Child & Family Well-Being Measures Workgroup Meeting #9 May 14, - - PowerPoint PPT Presentation
Child & Family Well-Being Measures Workgroup Meeting #9 May 14, 2015 Agenda 1. Bundled Measure Proposal for Early Childhood Care and Education 2. Continued Review of Prospective Measures for Adoption Community Person-Centered
May 14, 2015
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# Measure Name Description Data Source Used by/Steward 50 Population Receiving Fluoridated Water Percentage of Oregon population on public water systems receiving fluoridated water. CDC Water Fluoridation Reporting System and US Census CDC 51 Teen Pregnancy Rate, Ages 15-17 Years Rate of pregnancies among women ages 15 - 17 years. OHA Public Health Division, Birth Certificate Records OHA
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# Measure Name Description Data Source Used by/Steward 229 Incarcerated Parents – Children at Time of Intake Inmates fill out a family survey, which asks them to list each child and their age. Information from this survey would be current at the moment of the inmates’ intake. If a child/children was born after the inmate’s Intake this information would not be captured. If one wanted to calculate the current (i.e., post- Intake) age(s) of an inmate’s child(ren), one would have to add the appropriate number of years to the figure reported at intake. Family Survey Department of Corrections 230 Incarcerated Parents – Children at Time of Arrest Other intake paperwork asks the inmate to report the number of children who were living with them at the time of their arrest, which often can be a number of months or even years prior to their incarceration. Intake Paper work Department of Corrections
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# Measure Name Description Data Source Used by/Steward 231 Youth in OYA Care/Custody That Are Parents Percentage of youth in Oregon Youth Authority care/custody that are the biological parent of a child. Youth Bio- psychosocial Summary (conducted every 2 years) Oregon Youth Authority
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# Measure Name Description Data Source Used by/Steward 228 Low Income Children with and Without Safety Net Support Percentage of children that would be below the poverty line without safety net programs and percentage that are below the poverty line with safety net programs. Census Data: Supplemental Poverty Measure Public Use Research Files and Current Population Survey Children First for Oregon/ Annie E Casey Foundation 39 SNAP Utilization The ratio of Oregonians served by SNAP to the number of low- income Oregonians. (note: This measure was reclassified from Domain 2.) DHS Food Stamp Management Information System and Census Estimates DHS
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# Measure Name Description Data Source Used by/Steward 177 CYSHN Who Needed Mental Health/Counseling Among CYSHN who needed mental health/counseling, the percentage of CYHSN who received all needed care. National Survey
Youth with Special Health Needs Oregon Title V Grant/The Child and Adolescent Health Measurement Initiative 178 CYSHN Who Needed Specialized Services Among CYSHN who needed specialized services, the percentage of CYHSN who received all needed care. National Survey
Youth with Special Health Needs Oregon Title V Grant/The Child and Adolescent Health Measurement Initiative
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# Measure Name Description Data Source Used by/Steward 235 Pregnancy Related - IPV Composite Combination of the results of the following two questions:
before you got pregnant with your new baby, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any
pregnancy, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any
PRAMS Survey CDC
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# Measure Name Description Data Source Used by/Steward 233 Children in Low- income Households with a High Housing Cost Burden The share of children living in low-income households where more than 30 percent of the monthly income was spent on rent, mortgage payments, taxes, insurance, and/or related expenses. Population Reference Bureau, analysis of data from the U.S. Census Bureau, Census 2000 Supplementary Survey, 2001 Supplementary Survey, 2002 through 2013 American Community Survey. Kids Count 234 Homelessness Among Families with Children and Children Total number of children under 18 that are homeless and total number of families with children that are homeless. This report is based on point- in-time information provided to HUD by Continuums of Care (CoCs) as part of their CoC Program application process, per the Notice of Funding Availability (NOFA). HUD
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1. Promotes Alignment: potential alignment with local and/or national efforts 2. Actionable and Timely: measurement results are available soon after the event(s) being measured and can be applied by those being measured or those conducting measurement to initiate change 3. Outcome-Related: addresses actual outcomes or evidence supports link to
4. High Impact: generates valuable information where potential improvement is greatest 5. Endorsed/ Evidence-Based: have been endorsed by a national body and/or there is peer-reviewed research evidence supporting the measure’s validity and reliability 6. Transformative: reflect innovative and transformative practices 7. Appropriate for Audience: meaningful and useful to those evaluating or monitoring performance 8. Data are Readily Available: the entity responsible for generating or otherwise
enough denominators to produce reliable results 9. Supports Racial and Ethnic Equity: The measure can be stratified by race, ethnicity, gender, language and/or geography (e.g., county and sub-county) as appropriate to highlight relevant disparities that need to be addressed.
