the office of data and program development (odpd) presentation at the mchb partnership meeting...
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THE OFFICE OF DATA AND PROGRAM THE OFFICE OF DATA AND PROGRAM DEVELOPMENT (ODPD)DEVELOPMENT (ODPD)
Presentation at the MCHB Partnership Meeting
February 2009
Michael D. Kogan, Ph.D.
Maternal and Child Health Bureau Health Resources and Services Administration
U.S. Department of Health and Human Services
OUR OUR RAISON D’ETRERAISON D’ETRE
• Build data capacity at the national, state, and local levels
• Strengthen the present and future workforce skill levels in MCH epidemiology
• Disseminate information and strengthen the evidence base in MCH
• Coordinate MCHB’s work on program accountability, evaluation, and policy analysis
BUILD DATA CAPACITY AT THE NATIONAL, STATE, AND LOCAL
LEVELS
NATIONAL SURVEYS ON CHILDREN’S NATIONAL SURVEYS ON CHILDREN’S HEALTH, 2003 and 2007HEALTH, 2003 and 2007
• HRSA/MCHB Partnership with CDC/NCHS
• Identifies 2000 children per state by random digit dialing telephone survey
• Gathers information on the physical, mental, and emotional health of children
NATIONAL SURVEYS OF CHILDREN NATIONAL SURVEYS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS, WITH SPECIAL HEALTH CARE NEEDS,
2001, 2005-2006, and 20092001, 2005-2006, and 2009
• HRSA/MCHB Partnership with CDC/NCHS
• Identifies 750-1000 children per state by random digit dialing telephone survey
• Gathers information on the health care experiences and needs of CSHCN and their families
Health Insurance Coverage for Health Insurance Coverage for CSHCN: 2001 and 2005-2006CSHCN: 2001 and 2005-2006
Percentage of CSHCN, by Type of Health Insurance
Uninsured3.5%
Private andpublic7.3%
Public only28.0%
Private only59.0%
2001*
Uninsured5.2%
Private and public8.1%
Public only21.7%
Private only64.7%
20062001
Prevalence of CSHCN: Prevalence of CSHCN: State VariationState Variation
17.7 17.5
11.9 11.4 11 10.4 9.9
17.718.5 18.3
02468
101214161820
KY WV AR ME DE AK ID UT NV CA
CS
HC
N
Pre
vale
nce
5 Highest and 5 Lowest Prevalence States
CHILD HEALTH INFORMATION CHILD HEALTH INFORMATION TECHNOLOGYTECHNOLOGY
Integrating States’ child health information systems
Evaluating child health information systems
STRENGTHEN THE PRESENT AND FUTURE WORKFORCE SKILL LEVELS
IN MCH EPIDEMIOLOGY
ENHANCE PRESENT WORKFORCE SKILLS ENHANCE PRESENT WORKFORCE SKILLS IN MCH EPIDEMIOLOGYIN MCH EPIDEMIOLOGY
• MCH Epidemiology Training Course for States and local areas (co-sponsored by CDC)
• Annual series of 4 web-based MCH DataSpeaks providing skills building
• Co-sponsor the MCH Epidemiology Conference with CDC
• Sponsor training opportunities through AMCHP at the MCH Epidemiology Conference (with CDC)
• Provide support to States who want to publish their work in scientific journals –strengthening the evidence base in MCH (co-sponsored by CDC)
ENHANCE PRESENT WORKFORCE SKILLS ENHANCE PRESENT WORKFORCE SKILLS IN MCH EPIDEMIOLOGYIN MCH EPIDEMIOLOGY
• Support CDC/HRSA program on state-based MCH epidemiologists
• Co-sponsor the CityMatch Data Use Institute with CDC
ENHANCE FUTURE WORKFORCE SKILLS ENHANCE FUTURE WORKFORCE SKILLS IN MCH EPIDEMIOLOGYIN MCH EPIDEMIOLOGY
• Graduate student intern program in Epidemiology Data Skills
• Support MCH epidemiology doctoral students who use state or local data for their dissertation (co-sponsored by CDC)
• Co-sponsor fellowships in MCH epidemiology through the Council of State and Territorial Epidemiologists with CDC
DISSEMINATE INFORMATION AND STRENGTHEN THE EVIDENCE BASE
IN MCH
DISSEMINATE INFORMATIONDISSEMINATE INFORMATION
• Developed a web-based data resource center for the National Survey of Children’s Health and the National Survey of Children with Special Health Care Needs (with DCAFH and DSCSHCN)
• www.childhealthdata.org
DISSEMINATE INFORMATIONDISSEMINATE INFORMATION
• Produce “Child Health USA”
• Produce “Women’s Health USA” (with OWH and DPSHS)
• Produce chart books on Children’s Health, Oral Health, Obesity and Physical Activity, Rural Health, and Emotional and Behavioral Health
• Produce chart books on Children with Special Health Care Needs (with DSCSHCN)
DISSEMINATE INFORMATIONDISSEMINATE INFORMATION
• Co-leadership (with CDC) on the chapter for maternal and child health for Healthy People 2010
• Fund the MCH Library: information on a broad range of related topics; weekly newsletter, the MCH Alert; research articles; reports and publications; audiovisual materials; and links to databases and other MCH sites.
STRENGTHEN THE EVIDENCE BASE IN MCHSTRENGTHEN THE EVIDENCE BASE IN MCH
• Special issue of the Maternal and Child Health Journal on state-level analyses of children with special health care needs
• Special issue of Pediatrics on results from the NSCH
• Special issue of Pediatrics on results from the National Survey of Children with Special Health Care Needs
• Publications in scientific journals
COORDINATE MCHB’s WORK ON PROGRAM ACCOUNTABILITY, POLICY
ANALYSIS, AND EVALUATION
PROGRAM ACCOUNTABILITYPROGRAM ACCOUNTABILITY
• Discretionary Grant Performance Measures– Collect demographic, financial, and performance measure
data from over 800 grantees on 37 performance measures
• Strategic Planning: Updating the Strategic Plan
• Performance Reporting:– Assist Bureau in preparing for Performance Assessment
Rating Tool (PART) reviews;– Develop and monitor long-term measures; – Report targets and results for annual and efficiency
measures.
POLICY ANALYSISPOLICY ANALYSIS
• Serve as the policy lead on Medicaid, State Children’s Health Insurance Program, and MCH financing issues
• EPSDT Leadership Workshops: Facilitate State-level policy meetings between multiple agencies for improving EPSDT rates.
• Insure Kids Now links children and families to free and low-cost health care insurance
EVALUATION ACTIVITIESEVALUATION ACTIVITIES
• Evaluation: – Assist programs with data collection strategies and
necessary approvals.
TECHNICAL ASSISTANCETECHNICAL ASSISTANCE
• Provide technical assistance on data and analysis on an as-needed basis to regional, state, local and territorial health offices.
ContactContact
Michael Kogan, [email protected]
Maternal and Child Health Bureau
5600 Fishers Lane
Room 18-41, Parklawn Building
Rockville, MD 20857
301-443-3145