each SBHC at the end of the fiscal year. Limitations include possible delays in reporting and variations in the quality of the documentation provided by clinicians.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

10.1 Percent of adolescents 12 through 17 with at least one completed BMI at time of medical visit at all school-based health centers (Connecticut)

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 percent of adolescents 12-17 who have a BMI measured at the time of a medical visit.

Numerator: Number of adolescents 12-17 with at least one completed BMI at the time of a well visit at all School Based Health Centers (Physical)

Denominator: Number of students 12-17 who had at least one well visit at all School Based Health Centers (Physical)

Significance: The U.S. Preventive Services Task Force recommends that clinicians screen children ages 6 to 18 years for obesity and refer them to programs to improve their weight status. The recommendations are explained in the special article, “Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement,” in the February 2010 issue of Pediatrics. The American Academy of Pediatrics (AAP) recommends that periodic measurement of BMI be performed as part of a comprehensive approach to prevention of pediatric overweight, and recommends that BMI be calculated and documented once a year for all children and adolescents. BMI screening and well child visits have been included as clinical outcome measures for the School Based National Quality Initiative - with School Based Health Center sites in Connecticut participating in the national pilot to establish national quality standards for School Based Health Centers.

Data Sources and Data Issues: Funded School Based Health Centers database and annual contractual program reports. Annual School Based Health Centers Medical Results Based Accountability Report Cards. National NQI data portal.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

10.1 Number of adolescent well visits provided by school-based health centers (SBHCs) (Illinois)

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 the number of adolescent well visits provided by school-based health centers (SBHC)

Numerator: # of well visit encounters for youth ages 12-21

Denominator: not applicable

Significance: This ESM will measure an output of strategy #5-A: Certify and financially support school-based and school-linked health centers to expand access to primary health care, mental health, and oral health services for Illinois children and adolescents. SBHCs provide a convenient location for children and youth to obtain healthcare services by removing some of the traditional barriers to care (e.g., transportation, inconvenient hours, waiting time for appointments). By providing incentive payments to SBHCs to provide adolescent well visits, it is anticipated that the number of these visits will increase in Illinois over time. It is anticipated that the increased use of SBHCs as a site for adolescent well visits would increase the overall percent of adolescents receiving preventative care services. (Measure developed Sept 2016; updated June 2017 to include CPT codes)

Data Sources and Data Issues: Data Source: IDPH School Based Health program Definitions: Well-visit encounter defined as (based on HEDIS measure): CPT Codes: 99383-99385, 99393-99395

Year: 2018/2020

Unit Type: Count, Unit Number: 100,000

10.2 Percent of adolescents 12 through 17 with a behavioral health screening at the time of medical visit at all school-based health centers (Connecticut)

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 percent of adolescents 12-17 who receive behavioral health screenings during a preventive medical visit.

Numerator: Number of students 12-17 who had a behavioral health screening during a medical visit at all School Based Health Centers (All visits)

Denominator: Number of students 12-17 who received a medical visit at all School Based Health Centers (All visits)

Significance: The 2017 Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) have been approved by the American Academy of Pediatrics (AAP) and represents a consensus of AAP and the Bright Futures Periodicity Schedule Workgroup. Each child and family is unique; therefore, these recommendations are designed for the care of children who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in a satisfactory fashion. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits. Additional visits also may become necessary if circumstances suggest variations from normal.

Data Sources and Data Issues: Funded School Based Health Centers database and annual contractual program reports. We are using “well visit” as the preventive medical visit. CDC Youth Risk Assessment Survey. Annual School Based Health Centers Behavioral Health Results Based Accountability Report Cards.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

10.2 Number of OPH-affiliated SBHCs assessed according to national best practices in providing adolescent-friendly care (Louisiana)

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: To increase the number of OPH-affiliated SBHCs providing adolescent-friendly care according to national best practices.

Numerator: This is a count of School-Based Health Centers assessed.

Denominator: N/A

Significance: Assessing the Parish Health Units and School-Based Health Centers for their level of adolescent-friendliness will lead to more targeted improvement strategies. This may lead to an increase in the number of Parish Health Units and School Based Health Centers that are adolescent-friendly and therefore an increase in the number of adolescents served.

Data Sources and Data Issues: Self-reported based on annual progress and survey completion.

Year: 2018/2020

Unit Type: Count, Unit Number: 200

   

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.