Promoting Healthy Women, Infants and Children Action Plan - Appendix
Action Plan Indicators
| Indicator | Data Source | Frequency | Geographic Granularity | Sub-Populations | Baseline (Year) | Target for 2018 (Method) |
|---|---|---|---|---|---|---|
| Focus Area 1: Maternal and Infant Health | ||||||
| Preterm Births | ||||||
| Rate of preterm birth (Objective 1-1) |
NYS NYSDOH Vital Statistics |
Annual | State, county | 11.6% (2010) |
10.2% (12% improvement) |
|
| Racial/ethnic and economic ratio of preterm birth (Objective 1-2) |
NYS NYSDOH Vital Statistics |
Annual | State, county | Black NH/White NH Hispanic/White NH Medicaid/non-Medicaid |
1.58 1.24 1.10 (2010) |
1.42 1.12 1.0 (10% improvement) |
| Infant mortality rate (Objective 1-2) |
NYS NYSDOH Vital Statistics |
Annual | State, county | Race/ethnicity | 5.1 per 1,000 (2010) |
|
| Percentage of births that are low birth weight | NYS NYSDOH Vital Statistics |
Annual | State, county | Race/ethnicity | 8.2% (2010) |
|
| Percentage of births with prenatal care starting in the first trimester |
NYS NYSDOH Vital Statistics |
Annual | State, county | Race/ethnicity | 73.2% (2010) |
|
| Percentage of women who smoke during the last three months of pregnancy |
NYS PRAMS | Annual | State, NYC, and Rest of State |
7.2% (2010) |
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| Breastfeeding | ||||||
| Percentage of infants who are exclusively breastfed in delivery hospital (Objective 2-1) |
NYS NYSDOH Vital Statistics |
Annual | State, county | 43.7% | 48.1% (10% Improvement) |
|
| Racial/ethnic and economic ratio of exclusive breastfeeding in delivery hospital (Objective 2-2) |
NYS NYSDOH Vital Statistics |
Annual | State, county | Black NH/White NH Hispanic/White NH Medicaid/non-Medicaid |
0.52 0.58 0.60 (2010) |
0.57 0.64 0.66 (10% Improvement) |
| Infants exclusive breastfed at 3 months | National Immunization Survey |
Annual | State, NYC, and Rest of State |
33.0% (2009) |
||
| Infants exclusively breastfed at 6 months | National Immunization Survey |
Annual | State, NYC, and Rest of State |
15.3% (2009) |
||
| Percentage infants enrolled in WIC who were breastfed for at least 6 months |
Pediatric Nutrition Surveillance System |
Annual | State, county | 39.7% 2008-2010 |
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| Maternal Mortality | ||||||
| Maternal mortality rate (Objective 3-1) |
NYS NYSDOH Vital Statistics |
Annual | State, county | 23.1/100,000 live births (2008-2010) |
19.7/100,000 live births (10% Improvement) |
|
| Racial/ethnic ratio of maternal mortality rates (Objective 3-2) |
NYS NYSDOH Vital Statistics |
Annual | State | Black NH/White NH | 5.29 (2008-2010) |
4.76 (10% Improvement) |
| Focus Area 2: Child Health | ||||||
| Comprehensive Well-Child Care | ||||||
| Percentage of children (ages 0-15 months, 3-6 years and 12-21 years) who received recommended # of well-child care visits among children enrolled in government sponsored managed care health plans (Objective 4-1) |
NYSDOH Office of Patient Quality and Safety |
Annual | State, County | 69.9% (2011) |
77% (10% Improvement) |
|
| Percentage of children who have had the recommended number of well-child care visits:
|
NYS eQARR | Annual | Health plan | |||
| Percentage of children (ages 0-15 months, 3-6 years and 12-21 years) who received recommended # of well-child care visits among children enrolled in employer sponsored managed care health plans |
eQARR Managed Care Plan Performance |
Annual | State | 62% (2012) |
||
| Percentage of children ages 10 months to 5 years screened for developmental, behavioral and social delays |
National Survey of Children's Health |
Every 5 Years | State | 11.7% (2007) |
||
| Percentage of children tested for lead exposure at least twice by age 3 |
NYDOH Childhood Blood Lead Registry |
Annual | State, county | 52.9% (2010) (Birth Cohort 2007) |
||
| Percentage of children ages 19-35 months who are fully Immunized (4 DTaP, 3 Polio, 1 MMR, 3 Hep B, 3 Hib, 1 Varicella, 4 PCV13) |
National Immunization Survey, NYSISS |
Annual | State, county | 65.1% (2011) |
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| Percentage of adolescent females ages 13 - 17, who received HPV immunization series |
National Immunization Survey, NYSISS |
Annual | State, county | 34.2% (2011) |
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| Percentage of children ages 2-17 enrolled in managed care plans whose weight was assessed by body mass index (BMI) |
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
65% 64% 62% (2010) |
|
| Percentage of children enrolled in managed care plans, ages 3-17 years, counseled on nutrition or referred for nutrition education |
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
71% 70% 66% (2010) |
|
| Percentage of children enrolled in managed care plans, ages 3-17 years, counseled on physical or referred for physical activity |
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
58% 61% 59% (2010) |
|
