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pdfHealth Resources and Services Administration
Maternal and Child Health Bureau
Discretionary Grant Performance Measures
OMB No. 0915-0298
Expires: 03/30/2008
Attachment A
Part 1- Detail Sheets
OMB Clearance Package
Draft
List of Revised and New Discretionary Grant Performance Measures (PM) For 2009 Office of Management
and Budget (OMB) Approval
PM 3
The percentage of MCHB-funded projects submitting and publishing findings in peerreviewed journals
PM 7
The degree to which MCHB-funded programs ensure family, youth, and consumer
participation in program and policy activities.
PM 8
The percentage of graduates of MCHB long-term training programs that demonstrate
field leadership after graduation.
PM 9
The percentage of participants in MCHB long-term training programs who are from
underrepresented racial and ethnic groups.
PM 10
The degree to which MCHB-funded programs have incorporated cultural and linguistic
competence elements into their policies, guidelines, contracts, and training.
PM 14
The degree to which States and communities use “morbidity/mortality” review
processes in MCH needs assessment, quality improvement, and/or data capacity
building.
PM 16
The degree to which grantees have assisted in increasing the percentage of pregnant
women and percentage of children whose families have continuous and adequate
private and/or public insurance, or other financing to pay for needed services.
PM 17
The percentage of all children age 0 to age 18 participating in MCHB-funded programs
who receive coordinated, ongoing, comprehensive care within a medical home.
PM 20
The percentage of women participating in MCHB-funded programs who have an
ongoing source of primary and preventive care services for women.
PM 21
The percentage of women participating in MCHB-funded programs who have a
completed referral, among those women who receive a referral.
PM 22
The degree to which MCHB-funded programs facilitate health providers’ screening of
women participants for risk factors.
PM 31
The degree to which grantees have assisted States and communities in planning and
implementing comprehensive, coordinated care for MCH populations.
PM 35
The degree to which States and communities have implemented comprehensive systems
for women’s health services.
PM 36
The percentage of pregnant participants in MCHB-funded programs receiving prenatal
care beginning in the first trimester.
PM 37
The degree to which grantees have worked to increase the percentage of youth who have
received services necessary to transition to all aspects of adult life, including adult
health care, work, and independence.
[New]
The degree to which MCHB-funded initiatives work to promote sustainability of their
Sustainability
programs or initiatives beyond the life of MCHB funding.
[New] Medical
The degree to which grantees have facilitated access to medical homes for MCH
Home Facilitating
populations.
Access
[New] Medical
The degree to which grantees have assisted in developing, supporting, and promoting
Home
medical homes for MCH populations.
(Infrastructure
Building Grantees)
[New] Technical
Assistance and
Training
[New] Information
Resources
The extent of training and technical assistance (TA) provided, and the degree to which
grantees have mechanisms in place to ensure quality in their training and TA
activities.
The degree to which grantees have mechanisms in place to ensure quality in the design,
development, and dissemination of new information resources that they produce each
year.
The degree to which MCHB-funded initiatives contribute to infrastructure development
through core public health assessment, policy development and assurance functions.
[New] MCH
Infrastructure
Development
[New] Completed
The percentage of completed referrals among women in MCHB-funded programs.
Referrals
[New] Smoking
The percentage of women participating in MCHB-funded programs who smoke in the
During Pregnancy last three months of pregnancy.
NEW FORM- Products and Publication Data Collection Form
NEW SECTION- MCHB Program Performance Measures Detail Sheets
01
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for MCH
(Create a shared vision and goals for MCH)
Level: Grantee
Category: Client Satisfaction
GOAL
The percent of MCHB supported programs that are
satisfied with the leadership of and services
received from MCHB.
To increase responsiveness of MCHB services,
including leadership, technical assistance, grants
processing and training, to the needs of MCHB
grantees, i.e., training, etc. to MCHB State and local
grantees
MEASURE
The percent of MCHB supported programs that are
satisfied with the leadership of and services
received from MCHB.
DEFINITION
Numerator:
Number of unduplicated MCHB supported projects
that report being satisfied with the responsiveness of
services provided to them by MCHB in a
determined time period as measured by customer
satisfaction surveys.
Denominator:
The total number of state and local grantees
receiving support from MCHB during the time
period.
Units: 100
Text: Percent
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Healthy People 2010 Objective Goal 23
Public Health Infrastructure.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
High quality, accessible, and culturally competent
services, provided in a timely fashion, can minimize
access barriers and enable people to obtain the
health care services they need, reducing morbidity
and mortality. The leadership and responsiveness of
MCHB to grantees’ needs facilitates this increased
access and quality.
Surveys of customer satisfaction conducted by
ACSI at regular intervals for each target
audience. There is a blanket OMB approval for
these surveys. Survey questions for each target
population will be developed in conjunction
with ACSI.
02
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for MCHB
(Create a shared vision and goals for MCH)
Level: National
Category: Client Satisfaction
GOAL
The percent of MCHB customers (clients) of
MCHB programs that are satisfied with services
received from MCHB supported programs.
To increase responsiveness of MCHB sponsored
programs in providing high quality, accessible, and
culturally competent services, in a timely fashion, to
their target populations.
MEASURE
The percent of MCHB customers (clients) of
MCHB programs that are satisfied with services
received from MCHB supported programs.
DEFINITION
Numerator:
Number of unduplicated clients of selected MCHBfunded programs who report being either satisfied
or very satisfied with the services received during a
given time period.
Denominator:
The total number of programs’ clients surveyed who
received services during the time period.
Units: 100
Text: Percent
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Healthy People 2010 Objective Goal 23
Public Health Infrastructure.
DATA SOURCE(S) AND ISSUES
Surveys of customer satisfaction conducted by
ACSI at regular intervals for each target audience.
There is a blanket OMB approval for these surveys.
Survey questions for each target population will be
developed in conjunction with ACSI.
SIGNIFICANCE
High quality, accessible, and culturally competent
services, provided in a timely fashion, can minimize
access barriers and enable people to obtain the
health care services they need, reducing morbidity
and mortality. The responsiveness of MCHB
funded projects to those needs improves access and
care.
Revised Detail Sheet
03 PERFORMANCE MEASURE
The percentage of MCHB-funded projects submitting and publishing
findings in peer-reviewed journals.
Goal 1: Provide National Leadership
for MCHB
(Strengthen the MCH knowledge base
and support scholarship within the
MCH community)
Level: Grantee
Category: Information Dissemination
GOAL
To increase the number of MCHB-funded research projects that publish in
peer-reviewed journals.
MEASURE
The percent of MCHB-funded projects submitting articles and publishing
findings in peer-reviewed journals.
DEFINITION
Numerator: Number of projects (current and completed within the past
three years) that have submitted articles for review by refereed journals.
Denominator: Total number of current projects and projects that have
been completed within the past three years.
And
Numerator: Number of projects (current and completed within the past 3
years) that have published articles in peer reviewed journals
Denominator: Total number of current projects and projects that have
been completed within the past three years.
Units: 100
Text: Percent
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Goal 1: Improve access to comprehensive, high-quality health
care services (Objectives 1.1- 1.16).
DATA SOURCE(S) AND ISSUES
Attached data collection form will be sent annually to grantees during their
funding period and three years after the funding period ends.
Some preliminary information may be gathered from mandated project
final reports.
SIGNIFICANCE
To be useful, the latest evidence-based, scientific knowledge must reach
professionals who are delivering services, developing programs and
making policy. Peer reviewed journals are considered one of the best
methods for distributing new knowledge because of their wide circulation
and rigorous standard of review.
Data Collection Form for Performance Measure #03
Please use the space provided for notes to detail the data source and year of data used.
Number of articles submitted for review by refereed journals but not yet
published in this reporting year
_____
Number of articles published in peer-reviewed journals this reporting year
_____
NOTES/COMMENTS:
04
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for MCHB
(Strengthen the MCH knowledge base and
support scholarship within the MCH
community)
Level: National
Category: Information Dissemination
GOAL
The number of publications, including peerreviewed manuscripts, authored or co-authored by
MCHB staff.
To enhance the scientific knowledge base covering
the major goals and programs of the Maternal and
Child Health Bureau, and disseminate the
information to the appropriate audiences.
MEASURE
The number of publications authored or co-authored
by MCHB staff.
DEFINITION
The number of monographs, journal articles, books,
book or publication chapters, MCHB reports,
guidelines, and doctoral dissertations authored by
MCHB staff.
Publications are defined as monographs, journal
articles, books or publication chapters, MCHB
reports, guidelines, and doctoral dissertations.
HEALTHY PEOPLE 2010 OBJECTIVE
No related Healthy People 2010 Objective.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
MCHB leadership role includes contributing to
MCH scientific knowledge and policy debate. Part
of MCHB’s mission is to address the most pressing
issues in the maternal and child health area, and
disseminate the latest information to policy makers,
state and local MCH professionals, and the general
public. This performance measure is important
because it demonstrates the magnitude of MCHB’s
investment.
MCHB surveys, data from MCHB programs,
and maternal and child health data sources.
DATA COLLECTION FORM FOR DETAIL SHEET #04
Publications, Including Peer-Reviewed Manuscripts, Authored Or Co-Authored By MCHB Staff
TITLE: ______________________________________________________________________
AUTHOR: ___________________________________________________________________
PUBLICATION:______________________________________________________________
If Journal:
Peer Reviewed
[ ] Yes
[ ] No
VOLUME:______ NUMBER:________ SUPPLEMENT:_______YEAR:______PAGE(S):______
If Book or chapter,
Publisher ______________________________ Location ______________________ Year ______
Other:
_____________________________________________________________________ Year ______
(i.e., Monograph, Report, Guidelines, doctoral dissertations)
05
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for
MCHB
(Forge strong collaborative, sustainable MCH
partnerships both within and beyond the
health sector)
Level: Grantee
Category: Sustainability
GOAL
The percent of MCHB supported projects that are sustained in
the community after the federal grant project period is
completed.
To increase the sustainability of MCHB funded projects after
their federal grant project period is completed.
MEASURE
The percent of MCHB funded projects that are sustained in
the community after the federal grant project period is
completed.
DEFINITION
Numerator:
Number of designated MCHB funded projects that are
sustained after the federal MCHB project period.
Denominator:
Total number of designated MCHB funded projects that have
completed the federal MCHB project period during the
reporting year.
Units: 100
Text: Percent
The relevant MCHB supported projects are defined as
projects that attempt to foster community partnerships and
build capacity and/or program resources that continue as
needed in that community after federal funds discontinue.
These projects include but are not limited to Healthy
Tomorrows, Healthy Child Care America Campaign, CISS,
Integrated Services projects, etc. A “sustained” project refers
to a project that demonstrates the continuation of key
elements of program/service components started under the
MCHB supported project.
HEALTHY PEOPLE 2010 OBJECTIVE
No related Healthy People 2010 Objective.
DATA SOURCE(S) AND ISSUES
•
•
SIGNIFICANCE
The final project report (submitted after the grant period
ends) for each MCHB supported project will provide the
necessary data.
One potential source of difficulty is the variable
submission rate of required final project reports by
grantees and the narrative nature of final project reports.
A major strategy of MCHB is to strengthen public health
infrastructure at the state and local level by providing small
“start up” grants which communities are encouraged to use to
leverage other community resources. These grants are meant
to foster community partnerships, and build capacity and
program services that continue in the community after the
federal grant period ends. Measuring sustainability gauges the
effectiveness of Bureau resources in generating longer-term
community investments through its initial funding.
DELETED Detail Sheet
06
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for MCHB
(Promote family participation in care)
Level: Grantee
Category: Family Participation
The degree to which grantees assist families of
children with special health needs to partner in
decision making and be satisfied with services they
receive.
GOAL
To increase the number of families with CSHCN
receiving needed health and related information/
training.
MEASURE
The degree to which grantees have assisted States in
facilitating families as partners in decision making
and increasing satisfaction.
DEFINITION
Numerator:
The total number of families in a State who have
been provided information, education and/or
training from Family-To-Family Health Information
Centers.
Denominator:
The estimated number of families having CSHCN
Units: Number
Text:
HEALTHY PEOPLE 2010
OBJECTIVE
Related to: 1) Objective 16-23: Increase the
proportion of States and jurisdictions that have
service systems for children with or at risk of
chronic and disabling conditions, as required by
public law 101-239.
DATA SOURCE(S) AND ISSUES
1)Progress reports from Family-To-Family Health
Care Information and Education Centers
SIGNIFICANCE
The last decade has emphasized the central role of
families as informed consumers of services and
participants in policy-making activities. Research
has indicated that families need information they
can understand and to get information from other
parents who have experiences similar to theirs and
who have navigated services systems. In accordance
with this philosophy, MCHB is facilitating such
activities through SPRANS funding. To better
ensure access to health information, including
information on systems, financing and participation
in decision making at the individual family and
policy levels.
DATA COLLECTION FORM FOR DETAIL SHEET #06
Using the scale below, please circle the one answer that best describes how frequently your
organization performs the following activities.
1
2
Never
Rarely
Providing
Information
3
Sometimes
4
Much of the time
Our organization provided health care information/education to
families to assist them in accessing information and services related to:
1.
partnering/decision making with providers
2.
accessing a medical home
3.
financing for needed services
4.
early and continuous screening
5.
navigating systems
6.
adolescent transition issues
5
All the time
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
Total number of families served/trained: ___________
Receiving/
Providing
Technical
Assistance
Collaboration
Satisfaction
Our organization received training/ technical assistance from:
1. National Family Voices Office
2. State/local Title V
1 2 3 4 5
1 2 3 4 5
Our organization provided training/ technical assistance to other
Family-To-Family Centers pertaining to:
1. HP 2010 information
2. Infrastructure/Chapter development
3. Family leadership development
4. Data collection and analysis
5. Outreach/cultural competence
6. Collaboration with partners
1
1
1
1
1
1
Our organization enhanced collaboration between families and:
1.
Informal culturally diverse community leaders/groups (e.g.
natural networks, informal leaders, spiritual leaders, ethnic media,
cultural brokers)
2.
Other individual families and family groups
3.
State/community partners (specify:____________________ )
in the area(s) of:
a. Program planning b.
Service delivery
c.
Evaluation/monitoring of services
d.
Block grant activities
e. Policy development
4.
Individual providers
1. Families were satisfied with our services
2. Families became more satisfied with their children’s services
% of families with increased satisfaction: ________________
Total score (possible 0-120 score) _________
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
1 2 3 4 5
1 2 3 4 5
Revised Detail Sheet
07
PERFORMANCE MEASURE
Goal 1: Provide National
Leadership for MCHB
(Promote family participation in
care)
Level: Grantee
Category: Family/Youth/Consumer
Participation
GOAL
The degree to which MCHB-funded programs ensure family,
youth, and consumer participation in program and policy
activities.
To increase family/youth/consumer participation in MCHB
programs.
MEASURE
The degree to which MCHB-funded programs ensure
family/youth/consumer participation in program and policy
activities.
DEFINITION
Attached is a checklist of eight elements that demonstrate
family participation, including an emphasis on familyprofessional partnerships and building leadership
opportunities for families and consumers in MCHB programs.
Please check the degree to which the elements have been
implemented.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Objective 16.23. Increase the proportion of
Territories and States that have service systems for Children
with Special Health Care Needs to 100 percent.
DATA SOURCE(S) AND ISSUES
Attached data collection form is to be completed by grantees.
SIGNIFICANCE
Over the last decade, policy makers and program
administrators have emphasized the central role of families
and other consumers as advisors and participants in policymaking activities. In accordance with this philosophy,
MCHB is facilitating such partnerships at the local, State and
national levels.
Family/professional partnerships have been: incorporated into
the MCHB Block Grant Application, the MCHB strategic
plan. Family/professional partnerships are a requirement in
the Omnibus Budget Reconciliation Act of 1989 (OBRA ’89)
and part of the legislative mandate that health programs
supported by Maternal and Child Health Bureau (MCHB)
Children with Special Health Care Needs (CSHCN) provide
and promote family centered, community-based, coordinated
care.
DATA COLLECTION FORM FOR DETAIL SHEET #07
Using a scale of 0-3, please rate the degree to which the grant program has included families, youth, and
consumers into their program and planning activities. Please use the space provided for notes to describe
activities related to each element and clarify reasons for score.
0
1
2
3
Element
1. Family members/youth/consumers participate in the planning,
implementation and evaluation of the program’s activities at
all levels, including strategic planning, program planning,
materials development, program activities, and performance
measure reporting.
2. Culturally diverse family members/youth/consumers facilitate
the program’s ability to meet the needs of the populations
served.
3. Family members/youth/consumers are offered training,
mentoring, and opportunities to lead advisory committees or
task forces.
4. Family members/youth/consumers who participate in the
program are compensated for their time and expenses.
5. Family members/youth/consumers participate on advisory
committees or task forces to guide program activities.
6. Feedback on policies and programs is obtained from
families/youth/consumers through focus groups, feedback
surveys, and other mechanisms as part of the project’s
continuous quality improvement efforts.
7. Family members/youth/consumers work with their
professional partners to provide training (pre-service, inservice and professional development) to MCH/CSHCN
staff and providers.
8. Family /youth/consumers provide their perspective to the
program as paid staff or consultants.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-24 score) _________
NOTES/COMMENTS:
Revised Detail Sheet
08
PERFORMANCE MEASURE
Goal 1: Provide National Leadership for
Maternal and Child Health
(Provide both graduate level and continuing
education training to assure
interdisciplinary MCH public health
leadership nationwide)
Level: Grantee
Category: Training
GOAL
The percentage of graduates of MCHB long-term training
programs that demonstrate field leadership after graduation.
To increase the percentage of graduates of long-term
training programs that demonstrate field leadership five
years after graduation.
MEASURE
The percentage of graduates of MCHB long-term training
programs that demonstrate field leadership after graduation.
DEFINITION
Attached is a checklist of four elements that demonstrate
field leadership. For each element, identify the number of
graduates of MCHB long-term training programs that
demonstrate field leadership five years after graduation.
Please keep the completed checklist attached.
“Field leadership” refers to but is not limited to providing
MCH leadership within the clinical, advocacy, academic,
research, public health, public policy or governmental
realms. Refer to attachment for complete definition.
Cohort is defined as those who graduate in a certain project
period. Data form for each cohort year will be collected five
years following graduation.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.7: (Developmental) Increase the
proportion of schools of medicine, schools of nursing, and
other health professional training schools whose basic
curriculum for health care providers includes the core
competencies in health promotion and disease prevention.
Related to Objective 23.8: (Developmental) Increase the
proportion of Federal, Tribal, State, and local agencies that
incorporate specific competencies in the essential public
health services into personnel systems.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by grantees.
SIGNIFICANCE
An MCHB trained workforce is a vital participant in
clinical, administrative, policy, public health and various
other arenas. MCHB long-term training programs assist in
developing a public health workforce that addresses MCH
concerns and fosters field leadership in the MCH arena.
DATA COLLECTION FORM FOR DETAIL SHEET #08
A. The total number of graduates, five years following completion of program
_________
B. The total number of graduates lost to followup
_________
C. The total number of respondents (A-B)
________
D. Number of respondents demonstrating MCH leadership
in at least one of the following areas below:
________
E. Percent of respondents demonstrating MCH leadership
in at least one of the following areas below:
________
Please use the notes field to detail data sources and year of data used.
(Individual respondents may have leadership activities in multiple areas below)
1. Number of trainees that have participated in academic leadership activities
• Disseminated information on MCH Issues (e.g., Peer-reviewed
publications, key presentations, training manuals, issue briefs, best
practices documents, standards of care)
• Conducted research or quality improvement on MCH issues
• Provided consultation or technical assistance in MCH areas
• Taught/mentored in my discipline or other MCH related field
• Served as a reviewer (e.g., for a journal, conference abstracts, grant, quality
assurance process)
• Procured grant and other funding in MCH areas
• Conducted strategic planning or program evaluation
_______
2. Number of trainees that have participated in clinical leadership activities
• Participated as a group leader, initiator, key contributor or in a position of
influence/authority on any of the following: committees of State, national,
or local organizations; task forces; community boards; advocacy groups;
research societies; professional societies; etc.
• Served in a clinical position of influence (e.g. director, senior therapist,
team leader, etc
• Taught/mentored in my discipline or other MCH related field
• Conducted research or quality improvement on MCH issues
• Disseminated information on MCH Issues (e.g., Peer-reviewed
publications, key presentations, training manuals, issue briefs, best
practices documents, standards of care)
• Served as a reviewer (e.g., for a journal, conference abstracts, grant, quality
assurance process)
_______
3. Number of trainees that have participated in public health practice leadership
activities
• Provided consultation, technical assistance, or training in MCH areas
• Procured grant and other funding in MCH areas
• Conducted strategic planning or program evaluation
• Conducted research or quality improvement on MCH issues
• Served as a reviewer (e.g., for a journal, conference abstracts, grant, quality
assurance process)
• Participated in public policy development activities (e.g., Participated in
community engagement or coalition building efforts, written policy or
guidelines, influenced MCH related legislation (provided testimony,
educated legislators, etc)
_______
4. Number of trainees that have participated in public policy & advocacy
leadership activities
• Participated in public policy development activities (e.g., participated in
community engagement or coalition building efforts, written policy or
guidelines, influenced MCH related legislation, provided testimony,
educated legislators)
• Participated on any of the following as a group leader, initiator, key
contributor, or in a position of influence/authority: committees of State,
national, or local organizations; task forces; community boards; advocacy
groups; research societies; professional societies; etc.
• Disseminated information on MCH public policy Issues (e.g., Peerreviewed publications, key presentations, training manuals, issue briefs,
best practices documents, standards of care)
______
NOTES/COMMENTS:
Revised Detail Sheet
09 PERFORMANCE
MEASURE
The percentage of participants in MCHB long-term training programs who are from
underrepresented racial and ethnic groups.
Goal 2: Eliminate Health
Barriers and Disparities
(Train an MCH Workforce
that is culturally competent
and reflects an increasingly
diverse population)
Level: Grantee
Category: Training
GOAL
To increase the percentage of trainees participating in MCHB long-term training
programs who are from underrepresented racial and ethnic groups.
MEASURE
The percentage of participants in MCHB long-term training programs who are from
underrepresented racial and ethnic groups.
DEFINITION
Numerator:
Total number of long-term trainees (≥ 300 contact hours) participating in MCHB
training programs reported to be from underrepresented racial and ethnic groups.
(Include MCHB-supported and non-supported trainees.)
