| Oregon |
The MCH Federal-State Partnership |
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The Office of Family Health, Oregon Public Health Division, of the Dept of Human Services, administers the Title V Program. The services located in the state Title V agency include grants to counties, policy and program development and evaluation, population-based assessment and surveillance, and leadership and coordination of health systems and services for MCH populations, including high-risk pregnant women, infants and children, adolescents, and children with special health care needs. The Oregon Center for Children and Youth with Special Health Needs, in the Child Development and Rehabilitation Center, of the Oregon Health and Science University, administers the state Title V Program for children with special health needs. Direct and enabling individual services, community-based collaboration and coordination, and local assessments is conducted with Title V funds awarded by contract to county health departments in Oregon. |
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MATERNAL & CHILD HEALTH (MCH) MEASURES
| Title V - MCH National Performance Measures |
State 2007 Results |
State 2012 Goal |
| 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. |
100.0% |
100% |
| The percent of children with special health care needs age 0 to 18 years whose families partner in decision making at all levels and are satisfied with the services they receive. (CSHCN survey) |
55.5% |
57% |
| The percent of children with special health care needs age 0 to 18 who receive coordinated, ongoing, comprehensive care within a medical home. (CSHCN Survey) |
47.4% |
55% |
| 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. (CSHCN Survey) |
61.5% |
65% |
| 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. (CSHCN Survey) |
88.3% |
92% |
| The percentage of youth with special health care needs who received the services necessary to make transitions to all aspects of adult life, including adult health care, work, and independence. |
43.7% |
48% |
| Percent of 19 to 35 month olds who have received full schedule of age appropriate immunizations against Measles, Mumps, Rubella, Polio, Diphtheria, Tetanus, Pertussis, Haemophilus Influenza, and Hepatitis B. |
78.4% |
80% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
15.2 |
13.5 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
42.7% |
55% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
3.0 |
2.5 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
56.4% |
64% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
96.7% |
99.5% |
| Percent of children without health insurance. |
12.6% |
10% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
32.1% |
36% |
| Percentage of women who smoke in the last three months of pregnancy. |
10.7% |
9.5% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
8.0 |
6.5 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
99.2% |
99% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
78.4% |
85% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
5.5 |
5.2 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
1.8 |
1 |
| The neonatal mortality rate per 1,000 live births. |
3.9 |
3.1 |
| The postneonatal mortality rate per 1,000 live births. |
1.6 |
1.8 |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
4.9 |
5 |
| The child death rate per 100,000 children aged 1 through 14. |
15.2 |
14 |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| Percent of births where mothers report that the pregnancy was intended |
62.1% |
65% |
| Percent of smoking women who quit smoking during their pregnancy and did not begin smoking postpartum. |
52.0% |
65% |
| Percent of infants diagnosed with hearing loss that are enrolled or in Early Intervention before 6 months of age. |
49.2% |
58% |
| Percent of children that complete the 4th DTaP vaccine by two years of age. |
65.5% |
71% |
| Percent of 8th graders who report being physically active for a total of at least 60 minutes a day for 5 or more days in the last 7 days. |
56.2% |
75% |
| Percent of 11th graders who report having unmet health care needs. |
29.2% |
26% |
| Percent of Oregonians living in a community where the water system is optimally fluoridated. |
19.7 |
21 |
| Percent of health care providers who report confidence in caring for CYSHN and their families |
95.1% |
98% |
| Percent of families of CYSHN who report costs not covered by insurance were usually or always reasonable. |
85.5% |
90% |
| Percent of families of CYSHN who reside in rural areas report that needs are usually or always met. |
72.4% |
85% |
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State Population: 3,747,455
Live Births: 48,717 |
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TITLE V FEDERAL - STATE BLOCK GRANT EXPENDITURES
| By Number of Individuals Served and Population Group |
| Populations Served |
Number of Individuals Served |
Expenditures FY 2007 |
| Pregnant Women |
59,477 |
$2,473,598 |
6.5% |
| Infants < 1 year old |
49,223 |
$12,720,634 |
33.2% |
| Children 1 to 22 years old |
918,512 |
$17,681,899 |
46.1% |
| Children with Special Healthcare Needs |
9,658 |
$3,448,563 |
9% |
| Others |
77,399 |
$841,647 |
2.2% |
| Administration |
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$1,156,914 |
3% |
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Totals
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1,114,269
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$38,323,255
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100%
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| By Source of Funds |
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| By Category of Services |
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| HOTLINE CALLS |
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FAMILY PARTICIPATION IN CSHCN PROGRAM |
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Family members participate on advisory committee or task forces and are offering training, mentoring, and reimbursement, when appropriate. |
3 |
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Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups. |
3 |
