Application for 2017 and Report for 2015 Outline Introduction 1 - - PowerPoint PPT Presentation
BRIAN SANDOVAL CODY L. PHINNEY, MPH Governor Administrator, DPBH RICHARD WHITLEY, MS JOHN M. DiMuro, DO Director, DHHS Chief Medical Officer Application for 2017 and Report for 2015 Outline Introduction 1 Requirements for
Application for 2017 and Report for 2015
BRIAN SANDOVAL Governor RICHARD WHITLEY, MS Director, DHHS CODY L. PHINNEY, MPH Administrator, DPBH JOHN M. DiMuro, DO Chief Medical Officer
Division of Public and Behavioral Health
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Division of Public and Behavioral Health
Began in 1935 as part of the Social Security
Act.
Only federal program devoted to improving
the health of women, children, and families.
Each year state Maternal and Child Health
agencies apply for and receive a formula grant.
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Division of Public and Behavioral Health
Vision of Title V
youth, including CSHCN, and their families are healthy and thriving. Mission of Title V
nation’s mothers, infants, children and youth, including children and youth with special health care needs, and their families.
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Division of Public and Behavioral Health
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Division of Public and Behavioral Health
– 30% of total Block Grant funds must be allocated to child/adolescent population – 30% to Children and Youth with Special Health Care Needs – No greater than 10% administrative cost
– 1-800-429-2669 or Nevada 2-1-1
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Address 8 national performance measures with at least one from the six federal population domains
NPM # National Performance Priority Areas MCH Population domains 1 Well woman visit Women/maternal health 2 Low risk cesarean delivery Women/maternal health 3 Perinatal regionalization Perinatal/infant health 4 Breastfeeding Perinatal/infant health 5 Safe Sleep Perinatal/infant health 6 Developmental screening Child Health 7 Injury Child Health and/or adolescent health 8 Physical activity Child Health and/or adolescent health 9 Bullying Adolescent health 10 Adolescent well-visit Adolescent health 11 Medical home Children with special health care needs 12 Transition Children with special health care needs 13 Oral Health Cross-cutting/lifespan 14 Smoking Cross-cutting/lifespan 15 Adequate insurance coverage Cross-cutting/lifespan
Division of Public and Behavioral Health
1. Percent of women with a past year preventive medical visit 2. A) Percent of infants who are ever breastfed and B) Percent of infants breastfed exclusively through 6 months 3. Percent of children, ages 10 through 71 months, receiving a developmental screening using a parent-completed screening tool 4. Percent of children ages 6 through 11 and adolescents 12 through 17 who are physically active at least 60 minutes per day 5. Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. 6. Percent of children with and without special health care needs having a medical home 7. A) Percent of women who smoke during pregnancy and B) Percent of children who live in households where someone smokes 8. Percent of children ages 0 through 17 who are adequately insured
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Division of Public and Behavioral Health
Identify and address 3-5 state performance measures
Nevada State Performance Measures
care
during pregnancy
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Division of Public and Behavioral Health
Develop and Implement a five year state action plan
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See hand out
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58.61 54.19 55.74 59.02 60.08 61.13
10 20 30 40 50 60 70 80 90 100 2009 2010 2011 2012 2013 2014
NPM #1- Percent of Women with a Past Year Preventive Medical Visit: Nevada BRFSS, 2009-2014
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Division of Public and Behavioral Health
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80.5 78.2 80.2 78.0 80.9 80.1
10 20 30 40 50 60 70 80 90 100 2007 2008 2009 2010 2011 2012
NPM #4A - Percent of Infants who are ever Breastfed
Data Source: National Immunization Survey (NIS) Notes: Starting with 2009 births, the survey switched from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates from 2007 and 2008 may not be comparable to subsequent estimates
Division of Public and Behavioral Health
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11.9 12.5 11.2 18.7 18 14.8
5 10 15 20 25 30 2007 2008 2009 2010 2011 2012
NPM #4B- Percent of infants breastfed exclusively through 6 months: Nevada, 2007-2012
Data Source: National Immunization Survey (NIS) Notes: Starting with 2009 births, the survey switched from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates from 2007 and 2008 may not be comparable to subsequent estimates
Division of Public and Behavioral Health
15 18.6 21.9
5 10 15 20 25 2007 2011_2012
NPM #6- Percent of children, ages 10 through 71 months, receiving a developmental screening using a parent-completed screening tool
Data Source: National Survey of Children's Health (NSCH) Notes: The developmental screening measure was added in 2007 and is only available at two time points. In 2011-2012, the survey changed from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates may not be comparable over time.
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Data National Survey of Children's Health (NSCH) Notes: The revised NSCH will capture physical activity of at least 60 minutes per day with baseline NSCH data reflecting at least 20 minutes per day. In 2011-2012, the survey changed from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates may not be comparable over time.
33.72 29.89 29.79
5 10 15 20 25 30 35 40 2003 2007 2011_2012
NPM #8 - Percent of Children ages 6 through 11 who are Physically Active At least 60 Minutes per day
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22.6 24.9 24.0
5 10 15 20 25 30 35 2007 2009 2013
NPM #8 - Percent of Adolescents Ages 12 through 17 who are Physically Active At least 60 Minutes per day
Data Source: Youth Risk Behavior Surveillance System (YRBSS) Notes: YRBSS data are self-reported by students in grades 9 through 12. The estimates, numerators, and denominators presented are weighted to account for the probability of selection and non-response, and are adjusted to reflect the total population of high school students by sex, grade, and race/ethnicity for the United States and for each state.