Denominator:
Total number of long-term trainees (≥ 300 contact hours) participating in MCHB
training programs. (Include MCHB-supported and non-supported trainees.)
Units: 100
Text: Percentage
The definition of “underrepresented racial and ethnic groups” is based on the
categories from the U.S. Census.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Objective 1.8: In the health professions, allied and associated health
professions, and the nursing field, increase the proportion of all degrees awarded to
members of underrepresented racial and ethnic groups.
DATA SOURCE(S) AND
ISSUES
Data will be collected annually from grantees about their trainees.
MCHB does not maintain a master list of all trainees who are supported by MCHB
long-term training programs.
References supporting Workforce Diversity:
z In the Nation’s Compelling Interest: Ensuring Diversity in the Healthcare
Workforce (2004). Institute of Medicine.
z Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
(2002). Institute of Medicine.
SIGNIFICANCE
HRSA’s MCHB places special emphasis on improving service delivery to women,
children and youth from communities with limited access to comprehensive care.
Training a diverse group of professionals is necessary in order to provide a diverse
public health workforce to meet the needs of the changing demographics of the U.S.
and to ensure access to culturally competent and effective services. This performance
measure provides the necessary data to report on HRSA’s initiatives to reduce health
disparities.
Data Collection Form For Detail Sheet #09
Report on the percentage of long-term trainees (≥300 contact hours) who are from any
underrepresented racial/ethnic group (i.e., Hispanic or Latino, American Indian or
Alaskan Native, Asian, Black or African-American, Native Hawaiian or Pacific Islander,
two or more race (OMB). Please use the space provided for notes to detail the data source
and year of data used.
S Report on all long-term trainees (≥ 300 contact hours) including MCHB-funded and
non MCHB-funded trainees
S Report race and ethnicity separately
S Trainees who select multiple ethnicities should be counted once
S Grantee reported numerators and denominator will be used to calculate percentages
Total number of long-term trainees (≥ 300 contact hours) participating in the training program.
(Include MCHB-supported and non-supported trainees.)
Ethnic Categories
Number of long-term training participants who are Hispanic or Latino (Ethnicity)
Racial Categories
Number of long-term trainees who are American Indian or Alaskan Native
Number of long-term trainees who are of Asian descent
Number of long-term trainees who are Black or African-American
Number of long-term trainees who are Native Hawaiian or Pacific Islanders
Number of long-term trainees who are two or more races
Notes/Comments:
Revised Detail Sheet
10
PERFORMANCE MEASURE
Goal 2: Eliminate Health Barriers &
Disparities
(Develop and promote health services
and systems of care designed to
eliminate disparities and barriers
across MCH populations)
Level: Grantee
Category: Cultural Competence
GOAL
The degree to which MCHB-funded programs have incorporated
cultural and linguistic competence elements into their policies,
guidelines, contracts and training.
To increase the number of MCHB-funded programs that have
integrated cultural and linguistic competence into their policies,
guidelines, contracts and training.
MEASURE
The degree to which MCHB-funded programs have incorporated
cultural and linguistic competence elements into their policies,
guidelines, contracts and training.
DEFINITION
Attached is a checklist of 15 elements that demonstrate cultural
and linguistic competency. Please check the degree to which the
elements have been implemented. The answer scale for the entire
measure is 0-45. Please keep the completed checklist attached.
Cultural and linguistic competence is a set of congruent
behaviors, attitudes, and policies that come together in a system,
agency, or among professionals that enables effective work in
cross-cultural situations. ‘Culture’ refers to integrated patterns of
human behavior that include the language, thoughts,
communications, actions, customs, beliefs, values, and
institutions of racial, ethnic, religious, or social groups.
‘Competence’ implies having the capacity to function effectively
as an individual and an organization within the context of the
cultural beliefs, behaviors, and needs presented by consumers and
their communities. (Adapted from Cross, 1989; sited from DHHS
Office of Minority Health-http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlid=11)
Linguistic competence is the capacity of an organization and its
personnel to communicate effectively, and convey information in
a manner that is easily understood by diverse audiences including
persons of limited English proficiency, those who have low
literacy skills or are not literate, and individuals with disabilities.
Linguistic competency requires organizational and provider
capacity to respond effectively to the health literacy needs of
populations served. The organization must have policy,
structures, practices, procedures, and dedicated resources to
support this capacity. (Goode, T. and W. Jones, 2004. National
Center for Cultural Competence;
http://www.nccccurricula.info/linguisticcompetence.html)
Cultural and linguistic competency is a process that occurs along
a developmental continuum. A culturally and linguistically
competent program is characterized by elements including the
following: written strategies for advancing cultural competence;
cultural and linguistic competency policies and practices; cultural
and linguistic competence knowledge and skills building efforts;
research data on populations served according to racial, ethnic,
and linguistic groupings; participation of community and family
members of diverse cultures in all aspects of the program; faculty
and other instructors are racially and ethnically diverse; faculty
and staff participate in professional development activities related
to cultural and linguistic competence; and periodic assessment of
trainees’ progress in developing cultural and linguistic
competence.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to the following HP2010 Objectives:
16.23: Increase the proportion of States and jurisdictions that
have service systems for children with or at risk for chronic and
disabling conditions as required by Public Law 101-239.
23.9: (Developmental) Increase the proportion of schools for
public health workers that integrate into their curricula specific
content to develop competency in the essential public health
services.
23.11:(Developmental) Increase the proportion of State and local
public health agencies that meet national performance standards
for essential public health services.
23.15: (Developmental) Increase the proportion of Federal,
Tribal, State, and local jurisdictions that review and evaluate the
extent to which their statutes, ordinances, and bylaws assure the
delivery of essential public health services.
DATA SOURCE(S) AND ISSUES
Attached data collection form is to be completed by grantees.
There is no existing national data source to measure the extent to
which MCHB supported programs have incorporated cultural
competence elements into their policies, guidelines, contracts and
training.
SIGNIFICANCE
Over the last decade, researchers and policymakers have
emphasized the central influence of cultural values and
cultural/linguistic barriers: health seeking behavior, access to
care, and racial and ethnic disparities. In accordance with these
concerns, cultural competence objectives have been: (1)
incorporated into the MCHB strategic plan; and (2) in guidance
materials related to the Omnibus Budget Reconciliation Act of
1989 (OBRA ’89), which is the legislative mandate that health
programs supported by MCHB Children with Special Health Care
Needs (CSHCN) provide and promote family centered,
community-based, coordinated care.
DATA COLLECTION FORM FOR DETAIL SHEET #10
Using a scale of 0-3, please rate the degree to which your grant program has incorporated
the following cultural/linguistic competence elements into your policies, guidelines,
contracts and training.
Please use the space provided for notes to describe activities related to each element,
detail data sources and year of data used to develop score, clarify any reasons for score,
and or explain the applicability of elements to program.
0 1 2 3
Element
1. Strategies for advancing cultural and linguistic competency are integrated into
your program’s written plan(s) (e.g., grant application, recruiting plan,
placement procedures, monitoring and evaluation plan, human resources, formal
agreements, etc.).
2. There are structures, resources, and practices within your program to advance
and sustain cultural and linguistic competency.
3. Cultural and linguistic competence knowledge and skills building are included
in training aspects of your program.
4. Research or program information gathering includes the collection and analysis
of data on populations served according to racial, ethnic, and linguistic
groupings, where appropriate.
5. Community and family members from diverse cultural groups are partners in
planning your program.
6. Community and family members from diverse cultural groups are partners in
the delivery of your program.
7. Community and family members from diverse cultural groups are partners in
evaluation of your program.
8. Staff and faculty reflect cultural and linguistic diversity of the significant
populations served.
9. Staff and faculty participate in professional development activities to promote
their cultural and linguistic competence.
10. A process is in place to assess the progress of your program participants in
developing cultural and linguistic competence.
0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
Total the numbers in the boxes (possible 0-30 score) __________
NOTES/COMMENTS:
DELETED Detail Sheet
11 PERFORMANCE MEASURE
The degree to which MCHB long-term training grantees include
cultural competency in their curricula/training.
Goal 2: Eliminate Health Barriers &
Disparities
(Train and MCH Workforce that is
culturally competent and reflect an
increasingly diverse population)
Level: Grantee
Category: Cultural Competence
GOAL
To increase the number of MCHB long-term training programs
that include each element of cultural competency in their
curricula/training.
MEASURE
The degree to which MCHB long-term training grantees include
cultural competency in their curricula/training.
DEFINITION
Attached is a checklist of nine elements that demonstrate
cultural competency. Please check the degree to which the
elements have been implemented. The answer scale is 0-27.
Please keep the completed checklist attached.
Cultural competency training is defined as including the
following elements: written cultural competence plan; cultural
and linguistic competency policies; cultural and linguistic
competence knowledge and skills; research data on populations
served according to racial, ethnic, and linguistic groupings;
participation of community and family members of diverse
cultures; faculty/staff with expertise in cultural and linguistic
competence; faculty/staff trained in cultural and linguistic
competence issues; and periodic assessment and planning.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 23.9: (Developmental) Increase the
proportion of schools for public health workers that integrate
into their curricula specific content to develop competency in
the essential public health services.
DATA SOURCE(S) AND ISSUES
•
•
SIGNIFICANCE
Certain racial and ethnic groups and low-income communities
lag behind the overall U.S. population on virtually all health
status indicators. Access to health care that is culturally
appropriate is part of this a problem. A lack of understanding
by providers creates barriers to care for racial/ethnic groups. To
effective reduce cultural barriers, providers need cultural
competency training. This will help to provide an effective
public health workforce that meets the needs of the changing
demographics of the US.
Attached data collection form to be completed by grantee.
Data will be collected from competitive and continuation
applications as part of the grant application process and
annual reports. The elements of a quality cultural
competency program needs to be operationally defined and
a draft checklist is attached.
DATA COLLECTION FORM FOR DETAIL SHEET #11
Using a scale of 0-3, please rate the degree to which your training program has addressed the following
cultural competence elements.
0
1
2
3
Element
1. A written cultural competence plan for your training program
emphasizes your commitment to delivering a culturally
competent training experience to your trainees.
2. Cultural and linguistic competency policies are incorporated
into the overall administration of your training program
(recruitment plan and other policies and procedures).
3. Cultural and linguistic competence knowledge and skills
building are included in the didactic portion of your training
experience.
4. Cultural and linguistic competence knowledge and skills
building are included in the practicum/field/clinical
experience portion of your training experience.
5. Research conducted by trainees and faculty includes the
collection and analysis of data on populations served
according to racial, ethnic, and linguistic groupings, where
appropriate.
6. Community and family members of diverse cultures are
involved in partnerships and collaborations for the planning,
delivery, and evaluation of your training program.
7. Faculty/staff are culturally diverse and linguistically and
culturally competent.
8. Faculty and staff are regularly trained on cultural and
linguistic competency issues.
9. A process is in place for periodic assessment and planning
related to the cultural and linguistic competence of your
trainees.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-27 score) __________
12
PERFORMANCE MEASURE
Goal 2: Eliminate Health Barriers & Disparities
(Develop and promote health services and
systems of care designed to eliminate disparities
and barriers across MCH population)
Level: National
Category: Dental
GOAL
The percent of children under age 21 enrolled in
Medicaid for at least 6 months continuously during the
year who receive any preventive or treatment dental
service.
To increase the percent of children under age 21 that
receive preventive and treatment dental services under
State Medicaid programs.
MEASURE
The percent of children under age 21 enrolled in
Medicaid for at least 6 months continuously during the
year who receive any preventive or treatment dental
service.
DEFINITION
Numerator:
The number of children under age 21 enrolled in
Medicaid who receive any preventive or treatment
Medicaid dental health service.
Denominator:
The number of children under age 21 enrolled in
Medicaid during the reporting period.
Units: 100
Text: Percent
Children under Medicaid is defined as children
enrolled continuously during the year.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 21.12: Increase the proportion of
children and adolescents under age 19 years at or
below 200 percent of the Federal poverty level who
received any preventive dental service during the past
year.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
A 1996 Office of Inspector General (OIG) Report, a
2000 General Accounting Office (GAO) Report and a
very recent Surgeon General’s Report on Oral Health
all attested that access to dental services for our
Nation’s poor children has reached critical levels. Data
show that currently only one in five children are able to
access dental health services under Medicaid. HRSA
and CMS have entered into a collaborative initiative to
address this problem. This collaboration has initially
demonstrated that some increased access to oral health
CMS (formerly HCFA) Form 416. All states are
required by statue to annually submit to HCFA on
this form a summary of Medicaid health activities
within a state. The CMS Form 416 has recently
been revised to track annually the number of
children who receive any dental service, any
preventive dental service and any oral health
treatment service.
services in states can occur if the service delivery and
financing components of the health system mutually
address the access problem. Additionally, at the
national level MCHB, CMS and states are actively
addressing oral health access issues through the
MCH/Medicaid TAG.
13
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Build analytic capacity to assess and assure
quality of care)
Level: State
Category: Data and Evaluation
GOAL
The percent of States that have MCH staff who
perform specific epidemiological activities and
other MCH evaluations and analyses.
To increase the percent of State MCH staff
performing specific MCH evaluations and analyses.
MEASURE
The percent of States that have MCH staff who
perform specific epidemiological activities and
other MCH evaluations and analyses.
DEFINITION
Numerator:
Number of States that have MCH staff performing
specific MCH evaluations and analyses.
Denominator:
59 States
Units: 100
Text: Percent
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 23.14 (Developmental):
Increase the proportion of Tribal, State, and local
public health agencies that provide or assure
comprehensive epidemiology services to support
essential public health services.
DATA SOURCE(S) AND ISSUES
•
•
SIGNIFICANCE
To carry out essential public health services and to
enhance State data capacity, CDC/HRSA currently
place MCH epidemiologists in State MCH
programs. This MCH field component was
established to increase the number of State-trained
MCH epidemiologists while providing critically
needed services to State and local Health
Departments. Traditional capacity-building efforts
in States have focused on using epidemiologist to
conduct infectious disease surveillance and
investigation of disease outbreaks. State MCH
epidemiologists also perform other functions
including analyzing epidemiologic data bases,
evaluating surveillance systems, designing and
analyze State survey data and producing reports
with which State policies and programs can be
established. Increased capacity for MCH
epidemiologist, therefore, improves assessment of
population health status, surveillance of risk in
MCH populations and systematic reporting of MCH
health indicators.
MCHIP Annual Survey of State data contracts
MCH Block Grant Annual Report
Revised Detail Sheet
14 PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Build analytic capacity to assess and assure
quality of care)
Level: State and Local
Category: Data and Evaluation
GOAL
The degree to which States and communities
use “morbidity/mortality” review processes in
MCH needs assessment, quality improvement,
and/or data capacity building.
To increase the number of MCHB programs
that incorporate the findings and
recommendations from Mortality/Morbidity
Review processes in their planning and
program development (e.g., needs assessment,
quality improvement, and/or capacity building).
MEASURE
The degree to which States and communities
use “morbidity/mortality” review processes in
MCH needs assessment, quality improvement,
and/or data capacity building.
DEFINITION
Attached is a scale to measure 1) the presence of
the mortality/morbidity review, 2) coordination
with other mortality/morbidity reviews, 3)
utilization of the mortality/morbidity review
process in MCH planning.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.1: Reduce fetal and
infant deaths.
Related to Objective 16.4: Reduce maternal
deaths.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed
by MCHB Program Directors.
SIGNIFICANCE
Mortality/morbidity reviews are processes
aimed at guiding States and communities to
identify and solve problems contributing to
poor reproductive outcomes and maternal and
child health. The ultimate goal is to enhance
assessment capacity, policy development, and
quality improvement efforts. These processes
provide a means to systematically examine the
factors that play a role in mortality and
morbidity, integrating information about the
health of individuals with other information
about medical care, community resources, and
health and social services systems. This process
should lead to system improvements to
decrease preventable mortality/morbidity.
DATA COLLECTION FORM FOR DETAIL SHEET #14
Using a scale of 0-1, please rate the degree to which your program utilizes the
mortality/morbidity review processes in a coordinated and integrated way in the following
categories.
Please use the space provided for notes to describe activities related to each type of review,
clarify any reasons for score, and explain the applicability of elements to program.
Review Processes
In Place
Coordination
Used in State
or Local MCH
Planning
Fetal/Infant Mortality Review
Child Fatality Review
Maternal Mortality Review
In Place:
0 = Not in place
1 = In place
Coordination:
0 = No Coordination
1 = Coordination between at least 2 mortality/morbidity review
processes
Used in State or Local MCH Planning:
0 = Findings not used in State or Local MCH planning
1 = Findings used in State or Local MCH planning
NOTES/COMMENTS:
15
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: National
Category: CSHN/Health Insurance
The percent of children with special health care
needs age 0 to 18 whose families have adequate
private and/or public insurance to pay for needed
services.
GOAL
To increase the percent of children with special
health care needs, age 0 through 18, with adequate
insurance coverage for primary care, specialty care,
inpatient, and enabling services.
MEASURE
The percent of children with special health care
needs age 0 through 18 whose families perceive that
they have adequate insurance coverage.
DEFINITION
Numerator:
Number of children with special health care needs
age 0 through 18 whose families perceive that they
have adequate insurance coverage.
Denominator:
Number of children with special health care needs
age 0 through 18 during the reporting period.
Units: 100
Text: Percent
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Objective 16.23: Increase the proportion
of States and jurisdictions that have service systems
for children with or at risk for chronic and disabling
conditions as required by Public Law 101-239.
Related to Objective 1.1: Increase the proportion of
persons with health insurance to 100 percent.
DATA SOURCE(S) AND ISSUES
The National CSHCN Survey will provide state and
national data on the percent of parents of children
with special health care needs reporting:
• having current health insurance with no gaps in
coverage over past 12 months;
• no delays or failure to get needed care due to
costs;
• no access problems due to health plans; and
• satisfaction with health plan.
The National CSHCN Survey will provide a
national estimate in 2002 and periodically
thereafter.
SIGNIFICANCE
Children with special health care needs often
require an amount and type of care beyond that
required by typically developing children and are
more likely to incur catastrophic expenses. This
population of children and families often have
disproportionately low incomes and, therefore, are
at higher risk of being uninsured. Since children are
more likely to obtain health care if they are insured,
insurance coverage and the content of that coverage
is an important indicator of access to care. Because
children with special health care needs often require
more and different services than typically
developing children, under-insurance is a major
factor in determining adequacy of coverage.
Revised Detail Sheet
16 PERFORMANCE MEASURE
Goal 2: Eliminate Health Barriers &
Disparities
(Develop and promote health services and
systems of care designed to eliminate
disparities and barriers across MCH
populations)
And
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: Grantee
Category: Health Insurance/CSHN
The degree to which grantees have assisted in increasing the
percentage of pregnant women and percentage of children
whose families have continuous and adequate private and/or
public insurance, or other financing to pay for needed services.
GOAL
To increase the percentage of children and pregnant women
with adequate insurance coverage or other financing for primary
care, specialty care, inpatient, and enabling services.
MEASURE
The degree to which grantees have worked to increase the
percentage of pregnant women, children and youth who have
continuous and adequate health insurance and other financing to
pay for needed services.
DEFINITION
Attached is a checklist of six elements that demonstrate how a
grantee has worked to improve access to adequate health
insurance or other financing for health services for children and
pregnant women. Please check the degree to which each
element has been implemented.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.1, to increase the proportion of persons
with health insurance and Objective 16.23, to Increase the
proportion of States and jurisdictions that have service systems
for children with or at risk of chronic and disabling conditions
as required by Public Law 101-239.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by grantees.
The data collection form represents a menu of strategies by
which grantees may improve access to adequate health
insurance and financing for children, youth, and pregnant
women.
SIGNIFICANCE
There is strong evidence that children are more likely to obtain
health care and have a medical home if they are insured.
Uninsured children including those with discontinuous coverage
are more likely to report unmet needs for preventive and
specialty care. National surveys indicate that the majority of
children who are uninsured are eligible for public programs
such as Medicaid or the Children’s Health Insurance Program
(CHIP), but due to a number of reasons, are not enrolled. Like
their counterparts, it is critical for children and youth with
special health care needs to have continuous, adequate
insurance. While most CYSCHN have private or public
coverage, they are more likely to be underinsured and incur
catastrophic expenses. In many instances, other sources of
supplemental financing are needed to assure children have
access to services that are not adequately covered by insurance
Data Collection Form For Detail Sheet #16
Using the scale below, indicate the degree to which your grant program has worked
toward or accomplished improvements in adequate health insurance and/or financing of
care for children, youth, and pregnant women. This includes a focus on decreasing
uninsurance, increasing continuity of coverage, improving access to adequate health
insurance coverage, and/ or improving the financing of and reimbursement for primary
care, specialty care, inpatient and enabling services for children, youth, and pregnant
women.
Population Focus (please check all that apply):
All Children and youth Children and youth with Special Health Care Needs _____
Pregnant Women _____
Please use the space provided for notes to describe activities related to each element and
clarify reasons for score.
0
1
2
3
Element
1. Activities to decrease uninsurance. The grantee was engaged in local,
State, or national-level work to decrease the number of uninsured children
and youth, and/or pregnant women.
2. Activities to increase the number of children and youth whose
insurance coverage is adequate. The grantee was engaged in local, State,
or national-level work to decrease the number of children and youth,
and/or pregnant women whose insurance coverage is adequate to meet
their health care needs.
3. Activities to improve continuity of insurance for children and youth.
The grantee was engaged in local, State, or national-level work to prevent
gaps in health insurance coverage for children and youth, and thus promote
continuity of coverage for children.
4. Activities to improve financing or reimbursement of services. The
grantee was engaged in local, State, or national-level work to improve the
financing and reimbursement of health and related services needed by
children and youth, and/or pregnant women.
5. State or local implementation. The grantee was able to improve access to
adequate health insurance or financing for health care for children and
youth, and/or pregnant women at the individual, family, local, State, or
national level.
6. Collaboration. The grantee was directly engaged in or assisted the State in
developing partnerships and collaborating with key stakeholders, such as
State agencies (e.g., Medicaid agencies, State insurance commissioners),
health insurance companies/managed care organizations, provider
organizations (e.g., hospitals, physician groups); health purchasers (e.g.
employers, unions, and other employee-related organizations); families;
and consumer groups to improve adequate and continuous health insurance
coverage and/or financing of care for children and youth, and /or pregnant
women..
0
1
2
3
Element
7. Dissemination: The grantee participated in activities to disseminate the
project’s results, products, and materials related to improving access to
adequate health insurance coverage or financing and reimbursement of
needed services for children and youth, and/or pregnant women to local,
State, or national audiences.