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232 Children living in households with a high housing cost burden The share of Children living in households where more than 30 percent of the monthly income was spent on rent, mortgage payments, taxes, insurance, and/or related expenses. 9 No:
Related
and Ethnic Equity Sometimes:
Audience 233 Children in low- income households with a high housing cost burden The share of children living in low-income households where more than 30 percent of the monthly income was spent on rent, mortgage payments, taxes, insurance, and/or related expenses. 9 No:
Related
and Ethnic Equity Sometimes:
Audience 19
50 Percentage of Oregon population on public water systems receiving fluoridated water Percentage of Oregon population on public water systems receiving fluoridated water 9 No:
Timely
and Ethnic Equity Sometimes:
229 Incarcerated Parents – Children at Time of Intake Inmates fill out a Family Survey, which asks them to list each child and their age. 9 No:
and Aligned
Sometimes:
Audience 20
104 Patient-Centered Primary Care Home enrollment Percentage of patients who were enrolled in a recognized Patient- centered primary care home (PCPCH). 6 No:
Equity Sometimes
111 Percentage of 8th- graders who drank 7 or more soft drinks/week Percentage of 8th- graders who drank 7 or more soft drinks/week 6 No:
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86 Elective Delivery Prior to 39 Completed Weeks Gestation (PC- 01) This measure assesses patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39 weeks of gestation completed. 7 No:
Sometimes
58 Alcohol or other substance misuse screening, brief intervention and referral to treatment Patients 12 and
a alcohol or other substance misuse screening, brief intervention and referral to treatment 8 No:
Sometimes
66 Appropriate testing for children with pharyngitis Appropriate testing for children with pharyngitis 9 No:
Sometimes
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209 Child Care Affordability Index Calculates child care affordability by calculating child prices and household income 6 No:
Equity 211 Childcare and Education Availability Child care and education availability as measured by slots per 100 children. 6 No:
Equity Sometimes:
213 Compensation of early learning center workforce Median low and median high wages for early learning center teachers and number of benefits
6 No:
Equity 23
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# Measure Name Description Data Source Used by/ Steward 42(a) TANF Family Stability The quarterly rate per 1,000
TANF who then enter foster care. This is a proposed KPM for 2015-17 replacing a measure that measured the % of children entering foster care who had received TANF. AFCARS and Client Maintenance System DHS 6 Child Poverty Rate Percentage of children estimated to live in families with incomes at or below the Federal Poverty Level. US Census Bureau Data Children First for Oregon
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# Measure Name Description Data Source Used by/ Steward 203 Food Insecurity Among Households with Children Percentage of households with children that report reduced quality, variety, or desirability of diet or uncertainty about having enough food for all household members. In these households, some members are experiencing food insecurity, which may indirectly impact children’s health; often times adults shield children from the direct experience of hunger. The Household Food Security Survey - annual supplement to the U.S. Census Bureau’s Current Population Survey US Census 15 Homeless Students Percentage of all public school students without a decent, safe, stable, or permanent place to live during the school year. Oregon school districts report this data www.ode.state.or.u s/search/page/?id= 1976 School districts, Children First for Oregon
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# Measure Name Description Data Source Used by/Steward 21 Median Family Income Median Family Income at the State Level as well as a rank among all states. US Census Bureau Children First for Oregon 11 Distribution of Total Population by Federal Poverty Level Percentage of state population by Federal Poverty Level. US Census Bureau Kaiser Family Foundation
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# Measure Name Description Data Source Used by/ Steward 197 Children In Low- Income Working Families By Age Group Percentage of children under age 18 living in families that met two criteria: a) the family income was less than twice the federal poverty level; b) at least one parent worked 50 or more weeks during the prior yr. Population Reference Bureau, analysis of data from the U.S. Census Bureau, 2008 - 2012 American Community Survey. National Kids Count 199(a) Children Living In Low-Income Households Where No Adults Work Percentage of children under the age of 18 who live in low income households where no adults worked. Population Reference Bureau, analysis of data from the U.S. Census Bureau, 2008 - 2012 American Community Survey. National Kids Count
