Table 2.

National Performance Measures from MCH Block Grant Guidance

Performance MeasurePyramid Level of ServiceType of Service
DHCESPBSIBCPRF
 1. The percent of State SSI beneficiaries <16 years old receiving rehabilitative services from the state Children with Special Health Care Needs (CSHCN) Program.XX
 2. The degree to which the CSHCN Program provides or pays for specialty and subspecialty services, including care coordination, not otherwise accessible or affordable to its clients.XX
 3. The percent of CSHCN in the state who have a medical/health homeXX
 4. Percent of newborns in the state with at least one screening for each of phenylketonuria, hypothyroidism, galactosemia, hemoglobinopathies (eg, the sickle cell diseases) (combined).XX
 5. Percent of children through age 2 who have completed immunizations for measles, mumps, rubella, polio, diphtheria, tetanus, pertussis,haemophilus influenzae, hepatitis B.XX
 6. The birth rate (per 1000) for teenagers aged 15 through 17 years.XX
 7. Percent of third grade children who have received protective sealants on at least one permanent molar tooth.XX
 8. The rate of deaths to children aged 1–14 caused by motor vehicle crashes per 100 000 children.XX
 9. Percentage of mothers who breastfeed their infants at hospital discharge.XX
10. Percentage of newborns who have been screened for hearing impairment before hospital discharge.XX
11. Percent of children with CSHCN in the state CSHCN Program with a source of insurance for primary and specialty care.XX
12. Percent of children without health insurance.XX
13. Percent of potentially Medicaid-eligible children who have received a service paid by the Medicaid ProgramXX
14. The degree to which the state assures family participation in program and policy activities in the state CSHCN programXX
15. The rate (per 100 000) of suicide deaths among youths 15–19.XX
16. Percent of very low birth weight live births.XX
17. Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonatesXX
18. Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester.XX
  • Abbreviations: DHC, direct health care; ES, enabling services; PBS, population-based services; IB, infrastructure building; C, capacity; P, process; RF, risk factor.

    “Title V Block Grant Measurement Performance System, presents a schematic approach that begins with the identification of priorities and culminates in improved outcomes for the Title V population. After choosing a set of priority needs from the five year Statewide needs assessment, resource allocation is assigned and programs are designed and implemented to specifically address these priorities. These program activities are described and categorized by the four levels of the pyramid: direct health care, enabling, population-based, and infrastructure building services. Imbedded within the levels of service are performance measures a set of National “core” performance measures and up to ten State “negotiated” performance measures that are categorized into three types; capacity, process, or risk factor.”18 Maternal and Child Health Bureau, Guidance and Forms for the Title V Application/Annual Report.