8. Monitoring: The grantee monitored the rate of uninsurance and/or
underinsurance among children and youth and/or pregnant women, using
available local, state and national data.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0–24 score): _________
NOTES/COMMENTS:
Revised Detail Sheet
17
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: National
Category: Child Health/Medical Home
GOAL
The percentage of children age 0 to 18 participating
in MCHB-funded programs who receive
coordinated, ongoing, comprehensive care within a
medical home.
To increase the number of children in the State who
have a medical home.
MEASURE
The percentage of all children age 0 to 18
participating in MCHB-funded programs who
receive coordinated, ongoing, comprehensive care
within a medical home.
DEFINITION
Numerator:
The number of children participating in MCHB
funded projects age 0 to 18 who receive
coordinated, ongoing, comprehensive care within a
medical home during the reporting period.
Denominator:
The number of children participating in MCHB
funded projects age 0 to 18 during the reporting
period.
Units: 100
Text: Percentage
The MCHB uses the American Academy of
Pediatrics (AAP) definition of “medical home.”
The definition establishes that the medical care of
infants, children and adolescents should be
accessible, continuous, comprehensive, family
centered, coordinated and compassionate. It should
be delivered or directed by well-trained physicians
who are able to manage or facilitate essentially all
aspects of pediatric care. The physician should be
known to the child and family and should be able to
develop a relationship of mutual responsibility and
trust with them. These characteristics define the
“medical home” and describe the care that has
traditionally been provided in an office setting by
pediatricians. (AAP, Volume 90, No. 5, 11/92).
Please use the space provided for notes to detail the
data source and year of data used.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.22 (Developmental):
Increase the proportion of CSCHN who have access
to a medical home.
DATA SOURCE(S) AND ISSUES
Provider and MCHB program patient records.
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. Data
collected for this measure would help to ensure that
children have access to a medical home and help to
document the performance of several programs
including EPSDT, Immunization, and IDEA in
reaching that goal.
18
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: National
Category: CSHN/Medical Home
GOAL
The percent of children with special health care
needs age 0 through 18 who receive coordinated,
ongoing, comprehensive care within a medical
home.
To increase the number of children with special
health care needs who have a medical home.
MEASURE
The percent of children with special health care
needs age 0 through 18 who have a medical home.
DEFINITION
Numerator:
The percent of children with special health care
needs age 0 through 18 who have a medical home
during the reporting period.
Denominator:
The number of children with special health care
needs in the State age 0 through 18 during the
reporting period.
Units: 100
Text: Percent
The MCHB uses the AAP definition of “medical
home.” The definition establishes that the medical
care of infants, children and adolescents should be
accessible, continuous, comprehensive, family
centered, coordinated and compassionate. It should
be delivered or directed by well-trained physicians
who are able to manage or facilitate essentially all
aspects of pediatric care. The physician should be
known to the child and family and should be able to
develop a relationship of mutual responsibility and
trust with them. (AAP, Volume 90, No. 5, 11/92).
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.22: (Developmental):
Increase the proportion of children with special
health care needs who have access to a medical
home.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
Providing primary care to children in a “medical
home” is the standard of practice. Research
The National CSHCN Survey will provide state
and national level data on the extent to which
families perceive that their child with a special
health care need has access to a medical home.
Indicators include having a regular doctor for
routine and sick care; access to care that is
coordinated with specialty care and community
services; ease in obtaining referrals; and receipt
of respectful and culturally competent care.
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. The
MCHB uses the AAP definition of “medical home.”
The definition establishes that the medical care of
infants, children and adolescents should be
accessible, continuous, comprehensive, family
centered, coordinated and compassionate. It should
be delivered or directed by well-trained physicians
who are able to manage or facilitate essentially all
aspects of pediatric care. The physician should be
known to the child and family and should be able to
develop a relationship of mutual responsibility and
trust with them. (AAP, 1992)
DELETED Detail Sheet
19
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: Grantee
Category: CSHN/Medical Home
GOAL
The degree to which grantees have assisted States in
increasing the percent of children with special health
care needs age 0 to 18 who receive coordinated,
ongoing, comprehensive care within a medical home.
To increase the number of children with special health
care needs in the State and nationally who have a
medical home.
MEASURE
The degree to which grantees have assisted States in
achieving access to a medical home for all children
with special health care needs in the State and
nationally.
DEFINITION
Attached is a checklist of 5 elements that demonstrate
how a grantee has assisted their State in achieving
access to a medical home for children with special
health care needs. Please check the degree to which the
elements have been implemented.
The MCHB uses the AAP definition of “medical
home.” The definition establishes that the medical care
of infants, children and adolescents should be
accessible, continuous, comprehensive, family
centered, coordinated and compassionate. It should be
delivered or directed by well-trained physicians who
are able to manage or facilitate essentially all aspects of
pediatric care. The physician should be known to the
child and family and should be able to develop a
relationship of mutual responsibility and trust with
them. (AAP, Volume 90, No. 5, 11/92).
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.22: (Developmental): Increase
the proportion of children with special health care
needs who have access to a medical home.
DATA SOURCE(S) AND ISSUES
•
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.
Attached data collection form to be completed by
grantees.
The data collection form represents a menu of
strategies by which grantees may assist States in
achieving access to a medical home for children with
special health care needs.
DATA COLLECTION FORM FOR DETAIL SHEET #19
Using the scale below, indicate the degree to which your grant has assisted the State to develop and
implement medical home provision.
N/A
1
2
3
Element
1. Establishment of Medical Home Practice Sites –
Through implementation of grantee activities, the
number of medical home practice sites in the State has
been increased.
2. Primary Care Providers Receive Training in the
Medical Home Concept – The grantee has assisted
the State to provide training in the medical home
concept to primary care providers throughout the
State.
3. Development of Medical Home Information
Tools – The grantee has assisted the State to develop
communications tools, including kits, brochures and
internet websites accessible to other States and
promoted the medical home concept.
4. Mentoring of Other States – The grantee has
assisted the State to provide mentorship activities to
other States in support of fostering the medical home
concept nationally.
5. Development of Medical Home CQI Tools – The
grantee has assisted the State to develop evaluation
tools to continuously monitor the progress of care
coordination in medical homes in the State, which may
be used on a national basis.
N/A=This item is not a planned component of the grant
1=This item is a planned component of the grant: Scheduled activities have not begun
2=This item is a planned component of the grant: Scheduled activities have just begun
3=This item is a planned component of the grant: Scheduled activities are underway and timely
Total the numbers in the boxes (possible 0-15 score)__________
Revised Detail Sheet
20
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems designed to improve quality of care)
Level: Grantee
Category: Women’s Health
GOAL
The percentage of women participating in MCHBfunded programs who have an ongoing source of
primary and preventive care services for women.
To increase the percentage of women participating
in MCHB-funded projects who have an ongoing
source of primary and preventive care services for
women.
MEASURE
The percentage of women participating in MCHBfunded programs who have an ongoing source of
primary and preventive care services for women.
DEFINITION
Numerator:
The number of women participating in MCHBfunded projects who have an ongoing source of
primary and preventive care services during the
reporting period.
Denominator:
The number of women participating in MCHBfunded projects during the reporting period.
Units: 100
Text: Percentage
“Ongoing source of care” is defined as the
provider(s) who deliver ongoing primary and
preventive health care. Women commonly use
more than one provider for routine care (e.g.,
internist/FP and obstetrician-gynecologist). Ongoing
source of care providers for women should offer
services that ideally are accessible, continuous,
comprehensive, coordinated and appropriately
linked to specialty services, linguistically and
culturally relevant and focused on the full context of
women’s lives.
Please use the space provided for notes to detail the
data source and year of data used.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.4: Increase the proportion of
persons who have a specific source of ongoing care.
DATA SOURCE(S) AND ISSUES
Provider and MCHB program patient records.
In the grant application, designated MCHB-funded
projects will need to indicate how they will identify
and document that program participants have an
ongoing relationship with a provider(s) of primary
and preventive services.
SIGNIFICANCE
Women across the life span often receive
fragmented health care from non-coordinated
sources or enter care only for ob/gyn services or to
secure services for family dependents. Women
need a comprehensive array of integrated services
from an ongoing provider of primary and preventive
health care services. Research indicates that women
with a stable and continuous source of health care
are more likely to receive appropriate preventive
care and are less likely to have unmet needs for
basic health care.
Revised Detail Sheet
21
PERFORMANCE MEASURE
The percentage of women participating in MCHBfunded programs who have a completed referral,
among those women who receive a referral.
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems that assure appropriate follow-up
services)
Level: Grantee
Category: Women’s Health
GOAL
MEASURE
DEFINITION
Increase the percentage of completed referrals for
women participating in MCHB-funded programs in
need of services.
The percentage of women participating in MCHBfunded programs who have a completed referral
among those that receive a referral.
Numerator:
Unduplicated number of MCHB-funded program
participants who have at least one completed health
or supportive service referral
Denominator:
Unduplicated number of MCHB-funded program
participants who receive at least one referral for
health and other supportive services
Units: 100
Text: Percentage
A “completed service referral” is defined as a client
(who received a referral) attending one or more
sessions with the provider to whom she was
referred. The provider may be within or outside of
the MCHB program/agency. The purpose of these
referrals can be either treatment-related (e.g., AIDS
or substance abuse treatment, domestic violence
counseling), preventive (e.g., family planning,
WIC, depression screening/ referral, early
intervention services), or supportive services (e.g.,
housing, job training, transportation).
Please use the space provided for notes to detail the
data source and year of data used.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.5 : Reduce maternal illness
and complications due to pregnancy
Related to Objective 16.17: Increase abstinence
from alcohol, cigarettes, and illicit drugs among
pregnant women.
Related to Objective 21.3: Increase to at least 95%
the proportion of pregnant women and infants who
receive risk-appropriate care.
DATA SOURCE(S) AND ISSUES
Provider and MCHB program patient records.
Projects will need to have a process to verify a
completed referral.
SIGNIFICANCE
In order to be effective, health services must ensure
that a client’s risks are identified, and clients receive
services that address their identified needs and are
referred appropriately. There is no impact if the
referral is not completed/services not obtained.
Revised Detail Sheet
22 PERFORMANCE MEASURE
The degree to which MCHB-funded programs facilitate health
providers’ screening of women participants for risk factors.
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems that assure appropriate follow-up
services)
Level: Grantee
Category: Women’s Health
GOAL
MEASURE
DEFINITION
To improve health providers’ appropriate screening for risk
factors of women participants in MCHB-funded programs.
The degree to which MCHB-funded programs facilitate health
providers’ screening of women participants for risk factors.
Attached is a checklist of four activities that demonstrate the
degree to which grantees have facilitated the screening of women
participants for risk factors. Please indicate the degree to which
the activities have been implemented. Please keep the completed
checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to various objectives related to women’s health, including
several objectives under the following: Goal 9: Improve
pregnancy planning and spacing and prevent unintended
pregnancy; Goal 12: Improve cardiovascular health and quality of
life through the prevention, detection, and treatment of risk
factors; early identification and treatment of heart attacks and
strokes; and prevention of recurrent cardiovascular events; Goal
13: Goal 14: Prevent HIV infection and its related illness and
death; Prevent disease, disability, and death from infectious
diseases, including vaccine-preventable diseases; Goal 15:
Reduce injuries, disabilities, and deaths due to unintentional
injuries and violence; Goal 16: Improve the health and well-being
of women, infants, children, and families; Goal 18: Improve
mental health and ensure access to appropriate, quality mental
health services; Goal 21: Prevent and control oral and craniofacial
diseases, conditions, and injuries and improve access to related
services; Goal 25: Promote responsible sexual behaviors,
strengthen community capacity, and increase access to quality
services to prevent sexually transmitted diseases (STDs) and their
complications; Goal 26: Reduce substance abuse to protect the
health, safety, and quality of life for all, especially children. Goal
27: Reduce illness, disability, and death related to tobacco use
and exposure to secondhand smoke.
DATA SOURCE(S) AND ISSUES
Provider and program patient records
SIGNIFICANCE
Screening of women for behavioral risk factors has proven to be
beneficial in improving maternal outcomes, which highlights the
importance of women being screened appropriately for risk
factors. For example: intimate partner violence during pregnancy
has been reported to be as high as 20.1 percent among pregnant
women; adverse effects such as spontaneous abortion, LBW, and
preterm delivery have been associated with prenatal use of licit
and illicit drugs (including alcohol, tobacco, cocaine, and
marijuana); screening in the area of mental health can promote
early detection and intervention for mental health problems; and
while there is insufficient evidence to support a recommendation
concerning routine screening of pregnant females for STDs, the
benefits of early intervention in HIV and, detection and treatment
of asymptomatic Chlamydia have been demonstrated.
DATA COLLECTION FORM FOR DETAIL SHEET #22
Using a scale of 0-2, indicate the degree to which your grant has performed each activity
to facilitate screening for each risk factor by health providers in your program.
Please use the space provided for notes to describe activities related to each risk factor,
any risk factors included in “other,” and supply performance objectives.
Risk Factor
Conduct activities that
effectively motivate providers
to systematically screen for risk
factors, e.g., simple chart tools
that identify when provider
should screen, a sign off for the
provider upon screening
completion
Develop and/or enhance a
system of care that
ensures linkages between
health care providers and
appropriate intervention
programs
Provide training to
providers on effective
and emerging
screening tools.
Smoking
Alcohol
Illicit Drugs
Eating Disorders
Depression
Hypertension
Diabetes
Domestic
Violence
Other
0 = Grantee does not provide this function or assure that this function is completed.
1 = Grantee sometimes provides or assures the provision of this function but not on a
consistent basis.
2 = Grantee regularly provides or assures the provision of this function.
NOTES/COMMENTS:
DELETED Detail Sheet
23
PERFORMANCE MEASURE
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems that assure appropriate follow-up
services)
Level: Grantee
Category: CSHN/Screening
GOAL
The degree to which grantees have assisted States in
increasing the percentage of children who are
screened early and continuously for special health
care needs and linked to medical homes, appropriate
follow-up, and early intervention.
To assure early and continuous screening and early
intervention for all children for special health care
needs.
MEASURE
The degree to which grantees have assisted States in
enhancing the early and continuous screening,
followed by early intervention for all children with
special health care needs.
DEFINITION
Attached is a checklist of 8 elements that
demonstrate progress toward implementing a
coordinated and comprehensive State system to
assure early and continuous screening and early
intervention for all children for special health care
needs. Please respond ‘Yes’ or “No’ when
completing the checklist. Take into account the
element descriptions and questions posed when
formulating your response.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objectives 16.20: (Developmental)
Ensure appropriate newborn bloodspot screening,
follow-up testing, and referral to services.
Related to Objectives 16.21: (Developmental)
Reduce hospitalization for life-threatening sepsis
among children aged 4 years and under with
sickling hemoglobinopathies.
Related to Objectives 28.1-4 : (Developmental)
Increase the proportion of persons who have a
dilated eye examination at appropriate intervals;
(Developmental) Increase the proportion of
preschool children aged 5 years and under who
receive vision screening; (Developmental) Reduce
uncorrected visual impairment due to refractive
errors; Reduce blindness and visual impairment in
children and adolescents aged 17 years and under.
Related to Objectives 28.11-14: (Developmental)
Increase the proportion of newborns who are
screened for hearing loss by age 1 month, have
audiologic evaluation by age 3 months, and are
enrolled in appropriate intervention services by age
6 months; Reduce otitis media in children and
adolescents; (Developmental) Increase access by
persons who have hearing impairments to hearing
rehabilitation services and adaptive devices,
including hearing aids, cochlear implants, or tactile
or other assistive or augmentative devices;
(Developmental) Increase the proportion of persons
who have had a hearing examination on schedule.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
Screening programs for newborns and children have
been shown to be cost-effective and successful and
have been shown to prevent mortality and
morbidity. Their success reflects the systems
approach from early screening to appropriate early
intervention and treatment.
Attached data collection form to be completed
by grantees.
DATA COLLECTION FORM FOR DETAIL SHEET #23
Using a scale of Yes or No, indicate the whether or not your grant program has assisted States in enhancing
early and continuous screening, followed by early intervention for all children with special health care
needs.
Y
N
Element
1) The grantee has assisted the State to expand or enhance its programs for early and
continuous screening and intervention and treatment to identify and treat all children with
SHCN.
a) All live born infants screened for inherited or other congenital disorders
b) Conditions screened
i) Hearing loss
ii) PKU
iii) Hemoglobinopathies
iv) Hypothyroidism
v) Congenital Adrenal Hyperplasia
vi) MSUD
vii) MCAD
viii) Biotinidase
ix) Cystic Fibrosis
x) Galactosemia
2) The grantee has assisted the State to establish, maintain and coordinate State-based
surveillance systems to identify infants and children with SHCN (e.g., birth defects,
newborn screening, EPSDT, hearing screening, vision screening).
a) Establishment of tracking systems for the following programs:
i) Newborn Genetic/Metabolic Screening
ii) Hearing Screening
iii) Birth Defects
iv) EPSDT
v) Vision screening
b) Integration and Coordination between the previous programs and their support
systems
3) The grantee has assisted the State to develop and promote policies for early and
continuous screening and intervention and treatment for children identified with SHCN.
a) Does the State have a Newborn Screening Advisory Committee
b) Does the State have procedures for informed consent
c) Does the State have procedures for genetic counseling for families with a infant
screened positive in a newborn screening program
4) The grantee has assisted the State to ensure that all infants with test results that screen
positive will have confirmatory diagnosis as early as possible.
5) The grantee has assisted the State to ensure that all infants who screen positive are linked
to a medical home.
6) The grantee has assisted the State to ensure that all infants who are identified to be at risk
for developmental disability will be enrolled in a program of early intervention by 6
months of age
7) The grantee has assisted the State to leverage resources to adequately fund public health
approaches to early and continuous screening and intervention and treatment for children
identified with SHCN.
a) Does the State fund medical foods for infants identified with a metabolic disorder
such as PKU
b) Does the State law/regulation governing hearing screening and follow-up services
include reimbursement
8) The grantee has assisted the State to ensure that all infants to be at risk for a special
health care need will be linked to a family to family support network.
Total Score (Number of Yes responses 0 - 8) __________
25
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Build analytic capacity for assessment,
planning, and evaluation)
Level: State
Category: Data and Evaluation
GOAL
The degree to which States electronically link vital
statistics data sets, Medicaid, and other health
information systems data sets.
To increase the number and degree to which States
electronically link different maternal and child
health databases for the purpose of assessing
program performance and health status indicators
for MCH populations.
MEASURE
The degree to which States electronically link vital
statistics data sets, Medicaid, and other health
information systems data sets.
DEFINITION
Attached is a checklist of four elements that
demonstrate linkage. Please check the degree to
which data sets have been linked. The answer scale
is 0-8 for each linkage and 0-32 across all four
elements. Please keep the completed checklist
attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 17.2 (Developmental):
Increase the use of linked, automated systems to
share information.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
It is important to find new ways to examine
information in order to improve evaluations of
public health programs, conduct needs assessment,
or address persistent problems such as racial and
ethnic disparities. Data linkages provide a relatively
cost-effective method for States to examine
problems that they could not ordinarily address.
Linking specific data sets such as Medicaid with
WIC and birth records with death records can assist
in providing information on high-risk groups and
health outcomes for populations receiving
Medicaid.
Attached data collection form to be completed
by State MCH Directors.
DATA COLLECTION FORM FOR DETAIL SHEET #25
Indicate the degree to which your State MCH program links the following databases using the following
values:
0= The State or MCH agency does not provide this function or assure that this function is completed.
1= The State or MCH agency sometimes provides or assures the provision of this function but not on
a consistent basis.
2= The State or MCH agency regularly provides or assures the provision of this function.
DATABASES
QUESTIONS
Does your
state perform
this function?
ANNUAL DATA
LINKAGES
Annual linkage of infant
birth and infant death
certificates
Annual linkage of birth
certificates and
MEDICAID paid
claims or eligibility
files.
Annual linkage of birth
records and WIC
eligibility files.
Annual linkage of birth
records and newborn
screening (metabolic
and hearing) files.
TOTAL (0-32)
Does your
MCH
program
have direct
access to
reports?
Does your MCH
program have the
ability to obtain
timely analyses for
programmatic or
policy purposes?
Does your MCH
program have
direct access to
the electronic
database for
analysis?
TOTAL
(0-8)
DELETED Detail Sheet
26
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Build analytic capacity for assessment,
planning, and evaluation)
Level: Grantee
Category: Data and Evaluation
GOAL
The degree to which grantees electronically link
vital statistics data sets, Medicaid, and other health
information systems data sets.
To increase the number and degree to which
different maternal and child health related databases
are electronically linked for the purpose of assessing
program performance and health status indicators
for MCH populations.
MEASURE
The degree to which grantees electronically link
vital statistics data sets, Medicaid, and other health
information systems data sets.
DEFINITION
Attached is a checklist of elements that demonstrate
linkage. Add additional elements as relevant.
Please check the degree to which data sets have
been linked. The answer scale is 0-8 for each
linkage with a total across all elements. Please keep
the completed checklist with the added elements
attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 17.2 (Developmental):
Increase the use of linked, automated systems to
share information.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by
grantees.
SIGNIFICANCE
It is important to find new ways to examine
information in order to improve evaluations of
public health programs, conduct needs assessment,
or address persistent problems such as racial and
ethnic disparities. Data linkages provide a relatively
cost-effective method to examine problems that they
could not ordinarily address. Linking specific data
sets such as Medicaid with WIC and birth records
with death records can assist in providing
information on high-risk groups and health
outcomes for populations receiving Medicaid.
DATA COLLECTION FORM FOR DETAIL SHEET #26
Indicate the degree to which your grant program links and makes available to the MCH community the
following databases using the following values:
0=
The Grantee does not provide this function or assure that this function is completed.
1=
The Grantee sometimes provides or assures the provision of this function but not on a
consistent basis.
2=
The Grantee regularly provides or assures the provision of this function.
DATABASES
QUESTIONS
Do you
perform this
function?
ANNUAL DATA
LINKAGES
Linkage of infant birth
and infant death
certificates
Linkage of birth
certificates and
Medicaid paid claims or
eligibility files.
Linkage of birth records
and WIC eligibility
files.
Linkage of birth records
and newborn screening
files.
Linkage of birth records
and immunization
registries.
Linkage of birth records
and hospital discharge
files.
Linkage of birth records
and hearing and
screening files.
Linkage of birth records
and birth defects files.
