Transcript Striving for Outcomes: Federal Transformation of the Title V Maternal and Child Health Block Grant Bob Bowman, MS, MA, MS Director Maternal and Child Health Division.

Striving for Outcomes:
Federal Transformation of
the Title V Maternal and
Child Health Block Grant
Bob Bowman, MS, MA, MS
Director
Maternal and Child Health Division
Goals
•Clearly define Title V
•Explain how Title V is changing
•Explain what the MCH program is doing in
anticipation of the transformation
•Explain how the transformation will impact MCH
grants
What is Title V?
•Title V Maternal and Child Health Program is the
Nation’s oldest Federal-State partnership.
•Provides a foundation for ensuring the health of
the Nation’s mothers, women, children and youth,
including children and you with special health
care needs and their families.
What is Title V?
•Block grant program was established in 1981.
•Each year state Maternal and Child Health
agencies apply for and receive a formula grant.
•In Indiana over $5.5 million dollars of Title V
funding is made available to grantees annually.
Title V Transformation
•Fall of 2013, Dr. Michael Lu provided a rough
outline of the transformation which included:
•The mission and vision of Title V would not
change
•Importance of federal/state partnership
Title V Transformation
HOWEVER
•Stressed that if we hope to sustain the current
funding to Title V we must be able to tell a
national story as to how Title V is moving the
needle.
Title V Transformation
Each state has been therefore challenged
to:
•Sharpen our measurements
•Sharpen our focus
An update from Dr. Michael
Lu
Maternal and Child Health Block
Grant Transformation, Part II
Takeaways from Update
Updated Performance
Measures
Women’s/Maternal Health
1) Well-women’s visit (BRFSS)
Definition: % of women 18-44 with past-year preventive visit
2) Low-risk cesarean (Birth Certificate)
Definition: % cesarean among term, singleton, vertex, first births
Perinatal/Infant’s Health
3) Perinatal Regionalization (Linked birth-AAP Directory)
Definition: % VLBWs born in facilities with level III + NICUs
4) Breastfeeding (NIS)
Definition: % infants ever breastfed
5) Safe Sleep (PRAMS)
Definition:% infants placed to sleep on their backs
Updated Performance
Measures
Young Children’s Health
6) Developmental Screening (NSCH)
Definition: % children ages 9-71 months receiving a developmental screening using a
parent-completed screening tool
Adolescent Health
7) Adolescent well-visit (NSCH)
Definition: % of adolescents aged 12-17 with a well-visit in the past year
8) Bullying (YRBSS or NSCH)
Definition: % adolescents who report being bullied
Child and Adolescent Health
9) Injury (HCUP-State Inpatient Databases)
Definition: rate of injury-related hospitalization per population aged 0-19
10) Physical Activity (YRBSS and NSCH)
Definition: % of children ages 6-17 who are physically active at least 60 minutes per
day
Updated Performance
Measures
Children with Special Health Care Needs
11) Medical Home (NSCH)
Definition: % children with and without CSHCN that have a medical home
12) Transition (NSCH)
Definition: % adolescents ages 12-17 with and without CSHCN who received
services necessary to make transitions to adult health care
Cross-cutting or Life Course
13) Oral health (NSCH and PRAMS)
Definition: % of women who had a dental visit during pregnancy and %
children ages 1-6 with a past-year preventive dental visit
14) Smoking (NSCH and NVSS)
Definition: % of women who smoke during pregnancy and % children in
households where someone smokes
15) Adequate Insurance Coverage (NSCH)
Definition: % children who are adequately insured
MCH Division Update
•For the past several months, the MCH
Epidemiology team has been compiling,
reviewing and analyzing data for the 5 year Needs
Assessment
•As part of the Needs Assessment, input from
partners, stakeholders, and community members
to assess the current needs of women, children,
and families in Indiana
MCH Division Update
•In addition, members of the MCH Division and
the Children’s Special Health Care Services
Division have begun identifying priority needs
and relating them to national performance
measures
•Ex. Perinatal Regionalization
Takeaways from Update
Anticipated Impact on
MCH Grants
•More focused
•New performance measures
•MUST become sustainable
•Address areas of the state with the greatest need
Final Thoughts
• If we hope to maintain or even increase the amount of
funding Indiana receives in the Title V grant then we
must create a more compelling argument
• In order to do this, we must be more strategic in our
approach and we must clearly have an impact on those
areas we choose to address.
• We are partners in improving the health of America’s
mothers and children
Questions?
Resources
Indiana Title V Needs Assessment Public Input
https://www.surveymonkey.com/s/TITLEV1
For additional information please contact
Theresa Hunter at [email protected]