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60.26 71.30 67.32
10 20 30 40 50 60 70 80 90 100 2003 2007 2011_2012
NPM #10 - Percent of Adolescents Ages 12 through 17, with a Preventive Medical Visit in the Past Year
Data National Survey of Children's Health (NSCH) Notes: In 2011-2012, the survey changed from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates may not be comparable over time.
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46.8 44.8
5 10 15 20 25 30 35 40 45 50 2007 2011 2012
NPM #11 - Percent of Children Without Special Health Care Needs Having a Medical Home
Data Source: National Survey of Children's Health (NSCH) – NONCSHCN. Notes: Medical Home items were substantially revised in 2007 and are only comparable at two time points. In 2011-2012, the survey changed from a landline-
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37.2 43.3
5 10 15 20 25 30 35 40 45 50 2007 2011_2012
NPM #11 - Percent of Children with Special Health Care Needs Having a Medical Home
Data Source: National Survey of Children's Health (NSCH) Notes: Medical Home items were substantially revised in 2007 and are only comparable at two time points. In 2011-2012, the survey changed from a landline-
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5.2% 6.0% 5.7% 5.1% 4.7%
0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 2010 2012 2013 2014 2015
NPM #14A- Percent of Mothers who Reported Smoking During Pregnancy: Nevada, 2010-2015
Data Source: Nevada vital records (birth certificate data). Notes: Tobacco use in pregnancy was modified in the 2003 revision of the U.S. Standard Certificate of Live Birth. Nevada implemented the 2003 version of the birth certificate in mid 2009.
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29.3 25.4 26.0
5 10 15 20 25 30 35 2003 2007 2011_2012
NPM #14B - Percent of Children who Live in Households Where Someone Smokes
Data Source: National Survey of Children's Health (NSCH) Notes: In 2011-2012, the survey changed from a landline-only sample to a dual-frame sample including landlines and cell phones. Therefore, estimates may not be comparable over time.
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73.1 73.0
10 20 30 40 50 60 70 80 90 100 2007 2011_2012
NPM #15 - Percent of Children Ages 0 through 17 who are Adequately Insured
Data Source: National Survey of Children's Health (NSCH) Notes: Survey items on insurance adequacy were added in 2007 and are only available at two time points. In 2011-2012, the survey changed from a landline-
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61.6 63.7 65.3 65.9 68.7 77.9 77.9 77.9 77.9 77.9
20 40 60 80 100 2010 2011 2012 2013 2014
Percent of Births with Prenatal Care Beginning in the First Trimester: Nevada, 2010-2014
Nevada HP 2020
Data Source: Nevada vital records (birth certificate data). Healthy People 2020. Washington, DC: U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion Accessed June 22,
Timing of prenatal care is the timing of the mother's entry into prenatal care and is divided into three categories. 1. "Early prenatal care," which is care started in the 1st trimester (1-3 months); 2. "Second trimester care" (4-6 months); and 3. "Late/no prenatal care," which is care started in the 3rd trimester (7-9 months) or no care received.
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0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2010 2011 2012 2013 2014 2015
SPM #1- Percent of Mothers Reporting Late or no Prenatal Care : Nevada & U.S., 2010 to 2015
Carson City Clark Washoe Rest of State Nevada U.S.
U.S. Nevada
Nevada data source: Nevada vital records (birth certificate data). National data source: National Vital Statistics System (NVSS) Notes: Late or no prenatal care is care received only in the third trimester of pregnancy or no prenatal care received at all.
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0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0% 20.0% 2010 2011 2012 2013 2014 2015
Percent of Mothers Reporting Late or no Prenatal Care by Race/Ethnicity: Nevada, 2010-2015
White Black Native American Asian Hispanic State
Nevada
Data Source: Nevada vital records (birth certificate data). Notes: Late or no prenatal care is care received only in the third trimester of pregnancy or no prenatal care received at all.
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5 10 15 20 25 30 35 40 2010 2011 2012 2013 2014 2015
SPM #2- Percent of Repeat Teen Births by Age Group: Nevada, 2010-2015
15-17 18-19 15-19
15-19
Data Source: Nevada vital records (birth certificate data).
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5 10 15 20 25 30 35 2010 2011 2012 2013 2014 2015
Percent of Repeat Teen Births by Race/Ethnicity: Nevada, 2010-2015
White (non-Hispanic) Black (non-Hispanic) American Indian, Eskimo, or Aleut (non-Hispanic) Asian or Pacific Islander (non-Hispanic) Hispanic (any race)
Data Source: Nevada vital records (birth certificate data).
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0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 2010 2011 2012 2013 2014 2015
Percent of Mothers Who Reported Drug Use During Pregnancy by County: Nevada, 2010-2015
Clark Washoe Rest of State
Data Source: Nevada vital records (birth certificate data) Note: Drug use includes over-the-counter drugs, prescription drugs, and/or illegal substance use. Drug use data are self-reported.
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This presentation was produced by the Maternal and Child Health Program of the Nevada Division of Public and Behavioral Health.
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Ingrid Mburia, MPH Maternal and Child Health Epidemiologist Nevada Division of Public and Behavioral Health Phone: 775-684-4023 Email: imburia@health.nv.gov