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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 14 (14 total).

12.1 Percent of SPOC initiated or re-evaluated by county public health departments contracting with OCCYSHN, that serve transition-aged youth 12 years and older. (Oregon)

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: We seek to ensure that county public health staff include transition-aged youth in their shared care planning efforts and address HCT when participating in shared care planning.

Numerator: Of the total number of SPOC that county public health staff initiated or re-evaluated, the number of SPOC initiated for youth 12 years of age and older.

Denominator: The total number of SPOC that county public health staff initiated or re-evaluated.

Significance: The CaCoon Public Health Nurse home visiting program serves children from birth to age 21, although county public health departments have the latitude to determine those children and families that are served by their CaCoon program. In 2014, only 5% of CaCoon clients were 12 years of age and older. We learned from our 2015 statewide needs assessment that health care transition is not well understood by providers. OCCYSHN hopes that by requiring the county public health workforce to engage in shared care planning for transition aged youth, including HCT planning, that the work will help to expand awareness and understanding of HCT practices by both providers and families. This effort also will contribute to increasing the number of transition-aged youth who receive HCT services.

Data Sources and Data Issues: After initiating a, or re-evaluating an existing, SPOC, county public health staff completes OCCYSHN’s online SPOC Information Form. The form tracks the number of SPOC initiated or re-evaluated, the number of SPOC initiated or re-evaluated for transition-aged youth, and number of SPOC for transition-aged youth that included transition goals. The form also asks county public health staff to describe how the children were identified, what general category of condition they have, the reasons for selecting the child or youth, and demographic information about the child/youth and family. County public health staff fills out one form per child or youth. OCCYSHN trained county public health staff in the use of the form and sends reminders to county staff to submit their forms following SPOC initiation. Lack of timely receipt affects the completeness of the data and, consequently, their analysis.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.1 Percent of school-based health centers with a protocol for transitioning from youth to adult health care (Illinois)

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 the number of SBHCs with protocols for transitioning from youth to adult health care

Numerator: # of SBHCs reporting that they have a protocol for transitioning from youth to adult health care

Denominator: # of SBHCs

Significance: This ESM will measure an output of strategy #6-F: Partner with School-Based Health Centers to educate and encourage pediatric providers to incorporate transition into routine adolescent well visits, and to use a standardized transition tool (e.g. Physician Resource Tools housed on ICAAP’s website, including the transition checklist [readiness assessment], the Portable Medical Summary, and the informational skill sheets, along with the Six Core Elements of Health Care Transition). 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). Through other strategies, Illinois is hoping to increase the number of adolescents receiving well-care visits in SBHCs. To simultaneously address the needs of adolescents who will soon transition to the adult healthcare system, Illinois will encourage and train SBHCs to use a transition readiness assessment in adolescent well visits. (Measure added July 2016, wording was revised in 2018 report)

Data Sources and Data Issues: Data collected and reported by IDPH SBHC program At this time, there is not a mechanism to measure the implementation of transition readiness assessments at the patient-level (e.g., % of adolescents receiving a well visit who were assessed for transition readiness), thus this ESM is focused on policy at the SBHC level.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.1 % of medical homes with trained staff on transition (Rhode Island)

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: Increase % of medical homes with trained staff on transition by 2020

Numerator: Number of medical homes with trained staff on transition

Denominator: Total Number of medical homes

Significance: The Medical Home approach to caring for children focuses on the patient, his/her family, and their community and aims to improve outcomes related to health, relationships, education, and abilities. The Medical Home Portal is a unique source of reliable information about children and youth with special health care needs (CYSHCN), offering a “one-stop shop” for their: •Families •Physicians and Medical Home teams •Other Professionals and Caregivers (medicalhomeportal.com)

Data Sources and Data Issues: Health Equity Institute; Office of Special Needs

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.1 Number of youth, families and professionals trained on health care transition (Georgia)

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 families/children/youth

Goal: Increase the number of youth, families and professionals trained on health care transition

Numerator: Number of youth, families, professionals trained on health care transition

Denominator: Not applicable

Significance: Health care transition is the process of changing from a pediatric to an adult model of health care. The goal of transition is to optimize health and assist youth in reaching their full potential. To achieve this goal requires an organized transition process to support youth in acquiring independent health care skills, preparing for an adult model of care, and transferring to new providers without disruption in care.

Data Sources and Data Issues: Data Source: Children's Medical Services Program Data

Year: 2018/2020

Unit Type: Count, Unit Number: 1,000

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

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: 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: 2018/2020

Unit Type: Count, Unit Number: 100,000

12.1 Number of individuals who have received education and /or training on healthcare transition. (North Dakota)

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 families/children/youth

Goal: To increase the number of individuals (health professionals, youth/young adults, and families) who receive education and/or training on healthcare transition.

Numerator: Number of individuals who have received education and / or training on healthcare transition. Note: The data is collected based on federal fiscal year (October through September).

Denominator: Not applicable

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, 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 healthcare are cited as two of the major barriers to making successful transitions.

Data Sources and Data Issues: Data Source: List of individuals who have attended care coordination education and / or training opportunities. Data Issues: None Note: The data is collected based on federal fiscal year (October through September).

Year: 2018/2020

Unit Type: Count, Unit Number: 1,000

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

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: 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: 2018/2020

Unit Type: Count, Unit Number: 1,000

12.2 Percent of the SPOC that are initiated or re-evaluated for youth that address transition planning. (Oregon)

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: We seek to ensure that county public health staff include transition-aged youth in their shared care planning efforts and address HCT when participating in shared care planning.