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# Measure Name Description Data Source Used by/ Steward Proposed by 209 Child Care Affordability Index Using 2004 as the baseline year, the percentage change in child care prices and in household income. Biennial Oregon Market Price Survey, US Census ACS Oregon Median HH Income for 2- parent and single parent households with children Oregon Child Care Research Partnership Bobbie Webber
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# Measure Name Description Data Source Used by/ Steward Proposed by 211 Childcare and Education Availability Childcare and education availability as measured by slots per 100 children, segmented by county, HUB, state. Bobbie Weber 212 Availability of Rated Child Care Programs Percentage of regulated programs that have earned a step 3 or higher. Can be calculated at multiple levels. Bobbie Weber 213 Compensation of Early Learning Center Workforce Median low and median high wages for early learning center teachers and number of benefits
Bobbie Weber
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# Measure Name Description Data Source Used by/ Steward Proposed by 215 Enrollment of Children at Risk in Rated Programs Percentage of children receiving subsidy in programs with a rating of 3 or
code and county so could be calculated a multiple levels. Bobbie Weber
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# Measure Name Description Data Source Used by/ Steward 164 Reading to Young Children During the past week, how many days did you or other family members read stories to [child name]? National and state-level data available. 2011/12 National Survey of Children's Health 143 3
rd Grade Reading
and Math Percentage of students who meet or exceed performance standards for 3
rd grade
reading and math. Student Test Results K-12 Progress/ Oregon Department of Education 145 5-year Completion Rate Percentage of first-time 9th graders in the stated year that earned a regular high school diploma, modified diploma, extended diploma, adult high school diploma or GED within five years of entering 9th grade. ODE High School Completers data collection K-12 Completion/ Oregon Investment Education Board
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# Measure Name Description Data Source Used by/ Steward 162 Exclusionary Discipline Measures the distribution of exclusionary discipline (suspension, expulsion); total and by race and ethnicity. School records Oregon Education Investment Board 218 Follow-up to EI After Referral Percentage of children referred to EI, screened, evaluated and receiving services Oregon Education Department 220 EI/ECSE Child Outcomes Percentage of children 1) showing greater than expected growth and 2) exiting the program within age expectations across three areas (social skills, cognitive skills and adaptive skills). This also is a key performance
report this by county but the “n” is so low for some counties that we cannot report it for all of them. Oregon Education Department
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# Measure Name Description Data Source Used by/Steward Proposed by 223 Kindergarten Attendance Rate of kindergarten attendance. OIEB Proposed during work group meeting N/A Availability of Affordable Child Care for Special Needs Children. Availability of affordable child care for special needs children. Work group would like to explore developing such a measure.
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# Measure Name Description Data Source Used by/Steward 166 Kindergarten Readiness This measure is based on the Oregon Kindergarten Assessment which is administered in the first 6 weeks of the start of each school year. It assesses all entering kindergarten student’s selected knowledge and skills in three areas: early literacy, early mathematics, and approaches to learning. Each of the KA segments were selected based
reliability and validity, and include: the Easy CBM Letter Names and Mathematics measures, an adapted EasyCBM Letter Sounds measure, and the Child Behavior Rating Scale (CBRS). Results are currently reported at the statewide, district, school and Early Learning Hub levels and disaggregated by race, ethnicity, and gender. Kinder- garten Assess- ments Early Childhood & K-12 Connections/ Oregon Department
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# Measure Name Description Data Source Used by/Steward 75 Child and Adolescent Access to Primary Care Practitioners Children ages 12 to 24 months and 25 months to 6 years who had a visit with a PCP during the measurement year. (note: adolescent age ranges 7-11 and 12-19 are also part of this measure) Health Plan Claims OHA: CCO (T) NCQA 141 Well-Child Visits in the First 15 Months of Life Percentage of children that turned 15 months old during the measurement year and had zero,
more well-child visits with a PCP during their first 15 months of life. Health Plan Claims OHA: CCO (T) NCQA 76 Childhood Immunization Status Number of children who turned 2 years old during the measurement year who had specific vaccines by their second birthday. Claims and ALERT or Oregon 17 data OHA: CCO (T) NCQA
