Form 1 Finalized_Instrument_MHAR Data Table Template

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Overview

Public Burden Statement
MHAR Data Table
Measure Details

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Sheet 1: Public Burden Statement

Public Burden Statement: The State Maternal Health Innovation (State MHI) program Maternal Health Annual Report (MHAR) will monitor grantee’s progress in accessing, analyzing, and using state-level maternal health data and to summarize the data focused work that grantees accomplish. The purpose of the State MHI program is to reduce maternal mortality and severe maternal morbidity (SMM) by improving access to care that is comprehensive, high-quality, appropriate, and on-going throughout the preconception, prenatal, labor and delivery, and postpartum periods; enhancing state maternal health surveillance and data capacity; and identifying and implementing innovative interventions to improve outcomes for populations disproportionately impacted by maternal mortality and SMM. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-XXXX and it is valid until XX/XX/202X. This information collection is required to obtain or retain a benefit (42 U.S.C. § 701(a)(2) (Title V, § 501(a)(2) of the Social Security Act), Data will be private to the extent permitted by the law. Public reporting burden for this collection of information is estimated to average 12 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Information Collection Clearance Officer, 5600 Fishers Lane, Room 14NWH04, Rockville, Maryland, 20857 or [email protected]. Please see https://www.hrsa.gov/about/508-resources for the HRSA digital accessibility statement.

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Sheet 2: MHAR Data Table

OMB Control No. 0906-XXXX XX/XX/202X	Total # live births	Total # pregnancy-related deaths	# live births with a source of payment at the time of delivery that is not self-pay	% of live births where the mother had health insurance (Numerator: Live births with a source of payment at the time of delivery that is not self-pay Denominator: Total # live births)	# of cesarean deliveries among term, singleton, vertex births to nulliparous women	# of term, singleton, vertex births to nulliparous women	Rate of low-risk cesarean delivery (%) (Numerator: # of cesarean deliveries among term, singleton, vertex births to nulliparous women Denominator: # of term, singleton, vertex births to nulliparous women)	% of women with a recent live birth who received a postpartum visit	% of women with a recent live birth screened for postpartum depression	Notes
Data Source (live birth certificate, MMRC, PRAMS, etc.)
Calendar Year(s)
For Reference: Requested Timeframe
Total
Data by age
≤24
25-39
40+
Missing/Unknown
Data by race/ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African (e.g., Egyptian, Israeli)
Native Hawaiian or Pacific Islander
White
Multiracial and Multiethnic
Missing/Unknown
Data by education
Less than a High School graduate
High School graduate or GED completed
Some college or Associate’s degree
Bachelor’s or advanced degree
Missing/Unknown
Data by geography (based on county of residence, using NCHS urban-rural classification scheme)
Urban
Rural
Missing/Unknown
Notes

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Sheet 3: Measure Details

OMB Control No. 0906-XXXX XX/XX/202X
Measure	Definition	Source	Numerator	Denominator
Total number of live births	Total number of live births	Live birth certificate	Total number of live births	N/A
Total number of pregnancy-related deaths	A death during or within one year of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy[i]	MMRIA[ii]/MMRC (if MMRC not available, use PMSS[iii])	Total number of pregnancy-related deaths	N/A
Percent of live births where the mother had health insurance	Source of payment at delivery other than self-pay	Live birth certificate	Total number of live births with a source of payment at the time of delivery that is not self-pay	Total number of live births
Rate of low-risk cesarean delivery	Cesarean delivery among nulliparous (no prior births), term (37 or more completed weeks based on obstetric estimate), singleton (not a multiple birth), and cephalic or vertex (head-first) births [iv]. Also referred to as NTSV (nulliparous, term, singleton, vertex) births.	Live birth certificate	Number of cesarean delivery among term (≥37 weeks gestation), singleton, vertex births to nulliparous women	Number of term (≥37 weeks gestation), singleton, vertex births to nulliparous women
Percent of women with a recent live birth who received a postpartum visit	Percent of women with a recent live birth who reported receiving a postpartum checkup	Pregnancy Risk Assessment Monitoring System (PRAMS, Core Question 46 of the Phase 8 Questionnaire) or similar	For reference (numerator does not need to be reported): Number of women with a recent live birth receiving a postpartum checkup (defined as a regular checkup about 4-6 weeks after a recent live birth)	For reference (denominator does not need to be reported): Number of women with a recent live birth.
Percent of women with a recent live birth screened for postpartum depression	Percent of women with a recent live birth who were asked during a postpartum checkup if they were feeling down or depressed	PRAMS (Core Question 47 of the Phase 8 Questionnaire) or similar	For reference (numerator does not need to be reported): Number of women with a recent live birth screened for postpartum depression by the 4-6 week checkup	For reference (denominator does not need to be reported): Number of women with a recent live birth (Note: women without a postpartum checkup are classified as “no screening”)
The following breakdown should be used to report disaggregated data for each of the measures above, where available and appropriate
Data by age	Use the following age ranges:
	≤24
	25-39
	40+
Data by race/ethnicity	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic or Latino
	Middle Eastern or North African (e.g., Egyptian, Israeli)
	Native Hawaiian or Pacific Islander
	White
	Other (please note what “Other” includes)
Data by education	Less than a High School graduate
	High School graduate or GED completed
	Some college or Associate’s degree
	Bachelor’s or advanced degree
Data by geography	Indicate geographical breakdown of urban versus rural using the following definitions: The National Center for Health Statistics has an urban-rural classification scheme for counties that includes six urbanization levels (four metropolitan and two nonmetropolitan) on a continuum ranging from most urban to most rural.[v]
	Metropolitan classifications (to be used when referring to urban areas for the purposes of this report):
	1)      Large metro metropolitan statistical area (MSA) population of 1 million or more which is broken down into large central metro and large fringe metro 2)      Medium metro MSA population less than 250,000 3)      Small metro MSA population less than 250,000
	Nonmetropolitan classifications (to be used when referring to rural areas for the purposes of this report):
	1)      Micropolitan urban cluster population of 10,000 – 49,999
	2)      Noncore
	When indicating the geographic breakdown of urban versus rural for the maternal health outcomes data based on the NCHS Urban-Rural Classification Scheme, please use the county of residence rather than the county of occurrence.  It may also be important to examine your data by regions that make sense for your state (North/South/East/West; North/Central/Southern, etc.)
Use the 2023 MHAR Data Table as the format for reporting the data. Upload the data in the EHBs as an Excel spreadsheet.
[i] Pregnancy-related death: https://www.cdc.gov/reproductivehealth/maternal-mortality/preventing-pregnancy-related-deaths.html
[ii] MMRIA – Maternal Mortality Review Information Application: https://www.cdc.gov/reproductivehealth/maternal-mortality/erase-mm/MMRIA.html
[iii] PMSS – Pregnancy Mortality Surveillance System: https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
[iv] Low-risk cesarean definition (Page 6): Osterman MJK, Hamilton BE, Martin JA, Driscoll AK, Valenzuela CP. Births: Final data for 2021. National Vital Statistics Reports; vol 72, no 1. Hyattsville, MD: National Center for Health Statistics. 2023. DOI: https://dx.doi. org/10.15620/cdc:122047.
[v] National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties: https://www.cdc.gov/nchs/data_access/urban_rural.htm