Other linkages
TOTAL
Does your
MCH
program
have direct
access to
data &
reports?
Does your MCH
program have the
ability to obtain
timely analyses for
programmatic or
policy purposes?
Does your MCH
program have
direct access to
the electronic
database for
analysis?
TOTAL
(0-8)
DELETED Detail Sheet
27
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Using the best available evidence, develop and
promote guidelines and practices that improve
services and systems of care)
Level: State
Category: Child Health/ Infrastructure
GOAL
The degree to which States promote and protect the
health and safety of children age 1 through 6 in
child care settings.
To promote and protect the health and safety of all
children in child care settings.
MEASURE
The degree to which States promote and protect the
health and safety of children age 1 through 6 in
child care settings.
DEFINITION
Attached is a checklist of 5 elements that
demonstrate how a State promotes and protects the
health and safety of children age 1 through 6 in
child care settings. Please check the degree to
which the elements have been implemented. The
answer scale is 0-12. Please keep the completed
checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.1: Increase the proportion of
persons with health insurance.
Related to Objective 1.4a: Increase the proportion of
children and youth (aged 17 years and under) who
have a specific source of ongoing care.
Related to Objective 14.23: Maintain vaccination
coverage levels for children in licensed day care
facilities and children in kindergarten through the
first grade.
Related to Objective 19.3: Reduce the proportion of
children and adolescents who are overweight or
obese.
Related to Objective 16.22 (Developmental):
Increase the proportion of children with special
health care needs who have access to a medical
home.
Related to Objective 16.23 Increase the proportion
of Territories and States that have service systems
for children with special health care needs.
DATA SOURCE(S) AND ISSUES
•
•
Attached data collection form to be completed
by MCH State Director.
Other data sources may include: State data
sources from National Resource Center for
Health and Safety in Child Care; and State data
sources from National Training Institute for
Child Care Health Consultants.
SIGNIFICANCE
Over 70 percent of mothers of children under the
age of 5 work outside the home. Assuring healthy
and safe environments for children in child care
settings requires strong partnerships between child
care and health organization and the development of
health systems in child care settings that promote
and protect the health of all children.
DATA COLLECTION FORM FOR DETAIL SHEET #27
Using a scale of 0-3, please rate the degree to which your State has implemented the following elements of
the Healthy Child Care America Campaign 2000.
0
1
2
3
1.
Element
Instituted quality assurance/health and safety standards
2.
Developed child care health consultant statewide networks
3.
Promoted access to health insurance/medical homes for all
children in child care settings
4. Worked with MCHB and CCB Administrators to integrate
HCCA objectives and activities into the Early Care and
Education Component of the State’s Early Childhood
Development Plan.
5. Adopted SIDS Back to Sleep Campaign standards from 2nd
Edition of Caring for Our Children into Sate Child Care
licensing regulations
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-15 score) ________
DELETED Detail Sheet
28
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Using the best available evidence, develop and
promote guidelines and practices that improve
services and systems of care)
Level: State
Category: Child Health/ Infrastructure
GOAL
The percent of States with pediatric guidelines for
acute care facilities to provide emergency and
critical care.
To ensure the awareness and adoption of pediatric
guidelines for emergency services in acute care
facilities.
MEASURE
The percent of States with pediatric guidelines for
acute care facilities to provide emergency and
critical care.
DEFINITION
Numerator:
Number of States with published guidelines
Denominator:
59 States and jurisdictions
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective1.14: Increase the number of
States and the District of Columbia that have
implemented guidelines for pre-hospital and
hospital pediatric care.
DATA SOURCE(S) AND ISSUES
•
•
SIGNIFICANCE
Attached data collection form to be completed
by State MCH Director and/or EMSC grantee.
In order to obtain additional information to
quantify this performance objective, a national
EMSC survey will need to be conducted.
Ensuring that children receive appropriate
emergency care can be problematic given the
limited pediatric experience and/or interaction that
pre-hospital providers have with children. Given the
differences between how children and adults
respond to trauma and medical care, this limited
interaction can affect the ability to perform accurate
assessment and deliver quality care. By
disseminating evidence-based guidelines on
delivering emergency pediatric care, the Bureau can
ensure that children are receiving high quality care.
(Institute of Medicine, Committee on Pediatric
Emergency Medical Services. In: Durch, J.S., and
Lohr, K.N., eds. Emergency Medical Services for
Children. Washington, DC: National Academy
Press, 1993.)
DATA COLLECTION FORM FOR DETAIL SHEET #28
Please complete the following form by first answering whether your State has in place the following
protocols for pediatric guidelines for acute care facilities to provide emergency and critical care. If yes,
please indicate whether the protocol is State mandated or voluntary.
Protocol
Yes
Trauma
Burns
Foreign Body Airway Obstruction
Respiratory Distress, Failure or Arrest
Bronchospasm
New Born Resuscitation
Bradycardia
Tachycardia
Non-Traumatic Cardiac Arrest
Vetricular Fibrillation or Pulseless Ventricular
Tachycardia
Asystole
Pulseless Electrical Activity
Altered Mental Status
Seizures
Non-Traumatic Hypoperfusion (Shock)
Anaphylactic Shock/Allergic Reaction
Toxic Exposure
Near Drowning
Pain Management
Death of a Child and Sudden Infant Death Syndrome
(SIDS)
Mandated by
State
Protocol in
Place
No
Yes
No
Voluntary
Yes
No
DELETED Detail Sheet
29
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Assist States and communities to plan and
develop comprehensive, integrated health
services systems)
Level: State
Category: Child Health/Infrastructure
The degree to which States have developed a
comprehensive adolescent health strategic planning
process.
GOAL
To increase the percent of States with
comprehensive adolescent health strategic plans.
MEASURE
The degree to which States have developed a
comprehensive adolescent health strategic planning
process.
DEFINITION
Attached is a checklist of 9 elements that
demonstrate whether States have developed an
adolescent health strategic planning process;
content and stage of completion are measured
separately. Please check the degree to which the
elements of Column A and of Column B have been
implemented. The answer scale for column A is
0 – 27 and the answer scale for Column B is 0 – 36.
Please keep the completed checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
No related Healthy People 2010 Objective.
DATA SOURCE(S) AND ISSUES
•
•
SIGNIFICANCE
Attached data collection form to be completed
by State Adolescent Coordinator and/or State
MCH Director.
Review of State Adolescent Health Strategic
Plans by the Maternal and Child Health
Bureau/Office of Adolescent Health.
The health status of adolescents remains
problematic for our Nation. The leading causes of
adolescent morbidity and mortality are preventable
and are based on behavioral and environmental risk
factors. Because the multiple health issues of
adolescents have been recognized only relatively
recently, many States have not yet developed the
capacity to address them effectively. Developing a
comprehensive adolescent health strategic plan is an
important first step in developing a systematic
approach to resolving these issues.
DATA COLLECTION FORM FOR DETAIL SHEET #29
A. Using a scale of 0 – 3 (Column A) for each element, please indicate the content planned for OR
included in your State’s adolescent health strategic plan.
B. Using a scale of 0 – 4 (Column B) for each element, please indicate the stage which your State has
reached in developing an adolescent health strategic plan.
B
A
Stage of
Content
Completion
0 1 2 3 0 1 2 3 4
_________
TOTAL
A
Element
1. Needs assessment: Includes a needs assessment specific to adolescents
that addresses physical, mental, substance abuse and oral health services,
mortality rates among adolescents (including death by intentional and
non-intentional trauma), morbidity rates for physical and mental health
problems, rates of health-promoting and problem behaviors, and rates of
self-reported emotional and social well-being.
2. Priorities: Based on the adolescent-oriented needs assessment, establishes
priorities that address multiple adolescent health issues, including access to
youth-friendly physical, oral, mental health and substance abuse services.
3. Healthy People 2010: Sets outcome objectives for specific problems
defined by the needs assessment that are consistent with Healthy People 2010
objectives, including the “21 Critical Adolescent Health Objectives.”
4. Infrastructure Internal to State: Makes recommendations for
strengthening the existing State-level infrastructure for addressing issues of
adolescent health and well-being. Uses coordinated/collaborative approaches
across State agencies.
5. Advisory Infrastructure: Makes use of youth, family, and professional
expert advisory groups.
6. Health Needs Action Steps: Includes strategies and action steps founded
on defined health needs of adolescents.
7. Youth Development Framework: Includes strategies and action steps that
are grounded in a youth development framework.
8. Data: Includes a data-driven plan for monitoring progress in achieving
objectives.
9. Outcome: Formulates an outcome-based evaluation plan consonant with
State’s outcome objectives
_________
TOTAL
B
A. Content: 0=Not included (no descriptor listed as part of Element’s definition is included); 1=Partially
included (at least one descriptor listed as part of Element’s definition is included); 2=Mostly included
(greater than 50% of descriptors listed as part of Element’s definition are included); 3=Completely included
(all descriptors listed as part of element’s definition are included)
Total the numbers in Column A’s boxes (possible Content Score 0-27).
B. Stage of Completion: 0=No intent to do or include; 1=Active intent to do or include, but have not
started planning; 2=Planning in process, early to mid-stage; 3=Planning in process, late stage; 4=Planning
complete
Total the numbers in Column B’s boxes (possible Stage of Completion Score 0-36).
DELETED Detail Sheet
30
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Assist States and communities to plan and
develop comprehensive, integrated health service
systems)
Level: State
Category: Child Health/ Infrastructure
GOAL
The degree to which State agencies work
collaboratively to develop a Plan for building early
childhood service systems.
To build early childhood service systems that
address the critical components of access to medical
homes; social emotional development of young
children; early care and education; parenting
education; and family support.
MEASURE
The degree to which State agencies work
collaboratively to develop a Plan for building early
childhood service systems.
DEFINITION
Attached is a checklist of 8 elements that
demonstrate the development of a Plan for
collaborative activities among State agencies to
build early childhood service systems. Please check
the degree to which the elements have been
implemented. The answer scale is 0-24. Please keep
the completed checklist attached.
Plans for building early childhood service systems
should address the critical components of access to
medical homes; social-emotional development of
young children; early care and education; parenting
education, and family support.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.4b: Increase the proportion
of children and youth (aged 17 years and under)
who have a specific source of ongoing care.
Related to Objective 16.22: (Developmental)
Increase the proportion of children with special
health care needs who have access to a medical
home.
Related to Objective 7.10 (Developmental):
Increase the proportion of Tribal and local service
areas or jurisdictions that have established a
community health promotion program that
addresses multiple Healthy People 2010 focus areas.
Related to Objective 7.11q: Maternal, infant and
child health.
Related to Objective 16.23: Increase the proportion
of territories and States that have service systems
for children with special health care needs.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by
State MCH Director.
SIGNIFICANCE
Research has shown that the period of early
childhood represents a time of substantial brain
development that has a significant impact on the
child’s later emotional and intellectual development.
This development can be significantly delayed when
young children experience environmental stressors
and other negative risk factors that influence the
brain. Assuring that children experience an
environment which fosters their early development
requires strong partnerships among State agencies
and their local extensions in planning for the
development of integrated systems for providing
early childhood services to children and their
families.
DATA COLLECTION FORM FOR DETAIL SHEET #30
Using a scale of 0-3, indicate the degree to which your State plan includes the following elements for
building early childhood service systems that address the critical components of access to medical homes;
social-emotional development of young children; early care and education; parenting education, and family
support.
0
1
2
3
1.
2.
3.
4.
5.
6.
7.
8.
Element
State Plan supported the capacity of pediatric care providers to better identify, treat,
and refer children with developmental risks and delays.
State Plan provided for the education of front line providers – teachers, health care
workers, school counselors and coaches, faith-based workers, and clinicians of all
disciplines – to recognize mental health issues in mothers of infants and young children
and for the identification of and wide dissemination of quality measurement and
improvement tools that can be used by health and early childhood development
professionals to assess and strengthen the social-emotional development of young
children.
State Plan provides for collaboration between the State Maternal and Child Health
program and Child Care office addressing the sustainability of their Healthy Child Care
America 2000 Program.
State Plan addresses strengthening the quality of child care by widely disseminating
and providing technical consultation support for the adoption of child care health and
safety standards from the 2nd edition of Caring for Our children.
State Plan provides for the development of affordable, high quality parenting education
programs that prepare parents to promote optimal physical, social-emotional, and
cognitive development in their children.
State Plan provides for the development of family support services that address the
stressors impairing the ability of families to nurture and support the healthy
development of their children.
State Plan provides for the refinement of current home visiting programs in keeping
with the science-based findings from recent home visiting program evaluations.
State Plan provides for the support and encouragement of greater involvement of home
visiting resources in the context of one-stop-shopping family resource centers.
0= Not Met
1=Partially Met
2=Partially Met
3=Completely Met
Total the numbers in the boxes (possible 0-24 score) __________
Revised Detail Sheet
31 PERFORMANCE MEASURE
Goal 4: Improve the Health
Infrastructure and Systems of Care
(Assist States and communities to plan
and develop comprehensive, integrated
service systems for MCH populations)
Level: Grantee
Category: Infrastructure
GOAL
The degree to which grantees have assisted
States and communities in planning and
implementing comprehensive, coordinated care
for MCH populations.
To assure access to integrated community systems of
care for MCH populations.
MEASURE
The degree to which grantees have assisted in
developing integrated systems of care for MCH
populations.
DEFINITION
Attached are checklists of elements that demonstrate
the degree to which grantees have assisted in
developing integrated systems of care for MCH
populations. The first checklist addresses defined
activities in the area of collaboration and
coordination, and the second allows grantees to
identify activities in the area of providing support to
communities. Please check the degree to which the
elements have been implemented.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Objective 16.23: Increase the proportion
of States and jurisdictions that have service systems
for all children, including children with or at risk for
chronic and disabling conditions as required by
Public Law 101-239.
DATA SOURCE(S) AND ISSUES
Attached data collection forms to be completed by
grantees.
The National CSHCN Survey will provide national
and State estimates on the extent to which families
perceive that integrated community systems of care
are available to their child with a special health care
need.
SIGNIFICANCE
Families and service agencies have identified major
challenges confronting families in accessing
coordinated health and related services that families
need. Differing eligibility criteria, duplication and
gaps in services, inflexible funding streams and poor
coordination among service agencies are concerns
across most States. This effort should provide model
strategies for addressing these issues.
DATA COLLECTION FORM FOR DETAIL SHEET #31
Using the scale below, indicate the degree to which your grant has assisted in developing
and implementing an integrated system of care for MCH populations. Please use the
space provided for notes to describe activities related to each element and clarify reasons
for score.
Indicate the population and age group served:
Pregnant Women_____ Children _____ Adolescents ____ All Children
__________Children with Special Health Care Needs Only____
0
1
2
3
1.
2.
3.
4.
Element
Collaboration with Other Public Agencies and Private Organizations
on the State Level: The grantee has assisted in establishing and
maintaining an ongoing interagency collaborative process for the
assessment of needs and assets and the provision of services within a
community-based system of care for MCH populations. The programs
collaborate with other agencies and organizations in the formulation of
coordinated policies, standards, data collection and analysis, financing of
services, and program monitoring to assure comprehensive, coordinated
services.
Collaboration with Other Public Agencies and Private Organizations
on the Local Level: The grantee has assisted in establishing and
maintaining an ongoing interagency collaborative process for the
assessment of needs and provision of services within a community-based
system of care for MCH populations. The grantee facilitates electronic
communication, integration of data, and coordination of services on the
local level.
Coordination of Components of Community-Based Systems: The
grantee has assisted in the development of a mechanism in communities
across the State for coordination of health and essential services across
agencies and organizations. This includes coordination among providers
of primary care, habilitative services, other specialty medical treatment
services, mental health services, early care and education, parenting
education, family support, and home health care.
Coordination of Health Services with Other Services at the
Community Level: The grantee has assisted in the development of a
mechanism in communities across the State for coordination and services
integration among programs including early intervention and special
education, social services, and family support services.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-12 score)__________
NOTES/COMMENTS:
Support for Communities
0
1
2
3
Activity
1. Technical assistance and consultation
2. Education and training
3. Common data protocols
4. Financial resources for communities engaged in systems
development
0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
Total the numbers in the boxes (possible 0-12 score)__________
NOTES/COMMENTS:
DELETED Detail Sheet
32
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Using the best available evidence, develop and
promote guidelines and practices that improve
services and systems of care)
Level: State
Category: Injury/ Infrastructure
GOAL
MEASURE
The degree to which States have implemented
injury and violence prevention activities.
To increase the number of States involved in
activities to address unintentional injury and
violence prevention.
The degree to which States have implemented
injury and violence prevention activities.
DEFINITION
Attached is a checklist of 12 topic areas typically
addressed by States relating to violence and
unintentional injury prevention. Please check the
degree to which you have implemented activities in
the State related to each of these topic areas. The
answer scale is 0-3. Please keep the completed
checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Goal 15 is Injury and Violence
Prevention. There are 12 general injury prevention
objectives, 19 unintentional injury objectives, and 8
objectives related to violence and abuse prevention.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
Injuries and violence kill more children and
adolescents than all diseases combined and are a
leading cause of disability. Every year, one in four
children are injured seriously enough to require
medical attention, and more than 430,000 are
hospitalized for their injuries. Injuries are also a
leading cause of medical spending for children and
adolescents. To reduce mortality and morbidity it is
essential to identify specific causes of injury and the
age groups most effected by those injuries in the
State in order to prioritize injury problems and
design effective prevention strategies.
Attached data collection form to be completed
by State MCH director.
DATA COLLECTION FORM FOR DETAIL SHEET #32
Using a scale of 0-3, please rate the degree to which States Title V agencies have implemented activities
related to each of the following topic areas.
0
1
2
3
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Injury Prevention Topic Areas*
Poisonings
Falls
Traumatic brain injuries
Spinal cord
Drowning
Burns
Suicide
Homicide
Assaults
Pedestrian motor vehicle crashes
Alcohol related motor vehicle crashes
Occupant protection during motor vehicle crash
*Refer to ICD #10 Codes for definitions for injury prevention topic areas.
0=Not Implemented (e.g., State has not initiated any program activity on this topic);
1=Partially Implemented (e.g., State has conducted a basic epidemiologic profile of
injury mortality of the topic area and has begun to implement public awareness efforts);
2=Mostly Implemented (e.g., In addition to conducting activities identified in “1”, State
has also initiated an injury surveillance system, begun development of informal
coalitions, and initiated singular intervention activities);
3=Completely Implemented (e.g., In addition to conducting activities identified in “1”
and “2”, States have implemented a fully developed coalition with an action plan and the
coalition has begun a multi-faceted implementation of the action plan that includes public
education, comprehensive intervention, environmental modification, and enforcement)
Total the numbers in the boxes (possible 0-36 score) __________
DELETED Detail Sheet
33
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Using the best available evidence, develop and
promote guidelines and practices that improve
services and systems of care)
Level: State
Category: Nutrition/ Infrastructure
GOAL
The degree to which a State system for nutrition
services has been established for MCH populations.
To improve the nutritional status of women, infants,
children and adolescents and children with special
health care needs in States.
MEASURE
The degree to which a State system for nutrition
services has been established for MCH populations.
DEFINITION
Attached is a checklist of 8 elements that demonstrate
whether a State has established a system for nutrition
services. Please check the degree to which the
elements have been implemented. The answer scale is
0-24. Please keep the completed checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 19.1: Increase the proportion of
adults who are at a healthy weight.
Related to Objective 19.2: Reduce the proportion of
adults who are obese.
Related to Objective 19.3: Reduce the proportion of
children and adolescents who are overweight or obese.
DATA SOURCE(S) AND ISSUES
•
SIGNIFICANCE
Nutrition is essential for growth and development,
health, and well being. Behaviors to promote health
should start early in life with breastfeeding and
continue through life with the development of healthful
eating habits. In the US the rate of childhood obesity
has doubled in the last decade and between 8 and 45
percent of newly diagnosed cases of childhood diabetes
are type 2, non-insulin dependent, associated with
obesity. Dietary factors are associated with 4 of the 10
leading causes of death in the US: coronary heart
disease, some types of cancer, stroke, and type 2
diabetes. These health conditions are estimated to cost
society over $200 billion each year in medical
expenses and lost productivity. Ensuring that States
have systems in place is instrumental in creating the
infrastructure needed to support activities to improve
the nutritional status of children and adolescents.
Attached data collection tool to be completed by
State MCH Director.
DATA COLLECTION FORM FOR DETAIL SHEET #33
Using a scale of 0-3, please rate the degree to which your State has developed and implemented a nutrition
system.
0
1
2
3
1.
2.
3.
4.
5.
6.
7.
8.
Element
Establish and maintain a State-based nutrition surveillance
system for ongoing monitoring, timely communication of
findings, and use of data to initiate and evaluate
interventions.
Promote leadership to address nutrition/health promotion
and disease prevention programs with a full-time State
nutrition director and an adequately staffed public health
nutrition unit.
Develop and maintain a State nutrition plan and, through
collaborative process, select appropriate strategies for target
populations, establish integrated interventions, and set
priorities.
Develop and promote policies for nutrition services to
improve health systems.
Develop a nutrition/physical activity communication plan
to target key audiences, including the public.
Build linkages with partners to promote healthy eating and
physical activity by establishing a State advisory
committee, community coalitions, community workgroups,
etc.
Incorporate Bright Futures Nutrition and Bright Futures
Physical Activity guidelines in State/community programs.
Leverage resources to adequately fund public health
nutrition/physical activity prevention programs.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-24 score) ___________
DELETED Detail Sheet
34
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Using the best available evidence, develop and
promote guidelines and practices that improve
services and systems of care)
Level: State
Category: Dental
GOAL
MEASURE
The number of States that include in their oral
health plans at least 5 of the 10 essential elements of
the guidelines included in ASTDD’s “Building
Infrastructure & Capacity in State and Territorial
Oral Health Programs.”
To increase the level of inclusion of essential
elements of assessment, policy development, and
assurance for the maternal and child health
populations in State oral health plans.
The number of States that include in their oral
health plans at least 5 of the 10 essential elements of
the guidelines included in ASTDD’s “Building
Infrastructure & Capacity in State and Territorial
Oral Health Programs.”
DEFINITION
Attached is a checklist of 10 elements that
demonstrate whether a State has established a
system for oral health services in the areas of
assessment, policy development, and
assurance. Please check the degree to which
the elements have been implemented. The
answer scale is 0-24. Please keep the
completed checklist attached.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 21.14: Increase the proportion
of local health departments and community-based
health centers, including community, migrant, and
homeless health centers, that have an oral health
component.
