| Utah |
The MCH Federal-State Partnership |
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The Utah Department of Health is the state Title V agency. The Department's Division of Community and Family Health Services includes all Title V programs in Utah as mandated by state and federal law, including Children with Special Health Care Needs. The Division also is responsible for the Individuals with Disabilities Education Act (IDEA) - Part C, the WIC program funded through the U.S. Department of Agriculture, the Immunization Program funded through the Centers for Disease Control and Prevention (CDC), and the CDC Preventive Block Grant, which includes program activities directed, in part, to MCH populations. Title V-funded programs include: Reproductive Health, Child Adolescent and School Health; Data Resources, Oral Health, Hearing, Speech and Vision, Newborn Screening, Birth Defects and Genetics, Violence and Injury Prevention, Child Development Clinic, Neonatal Follow-up, Community-based Services, and School Age and Specialty Services. Programs that provide direct services include: Hearing, Speech and Vision, Newborn Screening, Neonatal Follow-up, Community-based Services, and School Age and Specialty Services. In addition, some Title V funds are allocated for health promotion efforts, such as obesity prevention in children. With Title V administering other federally funded programs, such as WIC, Immunizations and part C, the staff of these programs are integrated into the "MCH" world to maximize resources and to promote more integration of services. For example, WIC staff are involved in working on the national and state specific performance measures related to healthy weight in women and childhood obesity. The expertise of WIC staff in nutrition and breastfeeding is very helpful for developing strategies that impact the WIC population, but also the general population. We have been able to provide WIC with knowledge and expertise in areas of MCH that they may not be so familiar with, making the relationship mutually beneficial. The same is true for MCH and the other federally funded programs, such as immunizations, etc. We promote collaboration among programs in the agency as well as outside the agency. It provides a more efficient system, a much richer plan for action and also increases skills and knowledge of staff that otherwise would not happen. We are very fortunate to have the state Medicaid agency in the Department of Health and have a productive working relationship with them.
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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) |
55.1% |
55% |
| 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) |
52.2% |
51% |
| 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) |
59.5% |
59% |
| 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) |
86.2% |
84% |
| 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. |
42.5% |
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. |
80.4% |
85% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
16.6 |
16.2 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
45.1% |
50% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
2.9 |
4.1 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
55.6% |
58% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
98.0% |
98% |
| Percent of children without health insurance. |
9.1% |
8.9% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
21.8% |
21.5% |
| Percentage of women who smoke in the last three months of pregnancy. |
4.3% |
3.8% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
11.3 |
13 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
84.4% |
86% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
79.0% |
79.4% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
5.0 |
4.7 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
2.9 |
3.8 |
| The neonatal mortality rate per 1,000 live births. |
3.5 |
3.2 |
| The postneonatal mortality rate per 1,000 live births. |
1.6 |
1.3 |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
4.7 |
3.5 |
| The child death rate per 100,000 children aged 1 through 14. |
17.9 |
17.8 |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| The percent of women of reproductive age (18-44) who are uninsured. |
16.1% |
12% |
| The proportion of pregnancies that result in a live birth that are intended. |
65.8 |
66.3 |
| The percent of women who are at a normal weight prior to pregnancy. |
55.9% |
57.2% |
| The percent of pregnant women with appropriate weight gain who deliver live born infants. |
33.0% |
35.1% |
| The proportion of women who deliver a live born infant reporting postpartum depression who seek help from a doctor, nurse or other health care worker. |
38.6% |
41% |
| The percent of children who are at risk of overweight and overweight. |
22.5% |
21% |
| The percent of youth during the last 12 months who feel so sad or hopeless almost every day for two weeks or more in a row that they stopped doing usual activities. |
25.9% |
27% |
| The percent of children six through nine years of age enrolled in Medicaid receiving a dental visit in the past year. |
51.2% |
55% |
| The percent of children with special health care needs in the rural areas of the state receiving direct clinical services through the state CSHCN program. |
11.1 |
13 |
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State Population: 2,645,330
Live Births: 53,499 |
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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 |
7,442 |
$6,636,539 |
12.7% |
| Infants < 1 year old |
54,532 |
$6,972,260 |
13.3% |
| Children 1 to 22 years old |
49,652 |
$22,447,411 |
42.8% |
| Children with Special Healthcare Needs |
5,079 |
$12,385,097 |
23.6% |
| Others |
3,348 |
$2,944,772 |
5.6% |
| Administration |
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$1,048,392 |
2% |
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Totals
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120,053
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$52,434,471
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100%
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| By Source of Funds |
 d
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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. |
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. |
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). |
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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15 |
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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:
52,434,471 |
Other MCHB Grant Programs:
4,252,443 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
56,686,914 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Nan Streeter | | MCH Director | | PO Box 142001
| | Salt Lake City, Utah 84114-2001 | | 801-538-6869 | | 801-538-9409 | | nanstreeter@utah.gov | | | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Holly Williams | | CSHCN Director | | PO Box 144610
| | Salt Lake City, Utah 84114-4610 | | 801-584-8202 | | 801-584-8488 | | hollywilliams@utah.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
Utah State Department of Health
Salt Lake City, UT
$115,000
(EMSC Partnership Grants)
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EMERGENCY MEDICAL SERVICE FOR CHILDREN NETWORK DEVELOPMENT
UNIVERSITY OF UTAH
Salt Lake City, UT
$1,113,499
(Emergency Medical Services for Children: Network Development Demonstration Project)
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National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center Demonstration
UNIVERSITY OF UTAH
SALT LAKE CITY, UT
$1,200,000
(National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center Demonstration)
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Title V - Community Integrated Service Systems (CISS)
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CISS - SECCS (PLANNING)
UTAH DEPARTMENT OF HEALTH
Salt Lake City, UT
$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 Agency Partnerships for Promoting Child and Adolescent Mental Health
Utah Department of Health
Salt Lake City, UT
$85,000
(State Agency Partnerships for Promoting Child and Adolescent Mental Health)
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Healthy Tomorrows Partnership for Children Program
UNIVERSITY OF UTAH
Salt Lake City, UT
$50,000
(Healthy Tomorrows Partnership for Children Program)
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UTAH STATE SYSTEMS DEVELOPMENT INITIATIVE
UTAH DEPARTMENT OF HEALTH
Salt Lake City, UT
$94,644
(State Systems Development Initiative)
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Family Professional Partnership/CSHCN
Utah Parent Center
Salt Lake City, UT
$95,700
(Family Professional Partnership/CSHCN)
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Integrated Community Service Systems /CSHCN
UTAH STATE UNIVERSITY
Logan, UT
$400,000
(Integrated Community Service Systems /CSHCN)
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
State of Utah
Salt Lake City, UT
$118,600
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
DISABILITY LAW CENTER
Salt Lake City, UT
$50,000
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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UNIVERSAL NEWBORN HEARING SCREENING
UTAH DEPARTMENT OF HEALTH
Salt Lake City, UT
$150,000
(Universal Newborn Hearing Screening and Intervention)
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Universal Newborn Hearing Screening - Cooperative Agreement
UTAH STATE UNIVERSITY
Logan, UT
$640,000
(Universal Newborn Hearing Screening - Cooperative Agreement)
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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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