1
Quick Summary of the Child and Adolescent
Health Measurement Initiative
Act
nd
ea
nd
na
op
vel
De
•
Promote Child
Health and
System
Excellence
cer
•
Dis
•
Transformative Goals
for Child Health
ova
t
•
-Family-centered & datadriven
Integrated measures and
methods at the national,
state & local levels
-Tools to inform and
activate families as
improvement partners
Stakeholder facilitation to
inspire transformation
-Advance new areas of
research and policy aligned
with life course and wellbeing model of health and
health care
Inn
•
Actionable Data &
Data-Driven Tools
Transfomational
Partnerships
Inspire and Inform
www.nhiscamdata.org
Health Care Quality Summary
Measure (All Children)
DATA SOURCE: 2011/12 National Survey of Children’s Health
Nationwide:
39.0%
Health Care
Quality:
• Adequate Health
Insurance
• Preventive
Medical Visit in Past
Year
• Has a Medical
Home
Persistent gaps in health care quality and
system capacity for CSHCN
Proportion of CSHCN Meeting MCHB CSHCN Systems of Care Quality
Indicators, Nationwide (2009/10 NS-CSHCN)
CSHCN 12-17 Years Old
60%
50%
38.4%
40%
30%
26.5%
21.4%
20%
CSHCN 0-11 Years Old
13.6%
10%
60%
48.5%
50%
0%
0-2 Achieved 3-4 Achieved 5 Achieved
40%
-10%
31.4%
30%
20.1%
20%
10%
0%
0-2 Achieved
3-4 Achieved
All 5 Achieved
All 6
Achieved
Examples of Data Use
www.childhealthdata.
org
Engaging Parents as Improvement Partners, October, 2013 |
Pre-Visit Well Visit Planner (WVP)
The Well-Visit Planner Website: Three Steps
Parents of young children visit the Well-Visit PlannerTM website and complete the following steps
before their child’s age-specific well visit:
Public use site available
www. wellvisitplanner.org
Site specific/branded option
with parent visit guide
transfer into EMR: Beta
testing at PPOC in Boston
Full EMR integration:
Beta testing in FQHC’s and
community pediatrics now.
Spanish language version
nearing completion
Building and Translating Social Determinants of
Health Knowledge into Policy and Practice
The Science of Linked Lives and Life Course Health:
Safety, Connection, Attachment, Stress and Health
12
13
“You can not go to good places
with your mind if you can’t go
good places with your body. “
Stephen Porges, PhD
Professor Emeritus, University of Illinois at
Chicago. Director, Brain Body Center in the
Department of Psychiatry. Author: The Polyvagal
Theory
14
Adverse Child Experiences Included
National
Prevalence
State Range
Child had one or more Adverse Child or Family Experiences
47.9%
40.6% (CT) - 57.5% (AZ)
Child had two or more Adverse Child or Family Experiences
22.6%
16.3% (NJ) - 32.9% (OK)
Socioeconomic hardship
25.7%
20.1% MD – 34.3% (AZ)
Divorce/separation of parent
20.1%
15.2% (DC) – 29.5 (OK)
Death of parent
3.1%
1.4% (CT) – 7.1% (DC)
Parent served time in jail
6.9%
3.2% (NJ) – 13.2% (KY)
Witness to domestic violence
7.3%
5.0% (CT) – 11.1% (OK)
Victim or witness of neighborhood violence
8.6%
5.2% (NJ) – 16.6% (DC)
Lived with someone who was mentally ill or suicidal
8.6%
5.4% (CA) – 14.1% (MT)
Lived with someone with alcohol/drug problem
10.7%
6.4% (NY) – 18.5% (MT)
Treated or judged unfairly due to race/ethnicity
15
4.1%
1.8% (VT) – 6.5% (AZ)
Adverse Childhood Experiences
National and State Data on Adverse Childhood Experiences
and Resilience FOR CHILDREN (2011-12 NSCH
(HRSA/MCHB/CDC)
47.9% of US Children 1+
(of 9) ACEs Age 0-17 years
No adverse family
experiences
22.6
25.3
52.1
One adverse family
experience
Two or more adverse
family experiences
State Variation In Prevalence of 2+ (of 9) ACES
16.3% (UT) – 32.9% (OK) across states.
16
18
Organization and
Financing of Health
Services
Health Professions
Work Force Capacity,
Training and Support
Access to Services &
Resources
Seven HSR/P
Agenda Domains
Informatics and
Clinical Decision
Making
Practitioner, patient
and consumer
behavior
Clinical Evaluation
and Outcomes
Research
Quality of services
and resources
A Conclusion
A Full Spectrum Needed for WHOLE Population Effect
Data Collection and
Analysis
Adjustments and
Spread to Scale
& Public Acceptance
Research, Interpretation
And Dissemination
Training, dialogue,
tools, techniques
1. Population Effect
Tools, Trainings,
Curriculum
Consulting, Strategy,
Collective Impact
Field Trials: Trauma Informed Communities and Care
Field Trial Evaluation
And Learning
New and Emergently Needed Knowledge
Space for ACO’s, States, Community,
Population and Individuals’
Free Our
Brilliance
Take on
Transparency
Brave Being
Six wishes for Maternal,
Child and Family
Health in the US
Take on
Trauma
Become “We
Ninjas”
Prioritize
Possibility
There is no greater agony than bearing
an untold story inside you
Maya Angelou