Related to Objective 21.17: (Developmental)
Increase the number of Tribal, State (including the
District of Columbia), and local health agencies that
serve jurisdictions of 250,000 or more persons that
have in place an effective public dental health
program directed by a dental professional with
public health training.
Related to Objective 21.12: Increase the proportion
of children and adolescents under age 19 at or
below 200 percent of the Federal poverty level who
received any preventive dental service during the
past year.
Related to Objective 21.14: Increase the proportion
of local health departments and community based
health centers, including community, migrant, and
homeless health centers, that have an oral health
component.
DATA SOURCE(S) AND ISSUES
Annual reporting of the Association of State and
Territorial Dental Directors (ASTDD) and the
Synopsis of State and Territorial Dental Public
Health Programs Surveillance Report. The ASTDD
in collaboration with MCHB and CDC provides
ongoing assessment of core State oral health
activities regarding assessment, policy development
and assurance. The current surveillance system is
being improved to increase data elements collected
and to permit on-line data entry. The surveillance
data is currently maintained by CDC and is
available on their website with a hot link to the
MCHB Oral Health Resource Center.
SIGNIFICANCE
The U.S. Surgeon General in his report: Oral Health
in America: A Report of the Surgeon General,
called for the development of a National Oral
Health Plan. In the report, the Surgeon General
States, "All Americans can benefit from the
development of a National Oral Health Plan to
improve quality of life and eliminate health
disparities by facilitating collaboration among
individuals, health care providers, communities and
policymakers at all levels of society and by taking
advantage of existing initiatives.” A National Oral
Health Plan can also “…provide a template for
guidance and agreement within the health
community and specifically among advocates for
oral health, and HP 2010 can provide the means by
which progress and improvement can be assessed."
The ASTDD in response to the HP 2010 health
objective 23-12 and in support of State follow-up to
a National Oral Health Plan have called for State
Oral Health Improvement Plans.
State plans are the vehicle for identifying the
prevalence of risk factors among persons in the
State and identifying high-risk populations carrying
the burden of oral health diseases, often maternal
and child populations. The ASTDD encourages
States in its publication Building Infrastructure &
Capacity in State and Territorial Oral Health
Programs to identify rationales and strategies for
linking Healthy People 2010 Oral Health Objectives
to the State’s needs. Further, States are encouraged
to select appropriate intervention strategies for
target populations, establish integrated interventions
and set priorities.
DATA COLLECTION FORM FOR DETAIL SHEET #34
Answering yes or no, please indicate whether or not your State Plan includes the following elements.
Yes
No
Element
Assessment
1. Establish and maintain a State-based oral health surveillance system for
ongoing monitoring, timely communication of findings and the use of data to
initiate and evaluate interventions.
Policy Development
2. Provide leadership to address oral health problems with a full-time State dental
director and an adequately staffed oral health unit with competence to perform
public health functions.
3. Develop and maintain a State oral health improvement plan and, through
collaborative process, select appropriate strategies for target populations,
establish integrated interventions, and set priorities.
4. Develop and promote policies for better oral health and to improve health
systems.
Assurance
5. Provide oral health communications and education to policymakers and the
public to increase awareness of oral health issues.
6. Build linkages with partners interested in reducing the burden of oral diseases
by establishing a State oral health advisory committee, community coalitions,
and governmental workgroups.
7. Integrate, coordinate and implement population-based interventions for
effective primary and secondary prevention of oral diseases and conditions.
8. Build community capacity to implement community-level interventions
9. Develop health system interventions to facilitate quality dental care services
for the general and vulnerable populations.
10. Leverage resources to adequately fund public health functions.
States will meet the performance measure if they meet at least 5 of the 10 elements.
Revised Detail Sheet
35 PERFORMANCE MEASURE
Goal 4: Improve the Health
Infrastructure and Systems of Care
(Assist States and communities to plan
and develop comprehensive, integrated
health service systems)
Level: State/Grantee
Category: Women’s Health
GOAL
The degree to which States and communities have implemented
comprehensive systems for women’s health services.
To increase the number of States having comprehensive systems
for women’s health services.
MEASURE
The degree to which States and communities have implemented
comprehensive systems for women’s health services.
DEFINITION
Attached is a checklist of 14 elements that contribute to a
comprehensive system of care for women. Please indicate the
degree to which each of the listed elements has been
implemented. Please keep the completed checklist attached.
“Comprehensive system of women’s health care” is defined as a
system that provides a full array of health services utilizing
linkages to all programs serving women. The system must
address gaps/barriers in service provision. Services provided
must be appropriate to women’s age and risk status,
emphasizing preventive health care.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Objective 1.2: Increase the proportion of insured
persons with coverage for clinical preventive services.
Related to Objective 1.3: Increase the proportion of persons
appropriately counseled about health behaviors
Related to Objective 1.4: Increase the proportion of persons who
have a specific source of ongoing care.
Related to Objective 1.5: Increase the proportion of persons
with a usual primary care provider.
DATA SOURCE(S) AND ISSUES
Attached data collection form is to be completed by State MCH
Directors.
MCHB program records
SIGNIFICANCE
Leading authorities including Grason, Hutchins, and Silver,
(1999, eds.) “Charting a Course for the Future of Women’s and
Perinatal Health” recommend the development of models for
delivering health services that are women-centered and
incorporate the influences of biological, psychological and
social factors on women’s health. Such models, otherwise
known as “holistic” must also embrace a wellness approach.
Also, the NIH “Agenda for Research on Women’s Health”
States that women’s health must include the full biological life
cycle of the woman and concomitant physical, mental and
emotional changes that occur. In many States, Title V programs
already provide an array of services for women beyond
pregnancy related care, thus MCH programs are a logical
avenue to improve systems of care for women.
DATA COLLECTION FORM FOR DETAIL SHEET #35
Using a scale of 0-2, please rate the degree to which the State or MCHB program has addressed
each of the listed elements in a comprehensive system of care for women.
Please use the space provided for notes to describe activities related to each element and clarify
any reasons for score.
0
1
2
Elements of a Comprehensive System of Care for Women
1. State or program is coordinating services for women through a central
organization or entity at the State or community level.
2. State or program has partnerships with community-based agencies.
3. State or program has linkages with family planning programs.
4. State or program has linkages with breast and cervical cancer programs.
5. State or program has linkages with DV/sexual assault programs.
6. State or program has linkages with chronic disease programs.
7. State or program has linkages with perinatal health programs.
8. State or program has linkages with mental health programs.
9. State or program has linkages with nutrition programs.
10. State or program has linkages with substance abuse services programs.
11. State or program has linkages with smoking cessation programs.
12. State or program has linkages with health promotion/disease promotion.
13. State or program includes consumers in advisory groups.
14. State or program has linkages with oral health services programs.
0 = No, the State or MCH program does not provide this function or assure that this function is
completed.
1 = Yes, the State or MCH program sometimes provides or assures the provision of this function
but not on a consistent basis.
2 = Yes, the State or MCH program regularly provides or assures the provision of this function.
Total the numbers in the boxes (possible 0-28 score)_______________
Revised Detail Sheet
36 PERFORMANCE MEASURE
Goal 4: Improve the Health
Infrastructure and Systems of Care
(Work with States and communities to
assure that services and systems of care
reach targeted populations)
Level: Grantee
Category: Women’s Health
GOAL
The percentage of pregnant participants in MCHB- funded
programs receiving prenatal care beginning in the first
trimester.
To increase early entry into prenatal care.
MEASURE
The percentage of pregnant participants in MCHB funded
programs receiving prenatal care beginning in the first
trimester.
DEFINITION
Numerator:
Number of program participants with reported first prenatal
visit during the first trimester.
Denominator:
Number of program participants who are pregnant at any time
during the reporting period.
Units: 100
Text: Percentage
Prenatal care visit is defined as a visit to qualified OB health
care provider (OB, ARNP, midwife) for physical exam,
pregnancy risk assessment, medical/pregnancy history, and
determination of gestational age and EDC.
Please use the space provided for notes to clarify type of visits
counted as a prenatal care visit in the first trimester of
pregnancy and included in the numerator for the purposes of
this measure. Please use the space provided for notes to detail
the data source and year of data used.
“Program participant” is defined as a pregnant woman
receiving MCHB-supported services.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16-6a: Increase the proportion of
pregnant women who receive early and adequate perinatal care
beginning in the first trimester of pregnancy to 90 percent.
DATA SOURCE(S) AND ISSUES
Provider and program patient records. Vital Records can be
used if Birth Certificates can be matched to program
participants
SIGNIFICANCE
Early identification of maternal disease and risks for
complications of pregnancy or birth are the primary reasons
for first trimester entry into prenatal care. Early entry into
prenatal care can help assure that women with complex
problems and women with other health risks are seen by
specialists and receive the appropriate enhanced support
services. This is particularly important for those women in
vulnerable racial/ethnic subpopulations experiencing perinatal
disparities. Late entry into prenatal care is highly associated
with poor pregnancy outcomes, therefore, early and highquality prenatal care is critical to improving pregnancy
outcomes.
Revised Detail Sheet
37
PERFORMANCE MEASURE
Goal 4: Improve the Health Infrastructure
and Systems of Care
(Work with States and communities to
assure that services and systems of care
reach targeted populations)
Level: Grantee
Category: CSHN/Youth
The degree to which grantees have worked to increase the
percentage of youth who have received services
necessary to transition to all aspects of adult life,
including adult health care, work, and independence.
GOAL
To assure that youth with and without special health care
needs, including those transitioning from foster care,
receive the services necessary to transition to adult health
care, work, and independence.
MEASURE
The degree to which grantees have assisted in ensuring
that youth receive the services necessary to transition to
adult health care, work, and independence.
DEFINITION
Attached is a checklist of 13 elements that demonstrate
how a grantee has assisted ensuring appropriate transition
for adolescents. Please check the degree to which the
elements have been implemented.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.23: Increase the proportion of
States and jurisdictions that have service systems for
children with or at risk for chronic and disabling
conditions as required by Public Law 101-239.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by
grantees.
The data collection form represents 10 elements that
demonstrate comprehensive transition services for youth.
SIGNIFICANCE
The transition of youth to adulthood has become a priority
issue nationwide as evidenced by the President’s “New
Freedom Initiative: Delivering on the Promise”(March,
2002). Health and health care are cited as two of the
major barriers to making successful transitions. Currently
SPRANS supported health and related transition services
are available in only a few States. No other Federal
agency is addressing these issues. Successful
preparation for the adult work force is important for all
youth and is based on healthy developmental transitions
between childhood and adolescence, and between
adolescence and adulthood.
DATA COLLECTION FORM FOR DETAIL SHEET #37
Using the scale below, please indicate for each element the degree to which you have assisted in
the provision or assurance of comprehensive Healthy and Ready to Work services to adolescents
and young adults. Please use the space provided for notes to describe activities related to each
element and clarify reasons for score.
0
1
2
3
Elements
Outcome #1: Screening
1. Screening mechanisms include developmental and transition
skills as a regular part of health services for youth.
Outcome #2: Family Partnerships
2. The grantee has created a youth advisory council and mentors
youth leaders as they serve on this council.
3. The grantee assures that youth leaders serve on state and local
advisory boards and planning committees.
Outcome #3: Medical Home
4 The grantee has identified medical homes for young people which
assume responsibility for health care, care coordination, and
transition to an adult health care provider.
5. Pediatric and adult medical care providers are trained to offer
information and support in caring for young people with and
without complex condition.
Outcome #4: Health Insurance
6. Primers on maintaining health insurance after age 18 are
developed and distributed to a variety of community settings,
including schools, providers, parent resource groups, and others.
7. A matrix of health care insurance options (public and private) is
developed.
8. The grantee is working with a variety of partners to promote
youth-friendly insurance policies, including the extension of
dependent coverage to age 26.
Outcome #4: Community-Based Services
9. Information on medical aspects of pediatric-onset conditions and
community resources for youth is provided in a variety of media,
including conferences, newsletters, brochures, and Web sites.
10. The focus of services is on development of self-care abilities,
transportation, housing, access to quality health care and
insurance, personal care assistants and job training and supports,
0
1
2
3
Elements
independent living training, and assistive technology that is
affordable and portable.
11. The grantee has worked with providers of adult care to provide
education in the needs of adolescents as they transition to
adulthood, including the need to discuss the shift to adult
providers.
Outcome #6: Transition
12. The grantee has worked to improve coordinated transition from
pediatric to adult primary care providers for adolescents in the
State, including the provision of health representation at transition
planning meetings aimed at education, employment, or
independence.
13. The grantee has worked to provide adolescents with
self-advocacy or self-determination training to help them to take
responsibility for their own health and health care.
0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
Total the numbers in the boxes (possible 0-39 score)__________
NOTES/COMMENTS:
New Detail Sheet
BUILDING TOWARD MCH
PROGRAM SUSTAINABILITY
The degree to which MCHB-funded initiatives work to promote sustainability of
their programs or initiatives beyond the life of MCHB funding.
Goal 4: Improve the Health
Infrastructure and Systems of
Care (Assist States and
communities to plan and develop
comprehensive, integrated health
service systems)
Level: Grantee
Category: Infrastructure
GOAL
To develop infrastructure that supports comprehensive and integrated systems of
care for maternal and child health at the local and/or state level.
MEASURE
The degree to which MCHB grantees are planning and implementing strategies to
sustain their programs once initial MCHB funding ends.
DEFINITION
Attached is a checklist of nine actions or strategies that build toward program
sustainability. Please check the degree to which each of the elements is being
planned or carried out by your program, using the three-point scale. The maximum
total score for this measure would be 45 across all elements.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Healthy People Goal 23, Objective 12 (23.12): Increase the proportion of
Tribes, States, and local health agencies that have implemented a health
improvement plan and increase the proportion of local health jurisdictions that have
a health improvement plan linked with their State plan.
DATA SOURCE(S) AND ISSUES
Attached is a data collection form to be completed by grantees. Since these actions
and their outcomes are necessarily progressive over time from the beginning to the
end of a program funding period, grantees’ ratings on each element are expected to
begin lower in the first year of grant award and increase over time.
SIGNIFICANCE
In recognition of the increasing call for recipients of public funds to sustain their
programs after initial funding ends, MCHB encourages grantees to work toward
sustainability throughout their grant periods. A number of different terms and
explanations have been used as operational components of sustainability. These
components fall into four major categories, each emphasizing a distinct focal point as
being at the heart of the sustainability process: (1) adherence to program principles
and objectives, (2) organizational integration, (3) maintenance of health benefits, and
(4) State or community capacity building. Specific recommended actions that can help
grantees build toward each of these four sustainability components are included as the
data elements for this PM.
Data Collection Form
Building Toward MCH Program Sustainability
Use the scale below to rate the degree to which your program has taken the following
actions to promote sustainability of your program or initiative. Since these actions and
their outcomes are necessarily progressive over the funding period, the ratings are
expected to begin lower and progress over the grant period.
Please use the space provided for notes to clarify reasons for score.
0
1
2
3
Element
1. A written sustainability plan is in place within two years of the MCHB grant
award, with goals, objectives, action steps, and timelines to monitor plan
progress.
2. Staff and leaders in the organization engage and build partnerships with
consumers, and other key stakeholders in the community, in the early project
planning, and in sustainability planning and implementation processes.
3. There is support for the MCHB-funded program or initiative within the
parent agency or organization, including from individuals with planning and
decision making authority.
4. There is an advisory group or a formal board that includes family,
community and state partners, and other stakeholders who can leverage
resources or otherwise help to sustain the successful aspects of the program
or initiative.
5. The program’s successes and identification of needs are communicated
within and outside the organization among partners and the public, using
various internal communication, outreach and marketing strategies.
6. The grantee identified, actively sought, and obtained other funding sources
and in-kind resources to sustain the program or initiative.
7. Policies and procedures developed for the successful aspects of the program
or initiative are incorporated into the parent or another organization’s system
of programs and services.
8. The responsibilities for carrying out key successful aspects of the program or
initiative have begun to be transferred to permanent staff positions in other
ongoing programs or organizations.
9. The grantee has secured financial or in-kind support from within the parent
organization or external organizations to sustain the successful aspects of the
MCHB-funded program or initiative.
0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
Total the numbers in the boxes (possible 0–27 score): _________
NOTES/COMMENTS:
New Detail Sheet
FACILITATING ACCESS TO THE
MEDICAL HOME
The degree to which grantees have facilitated access to
medical homes for MCH populations.
Goal 3: Ensure Quality of Care
(Develop and promote health services and
systems designed to improve quality of
care)
Level: National
Category: Medical Home
GOAL
To increase the prevalence of medical homes within the
systems that serve MCH populations.
MEASURE
The degree to which grantees have assisted in achieving a
medical home for the MCH populations that they serve.
DEFINITION
The family/patient-centered medical home is an approach to
providing comprehensive primary care for children, youth,
and adults. In 2002 the American Academy of Pediatrics
(AAP) described the medical home as a model of delivering
primary care that is accessible, continuous, comprehensive,
family-centered, coordinated, compassionate, and culturally
effective. The concept was expanded in 2007 and adopted by
the American Academy of Pediatrics, American Academy of
Family Physicians, American College of Physicians, and the
American Osteopathic Association as the Joint Principles of
the Patient Centered Medical Home.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.22 (Developmental): Increase the
proportion of CSCHN who have access to a medical home.
DATA SOURCE(S) AND ISSUES
The family/patient-centered medical home is an approach to
providing comprehensive primary care for children, youth,
and adults. In 2002 the American Academy of Pediatrics
(AAP) described the medical home as a model of delivering
primary care that is accessible, continuous, comprehensive,
family-centered, coordinated, compassionate, and culturally
effective. The concept was expanded in 2007 and adopted by
the American Academy of Pediatrics, American Academy of
Family Physicians, American College of Physicians, and the
American Osteopathic Association as the Joint Principles of
the Patient Centered Medical Home.
SIGNIFICANCE
Medical home is the model for 21st century health care, with
a goal of addressing and integrating high quality health
promotion, acute care and chronic condition management in
a planned, coordinated and family/patient-centered manner.
This model is built upon the documented value of primary
care and aims to promote the implementation of
family/patient-centered care, care coordination and
continuous quality improvement. Universal medical home
implementation is a key strategy to promote the health and
well-being of all children, youth, and adults and to improve
the quality of care for patients facing a fragmented health
system.
The medical home model has the potential to promote
equitable health care and address racial and ethnic disparities
in access to care. Reduction in racial and ethnic differences
in receiving health care when adults received care within a
medical home has been documented. Research also has
shown increased preventative screenings, better managed
chronic conditions, and better coordination between primary
and specialty care providers.
Data Collection Form
Facilitating Access to the Medical Home
Using the scale below, indicate the degree to which your grant has facilitated access to medical
homes for MCH populations. Please use the space provided for notes to describe activities related
to each element and clarify reasons for score.
Indicate the population focus: [drop-down box with options: pregnant and postpartum women,
infants, children, children with special health care needs, adolescents]
(While this is a single performance measure, for analytic purposes each of the categories will be
scored as an independent measure. Grantees may identify specific categories as not applicable to
their grant program by selecting a score of 0 for every item within the category.)
0
1
2
3
Element
Category A: Facilitating Access to a Medical Home
1. The grantee has disseminated/marketed
information about the availability of
appropriate medical home sites.
2. The grantee has facilitated access to sources
of financing for medical homes.
3. The grantee has provided patients and families
with direct referral to medical home sites.
Category A Subtotal (possible 0-9):
Category B: Screening
4. The grantee provides tools for consistent
screening for risk factors.
5. The grantee provides tools for consistent
screening for developmental delays or chronic
conditions.
6. The grantee develops and promotes policies
that support and facilitate systematic
screening by providers.
Category B Subtotal (possible 0-9):
Category C: Identification and Referral
7. The grantee ensures that MCH populations
with special health care needs and those who
are at risk of access and health outcome
disparities are identified.
8. The grantee provides appropriate referrals for
early intervention services.
0
1
2
3
Element
9. The grantee follows up to ensure that referral
appointments are kept.
Category C Subtotal (possible 0-9):
Category D: Coordination of Services
10. The grantee has developed tools to support
the coordination of primary and specialty
services.
11. The grantee has provided training in
effective coordination of services.
12. The grantee provides monitoring to assure
that services are coordinated.
Category D Subtotal (possible 0-9):
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-36 score)__________
NOTES/COMMENTS:
New Detail Sheet
MEDICAL HOME MEASURE
(For Infrastructure Building Grantees)
The degree to which grantees have assisted in
developing, supporting, and promoting medical homes
for MCH populations.
Goal 3: Ensure Quality of Care
(Develop and promote health services
and systems designed to improve quality
of care)
Level: National
Category: Medical Home
GOAL
To increase the prevalence of medical homes within the
systems that serve MCH populations.
MEASURE
The degree to which grantees have assisted in developing and
supporting systems of care for MCH populations that promote
the medical home.
DEFINITION
Attached is a set of five elements that contribute to a
family/patient-centered, accessible, comprehensive,
continuous, and compassionate system of care for MCH
populations. Please use the space provided for notes to
describe activities related to each element and clarify reasons
for score.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.22 (Developmental): Increase the
proportion of CSCHN who have access to a medical home.
DATA SOURCE(S) AND ISSUES
Attached is a data collection form to be completed by
grantees. The data collection form presents a range of
activities that contribute to the development of medical homes
for MCH populations.
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, less
likely to be hospitalized for preventable conditions, and more
likely to be diagnosed early for chronic or disabling
conditions. Data collected for this measure would help to
ensure that children have access to a medical home and help to
document the performance of several programs, including
EPSDT, immunization, and IDEA in reaching that goal.
Data Collection Form
Medical Home – Infrastructure Building
Using the scale below, indicate the degree to which your grant has assisted in the development
and implementation of medical homes for MCH populations. Please use the space below to
indicate the year the score is reported for and clarify reasons for the score.
Indicate population: [drop-down box with options: pregnant and postpartum women, infants,
children, children with special health care needs, adolescents]
(While this is a single performance measure, for analytic purposes each of the categories will be
scored as an independent measure. Grantees may identify specific categories as not applicable to
their grant program by selecting a score of 0 for every item within the category.)
0
1
2
3
Element
Category A: Establishing and Supporting Medical Home Practice Sites
1. The grantee has conducted needs and capacity
assessments to assess the adequacy of the supply
of medical homes in their community, state, or
region.
2. The grantee has recruited health care providers to
become the medical homes.
