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Open Access 01-05-2015

A New Performance Measurement System for Maternal and Child Health in the United States

Authors: Michael D. Kogan, Christopher Dykton, Ashley H. Hirai, Bonnie B. Strickland, Christina D. Bethell, Iran Naqvi, Carlos E. Cano, Sheri L. Downing-Futrell, Michael C. Lu

Published in: Maternal and Child Health Journal | Issue 5/2015

Abstract

Objective

The Title V Maternal and Child Health (MCH) Block Grant is the linchpin for US MCH services. The first national performance measures (NPMs) for MCH were instituted in 1997. Changing trends in MCH risk factors, outcomes, health services, data sources, and advances in scientific knowledge, in conjunction with budgetary constraints led the Maternal and Child Health Bureau (MCHB) to design a new performance measurement system.

Methods

A workgroup was formed to develop a new system. The following guiding principles were used: (1) Afford States more flexibility and reduce the overall reporting burden; (2) Improve accountability to better document Title V’s impact; (3) Develop NPMs that encompass measures in: maternal and women’s health, perinatal health, child health, children with special health care needs, adolescent health, and cross-cutting areas.

Results

A three-tiered performance measurement system was proposed with national outcome measures (NOMs), NPMs and evidence-based/informed strategy measures (ESMs). NOMs are the ultimate goals that MCHB and States are attempting to achieve. NPMs are measures, generally associated with processes or programs, shown to affect NOMs. ESMs are evidence-based or informed measures that each State Title V program develops to affect the NPMs. There are 15 NPMs from which States select eight, with at least one from each population area. MCHB will provide the data for the NOMs and NPMs, when possible.

Conclusions

The new performance measurement system increases the flexibility and reduces the reporting burden for States by allowing them to choose 8 NPMs to target, and increases accountability by having States develop actionable ESMs.

Significance

The new national performance measure framework for maternal and child health will allow States more flexibility to address their areas of greatest need, reduce their data reporting burden by having the Maternal and Child Health Bureau provide data for the National Outcome and Performance Measures, yet afford States the opportunity to develop measurable strategies to address their selected performance measures.

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Title: A New Performance Measurement System for Maternal and Child Health in the United States
Authors: Michael D. Kogan
Christopher Dykton
Ashley H. Hirai
Bonnie B. Strickland
Christina D. Bethell
Iran Naqvi
Carlos E. Cano
Sheri L. Downing-Futrell
Michael C. Lu
Publication date: 01-05-2015
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 5/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-015-1739-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A New Performance Measurement System for Maternal and Child Health in the United States

Abstract

Objective

Methods

Results

Conclusions

Significance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Significance

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