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The Kentucky Department for Public Health (DPH) administers Title V programs and services through Kentucky's local health departments. There are 56 local and district health departments that provide Title V program and Services in 120 counties. DPH allocates 34.9% on the MCH Block Grant to the Commission for Children with Special Health Care Needs. Other funds are allocated to our University partners, the University of Kentucky and the University of Louisville. The Universities provide training for local health department and state DPH staff and research including Maternal Mortality Review and Fetal and Infant Mortality Review (FIMR) and Injury Prevention Services.
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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. |
98.3% |
99.5% |
| 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) |
64.1% |
70% |
| 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) |
90.3% |
95% |
| 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) |
99.0% |
99% |
| 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) |
88.0% |
93% |
| 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. |
8.6% |
40% |
| 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. |
84% |
92% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
24.8 |
21 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
29.0% |
34% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
2.3 |
3 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
27.5% |
32% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
97.8% |
99% |
| Percent of children without health insurance. |
9.7% |
7.5% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
16.4% |
15% |
| Percentage of women who smoke in the last three months of pregnancy. |
23.0% |
18% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
8.5 |
7 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
55.0% |
70% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
71.3% |
82% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
5.3 |
6 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
2.0 |
1.6 |
| The neonatal mortality rate per 1,000 live births. |
2.7 |
3.3 |
| The postneonatal mortality rate per 1,000 live births. |
1.8 |
2.4 |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
4.9 |
4 |
| The child death rate per 100,000 children aged 1 through 14. |
15.6 |
17 |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| Decrease the death rate for children age 0-18 due to unintentianal injury and/or violence. |
6.2 |
7.5 |
| Reduce the rate of substantiated incidence of child abuse, neglect, or dependency. |
18.5 |
10 |
| Increase the percent of women of childbearing age that present to a local health department that receive a preconceptual service. |
83.4% |
90% |
| Reduce the percentage of live births that are preterm. |
15.8% |
10% |
| Percentage of foster care children served by the Commission for Children with Special Health Care Needs (CCSHCN) |
4.9% |
60% |
| Percentage of medically fragile foster children served by the Commission. |
78.1% |
80% |
| The number of Medicaid covered women who had at least one dental visit during their pregnancy. |
32.3% |
36% |
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State Population: 4,241,474
Live Births: 58,291 |
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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 |
10,974 |
$12,071,140 |
14.7% |
| Infants < 1 year old |
28,957 |
$11,299,630 |
13.7% |
| Children 1 to 22 years old |
186,965 |
$21,254,040 |
25.8% |
| Children with Special Healthcare Needs |
8,920 |
$30,249,236 |
36.7% |
| Others |
71,309 |
$6,087,331 |
7.4% |
| Administration |
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$1,424,400 |
1.7% |
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Totals
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307,125
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$82,385,777
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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. |
2 |
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Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups. |
2 |
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Family members are involved in the Children with Special Health Care Needs elements of the MCH Block Grant Application process. |
1 |
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Family members are involved in service training of CSHCN staff and providers. |
1 |
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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). |
2 |
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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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10 |
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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:
82,385,777 |
Other MCHB Grant Programs:
2,855,452 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
85,241,229 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Ruth Ann Shepherd, MD, FAAP, CPHQ | | Director | | 275 East Main Street
| | Frankfort, Kentucky 40621 | | 502-564-4830 | | 502-564-8389 | | ruth.shepherd@ky.gov | | | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Rebecca J. Cecil | | Acting Executive Director | | 982 Eastern Parkway
| | Louisville, Kentucky 40217 | | 502-595-4459 | | 502-595-4673 | | rebecca.cecil@ky.gov | | | | |
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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
Kentucky Community Technical College System
Versailles, KY
$115,000
(EMSC Partnership Grants)
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Healthy Start
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ELIMINATING DISPARITIES IN PERINATAL HEALTH
Whitley County Health Department
Williamsburg, KY
$400,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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ELIMINATING DISPARITIES IN PERINATAL HEALTH
Louisville/Jefferson County Metro Government
Louisville, KY
$1,275,000
(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)
KENTUCKY CABINET FOR HEALTH SERVICES
Frankfort, KY
$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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Child Health Practitioner Support Program
Kentucky Child Now!
Frankfort, KY
$300,000
(Child Health Practitioner Support Program)
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Healthy Tomorrows Partnership for Children Program
LEXINGTON-FAYETTE URBAN CTY GOVERNMENT
Lexington, KY
$50,000
(Healthy Tomorrows Partnership for Children Program)
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Healthy Tomorrows Partnership for Children Program
Louisville/Jefferson County Metro Government
Louisville, KY
$49,969
(Healthy Tomorrows Partnership for Children Program)
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STATE SYSTEMS DEVELOPMENT INITIATIVE
KENTUCKY CABINET FOR HEALTH SERVICES
Frankfort, KY
$94,644
(State Systems Development Initiative)
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Children's Oral Healthcare Access Program
Kentucky Cabinet for Health Services
Frankfort, KY
$160,000
(Childrens Oral Healthcare Access Program)
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
Kentucky Cabinet for Health Services
Frankfort, KY
$95,839
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
KENTUCKY PROTECTION & ADVOCACY
Frankfort, KY
$50,000
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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KISS PROJECT: KENTUCKY INFANTS' SOUND START
COMM FOR CHILDREN W/SPECIAL HLTH CARE NEEDS
LOUISVILLE, KY
$125,000
(Universal Newborn Hearing Screening and Intervention)
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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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