3. The grantee has developed or adapted training
curricula for primary care providers in the
medical home concept.
4. The grantee has provided training to health care
providers in the definition and implementation of
the medical home and evaluated its effectiveness.
5. The grantee has assisted practice sites in
implementing health information technologies in
support of the medical home.
6. The grantee has developed/implemented tools for
the monitoring and improvement of quality
within medical homes.
7. The grantee has disseminated validated tools such
as the Medical Home Index to practice sites and
trained providers in their use.
8. The grantee has developed/implemented quality
improvement activities to support medical home
implementation.
0
1
2
3
Element
Category A Subtotal (possible 0-24):
Category B:
Developing and Disseminating Information and Policy Development
Tools: The grantee has developed tools for the implementation of the
medical home and promoted the medical home through policy
development
9. Referral resource guides
10.Coordination protocols
11. Screening tools
12. Web sites
13. The grantee has developed and promoted
policies, including those concerning data-sharing,
on the State or local level to support the medical
home
14. The grantee has provided information to
policymakers in issues related to the medical
home
Category B Subtotal (possible 0-18):
Category C: Public Education and Information Sharing:
The grantee has implemented activities to inform the public about
the medical home and its features and benefits
15. The grantee has developed Web sites and/or other
mechanisms to disseminate medical home
information to the public.
16. The grantee has provided social service agencies,
families and other appropriate community-based
organizations with lists of medical home sites.
17. The grantee has engaged in public education
campaigns about the medical home.
Category C Subtotal (possible 0-9):
Category D: Partnership-Building Activities
18. The grantee has established a multidisciplinary
advisory group, including families and consumers
representative of the populations served, to
0
1
2
3
Element
oversee medical home activities
19. The grantee has coordinated and/or facilitated
communication among stakeholders serving
MCH populations (e.g., WIC, domestic violence
shelters, local public health departments, rape
crisis centers, and ethnic/culturally-based
community health organizations)
20. The grantee has worked with the State Medicaid
agency and other public and private sector
purchasers on financing of the medical home.
21. The grantee has worked with health care
providers and social service agencies to
implement integrated data systems.
Category D Subtotal (possible 0-12):
0
1
2
3
Element
Category E: Mentoring Other States and Communities
22. The degree to which the grantee has shared
medical home tools with other communities
and States
23. The degree to which the grantee has presented
its experience establishing and supporting
medical homes to officials of other
communities, family champions, and/or States
at national meetings
24. The degree to which the grantee has provided
direct consultation to other States on policy or
program development for medical home
initiatives
Category E Subtotal (possible 0-9):
0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
Total the numbers in the boxes (possible 0-72 score)__________
NOTES/COMMENTS:
New Detail Sheet
QUALITY OF TRAINING
AND TECHNICAL
ASSISTANCE
The extent of training and technical assistance (TA) provided and
the degree to which grantees have mechanisms in place to ensure
quality in their training and TA activities.
Goal 1: Provide National
Leadership for Maternal and
Child Health (Strengthen the
MCH knowledge base in the
MCH community)
Level: Grantee
Category: Training
GOAL
To increase the number of MCHB grantees that are using needs
assessments, evaluation tools, and applying the results of the evaluation
for quality improvement in their training and technical assistance (TA)
efforts.
MEASURE
This measure has two components:
A. The number of individuals who were provided training and TA by
types of target audiences.
B. The degree to which grantees have put in place key elements to
improve the quality of their short- and long-term training and TA
activities designed to promote professional and leadership development
for the MCH community.
DEFINITION
The training and TA efforts that fall under this measure are short- and
medium-term technical assistance and training, not graduate-level and
continuing education training provided by MCHB long-term training
programs. The target audiences include various populations in the MCH
community, including families and other consumers, professionals and
providers, State MCH agencies, community-based organizations, and
other MCH stakeholders. The eight elements listed in the attached form
contribute to promoting quality in the training and TA provided to the
MCH community.
Please check the degree to which each of the eight elements have been
planned and implemented. The answer scale is 0–3 for each activity or
element and 0–24 total across all elements.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Goal 2, focus area: 23) Public Health Infrastructure.
DATA SOURCE(S) AND
ISSUES
Attached is a data collection form to be completed by grantees.
SIGNIFICANCE
National Resource Centers, Policy Centers, leadership training institutes and
other MCHB discretionary grantees provide technical assistance and
training to various target audiences, including grantees, health care
providers, program beneficiaries, and the public as a way of improving
skills, increasing the MCH knowledge base, and thus improving capacity to
adequately serve the needs of MCH populations and improve their
outcomes. To provide these training and TA services most effectively,
MCHB has identified performance recommendations, categorized into three
categories: 1) activities to promote quality in the content and format of TA
and training activities, and prevent duplication of effort ; 2) outreach and
promotion to ensure target audiences are aware of the services available to
meet their needs, and 3) routine mechanisms to obtain trainee satisfaction
and outcomes data and apply what is learned to improve the design and
delivery of these services.
Data Collection Form
Quality of Training and Technical Assistance
PART A
Numbers of individual recipients of training and technical assistance, by categories of target
audiences: (drop down box for respondents to check and report on the numbers trained/served)
(For each individual training or technical assistance activity, individual recipients or attendees
should be, counted only once, in one audience category. Trainees who attended more than one
training or received more than one type of TA activity should be counted once for each activity
they received).
1. Families
trained/provided TA
___(check = yes) ___# of individuals
2. Other Consumers
trained/provided TA
___(check = yes) ___# of individuals
3. Health Providers/Professionals
trained/provided TA
___(check = yes) ___# of individuals
4. Education Providers/Professionals
trained/provided TA
___(check = yes) ___# of individuals
5. State MCH Agency Staff
trained/provided TA
___(check = yes) ___# of individuals
6. Community-Based/Local Organization Staff
trained/provided TA
___(check = yes) ___# of individuals
7. Other (specify ___________)
trained/provided TA
___(check = yes) ___# of individuals
Total number of individuals trained/provided TA from all audience types __________________
PART B
Use the scale described below to indicate the degree to which your grant has incorporated each of
the design, evaluation, and continuous quality improvement activities into your training and TA
work. Please use the space provided for notes to describe activities related to each element and
clarify reasons for the score.
0
1
2
3
Element
Mechanisms in Place to Ensure Quality in Design of Training and TA Activities
1. Build on Existing Information Resources and Expertise, and Ensure
Up-to-Date Content. As part of the development of training and
technical assistance services, the grantee conducts activities (such as
reviewing existing bibliographies, information resources, or other
materials) to ensure that the information provided in newly developed
training curricula and technical assistance materials and services is up to
date with standard practice; based on research, evidence, and best
practice-based literature or materials in the MCH field; and is aligned
with local, State, and/or Federal initiatives. Grantee uses these
mechanisms to ensure that information resource content does not
duplicate existing training and technical assistance available to the same
audience. Also include in the design and development expert review
panels (experts may include target audience members).
2. Link to Other MCH Grantees Training and TA Activities. The
training and TA provided by this grantee is linked to the content and
timing of training offered by other MCH grantees (e.g., Family-toFamily Health Information Centers, other national resource and training
centers, State and local CSHCN/MCH programs).
3. Obtain Input from the Target Audience to Ensure Relevancy to
their Needs. The grantee routinely obtains input from the audience
targeted for each training or TA activity before finalizing the curriculum
or materials. This could include a determination of whether the content
and language of the materials are relevant to the audience’s current
needs and are understandable. Training and TA should also be relevant
with respect to timeliness, ensuring that they reach trainees when
needed.
4. Ensure Cultural and Linguistic Appropriateness. The grantee
employs mechanisms to ensure that training and TA materials, methods,
and content are culturally and linguistically appropriate.
Mechanisms in Place to Promote Grantee’s Training and Technical Assistance Services
5. Conduct Outreach and Promotion to Ensure Target Audience is
Aware of TA and Training Services. The grantee routinely uses
mechanisms to reach out to MCHB grantees and other target audiences
such as provider or family organizations, consumers of MCH services,
and the public, to make sure that target audiences know the services are
available. (Examples of outreach methods include promotion of services
through list servs, exhibits at meetings, and targeted outreach to
0
1
2
3
Element
representatives of individual organizations or MCHB grantees.)
Mechanisms in Place to Evaluate Training and TA Activities and Use the Data for Quality
Improvement
6. Collect Satisfaction Data. The grantee routinely uses mechanisms, such
as evaluation forms, to collect satisfaction data from recipients of
training or TA.
7. Collect Outcome Data. The grantee routinely collects data to assess
whether recipients have increased their knowledge, leadership skills, and
ability to apply new knowledge and skills to their family, health care
practice, or other MCH program situation.
8. Use Feedback for Quality Improvement. The degree to which the
grantee has used the results of assessments or other feedback
mechanisms to improve the content, reach and effectiveness of the
training or TA activities.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (maximum possible 0–24): _________
NOTES/COMMENTS:
New Detail Sheet
QUALITY OF INFORMATION
RESOURCES
The degree to which grantees have mechanisms in place to
ensure quality in the design, development, and dissemination of
new information resources that they produce each year.
Goal 4: Improve the Health
Infrastructure and Systems of
Care by Improving MCH
Knowledge and Available
Resources
Level: Grantee
Category: Infrastructure
GOAL
To improve the dissemination of new knowledge to the MCH field by
increasing the quality of informational resources produced, including
articles, chapters, books, and other materials produced by grantees,
and by addressing the quality in design and development. This
includes consumer education materials, conference presentations, and
electronically available materials.
MEASURE
The degree to which grantees have mechanisms in place to ensure
quality in the design, development, and dissemination of new
informational resources they produce each year.
DEFINITION
Publications are articles, books, or chapters published during the year
being reported. Products include electronic Web-based resources,
video training tapes, CD ROMs, DVD, materials created for
consumers (parents, children, and community agencies). Products and
publications also include outreach and marketing materials (such as
presentations, alerts, and HRSA clearinghouse materials).
Details on these publications and products are reported on a data
collection form. These products are summed by category and the total
number of all publications and products are reported on a PM tracking
form for a reporting year.
This measure can be applicable to any MCHB grantee.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Goal 1: Improve access to comprehensive, high-quality
health care services. Specific objective: 1.3.
Related to Goal 7 – Educational and community-based programs:
Increase the quality, availability and effectiveness of educational and
community-based programs designed to prevent disease and improve
health and quality of life. Specific objectives: 7.7 through 7.12.
Related Goal 11 – Use communication strategically to improve health.
Specific objective: 11.3.
Related to Goal 23 – Public Health Infrastructure: Ensure that Federal,
tribal, State, and local health agencies have the infrastructure to
provide essential public health services effectively. Specific objective:
23.2.
DATA SOURCE(S) AND ISSUES
Data will be collected by grantees throughout the year and reported in
their annual reports and via this measure’s data collection form.
SIGNIFICANCE
Advancing the field of MCH based on evidence-based, field-tested
quality products. Collection of the types of and dissemination of MCH
products and publications is crucial for advancing the field. This PM
addresses the production and quality of new informational resources
created by grantees for families, professionals, other providers, and the
public.
Data Collection Form
Quality of Information Resources
Using the 0–3 scale below indicate the degree to which your grant has incorporated each of the
design, dissemination, and continuous quality improvement activities into MCH information
resources that you have developed within the past year. Please use the space provided for notes to
describe activities related to each element and clarify any reasons for the score
0
1
2
3
Element
Mechanisms in Place to Ensure Quality in Design of Informational Resources
1. Obtain input from the target audience or other experts to
ensure relevance. The grantee conducts activities to ensure the
information resource is relevant to the target audience with
respect to knowledge, issues, and best practices in the MCH
field.
[Example: Obtain target audience, user, or expert input in the
design of informational resources, the testing or piloting of
products with the potential users/audience, and the use of
expert reviews of new products.]
2. Obtain input from the target audience or other experts to
ensure cultural and linguistic appropriateness. The grantee
specifically employs mechanisms to ensure that resources are
culturally and linguistically appropriate to meet the needs and
level of the target audience(s).
3.
Build on Existing Information Resources and Expertise,
and Ensure Up-to-Date Content. As part of the
development of information resources, the grantee conducts
activities (such as reviewing existing bibliographies,
information resources, or other materials) to ensure that the
information provided in newly developed information
resources is up to date with standard practice; based on
research-, evidence-, and best practice-based literature or
materials in the MCH field; and is aligned with local, State,
and/or Federal initiatives. Grantee uses these mechanisms to
ensure that information resource content does not duplicate
existing resources available to the same audience. Also
include in the design and development expert review panels
(experts may include target audience members).
Mechanisms in Place to Track Dissemination and Use of Resources or Products
4. The grantee has a system to track, monitor, and analyze
the dissemination and reach of products. The grantee
implements a mechanism for tracking and documenting
0
1
2
3
Element
dissemination of products, and uses this information to ensure
the target audience(s) is reached. Grantees with a Web site
should include mechanisms for tracking newly created
resources disseminated through their Web sites and are
encouraged to detail Web-related dissemination mechanisms
and the use of Web-based products in the Notes section
below. Grantee ensures that format is accessible to diverse
audiences and conforms to ADA guidelines and to Section
508 of the Rehabilitation Act.
5. The grantee has a system in place to track, monitor, and
analyze the use of products. The grantee routinely collects
data from the recipients of its products and resources to assess
their satisfaction with products, and whether products are
useful, share new and relevant information, and enhance
MCH knowledge.
[An example of data collection is assessments.]
Mechanisms in Place to Promote Grantee’s Information Resources
6. Conduct Culturally Appropriate Outreach and Promotion
to Ensure Target Audience is Aware of Information
Resources The grantee routinely uses mechanisms to reach
out to MCHB grantees and other target audiences such as
provider or family organizations, consumers of MCH services,
and the public, to make sure that target audiences know the
resources are available.
[Examples of outreach methods include promotion of services
through list servs, exhibits at meetings, and targeted outreach
to representatives of individual organizations or MCHB
grantees.]
Use of Evaluation Data for Quality Improvement
7. Use of Feedback for Quality Improvement. The degree to
which the grantee has used the results of satisfaction and
other feedback mechanisms to improve the content, reach,
and effectiveness of their products/information resources.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0–21 score): __________
NOTES/COMMENTS:
New Detail Sheet
MCH INFRASTRUCTURE
DEVELOPMENT
The degree to which MCHB-funded initiatives contribute to
infrastructure development through core public health
assessment, policy development and assurance functions.
Goal 4: Improve the Health
Infrastructure and Systems of Care
(Assist States and communities to
plan and develop comprehensive,
integrated health service systems)
Level: State, Community, or Grantee
Category: Infrastructure
GOAL
To develop infrastructure that supports comprehensive and
integrated services.
MEASURE
The degree to which MCHB-supported initiatives contribute to the
implementation of the 10 MCH Essential Services and Core
Public Health Program Functions of assessment, policy
development and assurance.
DEFINITION
Attached is a checklist of 10 elements that comprise infrastructure
development services for maternal and child health populations.
Please score the degree to which each your program contributes to
the implementation of each of these elements Each element should
be scored 0-2, with a maximum total score of 20 across all
elements.
HEALTHY PEOPLE 2010
OBJECTIVE
Related to Healthy People Goal 23, Objective 12 (23.12): Increase
the proportion of tribes, States, and local health agencies that have
implemented a health improvement plan and increase the
proportion of local health jurisdictions that have a health
improvement plan linked with their State plan.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed by grantees based
on activities they are directly engaged in or that they contribute to
the implementation of by other MCH grantees or programs.
SIGNIFICANCE
Improving the health infrastructure and systems of care is one of
the five goals of MCHB. There are five strategies under this goal,
all of which are addressed in a number of MCHB initiatives which
focus on system-building and infrastructure development. These
five strategies follow:
1. Build analytic capacity for assessment, planning, and
evaluation.
2. Using the best available evidence, develop and promote
guidelines and practices that improve services and systems of
care.
3. Assist States and communities to plan and develop
comprehensive, integrated health service systems.
4. Work with States and communities to assure that services and
systems of care reach targeted populations.
5. Work with States and communities to address selected issues
within targeted populations.
The ten elements in this measure are comparable to the 10
Essential Public Health Services outlined in Grason H, Guyer B,
1995. Public MCH Program Functions Framework: Essential
Public Health Services to Promote Maternal and Child Health in
America. Baltimore, MD: The Women’s and Children’s Health
Policy Center, The Johns Hopkins University.
Data Collection Form
Measure on MCH Infrastructure Development
Use the scale below to describe the extent to which your program or initiative has contributed to
the implementation of each of the following Public MCH Program core function activities at the
local, State, or national level. Please use the space provided for notes to clarify reasons for score.
0
1
2
Element
Assessment Function Activities
1. Assessment and monitoring of maternal and child health status to indentify and address
problems, including a focus on addressing health disparities
[Examples of activities include: developing frameworks, methodologies, and tools for
standardized MCH data in public and private sectors; implementing population-specific
accountability for MCH components of data systems, and analysis, preparation and
reporting on trends of MCH data and health disparities among subgroups.]
2.
Diagnosis and investigation health problems and health hazards affecting maternal and
child health populations
[Examples of activities include conduct of population surveys and reports on risk
conditions and behaviors, identification of environmental hazards and preparation of
reports on risk conditions and behaviors.]
3. Informing and educating the public and families about MCH issues.
Policy Development Function Activities
4. Mobilization of community collaborations and partnerships to identify and solve MCH
problems.
[Examples of stakeholders to be involved in these partnerships include: policymakers,
health care providers, health care insurers and purchasers, families, and other MCH care
consumers.]
5. Provision of leadership for priority setting, planning and policy development to support
community efforts to assure the health of maternal and child health populations.
6. Promotion and enforcement of legal requirements that protect the health and safety of
maternal and child health populations.
Assurance Function Activities
7. Linkage of maternal and child health populations to health and other community and
family services, and assuring access to comprehensive quality systems of care
8. Assuring the capacity and competency of the public health and personal health workforce
to effectively and efficiently address MCH needs.
9. Evaluate the effectiveness, accessibility and quality of direct, enabling and populationbased preventive MCH services
10. Research and demonstrations to gain new insights and innovative solutions to MCHrelated issues and problems
0 = Grantee does not provide or contribute to the provision of this activity.
1 = Grantee sometimes provides or contributes to the provision of this activity.
2 = Grantee regularly provides or contributes to the provision of this activity
Total the numbers in the boxes (possible 0–20 score): _________
NOTES/COMMENTS:
New Detail Sheet
COMPLETED REFERRALS
The percentage of completed referrals
among women in MCHB-funded programs.
Goal 3: Assure Quality of Care
(Develop and promote health services and
systems that assure appropriate follow-up
services)
Level: Grantee
Category: Women’s Health
GOAL
Increase the percentage of completed referrals
for women participating in MCHB-funded
programs in need of services.
MEASURE
The percentage of completed referrals among
women in MCHB-funded programs.
DEFINITION
Numerator:
Number of referrals to health and other
supportive services made by MCHB-funded
programs that are completed
Denominator:
Number of referrals to health and other
supportive services made by MCHB-funded
programs
Units: 100
Text: Percentage
A “completed service referral” is defined as a
client (who received the referral) attending one
or more sessions with the provider to whom
she was referred. The provider may be within
or outside of the MCHB program/agency. The
purpose of these referrals can be either
treatment-related (e.g., AIDS or substance
abuse treatment, domestic violence
counseling), preventive (e.g., family planning,
WIC, depression screening/referral, early
intervention services) or supportive (e.g., job
training, housing, transportation).
Please use the space provided for notes to
detail the data source and year of data used.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 16.5 : Reduce maternal
illness and complications due to pregnancy
Related to Objective 16.17: Increase abstinence
from alcohol, cigarettes, and illicit drugs
among pregnant women.
Related to Objective 21.3: Increase to at least
95% the proportion of pregnant women and
infants who receive risk-appropriate care.
DATA SOURCE(S) AND ISSUES
Provider and MCHB program patient records.
Projects will need to have a process to verify a
completed referral.
SIGNIFICANCE
In order to be effective, health services must
ensure that a client’s risks are identified, and
clients receive services that address their
identified needs and are referred appropriately.
There is no impact if the referral is not
completed/services not obtained.
New Detail Sheet
SMOKING DURING
PREGNANCY
The percentage of women participating in
MCHB-funded programs who smoke in the
last three months of pregnancy.
Goal 4: Improve the Health Infrastructure and
Systems of Care
(Work with States and communities to address
selected issues within targeted populations.)
Level: Grantee
Category: Women’s Health
GOAL
MEASURE
DEFINITION
Decrease smoking during pregnancy.
The percentage of women participating in
MCHB-funded programs who smoke in the last
three months of pregnancy.
Numerator:
Number of MCHB-funded program
participants who smoked during the last three
months of pregnancy.
Denominator:
Number of MCHB-funded program
participants who are pregnant at any time
during the reporting period.
Units: 100
Text: Percentage
Please space provided for notes to detail the
data source and year of data used.
HEALTHY PEOPLE 2010 OBJECTIVE
DATA SOURCE(S) AND ISSUES
SIGNIFICANCE
Related to Objective 27.6 : Increase smoking
cessation during pregnancy.
Provider and MCHB program records. Vital
Records can be used if Birth Certificates can be
matched to program participants.
Birth weight is the single most important
determinant of a newborn’s survival during the
first year. Low birth weight has been
associated with maternal smoking during
pregnancy.
New Form
Products and Publication Data Collection Form
Part 1
[NOTE: it is suggested that the online system be designed to populate Part 1 automatically,
based on reporting in Part 2]
[In the event it is not possible to populate Part 1 automatically, use the following instructions]
Instructions: Please list the number of publications and products addressing maternal and child
health that have been published or produced by your staff in the past year (counting the original
completed product or publication developed, not each time it is disseminated or presented).
Products and Publications include the following types:
Resource Type (Draft List)
Number of Individual Products or
Web-Based Resources Developed1
Peer-reviewed publications in scholarly journals
Non-peer-reviewed publications (e.g., periodicals, newspaper
editorials, newsletter articles, alerts)
Books
Book chapters
Pamphlets
Newsletters
Best practices reports
Reports and monographs (such as policy briefs)
Public service announcements
Electronic products (e.g., products that are designed solely for
electronic/Web site use, including podcasts, blogs, Web-based
video clips, and other materials)*
Conference presentations and posters (published or unpublished)
Curriculum modules
Other (specify):
Other (specify):
1
Note: The “circulation” or reach (in Part 2) will capture the number of individuals reached by the
resource. The number of resources addresses the number of each new product or resource developed, not
the number of times it is disseminated (i.e. one conference presentation might be delivered 10 times and
reach 500 people, but it counts as only one conference presentation).
