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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 14 (14 total).

ESM 12.1 Percent of Regional Center information and referral staff who report competence in explaining youth health transition concepts (Wisconsin)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: 80% of Regional Center information and referral staff, who have been in their position for one year or more, will self-evaluate at a minimum of 50% “competent” or “proficient” in Transition competencies.

Numerator: Number of Regional Center information and referral staff, who have been in their position for one year or more, who self-evaluate at a minimum of 50% “competent” or “proficient” in Transition competencies

Denominator: Number of Regional Center information and referral staff who have been in their position for one year or more who complete a self-evaluation

Significance: Based on the results of this self-assessment, staff from the Youth Health Transition Initiative will assist Regional Centers to ensure that the Network has the necessary skills and knowledge to address any questions that arise. As new staff are onboarded, this survey can be used as a thorough training guide, to assure the competency and effectiveness of the workforce.

Data Sources and Data Issues: Qualtrics tracking system will be used. The system was piloted in 2020 and no issues are anticipated.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.1 Percent of provider practices that were provided technical assistance on transition and have incorporated the six Core Elements of Transition into their practices (Illinois)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Six Core Elements Adaptation with Quality Improvement (QI)" (https://www.mchevidence.org/tools/strategies/12-6.php). Find other NPM 12 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: 8. Build and support a workforce

Service Recipient: Activities related to systems-building

Goal: To increase the number of providers who have incorporated the six Core Elements of Transition into their practices through training, support, and technical assistance offered by DSCC

Numerator: # provider practices receiving technical assistance related to transition who have incorporated the six Core Elements of Transition into their practices

Denominator: # provider practices receiving technical assistance related to transition

Significance: This ESM will measure an output of strategy #6-D: Partner with health care providers to educate and support practice initiatives focused on preparation for transition to adulthood, including providing technical assistance to practices on using the 6 Core Elements of Transition 3.0 Toolkit for Providers, and developing youth- focused educational resources for provider practices. This measure will specifically measure the “success” of the technical assistance provided by DSCC to determine the proportion of provider practices that subsequently adopt six Core Elements of Transition.

Data Sources and Data Issues: DATA SOURCE: UIC Division of Specialized Care for Children

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.1 Percent of health transition training participants who reported a change in knowledge, practice, or policy (Nevada)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of transition training participants with a change in knowledge, practice, or policy

Numerator: Number of transition training participants who reported a change in knowledge, practice, or policy

Denominator: Number of transition training participants

Significance: The transition of youth to adulthood, including the movement from a child to an adult model of healthcare, has become a statewide priority issue based on the 2020 Needs Assessment. Poor health has the potential to impact negatively the youth and young adults’ academic and vocational outcomes. Over 90 percent 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. Health and health care are cited as two of the major barriers to making successful transitions.

Data Sources and Data Issues: Title V MCH Program. The results of the pre- and post-test surveys administered to Health Care Transition training participants.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.1 Number of providers in Virginia who have completed the transition training module. (Virginia)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Professional Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-level strategies in MCHbest.

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the number of children ages 10-24 engaged in transition services to adult health care

Numerator: Number of providers in Virginia who have completed the transition training module

Denominator: n/a

Significance: This ESM was identified through the Title V needs assessment, Virginia's Well-being Plan, and Healthy People 2020 (DH-5).

Data Sources and Data Issues: Virginia Department of Health, Office of Family Health Services, Division of Child and Family Health

Year: 2020

Unit Type: Simple Count, Unit Number: 100,000

ESM 12.1 Number of families who received support or services from the Family to Family Resource Center (Idaho)

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=family+support&NPM=12&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/12-transition.php).

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

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 September 2025, increase the number of families who receive support or services focused on improving transition to adulthood for CSHCN.

Numerator: Number of families who received support or services from the Family-to-Family Resource Center

Denominator: N/A

Significance: Families of CSHCN face complex challenges, many of which only another family with similar challenges may understand. Family-to-Family Information Centers, Health Resources and Services Administration (HRSA) funded facilities, are a vital resource for families, and provide assistance with finding appropriate care, referrals to providers, and a range of other services (Family Voices, 2020). IPUL is a statewide organization committed to educating, empowering, supporting and advocating for individuals with disabilities and their families (IPUL, n.d.d). IPUL houses Idaho’s Family-to-Family Health Information Center and helps to facilitate informed choices for families concerning health care while providing training, information, and resources to approximately 5,000 families and professionals each year (IPUL, n.d.b). IPUL offers services at no cost to families (IPUL, n.d.b). Family engagement plays a crucial role in successfully delivering health care services. Family participation engages families in the planning development, and evaluation of programs and policies at the community, organizational and policy levels (Association of Maternal and Child Health Programs [AMCHP], 2010). Multiple studies indicate that both family and patient engagement enhance patient health outcomes (Agency for Healthcare Research and Quality, 2017; Carman, 2013; Gunther, 2013; Ingoldsby, 2010; O’Sullivan, 2014). Research shows a successful first step to increasing family engagement is to improve the methods of recruitment and retention of parents and families in both MCH and CSHCN programs (AMCHP, 2016b). According to AMCHP, the most successful programs are those that require involvement from parents and families, regularly teach and train their staff about the importance of family engagement, and provide guidance for family and staff on effective methods of enhancing family engagement (AMCHP, (2016a); AMCHP, 2016b; Family Voices, 2008).

