Currently the MCH Program has 18 National Performance Measures, 6 Outcome Measures, Currently the MCH Program has 18 National Performance Measures, 6 Outcome Measures, Health Status Indicators, and 36 Discretionary Grant Performance Measures. All Long Term MCH Training Programs report annually on 4 of these 36 Discretionary Grant Performance Measures.
These consensus measures were jointly developed by states, other grantees, and the Federal MCH Program staff. In addition to the national performance measures, States develop and report on state priority needs and performance measures and discretionary grantees can also report on performance measures that better "tell their story."
MCHB Discretionary Grant Information System (DGIS)
The Maternal and Child Health Bureau's (MCHB) Discretionary Grant Information System (DGIS) collects program and performance measure data for more than 900 grants annually. These data help MCHB assess the effectiveness of its programs and help project officers monitor the progress made under these grants. MCHB discretionary grants help to ensure that quality health care is available to the maternal and child health (MCH) population, which includes all of the nation's women, infants, children, adolescents, and their families, including fathers and children with special health care needs.
MCH Performance measures must meet the following criteria:
The measure should be relevant to major MCHB priorities, activities, programs and dollars.
The measure should be important and understandable to MCH partners, policymakers, and the public.
Data are available across states.
A logical linkage can be made from the measure and the desired outcome.
Measurable change should be detectable within 5 years.
A potential for change in the measure should be realistic.
Process or capacity measures should logically lead to improved outcomes.
Measures should be prevention focused.
Today the MCHB block grant performance and outcome measures are as follows:
18 National MCHB Block Grant Performance Measures
The percent of screen positive newborns who received timely follow up to definitive diagnosis and clinical management for condition(s) mandated by their State-sponsored newborn screening programs.
The percent of children with special health care needs age 0 to 18 whose families partner in decision-making at all levels and are satisfied with the services they receive. (CSHCN Survey)
The percent of children with special health care needs age 0 to 18 who receive coordinated, ongoing, comprehensive care within a medical home. (CSHCN Survey)
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 the services they need. (CSHCN Survey)
The percent of children with special health care needs age 0 to 18 whose families report the community-based service system are organized so they can use them easily. (CSHCN Survey)
The percentage of youth with special health care needs who received the services necessary to make transitions to all aspects of adult life, including adult health care, work, and independence. (CSHCN Survey)
Percent of 19 to 35 month olds who have received full schedule of age appropriate immunizations against Measles, Mumps, Rubella, Polio, Diphtheria, Tetanus, Pertussis, Haemophilus Influenza, Hepatitis B.
The rate of birth (per 1,000) for teenagers aged 15 through 17 years.
Percent of third grade children who have received protective sealants on at least one permanent molar tooth.
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children.
The percent of mothers who breastfeed their infants at 6 months of age.
Percentage of newborns who have been screened for hearing before hospital discharge.
Percent of children without health insurance.
Percentage of children, ages 2 to 5 years, receiving WIC services that have a Body Mass Index (BMI) at or above the 85th percentile.
Percentage of women who smoke in the last three months of pregnancy
The rate (per 100,000) of suicide deaths among youths 15-19.
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates.
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester.
6 MCH Outcome Measures
The infant mortality rate per 1,000 live births.
The ratio of the black infant mortality rate to the white infant mortality rate.
The neonatal mortality rate per 1,000 live births.
The postneonatal mortality rate per 1,000 live births.
The perinatal mortality rate per 1,000 live births plus fetal deaths.
The child death rate per 100,000 children aged 1 through 14.