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# Measure Name Description Data Source Used by/Steward 207 School Immunization Data Percentage of children with specific immunizations, religious exemptions and medical exemptions by county. Data available for kindergarten-age children. Oregon Immuniza- tion Data and ALERT
17 data OHA 84 Developmental Screening by 36 Months Number of children screened for risk of developmental, behavioral and social delays using a standardized screening tool in the first three years of life. Claims OHA:CCO (I,T) NCQA 104 Patient Centered Primary Care Home Enrollment Percentage of patients who were enrolled in a recognized Patient Centered Primary Care Home (PCPCH). CCO Enrollment Data and health plan self report of member assignment OHA: CCO (I,T)
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# Measure Name Description Data Source Used by/Steward 100 Mental and Physical Health Assessment within 60 Days for Children in DHS Custody Percentage of children age 4+ who receive a mental health assessment, physical health assessment and dental assessment within 60 days of the state notifying CCOs that the children were placed into custody with the Department of Human Services (foster care). Claims and DHS Data (OrKids) OHA: CCO (I) 116 Percentage of Persons with Health Insurance Percentage of persons with medical insurance (can be stratified by different views including: families, one or two parent families with children, mothers, children and adolescents with medical insurance). National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS) and Oregon Health Insurance Survey (OHIS) Healthy People 2020
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# Measure Name Description Data Source Used by/Steward 125 Prenatal and Postpartum Care: Timeliness of Prenatal Care Percentage of women with a prenatal visit within the first trimester. Claims and Clinical Data OHA: CCO (I,T) NCQA 126 Prenatal and Postpartum Care: Postpartum Care Rate Percentage of women with a postpartum visit for a pelvic exam or postpartum care on or between 21 and 56 days after delivery. Claims and Clinical Data OHA: CCO (T) NCQA 114 Live Births Weighing Less Than 2500 Grams Percentage of live births weighing less than 2500 grams. Claims CHIPRA
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# Measure Name Description Data Source Used by/Steward 82 Alcohol Use Among Preconception and Pregnant Women During the 3 months before you got pregnant:
average week?
drinks or more in one sitting? (A sitting is a 2- hour time span.) During the last 3 months of your pregnancy:
average week?
drinks or more in one sitting? (A sitting is a 2- hour time span.) During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask if you were drinking alcoholic beverages (beer, wine, wine cooler, or liquor)? Survey PRAMS
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# Measure Name Description Data Source Used by/Steward 101 Breastfeeding 8 Weeks After Delivery Percentage of mothers breastfeeding 8 weeks after delivery. Survey PRAMS 96 Maternal Depression During and/or After Pregnancy During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about any of the things listed below? What to do if I feel depressed during my pregnancy or after my baby is born? Survey PRAMS 123 Adolescent Pregnancy Rate Percentage of adolescent females ages 10- 17 who are pregnant. Birth Certificate Data Vital Statistics 94 Infant Mortality Rate Mortality rate for infants. Death Certificate Data Vital Statistics
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# Measure Name Description Data Source Used by/Steward 55 Adolescent Well-Care Visit Percentage of adolescents ages 12 to 21 who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year. Health Plan Claims OHA: CCO (I,T) NCQA 86 Elective Delivery Prior to 39 Completed Weeks Gestation (PC-01) Percentage of patients with elective deliveries at >= 37 and < 39 weeks
Clinical Data and Hospital Report OHA: CCO (T) CMS/Joint Commission 66 Appropriate Testing For Children with Pharyngitis Percentage of children ages 2 to 18 that were diagnosed with pharyngitis, dispensed an antibiotic, and received a group A streptococcus test for the episode Health Plan Claims OHA: CCO (T) NCQA 90 Follow-up Care for Children on ADHD Medications Children six to 12 years of age with
follow-up visit with a practitioner with prescribing authority, within 30 days
(IPSD). Health Plan Claims OHA: CCO (T) NCQA
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# Measure Name Description Data Source Used by/Steward 111 Soda Consumption Among 8
th graders
Percentage of 8th-graders who drank 7 or more soft drinks/week. Survey Oregon Healthy Teens Survey 129 Diabetes Among Preconception and Pregnant Women Percentage of women who reported having diabetes before they became pregnant or while pregnant. Survey PRAMS 225 Gestational Diabetes Rate Rate of gestational diabetes during pregnancy among women who had a live birth. Birth Certificate Data OHA