Data Sources and Data Issues: Family-to-Family Resource Center (IPUL)

Year: 2020

Unit Type: Simple Count, Unit Number: 10

ESM 12.2 Percent of participants trained on youth health care transition concepts who report a change in knowledge, skills, or intended behavior following the training (Wisconsin)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Training/Educating Youth" (https://www.mchevidence.org/tools/strategies/12-3.php). Find other NPM 12 patient-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to families/children/youth

Goal: 600 participants will be trained, and 80% of those completing an evaluation following their training will report a change in knowledge, skills, or intended behavior.

Numerator: Number of participants trained on youth health care transition concepts who report a change in knowledge, skills, or intended behavior following the training

Denominator: Number of participants trained on youth health care transition concepts, who complete an evaluation following their training

Significance: Trainings will increase the knowledge and skills about transition among families, health care providers, and other community health professionals, and evaluations following the training will assure the effectiveness of the trainings.

Data Sources and Data Issues: REDCap. No data concerns anticipated.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.2 Percent of key stakeholders and referral sources who participated in the Title V CSHCN Health Care Transition training with increased knowledge of Health Care Transition and Health Care Transition services provided by Title V CSHCN (Arkansas)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Professional Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To allow for an easy transition from secondary to higher education/workforce for our CSHCN and make sure that they do not fall through the cracks of our healthcare systems.

Numerator: Number of key stakeholders and referral sources who participated in the Title V CSHCN Health Care Transition (HCT) training whose post-test results demonstrate an increase in knowledge of HCT and Title V CSHCN services

Denominator: Number of key stakeholders and referral sources (school personnel, providers, youth, families) who participated in the Title V CSHCN Health Care Transition (HCT) training

Significance: Related to Healthy People 2020 Disability and Health (DH) Objective 5: Increase the proportion of youth with special health care needs whose health care provider has discussed transition planning from pediatric to adult health care. The transition of youth to adulthood has become a priority issue nationwide as evidenced by the clinical report and algorithm developed jointly by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians to improve healthcare transitions for all youth and families. Over 90 percent 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. Health and health care are cited as two of the major barriers to making successful transitions.

Data Sources and Data Issues: Sign in sheets from Title V CSHCN Health Care Transition training and results of pre- and post-tests

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.2 Number of adult and pediatric providers who have received training in transition services and caring for CYSHCN. (Indiana)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-level strategies in MCHbest.

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: 8. Build and support a workforce

Service Recipient: Activities directed to families/children/youth

Goal: To increase the percent of adolescents with and without special health care needs who have received the services necessary to make transitions to all aspects of adult life, including adult health care, work, and independence.

Numerator: Unduplicated cumulative number of providers trained

Denominator: Absolute number of providers trained

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 percent 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. Health and health care are cited as two of the major barriers to making successful transitions.

Data Sources and Data Issues: Center for Youth and Adults with Conditions of Childhood (CYACC)

Year: 2020

Unit Type: Simple Count, Unit Number: 1,000

ESM 12.2 Increase in transition provider education (Texas)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Professional Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 professional/provider-level strategies in MCHbest.

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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase the number of providers educated on health care transition best practices.

Numerator: Unduplicated number of users who completed the Texas Health Steps Transition Online Provider Education (OPE) module each fiscal year

Denominator: NA

Significance: The AAP outlined guidelines to promote successful transition from pediatric to adult health care in a 2011 Clinical Report. The Got Transition Six Core Elements operationalized the components of health care transition support by establishing evidence-based tools for use by primary care and specialty care providers. According to the NSCH 2017/18, 13.0% of Texas children received the services necessary to make the transition to adult health care, compared to 18.9% nationally. In the 2019 CYSHCN Outreach Survey, a quarter of respondents (25.1%) felt prepared for their child to transition to adult health care. Further, 45.8% of respondents indicated that they had not prepared for transition to adult medical care. Most respondents who indicated that they had prepared for their child’s transition had done so by themselves. Respondents in Five Year Needs Assessment stakeholder meetings noted that few doctors have the passion or willingness to take on the primary care role and coordinate the many specialists usually seen by young adults whose medical needs are complex. Many adult providers cite lack of training as a barrier to providing care to young adults with special health care needs. In order to increase provider knowledge, MCHS promotes THSteps OPE modules to targeted audiences through web-based communications, conference exhibiting, trainings, webinars, meetings and presentations. After completing the activities of this module providers will be able to: 1. Formulate a strategy to address the health, education, and social needs of children and youth with special health-care needs at key transition points. 2. Differentiate and integrate the functions of health-care professionals involved in transition assistance for youth with special health-care needs. 3. Apply legal requirements and best practices for aiding the transition of children and youth with special health-care needs.