Percentage of adolescents ages 12-17 years enrolled in managed care who had at least one visit with a PCP or OB/GYN and received an assessment, counseling and/or education for:
|
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
60% 59% 54% (2010) |
|
|
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
62% 49% 44% (2010) |
|
|
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
64% 63% 58% (2010) |
|
|
eQARR Managed Care Plan Performance |
Annual | State | Medicaid Child Health Plus Commerial |
60% 62% 57% (2010) |
|
| Children enrolled in public health insurance managed care plans who have a primary care provider, NCQA-certified Patient-Centered Medical Home |
NYSDOH Office of Patient Quality and Safety |
Annual | State, county | Medicaid Child Health Plus |
40% 36% (2011) |
|
| Percentage of children under the age of 19 with health insurance (Objective 4-3) |
U.S. Census Bureau, Small Area Health Insurance Estimates |
Annual | State, county | 94.9% (2010) |
100% | |
| Dental Caries | ||||||
| Percentage of 3rd grade children with evidence of untreated tooth decay (Objective 5-1) |
NYSDOH Oral Health Survey of Third-Grade Children |
Every 5 Years | State, county | 24% (2009-2011) |
21.6% (10% Improvement) |
|
| Economic ratio of evidence of untreated tooth decay among 3rd grade children |
NYSDOH Oral Health Survey of Third-Grade Children |
Every 5 Years | State, county | High income/low-income 3rd grade children |
2.46 | 2.21 (10% Improvement) |
| Percentage of 3rd grade children with treated or untreated tooth decay |
NYSDOH Oral Health Survey of Third-Grade Children |
Every 5 Years | State, county | 45% (2009-2011) |
||
| Percentage of NYS children who have protective dental sealants on at least one molar (Objective 5-2) |
NYSDOH Oral Health Survey of Third-Grade Children |
Every 5 Years | State, county | 42% (2009-2011) |
||
| Percentage of children ages 2-20 years enrolled in Medicaid who had at least one dental visit in past year. (Objective 5-3) |
NYSDOH Medicaid Data |
Annual | State, county | Medicaid children ages 2-20 |
40.8% (2008-2010) |
|
| Percentage of NYS residents served by community water systems with optimally fluoridated water (Objective 5-4) |
CDC Fluoridation Reporting System |
Annual | State, county | 71.4% (2012) |
78.5% (10% Improvement) |
|
| Percentage of children with Special Health Care Needs (CSHCN) ages 0-17 years who received preventive dental care in the past year (Objective 5-5) |
National Survey of Children with Special Health Care Needs |
State | Insurance type, race, age |
86% (2009-2010) |
||
| Percentage of children with Special Health Care Needs (CSHCN) ages 0-17 years who reported unmet dental care or orthodontia in the past year |
National Survey of Children with Special Health Care Needs |
State | Insurance type, race, age |
5% (2009-2010) |
||
| Focus Area 3: Reproductive, Preconception and Inter-conception Health | ||||||
| Unintended Adolescent Pregnancy | ||||||
| Percentage of live births resulting in an unintended pregnancy (Objective 6-1) |
NYS NYSDOH Vital Statistics |
State, county | 26.4% (2011) |
23.8% (10% Improvement) |
||
| Racial/ethnic and economic ratio of births that were unintended (Objective 6-2) |
NYS NYSDOH Vital Statistics |
Annual | State, county | Black NH/White NH Hispanic/White NH Medicaid/Non-Medicaid |
2.11 1.59 1.71 (2011) |
1.90 1.43 1.54 (10% Improvement) |
| Adolescent pregnancy rate ages 15-17 years per 1,000 people of same age group (Objective 6-3) |
NYS NYSDOH Vital Statistics |
State, county | 28.5 per 1,000 (2010) |
25.7 per 1,000 (10% Improvement) |
||
| Racial/ethnic ratio of teen pregnancies (Objective 6-4) |
NYS NYSDOH Vital Statistics |
State, county | Black NH/White NH Hispanic/White NH |
5.47 4.58 (2010) |
4.9 4.1 (10% Improvement) |
|
| Percentage of live births resulting from an unintended pregnancy |
Pregnancy Risk Assessment Monitoring System |
State | 34.4% | |||
| Racial/ethnic ratio of births resulting from unintended pregnancy |
Pregnancy Risk Assessment Monitoring System |
State | Black NH/White NH | 1.87 | ||
| Use of Preventive Health Care Services by Women of Reproductive Age | ||||||
| Percentage of women ages 18-64 years with health coverage (Objective 7-1) |
U.S. Census Bureau Small Area Health Insurance Estimates |
Annual | State, county | 86.1 (2010) |
100% | |
| Percentage of births within 24 months of a previous pregnancy (Objective 7-3) |
NYS NYSDOH Vital Statistics |
Annual | State, county | 18.9% (2010) |
17.0% (10% Improvement) |
|
| Percentage of women ages 18-44 years report they have any kind of health care coverage |
NYS BRFSS | State | 86.8% (2008-2010) |
|||
| Percentage of women ages 18-44 years reported seeing a doctor for a routine checkup within the last year (Objective 7-2) |
NYS BRFSS | Annual | State | 70.8% (2008-2010) |
||
| Percentage of women ages 18-44 years who report that they had a dental visit within the last year |
NYS BRFSS | Annual | State | 74.9% (2006,2008,2010) |
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