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# Measure Name Description Data Source Used by/Steward 75 Child and Adolescent Access to Primary Care Practitioners Children ages 12 to 24 months and 25 months to 6 years who had a visit with a PCP during the measurement year. (note: adolescent age ranges 7-11 and 12-19 are also part of this measure) Health Plan Claims OHA: CCO (T) NCQA 141 Well-Child Visits in the First 15 Months of Life Percentage of children that turned 15 months old during the measurement year and had zero,
more well-child visits with a PCP during their first 15 months of life. Health Plan Claims OHA: CCO (T) NCQA 140 Well-Child Visits in the 3rd, 4th, 5th, and 6th Years of Life Percentage of children ages 3 to 6 who had one or more well-child visits with a PCP during the measurement year. Health Plan Claims NCQA 55 Adolescent Well-Care Visit Percentage of adolescents ages 12 to 21 who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year. Health Plan Claims OHA: CCO (I,T) NCQA
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# Measure Name Description Data Source Used by/Steward 58 Alcohol or Other Substance Misuse Screening, Brief Intervention and Referral to Treatment (SBIRT) Percentage of patients ages 12 years and older who have had a qualifying
measurement year, and who completed a full, standardized screening tool because they indicated risky or problematic substance use during the brief, annual screen. (12-17 years of age) Claims OHA: CO (I,T) OHA 85 Effective Contraception use Among Women at Risk of Unintended Pregnancy Percentage of women ages 15-50 who adopted or continued use of
ages 15-17 and ages 18-50. Claims OHA: CCO (I)
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# Measure Name Description Data Source Used by/Steward 70 Getting Care Quickly Composite Got care for illness/injury/condition as soon as you thought you/child needed. Got an appointment for routine care as soon as you thought you/child needed. Use child only and report separately for children with chronic conditions and those without. CAHPS Survey OHA: CCO (I,T) AHRQ 224 Getting Needed Care Composite Got care, tests, or treatment you thought you/your child needed Got appointments with specialists for you/your child Use child only and report separately for children with chronic conditions and those without. CAHPS Survey AHRQ
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# Measure Name Description Data Source Used by/Steward 188 Children Receiving Preventive Dental Services Percentage of children less than 4 years of age on Medicaid who received preventive dental services from a dental provider in the year. Claims Division of Medical Assistance Programs – Medicaid/ Part
Block Grant 205 Sealants on Permanent Molars for Children Percentage of children ages 6-9 and 10-14 receiving a dental sealant on permanent molars. Claims OHA: CCO (I)
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# Measure Name Description Data Source Used by/Steward 2 Absence of Repeat Maltreatment The percentage of abused/neglected children who were not subsequently victimized within 6 months of prior victimization. State Child Welfare SACWIS
DHS – Child Safety Program 8 Cumulative Number
Childhood Experiences The Adverse Childhood Experiences (ACE) Study is one of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being. Adverse Childhood Experiences (ACEs) is a term used to describe neglect, abuse, violence and/or distressed family environments that children under the age of 18 years may experience. In the Oregon BRFSS survey, respondents were asked 11 questions to establish eight categories of ACEs. This survey asks adults to recall their childhood experiences. (note: develop additional measure from NSCH survey for children) BRFSS CDC (CDC/Kaiser for ACE Study)
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# Measure Name Description Data Source Used by/Steward 36 Child Abuse and Neglect per 1000 Rates of child abuse and neglect as reported using the State Automated Child Welfare Information System. Data can be reported by age, as well as other demographic factors. State Automated Child Welfare Information System (SACWIS) DHS Child Welfare Department 29 Child Population Spending at Least One Day in Foster Care Percentage of child population spending at least one day in foster care during federal fiscal year, reported at the state and county level. State Automated Child Welfare Information System (SACWIS) DHS Child Welfare Department
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# Measure Name Description Data Source Used by/Steward 10 Disproportionality in Foster Care Percentage of children in out-of- home placement by race and ethnicity compared to overall percentage of the under-18 population by race and ethnicity. US Census Data, US HHS Foster Care Data Children First for Oregon 192 Foster Youth Not Served by Independent Living Program Services Percentage of eligible foster youth not served by Independent Living Program services. State Automated Child Welfare Information System (SACWIS) DHS Child Welfare Department 25 Children Qualifying for Child Welfare Services at Home Percentage of children qualifying for child welfare services who are receiving services at home in lieu of foster care placement. State Automated Child Welfare Information System (SACWIS) DHS Child Welfare Department