Numerator: Of the total number of SPOC that county public health staff initiated or re-evaluated for youth 12 years of age and older, the number of SPOC that address transition planning.

Denominator: The total number of SPOC that county public health staff initiated or re-evaluated for youth 12 years of age and older.

Significance: The CaCoon Public Health Nurse home visiting program serves children from birth to age 21, although county public health departments have the latitude to determine those children and families that are served by their CaCoon program. In 2014, only 5% of CaCoon clients were 12 years of age and older. We learned from our 2015 statewide needs assessment that health care transition is not well understood by providers. OCCYSHN hopes that by requiring the county public health workforce to engage in shared care planning for transition aged youth, including HCT planning, that the work will help to expand awareness and understanding of HCT practices by both providers and families. This effort also will contribute to increasing the number of transition-aged youth who receive HCT services.

Data Sources and Data Issues: After initiating a, or re-evaluating an existing, SPOC, county public health staff completes OCCYSHN’s online SPOC Information Form. The form tracks the number of SPOC initiated or re-evaluated, the number of SPOC initiated or re-evaluated for transition-aged youth, and number of SPOC for transition-aged youth that included transition goals. The form also asks county public health staff to describe how the children were identified, what general category of condition they have, the reasons for selecting the child or youth, and demographic information about the child/youth and family. County public health staff fills out one form per child or youth. OCCYSHN trained county public health staff in the use of the form and sends reminders to county staff to submit their forms following SPOC initiation. Lack of timely receipt affects the completeness of the data and, consequently, their analysis.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.2 Develop mechanism for tracking whether transition assessment was completed for adolescents receiving well-visits in school-based health centers. (Illinois)

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 ensure that adolescents are receiving transition assessments during well-visits in SBHCs and identify ways for tracking these assessments.

Numerator: n/a

Denominator: n/a

Significance: This ESM will measure an output of strategy #6-F: Partner with School-Based Health Centers to educate and encourage pediatric providers to incorporate transition into routine adolescent well visits, and to use a standardized transition tool (e.g. Physician Resource Tools housed on ICAAP’s website, including the transition checklist [readiness assessment], the Portable Medical Summary, and the informational skill sheets, along with the Six Core Elements of Health Care Transition). 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). Through other strategies, Illinois is hoping to increase the number of adolescents receiving well-care visits in SBHCs. To simultaneously address the needs of adolescents who will soon transition to the adult healthcare system, Illinois will encourage and train SBHCs to use a transition readiness assessment in adolescent well visits. It is anticipated that this will be a step towards increasing the percent of adolescents receiving transition services. (Measure added July 2017)

Data Sources and Data Issues: IDPH School Health Program

Year: 2018/2020

Unit Type: Text, Unit Number: Yes/No

12.4 The number of trainings to pediatric providers, families and youth that educate them on transition to adult health care. (New Mexico)

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: To increase the number of trainings provided

Numerator: The number of trainings presented

Denominator: N/A

Significance: Continuing education for providers is important, if not mandated by professional medical associations, if not by the employer. The reason is that it is important to stay current on best practices. Specific training provides practitioners with and in-depth understanding of the importance of health care transition. Providing trainings to families, patients and providers creates a greater likelihood that transition is handled correctly in order to maintain continuity of care and medical adherence.

Data Sources and Data Issues: Childrens Medical Services Program

Year: 2018/2020

Unit Type: Count, Unit Number: 100

12.4 Percent of school nurses, Local Education Agents (LEA), special education teachers, and paraprofessionals in kindergarten through high school who completed the Title V CSHCN training for school personnel (Arkansas)

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 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 school nurses, Local Education Agents (LEA), special education teachers, and paraprofessionals in kindergarten through high school who completed the Title V CSHCN training for school personnel

Denominator: Number of school nurses, Local Education Agents (LEA), special education teachers, and paraprofessionals in kindergarten through high school

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.

Data Sources and Data Issues: Title V CSHCN Program Information

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.4 Percent of participants (family, youth, community professionals, health care providers) trained on youth health transition concepts who report an increase in knowledge or skills. (Wisconsin)

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 professionals

Goal: Increase knowledge or skills through training program

Numerator: Number who report increase

Denominator: Total Participants

Significance: This new ESM measures the number of participants of 3 transition focused trainings for providers and parents AND increase in knowledge/skills.

Data Sources and Data Issues: REDCap

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

12.4 Increase in transition provider education (Texas)

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: 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 NS-CSHCN 2009/10, 35.4% of Texas children received the services necessary to make the transition to adult health care, compared to 40.0% nationally. In the 2017 CYSHCN Outreach Survey, less than 20% of respondents (18.2%) felt prepared for their child to transition to adult health care. Further, over 40% of respondents indicated that they had not prepared for transition to adult health 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. Changes in provider knowledge of transition, in combination with support

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: 2018/2020

Unit Type: Count, Unit Number: 7,000

12.5 Percent of key stakeholders and referral sources who participated in the CHC Health Care Transition training with increased knowledge of Health Care Transition and Health Care Transition services provided by CHC (Arkansas)

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 related to systems-building

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 (school personnel, providers, youth, families) who participated in the CHC Health Care Transition (HCT) training whose post-test results demonstrate an increase in knowledge of HCT and CHC HCT services.

Denominator: Number of key stakeholders and referral sources (school personnel, providers, youth, families) who participated in the CHC 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.

Data Sources and Data Issues: Sign in sheets from CHC Health Care Transition training and results of pre- and post-tests.

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.