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Family members are involved in the Children with Special Health Care Needs elements of the MCH Block Grant Application process. |
3 |
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Family members are involved in service training of CSHCN staff and providers. |
3 |
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Family members hired as paid staff or consultants to the State CSHCN program (a family member is hired for his or her expertise as a family member). |
3 |
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Family members of diverse cultures are involved in all of the above activities. |
2 |
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FY 2007 Total:
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17 |
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Total Possible:
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18 |
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Scale: |
0 = Not Met |
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1 = Partially Met |
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2 = Mostly Met |
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3 = Completely Met |
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MCH PARTNERSHIP FUNDS
FY 2007 |
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Title V Federal-State Block Grant:
38,323,255 |
Other MCHB Grant Programs:
3,440,605 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
41,763,860 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Katherine J. Bradley, Ph.D., R.N. | | Administrator | | 800 N.E. Oregon St. Suite 850
| | Portland, OR 97232 | | 971-673-0233 | | 971-673-0231 | | katherine.bradley@state.or.us | | www.oregon.gov/DHS/ph/ofhs | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Marilyn Hartzell, M.Ed. | | Director, OCCYSHN, CDRC | | P.O. Box 574
| | Portland, OR 97207 | | 503-494-6961 | | 503-494-2755 | | hartzell@ohsu.edu | | www.ohsu.edu/cdrc/occyshn/ | | |
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FY 2007 TITLE V AND MCHB DISCRETIONARY GRANTS
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Note: If the title of the grant is underlined in the list below, you can view a copy of the abstract for that grant by clicking on the title (hyperlink). If the title of grant is not underlined, no abstract is currently available.
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Emergency Medical Services for Children (EMSC)
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EMSC Partnership Grants
OREGON STATE DEPT OF HUMAN SERVICES
Portland, OR
$115,000
(EMSC Partnership Grants)
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Healthy Start
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ELIMINATING DISPARITIES IN PERINATAL HEALTH
HEALTH CARE COALITION OF SOUTHERN OREGON, INC.
Medford, OR
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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HEALTHY START ELIMINATING DISPARITIES IN PERINATAL HEALTH
Multnomah County Health Department
Portland, OR
$850,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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Title V - Community Integrated Service Systems (CISS)
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CISS - SECCS (PLANNING)
OREGON STATE DEPT OF HUMAN SERVICES
Portland, OR
$140,000
(Community-Based Integrated Service Systems (Local/State))
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Title V - Special Projects of Regional and National Significance (SPRANS)
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State Implementation Grants for Integrated Community Systems for CSHCN
OREGON HEALTH & SCIENCES UNIVERSITY
PORTLAND, OR
$300,000
(State Implementation Grants for Integrated Community Systems for CSHCN)
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Health Families Expansion Program
SACRED HEART MEDICAL CENTER
Springfield, OR
$50,000
(Healthy Tomorrows Partnership for Children Program)
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OREGON STATE SYSTEMS DEVELOPMENT INITIATIVE
OREGON STATE DEPT OF HUMAN SERVICES
Portland, OR
$94,644
(State Systems Development Initiative)
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REGION X COMPREHENSIVE HEMOPHILIA DIAGNOSTIC & TREATMENT CENTERS
OREGON HEALTH & SCIENCES UNIVERSITY
PORTLAND, OR
$201,661
(Hemophilia Treatment Centers (SPRANS))
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Family Professional Partnership/CSHCN
Oregon Family Support Network
Eugene, OR
$95,700
(Family Professional Partnership/CSHCN)
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National Maternal and Child Health Data Resource Center
OREGON HEALTH & SCIENCES UNIVERSITY
PORTLAND, OR
$525,000
(National Maternal and Child Health Data Resource Center)
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
OREGON STATE DEPARTMENT OF EDUCATION
Salem, OR
$118,600
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
OREGON ADVOCACY CENTER
PORTLAND, OR
$50,000
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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UNIVERSAL NEWBORN HEARING SCREENING
OREGON STATE DEPT OF HUMAN SERVICES
Portland, OR
$150,000
(Universal Newborn Hearing Screening and Intervention)
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* Data not available |
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Population Data: For the 50 states, the District of Columbia, and Puerto Rico: Population estimates (July 1, 2007), U.S. Bureau of the Census, for the remaining seven jurisdictions: 2007 CIA World Factbook; Washington, DC. Live Births: National Vital Statistics Reports, Vol. 56, No. 7 (December 5, 2007), Centers for Disease Control. 2006 Live Birth data for Guam was not available, therefore 2005 data was used from National Vital Statistics Reports, Vol. 55, No.11 (December 28, 2006), Centers for Disease Control. 2005 data for the Pacific Islands was retrieved from Pacific Regional Information System (PRISM). 2005 Live Birth data was obtained directly from FM.
MCH Partnership Funds – FY 07: This MCH Partnership total includes other MCHB grant programs, which was collected from HRSA’s Electronic Handbook (EHB) System for Fiscal Year 2007.
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