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Women's, Children's and Family Health

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Title V in Alaska

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Performance Measures, FY 2005 - 2010

State Performance Measures

• Percentage of mothers of newborns who say their physician or health plan would not start prenatal care as early as they wanted or they could not get an appointment as early as they wanted.
• Percent of women who smoked during the last 3 months of pregnancy among women who smoked 3 months prior to pregnancy and were talked to about the effects of smoking by a prenatal health care provider.
• Percentage of children ages 10-11 who are at-risk for being overweight.
• Rate of substantiated reports of harm to children per one thousand children age 0 to 18. 
• Percentage of women who recently had a live-born infant who reported their prenatal health care provider advised them not to drink alcohol during their pregnancy.
• Prevalence of unintended pregnancies that resulted in a live birth among women who reported having a controlling partner during the 12 months prior to getting pregnant.
• Percentage of women who recently had a live-born infant who reported that they always or often felt down, depressed, or hopeless since their new baby was born.
• Prevalence at birth of Fetal Alcohol Spectrum Disorders (FASD).
• Percentage of infants who are reported to have a Cleft Lip/Palate defect who access the Title V sponsored Cleft Lip and Palate Specialty Clinic within the first year of life.

National 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 a decision-making at all levels and are satisfied with the services they receive.
• The percent of children with special health care needs age 0 to 18 who receive coordinated, ongoing, comprehensive care in a medical home.
• 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.
• The percent of children with special health care needs age 0 to 18 whose families report the community-based service systems are organized so they can use them easily.
• The percent of youth with special health care needs who received the services necessary to make transitions to all aspects of adult life.
• Percent of children 19 to 35 months who have received a full schedule of age appropriate immunizations for Measles, Mumps, Rubella, Polio, Diphtheria, Tetanus, Pertussis, Haemophilus Influenza and Hepatitis B.
• The rate of birth (per 1000) 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.
• Percent of newborns who have been screened for hearing before hospital discharge. 
• Percent of children without health insurance.
• Percent of children, ages 2 to 5 years, receiving WIC services with a BMI at or above the 85th percentile.
• Percent of women who smoke in last three months of pregnancy.
• The rate (per 100,000) of Suicide deaths among youths aged 15 through 19. 
• Percent of very low birth weight infants delivered at facilities for high-risk deliveries .
• Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 

Health System Indicators

• The percent of live births weighing less than 2,500 grams.
• The percent of live singleton births weighing less than 2,500 grams.
• The percent of live births weighing less than 1,500 grams.
• The percent of live singleton births weighing less than 1,500 grams. 
• The death rate per 100,000 due to unintentional injuries among children ages 14 years and younger.
• The death rate per 100,000 for unintentional injuries due to motor vehicle crashes among children aged 14 years and younger.
• The death rate per 100,000 for unintentional injuries for youth aged 15 through 24 years old due to motor vehicle crashes.
• The rate per 100,000 of all nonfatal injuries among children aged 14 years and younger. 
• Injuries due to motor vehicle crashes among children aged 14 years and younger. 
• The rate per 100,000 of all nonfatal injuries due to motor vehicle crashes among children aged 15 through 24 years. 
• The rate per 1,000 women aged 15 through 19 years with a reported case of chlamydia. 
• The rate per 1,000 women aged 20 through 44 years with a reported case of chlamydia. 
• Infants and children aged 0 through 24 years  by s age group and race. 
• Live births to women (of all ages) enumerated by maternal age, race and ethnicity.
• Deaths of infants and children aged 0 through 24 years enumerated by age subgroup, race and ethnicity. 
• Characteristics of Infants and Children 0 through 19 years in miscellaneous situations or enrolled in various State programs enumerated by race and ethnicity:
• Number of children in State by race
• Number enrolled in Medicaid
• Number living in Foster Care (out-of-home care)
• Juveniles Arrests
• High School Dropouts
• Number enrolled in TANF
• Number enrolled in Food Stamp programs
• Number enrolled in WIC
• Percent in single parent household. 
• Enrolled in SCHIP
• Hispanic/Not Hispanic Children
• Geographic living area 
• Percent of the state population at various levels of the federal poverty level.
• Percent of the state population aged 0 through 19 years at various levels of the federal poverty level.

Health System Capacity Indicators

• The rate of children hospitalized for asthma per 10,000 children less than five years of age.
• The percent of Medicaid enrollees whose age is less than one year who received at least one initial or periodic screen.
• The percent of SCHIP enrollees whose age is less than one year who received at least one initial or periodic screen.
• The percent of women (15–44) with a live birth during the reporting year whose observed to expected prenatal visits are greater than or equal to 80% on the Kotelchuck Index.
• Comparison of health system capacity indicators for Medicaid, non-Medicaid and all MCH populations in the state.  (Medicaid and Non-Medicaid Comparison)
• Percent of poverty level for eligibility in the state's Medicaid and SCHIP programs for infants (0–1), children and pregnant women.  (Medicaid and CHIP eligibility levels)
• The percent of EPSDT eligible children aged 6 through 9 receiving any dental health service during the year.
• The percent of potentially Medicaid-eligible children who have received a service paid by the Medicaid Program
• The percent of State SSI beneficiaries less than 16 years old receiving rehabilitation services from the State Children with Special Health Care Needs.
• The ability of States to assure that the Maternal and Child Health program and Title V agency have access to policy and program relevant information and data.
• The ability of States to determine the percent of adolescents in grades 9 through 12 who report using tobacco products in the past month.