A New Performance Measurement System for Maternal and Child Health in the United States
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A New Performance Measurement System for Maternal and Child Health in the United States Michael D. Kogan1 • Christopher Dykton1 • Ashley H. Hirai1 • Bonnie B. Strickland1 Christina D. Bethell2 • Iran Naqvi1 • Carlos E. Cano1 • Sheri L. Downing-Futrell1 • Michael C. Lu1
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Published online: 1 April 2015 The Author(s) 2015. This article is published with open access at Springerlink.com
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
& Michael D. Kogan [email protected] 1
Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, USA
2
Department of Family and Population Health, School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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. Keywords Performance measurement National performance measures National outcome measures
Introduction The Title V Maternal and Child Health (MCH) Block Grant is the linchpin for MCH services in the United States. Administered by the Health Resources and Se
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