*Does not refer to other resources developed in hard-copy or other format and then
posted on the Web site (which should be captured elsewhere)
Part 2
Instructions: For each publication and product listed in Part 1, complete all elements with a “*.”
MCHB will include the resource in a searchable database. (Note: The online data entry format
will enable grantees to enter multiple products for each resource type, even though there is only
space for one per category below.)
Basic Definitions (may vary, depending on resource type):
Element
Basic Definition
Title
Name of resource
Author
Name(s) of person(s) or organization who developed resource
Publication
If the resource was produced as part of a larger publication (or
event), that name should be listed here
Electronic link (or other
method to obtain
copies)
If the resource is available online (free or for a fee), provide a link; if
not and there is another method to obtain copies, indicate the contact
information or method
Volume, number,
supplement, year, pages
Provide any relevant information that will direct an individual to the
specific resource (e.g., if it is a newsletter, book chapter, or journal
article; other resources may only need to indicate the year produced)
Target audience
From a drop-down list, indicate whom the resource is designed to
target (can indicate multiple audiences)
Other notes
Provide any other important information not captured elsewhere
(e.g., publisher, whether no longer available)
Data collection form for: peer-reviewed publications (e.g., periodicals, newsletter
articles)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: non-peer-reviewed publications (e.g., periodicals,
newsletter articles)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: books (Note: If individual chapters, rather than the entire
book, are developed, please use the form for “book chapters”)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publisher: ___________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: book chapter (Note: If multiple chapters are developed
for the same book, list them separately, but indicate in the notes that there are
others)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Chapter: _______________________________________________________________
Publisher: ___________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: pamphlet, fact sheet, or tip sheet
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: newsletters (also includes articles for other organization’s
newsletters)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: best practices report
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: other report or monograph (e.g., policy briefs, white
papers)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: public service announcement
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Data collection form for: curriculum modules
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
Data collection form for: reports/monographs
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
*Electronic Link(or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
Data collection form for: course development
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
*Year:
_____________________________________________________________________
*Electronic Link(or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
Data collection form for: posters/presentations/published abstracts
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
*Meeting or Conference Name: __________________________________________________________
*Year: _________________________
*Electronic Link(or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
Data collection form for: Doctoral dissertations/ Master’s Theses
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
*Year: _________________________
*Electronic Link(or method to obtain copies): ______________________________________________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
Other (tools, curricula, etc.)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
Other (tools, curricula, etc.)
*Title: ______________________________________________________________________________
*Author: ____________________________________________________________________________
Publication: __________________________________________________________________________
*Electronic Link (or method to obtain copies): ______________________________________________
*Volume: ______ *Number: _______ *Supplement: _____ *Year: _______
Page(s):________
*Target Audience: Consumers/Families ____ Professionals ____ Other, Specify:
____________
Other Notes: _________________________________________________________________________
____________________________________________________________________________________
NEW SECTION
Detail Sheets
MCHB Program Performance Measures
50
PERFORMANCE MEASURE
Percent of very low birth weight infants among all
live births to program participants.
GOAL
To reduce the proportion of all live deliveries with very
low birth weight.
DEFINITION
Numerator: Number of live births with birth weight
less than 1,500 grams in the calendar year among
program participants.
Denominator: Total number of live births in the
calendar year among program participants.
Units: 100 Text: Percent
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-10b: Reduce very low birth weights to
0.9 percent. (Baseline: 1.4 percent in 1997).
DATA SOURCE(S) AND ISSUES
Birth certificates are the source for low birth weight.
SIGNIFICANCE
Prematurity is the leading cause of infant death. Many
risk factors have been identified for low birth weight
involving younger and older maternal age, poverty, late
prenatal care, smoking and substance abuse.
51
PERFORMANCE MEASURE
The percent of live singleton births weighing less than
2,500 grams among all singleton births to program
participants.
GOAL
To reduce the number of all live deliveries
with low birth weight.
DEFINITION
Numerator:
Number of live singleton births less than 2,500 grams
to program participants.
Denominator:
Live singleton births among program participants.
Units: 1,000 Text: Rate per 1,000
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-1b: Reduce low birth weights (LBW) to
no more than 5 percent of all live births.
(Baseline 7.6 in 1998)
DATA SOURCE(S) AND ISSUES
Linked vital records available from the State or the
program’s own verifiable data systems/sources
The general category of low birth weight infants
includes pre-term infants and infants with intrauterine
growth retardation. Many risk factors have been
identified for low birth weight babies including: both
young and old maternal age, poverty, late prenatal care,
smoking, substance abuse, and multiple births.
SIGNIFICANCE
52
PERFORMANCE MEASURE
The infant mortality rate per 1,000 live births.
GOAL
To reduce the number of infant deaths.
DEFINITION
Numerator:
Number of deaths to infants from birth through 364
days of age to program participants.
Denominator:
Number of live births among program participants.
Units: 1,000 Text: Rate per 1,000
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-1c: Reduction of infant deaths (within 1
year) to 4.5 per 1,000 live births. (Baseline: 7.2 in
1998)
DATA SOURCE(S) AND ISSUES
Linked vital records available from the State or the
program’s own verifiable data systems/sources
All countries of the world measure the infant mortality
rate as an indicator of general health status. The U.S.
has made progress in reducing this rate, but the rate of
decline has slowed in the last 10 years. There is still
significant racial disparity, as noted in the Healthy
People 2000 Mid-course Review. Rates are much
higher in the lower social class and in the lowest
income groups across all populations.
SIGNIFICANCE
53
PERFORMANCEMEASURE
The neonatal mortality rate per 1,000 live births.
GOAL
To reduce the number of neonatal deaths
DEFINITION
Numerator:
Number of deaths to infants under 28 days born to
program participants.
Denominator:
Number of live births to program participants.
Units: 1,000 Text: Rate per 1,000
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-1d: Reduce all neonatal deaths (within
the first 28 days of life) to 2.9 per 1,000 live births.
(Baseline: 4.8 in 1998)
DATA SOURCE(S) AND ISSUES
Linked vital records available from the State or the
program’s own verifiable data systems/sources
Neonatal mortality is a reflection of the health of the
newborn and reflects health status and treatment of the
pregnant mother and of the baby after birth.
SIGNIFICANCE
The post-neonatal mortality rate per 1,000 live births.
54
PERFORMANCE MEASURE
GOAL
To reduce the number of post-neonatal deaths.
DEFINITION
Numerator:
Number of deaths to infants 28 through 364 days of
age born to program participants.
Denominator:
Number of live births to program participants.
Units: 1,000 Text: Rate per 1,000
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-1e: Reduce all post-neonatal deaths
(between 28 days and 1 year) to 1.5 per 1,000 live
births. (Baseline: 2.4 in 1998)
DATA SOURCE(S) AND ISSUES
Linked vital records available from the State or the
program’s own verifiable data systems/sources
This period of mortality reflects the environment and
the care infants receive. SIDS deaths occur during this
period and have been recently reduced due to new
infant positioning in the U.S. Poverty and a lack of
access to timely care are also related to late infant
deaths.
SIGNIFICANCE
55 PERFORMANCE MEASURE
The perinatal mortality rate per 1,000 live births plus
fetal deaths.
GOAL
To reduce the number of perinatal deaths.
DEFINITION
Numerator:
Number of fetal deaths > 28 weeks gestation plus
deaths occurring under 7 days to program
participants.
Denominator:
Live births plus fetal deaths among program
participants.
Units: 1,000 Text: Rate per 1,000
HEALTHY PEOPLE 2010 OBJECTIVE
Objective 16-1b: Reduce the death rate during the
perinatal period (28 weeks of gestation to 7 days or less
after birth) to 4.5 per 1,000 live births plus fetal deaths.
(Baseline 7.5 in 1997)
DATA SOURCE(S) AND ISSUES
Linked vital records available from the State or the
program’s own verifiable data systems/sources.
Perinatal mortality is a reflection of the health of the
pregnant woman and newborn and reflects the
pregnancy environment and early newborn care.
SIGNIFICANCE
GOAL
The percentage of PPC faculty who demonstrate field leadership in
the areas of
academic, clinical, public health/policy, and advocacy.
To assure the highest quality of care of the Maternal and Child Health
Populations by disseminating new knowledge to the field, influencing
systems of care, professional organizations, and providers of health
care services.
MEASURE
The percentage of PPC faculty who demonstrate field leadership in
the areas of academic, clinical, public health/policy, and advocacy.
DEFINITION
PPC faculty is defined as an individual who receives PPC funding.
Leadership: MCH field leadership definitions (from MCHB
Performance Measure #8) of Academics, Clinical, Public
Health/Public Policy, Advocacy.
HEALTHY PEOPLE 2010
OBJECTIVE
16-23: Service Systems for CSHCN
DATA SOURCES AND ISSUES
MCHB Performance Measure #8 Detail Sheet will be used.
Data Source is self-report of faculty from faculty activity logs,
performance evaluations, and other local data sources.
SIGNIFICANCE
Leadership training requires mentors to be recognized as leaders in
their field.
Current reporting of Technical Assistance, Training, and Continuing
Education activities does not fully capture PPC Faculty Leadership
activities.
PROGRAM PERFORMANCE
MEASURE 58
DATA COLLECTION FORM FOR PROGRAM PERFORMANCE MEASURE 58
The total number of PPC Faculty included in this report
_________
Percent of faculty that demonstrate MCH leadership in at least one of the following areas:
________%
•
Academics--i.e. faculty member teaching-mentoring in MCH related field;
and/or conducting MCH related research; and /or providing consultation
or technical assistance in MCH; and/or publishing and presenting in key
MCH areas; and/or success in procuring grant and other funding in MCH
________%
•
Clinical--i.e. development of guidelines for specific MCH conditions;
and/or participation as officer or chairperson of committees on State,
National, or local clinical organizations, task forces, community boards,
etc.; and/or clinical preceptor for MCH trainees; and/or research, publication,
and key presentations on MCH clinical issues; and/or serves in a clinical
leadership position as director, team leader, chairperson, etc.
________%
•
Public Health/Public Policy--i.e. leadership position in local, State or
National public organizations, government entity; and/or conducts
strategic planning; participates in program evaluation and public policy
development; and/or success in procuring grant and other funding;
and/or influencing MCH legislation; and/or publication, presentations
in key MCH issues.
________%
•
Advocacy-- i.e. through efforts at the community, State, Regional and National ________%
levels influencing positive change in MCH through creative promotion,
support and activities--both private and public. For example, developing a city-wide
SIDS awareness and prevention program through community churches.
PROGRAM PERFORMANCE
MEASURE 59
The degree to which a training program collaborates with State Title V
agencies, other MCH or MCH-related programs.
GOAL
To assure that a training program has collaborative interactions related to
training, technical assistance, continuing education, and other capacitybuilding services with relevant national, state and local programs, agencies
and organizations.
MEASURE
The degree to which a training program collaborates with State Title V
agencies, other MCH or MCH-related programs and other professional
organizations.
DEFINITION
Attached is a list of the 6 elements that describe activities carried out by
training programs for or in collaboration with State Title V and other
agencies on a scale of 0 to 1. If a value of ‘1’ is selected, provide the
number of activities for the element. The total score for this measure will be
determined by the sum of those elements noted as ‘1.’
HEALTHY PEOPLE 2010
OBJECTIVE
1-7. Increase the proportion of schools of medicine, schools of nursing, and
other health professional training schools whose basic curriculum for health
care providers includes the core competencies in health promotion and
disease prevention.
7-2. Increase the proportion of middle, junior high, and senior high schools
that provide school health education to prevent health problems…
7-11. Increase the proportion of local health departments that have
established culturally appropriate and linguistically competent community
health promotion and disease prevention programs.
23-8, 23-10. Increase the proportion of Federal, Tribal, State, and local
agencies that incorporate specific competencies and provide continuing
education to develop competency in the essential public health services…
DATA SOURCES AND ISSUES
The training program completes the attached table which describes the
categories of collaborative activity.
SIGNIFICANCE
As a SPRANS, a training program enhances the Title V State block grants that
support the MCHB goal to promote comprehensive, coordinated, familycentered, and culturally-sensitive systems of health care that serve the
diverse needs of all families within their own communities. Interactive
collaboration between a training program and Federal, Tribal, State and local
agencies dedicated to improving the health of MCH populations will increase
active involvement of many disciplines across public and private sectors and
increase the likelihood of success in meeting the goals of relevant
stakeholders.
This measure will document a training program’s abilities to:
1) collaborate with State Title V and other agencies (at a systems level) to
support achievement of the MCHB Strategic Goals and CSHCN Healthy
People 2010 action plan;
2) make the needs of MCH populations more visible to decision-makers
and can help states achieve best practice standards for their systems of
care;
3) reinforce the importance of the value added to LEND program dollars in
supporting faculty leaders to work at all levels of systems change; and
4) internally use this data to assure a full scope of these program elements
in all regions.
DATA COLLECTION FORM FOR DETAIL SHEET PM #59
Indicate the degree to which your training program collaborates with State Title V (MCH) agencies and
other MCH or MCH-related programs using the following values:
0= The training program does not collaborate on this element.
1=The training program does collaborate on this element.
If your program does collaborate, provide the total number of activities for the element.
Element
5. Service
Examples might include: Clinics run by the training
program and/ or in collaboration with other agencies
6. Training
Examples might include: Training in Bright Futures…;
Workshops related to adolescent health practice; and
Community-based practices. It would not include
clinical supervision of long-term trainees.
7. Continuing Education
Examples might include: Conferences; Distance
learning; and Computer-based educational experiences.
It would not include formal classes or seminars for longterm trainees.
8. Technical Assistance
Examples might include: Conducting needs assessments
with State programs; policy development; grant writing
assistance; identifying best-practices; and leading
collaborative groups. It would not include conducting
needs assessments of consumers of the training program
services.
5. Product Development
Examples might include: Collaborataive development
of journal articles and training or informational videos.
6. Research
Examples might include: Collaborative submission of
research grants, research teams that include Title V or
other MCH-program staff and the training program’s
faculty.
Total Score (possible 0-6 score) ________
Total Number of Collaborative Activities _________
0
1
Total Number
of Activities
PROGRAM PERFORMANCE MEASURE 60
The percent of long-term trainees who, at 1, 5 and 10 years
post training, work in an interdisciplinary manner to serve the
MCH population (e.g., individuals with disabilities and their
families, adolescents and their families, etc.).
GOAL
To increase the percent of long-term trainees who, upon
completing their training, work in an interdisciplinary
manner to serve the MCH population.
MEASURE
The percent of long-term trainees who, at 1, 5 and 10 years
post training work in an interdisciplinary manner to serve the
MCH population.
DEFINITION
The number of trainees indicating that
they continue to work in an
interdisciplinary setting serving the MCH
population.
The total number of trainees responding
Denominator:
to the survey
100
Percent
Units:
Text:
In addition, data on the total number of the trainees and the
number of non-respondents for each year will be collected.
Numerator:
Long-term trainees are defined as those who have completed
a long-term (300+ hours) leadership training program,
including those who received MCH funds and those who did
not.
HEALTHY PEOPLE 2010 OBJECTIVE
1-7: Increase proportion of schools of medicine, schools of
nursing, and other health professional training schools whose
basic curriculum for health care providers includes the core
competencies in health promotion and disease prevention.
16-23: Increase the proportion of Territories and States that
have service systems for children with special health care
needs.
23-9: Increase the proportion of schools for public health
workers that integrate into their curricula specific content to
develop competency in the essential public health services.
DATA SOURCE(S) AND ISSUES
The trainee follow-up survey is used to collect these data.
SIGNIFICANCE
Leadership education is a complex interdisciplinary field that
must meet the needs of MCH populations. This measure
addresses one of a training program’s core values and its
unique role to prepare professionals for comprehensive
systems of care. By providing interdisciplinary coordinated
care, training programs help to ensure that all MCH
populations receive the most comprehensive care that takes
into account the complete and unique needs of the
individuals and their families.
PROGRAM PERFORMANCE MEASURE 61
GOAL
MEASURE
DEFINITION
The percentage of long term interdisciplinary trainees who
report valuing their interdisciplinary training at 1 and 5
years
To increase the percentage of former LEND trainees whose
career choice and performance is positively impacted by
their LEND training within five years of training
completion.
The degree to which MCH long term interdisciplinary
trainees report valuing their interdisciplinary training at 1,
and 5 years.
Numerator:
Denominator:
Units:
%
Number of trainees responding with a 3
or 2.
Total number of trainees responding.
Text:
Aggregate % from network
data
HEALTHY PEOPLE 2010 OBJECTIVE
Related to 16-23: Increase the proportion of Territories and
States that have service systems for children with special
health care needs.
DATA SOURCE(S) AND ISSUES
This requires primary data collection. The collection tool,
which will be the trainee follow-up survey, will ask trainees
to rate how they have valued their interdisciplinary training
on a scale of 0 to 3. Each program will then aggregate
reported data and report the distribution of how many
respondents rated their training a 1, how many 2, etc.
through 3. For the following questions, rank each answer
3=great positive influence; 2=some positive influence;
1=little influence; 0=negative influence
My LEND training has positively influenced my current
career choice and performance:
___ 3 ___ 2 ___ 1 ___ 0
SIGNIFICANCE
Asking the recipients of any service about the value of the
service provided to them is an important principle of
customer service and evaluation. Understanding the degree
to which MCH long term interdisciplinary trainees value
training will have multiple affects on the long-term
objectives of the program. Feedback from trainees is critical
to insuring that training addresses the needs of future
leaders in the field. The information could lead to strategic
program improvements as well as increase the
responsiveness of interdisciplinary training programs.
Ultimately, the likelihood that trainees are practicing in an
interdisciplinary system consistent with the principles of the
CSHCN system should increase if training better meets
their needs.
Challenges include issues in tracking graduates in the
future, obtaining a high response rate, and incorporating the
evaluation in meaningful program decision-making.
PROGRAM PERFORMANCE MEASURE 63
The degree to which LEND programs incorporate medical
home concepts into their curricula/training.
GOAL
To increase the number of LEND programs that incorporate
medical home concepts into their interdisciplinary training
programs.
MEASURE
The degree to which LEND programs incorporate medical
home concepts into their curricula/training.
DEFINITION
A medical home is defined by the AAP as an approach to
care that is “accessible, family-centered, continuous,
comprehensive, coordinated, compassionate and culturally
competent. This is the definition that the MCHB uses.
Attached is a checklist of 6 elements that are part of the
medical home concept. Please check the degree to which
the elements have been incorporated by on a scale of 0-4.
Please keep the completed checklist attached.
[Note: A baseline will be established and incremental goals
set for the future.]
HEALTHY PEOPLE 2010 OBJECTIVE
Related to 16.22 (developmental): Increase the proportion
of CSHCN who have access to a medical home.
DATA SOURCE(S) AND ISSUES
Data is collected via the data collection form that measures
what elements of a medical home have been incorporated
into its training program curricula.
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 preventative 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. The inclusion of
medical home concepts in interdisciplinary training will
ensure that professionals serving children with special
health care needs and their families provide the best type of
care possible and involve the individual and/or his or her
family in decision-making and care.
DATA COLLECTION FORM FOR DETAIL SHEET PM #63
Using the following scale of 0-4, please rate your training program’s attention to medical home concepts in
the six elements noted.
0=Not Taught
1=Taught at an awareness level—concept is presented
2=Taught at a knowledge level—reading, discussion and assignments on the concept
3=Taught at the skill level—students observe aspects of and get a chance to practice elements of a medical
home
4=Concept woven throughout training program: information, knowledge and practice
Element
The importance of providing accessible care is incorporated
into your curricula and clinical training experiences.
Family-centered care is included in your curricula and clinical
training experiences and trainees are taught to include families
in health care decisions.
The importance of providing continuous, comprehensive care
and the skills to do so are incorporated in your curricula and
clinical training experiences.
Trainees are taught and encouraged to provide coordinated care
across a range of disciplines.
Cultural and linguistic competence is a regular part of the
training experience.
Faculty/staff who have expertise in providing a medical home
are readily accessible to your program
Total Score (possible 0-24) _______
0
1
2
3
4
PROGRAM PERFORMANCE MEASURE 64
The degree to which the LEAH program incorporates
adolescents and parents from diverse ethnic and cultural
backgrounds as advisors and participants in program
activities.
GOAL
To increase appropriate involvement of adolescents and
parents as consumers of LEAH program activities.
MEASURE
The degree to which adolescents and parents are
incorporated as consumers of LEAH program activities.
DEFINITION
Attached is a checklist of 4 elements that document
adolescent and parent participation. Respondents will
note the presence or absence of this participation on a
scale of 0-1 for a total possible score of 4.
HEALTHY PEOPLE 2010 OBJECTIVE
11-3. (Developmental) Increase the proportion of health
communication activities that include research and
evaluation
11.6 (Developmental) Increase the proportion of persons
who report that their health care providers have
satisfactory communication skills.
DATA SOURCE(S) AND ISSUES
Grantees report using a data collection form. These data
may be collected with the LEAH self-assessment
activities. Participation should be defined to permit
assessment of youth and young adult involvement.
SIGNIFICANCE
Over the last decade, policy makers and program
administrators have emphasized the central role of
consumer of health services as advisors and participants in
program activities. Satisfaction with health care is related
to satisfaction with the quality of the communication with
health providers. In accordance with this philosophy,
LEAH facilitates such partnerships and believes that
consumers (adolescents and parents) from diverse
backgrounds have important roles in the training of future
leaders in adolescent health care delivery systems.
DATA COLLECTION FORM FOR DETAIL SHEET PM #64
Indicate the degree to which your training program has the active involvement of adolescents and parents in
your program and planning activities using the following values:
0 = The training program does not have active involvement of adolescents and parents in your
program and planning activities.
1 = The training program does have active involvement of adolescents and parents in your
program and planning activities.
If your program does collaborate, provide the total number of activities for the element.
Element
Adolescents from diverse ethnic backgrounds and cultures participate in an advisory
capacity.
Parents of adolescents from diverse ethnic backgrounds and cultures participate in an
advisory capacity.
Adolescents from diverse ethnic backgrounds and cultures participate in the planning,
implementation and evaluation of program activities related to adolescents as
consumers
Parents of adolescents from diverse ethnic backgrounds and cultures participate in the
planning, implementation and evaluation of program activities related to parents as
consumers
Total Score (possible 0-4 score) ________
0
1
PROGRAM PERFORMANCE MEASURE 65
The percent of individuals who participated in long-term
nutrition training that are practicing in a Maternal and Child
Health (MCH) related field within 5 years after receiving
training.