Data Sources and Data Issues: Data Source: Texas Health Steps OPE module database State fiscal year data will be collected for the Texas Health Steps (THSteps) OPE module “Transition Services for Children and Youth with Special Health-Care Needs”. The goal of this module is to equip Texas Health Steps providers and others to employ transition services for children, adolescents, and young adults with chronic health conditions or disabilities at key transition points. Raw data are available annually and can be sorted by type of provider and date of module completion. Sorting module users by month will allow MCHS to detect increases in module use following targeted provider outreach efforts like conference exhibiting or presentations. Data Issues: Content updates are regularly scheduled for all THSteps OPE modules. The transition module updates might impact trend analysis.

Year: 2020

Unit Type: Simple Count, Unit Number: 7,000

ESM 12.3 Percent of providers trained in transition who created a transition policy for the adolescents and youth in their practice. (Utah)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy 12.1 "Provider Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: Increase the percent of providers trained in transition who created a transition policy for the adolescents and youth in their practice.

Numerator: Survey of providers trained who indicate they have an active transition policy in place.

Denominator: All providers trained in transition.

Significance: Jones, M. R., Robbins, B. W., Augustine, M., Doyle, J., Mack-Fogg, J., Jones, H., & White, P. H. (2017). Transfer from pediatric to adult endocrinology. Endocrine Practice, 23(7), 822–830. https://doi.org/10.4158/EP171753.OR. Lemke, M., Kappel, R., McCarter, R., D’Angelo, L., & Tuchman, L. K. (2018). Perceptions of health care transition care coordination in patients with chronic illness. Pediatrics, 141(5). https://doi.org/10.1542/peds.2017-3168.

Data Sources and Data Issues: Stakeholder work group survey for transition trained providers.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.3 Number of youth with special health care needs receiving transition training (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Training/Educating Youth" (https://www.mchevidence.org/tools/strategies/12-3.php). Find other NPM 12 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Number of YSHCN participating in transition training

Numerator: Number of YSHCN participating in transition training

Denominator: n/a

Significance: The utilization of transition resources helps YSHCN have successful transition to adulthood.

Data Sources and Data Issues: CYSHCN MCH/Title V Program data

Year: 2020

Unit Type: Simple Count, Unit Number: 175

ESM 12.4 Percent of public school personnel who participated in the Title V CSHCN Health Care Transition training with increased knowledge of Health Care Transition and Health Care Transition services provided by Title V CSHCN (Arkansas)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Professional Training/Workforce Development" (https://www.mchevidence.org/tools/strategies/12-1.php). Find other NPM 12 provider-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: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To allow for an easy transition from secondary to higher education/workforce and make sure that they do not fall through the cracks of our healthcare systems

Numerator: Number of school personnel who participated in the Title V CSHCN Health Care Transition (HCT) training whose post-test results demonstrate an increase in knowledge of HCT and Title V CSHCN services

Denominator: Number of key stakeholders and referral sources (school personnel, providers, youth, families) who participated in the Title V CSHCN Health Care Transition (HCT) training

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 American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians to improve healthcare transitions for all youth and families.

Data Sources and Data Issues: Sign in sheets from Title V CSHCN Health Care Transition training and results of pre- and post-tests

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 12.5 Number of youth with special health care needs trained as mentors (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Peer Support and Mentoring" (https://www.mchevidence.org/tools/strategies/12-2.php). Find other NPM 12 adolescent-level strategies in MCHbest.

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 directed to families/children/youth

Goal: To increase the number of youth with special health care needs that receive mentor other youth with special health care needs to serve as leaders on the Youth Advisory Council.

Numerator: Number of youth with special health care needs trained as mentors

Denominator: n/a

Significance: The program is to encourage active participation and involvement of the youth and families in policy development.

Data Sources and Data Issues: CYSHCN MCH/Title V Program data

Year: 2020

Unit Type: Simple Count, Unit Number: 65

ESM 12.6 Number of parents and youth with special health care needs who receive leadership and self-advocacy training (Tennessee)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Training/Educating Youth" (https://www.mchevidence.org/tools/strategies/12-3.php). Find other NPM 12 patient-level strategies in MCHbest.

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: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of parents and youth with special health care needs that receive leadership and self-advocacy training.

Numerator: Number of parents and youth with special health care needs who receive leadership and self-advocacy training

Denominator: n/a

Significance: Youth and parents are provided leadership training and are able to provide mentoring and peer to peer support to other parents and youth with special health care needs. Trained parents and YSHCN are better equipped to become self-advocates and participate in the decision making process and policy development.

Data Sources and Data Issues: CYSHCN MCH/Title V Program data

Year: 2020

Unit Type: Simple Count, Unit Number: 150

   

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.