GOAL
MEASURE
To increase the number of individuals who participated in
long-term nutrition training that practice in the MCH field.
The percent of individuals who participated in long-term
nutrition training that are practicing in a Maternal and Child
Health (MCH) related field within 5 years after receiving
training.
DEFINITION
Numerator:
The number of individuals who
participated in long term nutrition training
that practice in an MCH related field. An
MCH related field consists of any health
care or related program or service
targeting women, children, and families.
Denominator:
The total number of individuals who
participated in long term nutrition training
that completed training. Trainees are
health care professionals receiving
nutritional training supported by MCHB
nutrition training grants including those
receiving MCH stipends and those not
receiving MCH stipends.
Units:
HEALTHY PEOPLE 2010 OBJECTIVE
100
Text:
Percent
Objective 7.7 (Developmental) Increase the proportion of
health care organizations that provide patient and family
education
Objective 23.10 (Developmental) Increase the proportion of
Federal, Tribal, State, and local public health agencies that
provide continuing education to develop competency in
essential public health services for their employees.
DATA SOURCE(S) AND ISSUES
These data are collected from an annual survey of trainees
who completed a nutrition training program. This survey
could be mailed by each grant program or done
electronically.
SIGNIFICANCE
•
•
•
Good nutrition is essential for growth, development,
and well being. Four out of 10 leading causes of death
are related to poor nutritional habits. In order to
improve health outcomes among women and children,
it is vital to improve nutritional habits within the MCH
population.
It is essential to maintain and enhance the nutrition
workforce in order to improve the quality of care and
provide adequate nutrition counseling services. These
workers are vital participants in the system of care and
enhance the preventive services infrastructure.
Having data on the number of trainees continuing to
work in the MCH field enables MCHB to assess the
adequacy of the nutrition services infrastructures.
DATA COLLECTION FORM FOR DETAIL SHEET PM #65
The total number of graduates of long term nutrition training programs*--5 years post graduation--being
reported in this report #_________
The total number of graduates of long term nutrition training programs * lost to follow-up?
# _______
What percent of graduates of long term nutrition training programs * --5 years post graduation-demonstrate MCH leadership in at least one of the following areas:
________%
• Academics--i.e., faculty member teaching-mentoring in MCH related field; and/or conducting MCH
related research; and /or providing consultation-technical assistance in MCH; and/or publishing and
presenting in key MCH areas; and/or success in procuring grant and other funding in MCH
[#______ meeting this criteria]
• Clinical--i.e., development of guidelines for specific MCH conditions; and/or participation as officer or
chairperson of committees on State, National, or local clinical organizations, task forces, community
boards, etc.; and/or clinical preceptor for MCH trainees; and/or research, publication, and key
presentations on MCH clinical issues; and/or serves in a clinical leadership position as director, team
leader, chairperson, etc.
[#_______meeting this criteria]
• Public Health/Public Policy--i.e., leadership position in local, State or National public organizations,
government entity; and/or conducts strategic planning; participates in program evaluation and public
policy development; and/or success in procuring grant and other funding; and/or influencing MCH
legislation; and/or publication, presentations in key MCH issues.
[#_______meeting this criteria]
• Advocacy--i.e., through efforts at the community, State, Regional and National levels influencing
positive change in MCH through creative promotion, support and activities--both private and public.
For example, developing a city-wide pediatric obesity and prevention program through community
churches.
• [#_______meeting this criteria]
• Decreasing Disparities—i.e., participating in community, state, regional or national activities
specifically targeting reducing disparities; and/or participating in or providing cultural competency
training.
[#_______meeting this criteria]
Graduates of long term nutrition training programs include both those that receive MCH
stipends and those not receiving MCH stipends.
70
PROGRAM PERFORMANCE MEASURE
Goal 1: Provide National Leadership for MCHB
(Promote family participation in care)
Level: Grantee
Category: Family Participation
GOAL
MEASURE
DEFINITION
The percent of families with Children with Special
Health Care Needs (CSHCN) that have been
provided information, education, and/or training by
Family-to-Family Health Information Centers.
To increase the number of families with CSHCN
receiving needed health and related information,
training, and/or education opportunities in order to
partner in decision making and be satisfied with
services that they receive.
The percent of families with CSHCN that have been
provided information, education and/or training by
Family-to-Family Health Information Centers.
Numerator:
The total number of families with CSHCN in the
State that have been provided information,
education, and/or training from Family-To-Family
Health Information Centers.
Denominator:
The estimated number of families having CSHCN
in the State
Units: 100
HEALTHY PEOPLE 2010
OBJECTIVE
Related to: 1) Objective 16-23: Increase the
proportion of States and jurisdictions that have
service systems for children with or at risk of
chronic and disabling conditions, as required by
public law 101-239.
Text: Percent
DATA SOURCE(S) AND ISSUES
1) Progress reports from Family-To-Family Health
Care Information and Education Centers
2) National Survey for Children with Special Health
Care Needs (NS-CSHCN)
SIGNIFICANCE
The last decade has emphasized the central role of
families as informed consumers of services and
participants in policy-making activities. Research
has indicated that families need information they
can understand and information from other parents
who have experiences similar to theirs and who
have navigated services systems.
DATA COLLECTION FORM FOR DETAIL SHEET #70
A. PROVIDING INFORMATION, EDUCATION, AND/OR TRAINING
Estimated number of families with CSHCN in the State: _____________
1. Our organization provided health care information/education /training to families with CSHCN to
assist them in accessing information and services.
a. Total number of families served/trained: ___________
b. Of the total number of families served/trained, how many families were provided
information/education/training related to the following issues:
1. Partnering/decision making with providers
Number of families served/trained _____
2. Accessing a medical home
Number of families served/trained _______
3. Financing for needed health services
Number of families served/trained _______
4. Early and continuous screening
Number of families served/trained ______
5. Navigating systems/accessing community services easily
Number of families served/trained _______
6. Adolescent transition issues
Number of families served/trained ______
7. Other (Specify): _____________________________________________
Number of families served/trained ______
2. Our organization provided health care information/education to professionals/providers to assist
them in better providing services.
a. Total number of professionals/providers served/trained: ___________
b. Of the total number of professionals/providers served/trained, how many professionals/providers were
provided health care information/education related to the following issues:
1.
2.
3.
4.
5.
6.
7.
Partnering/decision making with families
Number of professionals/providers served/trained: _____
Accessing/providing a medical home
Number of professionals/providers served/trained: _____
Financing for needed services
Number of professionals/providers served/trained: _____
Early and continuous screening
Number of professionals/providers served/trained: _____
Navigating systems/accessing community services easily
Number of professionals/providers served/trained: _____
Adolescent transition issues
Number of professionals/providers served/trained: _____
Other (Specify):_____________________________________________
Number of professionals/providers served/trained: ______
3. Our organization worked with State agencies/programs to assist them with providing services to
their populations and/or to obtain their information to better serve our families.
a. Types of State agencies/programs - Total: _________
b. Indicate the types of State agencies/programs with which your organization has worked:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
State level Commissions, Task Forces, etc.
MCH/CSHCN
Genetics/newborn screening
Early Hearing Detection and Intervention/Newborn Hearing screening
Emergency Medical Services for Children
LEND Programs
Oral Health
NICHQ Learning Collaboratives
Developmental Disabilities
Medicaid (CMS),SCHIP
Private Insurers
Case Managers
SAMHSA/Mental & Behavioral Health
Federation of Families for Children’s Mental Health
HUD/housing
Early Intervention/Head Start
Education
Child Care
Juvenile Justice/Judicial System
Foster Care/Adoption agencies
Other (Specify): _______________________________________
None
4. Our organization served/worked with community-based organizations to assist them with providing
services to their populations and/or to obtain their information to better serve our families.
a. Types of community-based organizations - Total: _________
b. Indicate the types of community-based organizations with which your organization has worked:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Other family organizations, groups
Medical homes, providers, clinics
American Academy of Pediatrics Chapter
Hospitals - Residents, hospital staff training
Hospitals - Other:____________________________
Universities - Schools of Public Health
Universities - Schools of Nursing
Universities - Schools of Social Work
Community Colleges
Schools
Interagency groups
Faith-based organizations, places of worship
Non-Profits, such as United Cerebral Palsy, March of Dimes, etc)
Ethnic/racial specific organizations
Community Teams
Other (Specify): _____________________________
None
B. INCREASING FAMILY PARTICIPATION
1. Our organization provided training/technical assistance that increased family and youth
participation in such systems building activities as committees, task forces, as contractors, etc.
a. Total number of family members and youth that received training (conferences, one-on-one, train-thetrainer, etc.)? __________
b. Total number of family members and youth that received technical assistance (by telephone, internet, in
person)? __________
c. Of the total number that have received training and technical assistance, how many family members and
youth served on systems building activities, such as boards, task forces, committees, etc.?
____________
d. Of the total number that have received training and technical assistance, how many family members and
youth participated at the following levels? (one person can participate at more than one level):
1. Local/Community Level
# of family members ______
2. State Level
# of family members ______
3. Regional Level
# of family members ______
4. Federal/National level
# of family members ______
# of youth _______
# of youth _______
# of youth _______
# of youth _______
Distance Learning Performance Measure
PERFORMANCE MEASURE
The degree to which MCH training programs use principles of
adult learning, scholarly and scientific research, and effective
education models that utilize available technology.
Goal 1:
Provide National Leadership for Maternal and Child Health
(both graduate level and continuing education training to assure
interdisciplinary MCH public health leadership nationwide)
Grantee
Training
Level:
Category:
GOAL
To increase the number of MCHB distance learning programs
that make use of principles of adult learning and effective
education models that utilize available technology.
MEASURE
The degree to which MCH training programs use principles of
adult learning and effective education models that utilize
available technologies.
DEFINITION
Attached is a checklist of 8 elements that reflect the use of adult
learning and education models that utilize technology. Please
check the degree to which the elements have been implemented.
The answer scale is 0-24. Please keep the completed checklist
attached.
Alternative education methodologies provide effective and
efficient means by which MCH professionals can enhance and
advance their analytic, managerial, administrative, and clinical
skills while continuing to meet their on-site responsibilities.
Alternative education methodologies include the following
elements:
(1) Relevance: Relation to MCH Training Program Strategic
Plan Goals and Objectives, such as cultural and linguistic
competency, family-centered practice, interdisciplinary
training, and integration of evidence-based knowledge.
(2) Access: Provision of training to a variety of users including
those who cannot benefit from training because of barriers
related to travel, schedule restraints, time away from work,
and/or cost.
(3) Quality: Employment of adult learning principles, ,
interactive training, and effective education models that
utilize technologies, such as the Internet, multimedia
networking, and teleconferencing.
(4) Collaboration: Collaboration with State Title V agencies,
other relevant State and/or community agencies, and other
4
(5)
(6)
(7)
(8)
Title V-funded training programs in the development,
delivery, and evaluation of training.
Representation: Successful marketing to and recruitment of
MCH professionals who represent the diversity of the
general population.
Accessibility: Accessibility related to Section 508 of the
Americans with Disabilities Act.
Assessment: An evaluation plan that provides for regular
assessment and improvement of program elements.
Sustainability: A plan that addresses the sustainability of
the program beyond the Federal funding period including a
range of possibilities from ongoing maintenance of the
project and training materials to ensuring the availability of
program materials beyond the project period.
HP 2010 OBJECTIVE
Related to Objective 1.7: (Developmental) Increase the
proportion of schools of medicine, schools of nursing, and other
health professional training schools whose basic curriculum for
health care providers includes the core competencies in health
promotion and disease prevention.
DATA SOURCE(S) & ISSUES
• Attached data collection form to be completed by the grantee.
• Data will be collected from competitive and continuation
applications as part of the grant application process and annual
reports. The elements of a quality distance learning program
need to be operationally defined and a draft checklist is attached.
SIGNIFICANCE
Recent reports confirm that continuing education needs for MCH
personnel are largely unmet and that state and local agencies
have limited capacity to meet those training needs. In addition to
geographic barriers, lack of funding, time away from work and
travel restrictions are barriers for professionals seeking education
opportunities. Distance learning projects address the need for
MCH continuing education and eliminate many reported barriers
including geographic access.
5
Data Collection Form
Using a scale of 0-3, please rate the degree to which your grant program has incorporated the following
elements into your curricula and training. Please add comments in the notes section explaining any data
that requires clarification.
0
1
2
3
1. Program relates to MCH Training Program Strategic Plan Goals and
Objectives and to the MCH leadership competencies.
2. Program provides training by addressing barriers of travel, schedule
restraints, time away from work, and/or cost.
3. Program uses adult learning principles, validated educational models,
instructional technology, and relevant scholarly and scientific research where
appropriate.
4. Program collaborates with critical partners such as State Title V agencies,
other relevant State and/or community agencies, and other Title V-funded
training programs in the development, delivery, and evaluation of training.
5. Program successfully markets to and recruits MCH professionals who
represent the diversity of the general population.
6. Curricula and training developed are accessible for persons with
disabilities as outlined in Section 508 of the Americans with Disabilities Act.
7. An evaluation plan assures regular assessment and improvement of
program elements.
8. A plan is in place that addresses the sustainability of the program beyond
the Federal funding period.
0 = Not Incorporated
1 = Partially Incorporated
2 = Mostly Incorporated
3 = Completely Incorporated
Total the numbers in the boxes (possible 0-24 score) _______
6
Pipeline Program Performance Measure
PERFORMANCE MEASURE
The percent of pipeline graduates that enter
graduate programs preparing them to work
with the MCH population.
Goal 1:
Level: Grantee
Category: Training
GOAL
To increase the percent of MCH pipeline
graduates that enter graduate programs
preparing them to work with the MCH
population.
To increase the number of pipeline graduates
that enter graduate programs preparing them to
work with the MCH population.
MEASURE
The percent of pipeline graduates that enter
graduate programs preparing them to work
with the MCH population.
DEFINITION
Numerator: Total number of MCH Pipeline
graduates enrolled in a graduate school
program preparing them to work with the MCH
population, 5 years after completing the MCH
Pipeline program.
Graduate programs preparing students to work
with the MCH population include: pediatric
medicine, public health, pediatric nutrition,
public health social work, pediatric nursing,
pediatric dentistry, psychology, health
education, health administration, pediatric
occupational/physical therapy, or speech
language pathology.
Denominator: Total number of MCH Pipeline
graduates who completed the MCH pipeline
program 5 years previously.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Objective 1.7: (Developmental)
Increase the proportion of schools of medicine,
schools of nursing, and other health
professional training schools whose basic
curriculum for health care providers includes
the core competencies in health promotion and
disease prevention.
7
Related to Objective 23.8: (Developmental)
Increase the proportion of Federal, Tribal,
State, and local agencies that incorporate
specific competencies in the essential public
health services into personnel systems.
DATA SOURCE(S) AND ISSUES
Attached data collection form to be completed
by grantees.
SIGNIFICANCE
MCHB training programs assist in developing
a public health workforce that addresses MCH
concerns and fosters field leadership in the
MCH arena.
8
DATA COLLECTION FORM FOR DETAIL SHEET
The total number of MCH Pipeline graduates; 5 years post graduation, included in this report
_________
The total number of MCH Pipeline graduates lost to follow-up
The total number of respondents
The total number of MCH Pipeline graduates that are enrolled in graduate
Programs preparing them work with the MCH population
_________
__________
_________
Graduate programs preparing graduate students to work in the MCH population include:
Pediatric medicine, public health, pediatric nutrition, public health social work, pediatric nursing,
pediatric dentistry, psychology, health education, health administration, pediatric occupational/physical
therapy, speech language pathology.
9
PERFORMANCE MEASURE A
The percent of long-term training graduates who are engaged in
work related to MCH populations
MCHB Goal 2: Eliminate Health
Barriers and Disparities
Level: Grantee
Category: Training
GOAL
To increase the percent of graduates of MCHB long-term
training programs who are engaged in work related to MCH
populations.
MEASURE
The percent of long-term training graduates who are engaged in
work related to MCH populations.
DEFINITION
Numerator:
Number of trainees reporting they are engaged in work related
to MCH populations
Denominator:
The total number of trainees responding to the survey
Units: 100
Text: Percent
Long-term trainees are defined as those who have completed a
long-term (greater than or equal to 300 contact hours)
leadership training program, including those who received
MCH funds and those who did not.
MCH Populations: Includes all of the Nation’s women, infants,
children, adolescents, and their families, including and children
with special health care needs (MCHB Strategic Plan: FYs
2003-2007)
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Goal 1: Improve access to comprehensive, highquality health care services (Objectives 1.1- 1.16).
Related to Goal 7 – Educational and community-based
programs: Increase the quality, availability and effectiveness of
educational and community-based programs designed to
prevent disease and improve health and quality of life. Specific
objectives: 7-7 through 7-11.
Related to Goal 23 – Public Health Infrastructure: Ensure that
Federal, Tribal, State, and local health agencies have the
infrastructure to provide essential public health services
effectively. Specific objectives: 23-8 through 23-10
DATA SOURCE(S) AND ISSUES
A revised trainee follow-up survey that incorporates the new
form for collecting data on the involvement of MCH training
program graduates in work related to MCH populations will be
used to collect these data.
Data Sources Related to Training and Work
Settings/Populations:
Rittenhouse Diane R, George E. Fryer, Robert L. Pillips et al. Impact
of Title Vii Training Programs on Community Health Center Staffing
and National Health Service Corps Participation. Ann Fam Med
2008;6:397-405. DOI: 10.1370/afm.885.
Karen E. Hauer, Steven J. Durning, Walter N. Kernan, et al. Factors
Associated With Medical Students' Career
Choices Regarding Internal Medicine JAMA. 2008;300(10):1154-1164
(doi:10.1001/jama.300.10.1154)
SIGNIFICANCE
HRSA’s MCHB places special emphasis on improving service
delivery to women, children and youth from communities with
limited access to comprehensive care.
DATA COLLECTION FORM PM A
Long-term training graduates who report working with the maternal and child health
population (i.e., women, infants, children, adolescents, and their families, including
and children with special health care needs) 5 years after completing their training
program.
NOTE: If the individual works with more than one of these groups only count them once.
A. The total number of graduates, 5 years following completion of program
_________
B. The total number of graduates lost to follow-up
_________
C. The total number of respondents (A-B) = denominator
________
D. Number of respondents who report working with an MCH population
________
E. Percent of respondents who report working with an MCH population
________
Use the notes field to detail data source used and information that provides significant
context for the data.
PERFORMANCE MEASURE B
MCHB Goal 5: Generate, translate, and
integrate new knowledge to enhance MCH
training, inform policy, and improve health
outcomes
Level: Grantee
Category: Training
GOAL
The degree to which MCHB long-term
training grantees engage in policy
development, implementation, and
evaluation.
To increase the number of MCHB long-term
training programs that actively promote the transfer
and utilization of MCH knowledge and research to
the policy arena through the work of faculty,
trainees, alumni, and collaboration with Title V.
MEASURE
The degree to which MCHB long-term training
grantees engage in policy development,
implementation, and evaluation.
DEFINITION
Attached is a checklist of six elements that
demonstrate policy engagement. Please check the
degree to which the elements have been
implemented. The answer scale is 0-18. Please keep
the completed checklist attached.
Policy development, implementation and evaluation
in the context of MCH training programs relates to
the process of translating research to policy and
training for leadership in the core public health
function of policy development.
Actively – mutual commitment to policy-related
projects or objectives within the past 12 months.
HEALTHY PEOPLE 2010 OBJECTIVE
Related to Goal 23: Public Health Infrastructure
“Ensure that Federal, tribal, State, and local health
agencies have the infrastructure to provide essential
public health services effectively.
Related to Objective 23.9: (Developmental)
Increase the proportion of schools for public health
workers that integrate into their curricula specific
content to develop competency in the essential
public health services.
Related to Objective 23.17: (Developmental)
Increase the proportion of Federal, Tribal, State, and
local public health agencies that conduct or
collaborate on population-based prevention
research.
DATA SOURCE(S) AND ISSUES
•
•
Attached data collection form to be completed
by grantee.
Data will be collected from competitive and
continuation applications as part of the grant
application process and annual reports. The
elements of training program engagement in
policy development, implementation, and
evaluation need to be operationally defined
with progress noted on the attached draft
checklist with an example described more fully
in the narrative application.
SIGNIFICANCE
Policy development is one of the three core
functions of public health as defined in 1988 by the
Institute of Medicine in The Future of Public Health
(National Academy Press, Washington DC).
In this landmark report by the IOM, the committee
recommends that “every public health agency
exercise its responsibility to serve the public interest
in the development of comprehensive public health
policies by promoting use of the scientific
knowledge base in decision-making about public
health and by leading in developing public health
policy.” Academic institutions such as schools of
public health and research universities have the dual
responsibility to develop knowledge and to produce
well-trained professional practitioners.
This national performance measure relates directly
to Goal 5 of the National MCHB Training Strategic
Plan to “generate, translate, and integrate new
knowledge to enhance MCH training, inform policy,
and improve health outcomes”.
DATA COLLECTION FORM FOR DETAIL SHEET
Using a scale of 0-3, please rate the degree to which your training program has addressed the following
policy development, implementation and evaluation elements.
0
1
2
3
Element
1. Provide multiple didactic opportunities for training on
policy development and advocacy to increase
understanding of how the policy process works at the
federal, state and local levels.
2. Provide multiple opportunities within the
practicum/field/clinical experience portion of the training
curriculum for knowledge and skills building in policy
development, implementation and evaluation.
3. A process is in place for assessing the policy knowledge
and skills of trainees.
4. Research findings are disseminated and effectively
communicated directly to public health agency leaders and
policy officials with attention to how these findings add to
the evidence-base for policy decisions and resource
allocation.
5. Faculty or staff contributes to the development of
guidelines, regulations, legislation or other public policy at
the local, state, and/or national level.
6. Participate in developing and strengthening local, state,
and/or national MCH advocacy networks and initiatives.
Examples include MCH coalitions, teen pregnancy
prevention initiatives, family advocacy groups, or advocacy
groups in professional organizations.
0=Not Met
1=Partially Met
2=Mostly Met
3=Completely Met
Total the numbers in the boxes (possible 0-18 score) ___________
| File Type | application/pdf |
| File Title | Microsoft Word - FINALAttachAPerMeas.doc |
| Author | acash |
| File Modified | 2009-03-16 |
| File Created | 2009-03-16 |