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FLORIDA DEPARTMENT OF HEALTH

  1. Project Identifier Information

    1. Project Title: FLORIDA DEPARTMENT OF HEALTH
    2. Project Number: H18MC00010
    3. Email address: Betsy_Wood@doh.state.fl.us

  2. Budget

    1. MCHB Grant Award Amount: (Line 1, Form 1)$169,884
    2. Unobligated Balance: (Line 2, Form 1)$69,884
    3. Matching Funds: (if applicable) (Line 3, Form 1)$0
    4. Other Project Funds: (Line 4, Form 1)$0
    5. Total Project Funds: (Line 5, Form 1)$239,768

    The MCHB Grant Award Amount may differ from the total budget amount displayed on the Snapshots page due to grant actions that occurred after this report was submitted. These grant actions would include supplemental funding such as carryovers and extensions.

  3. Type(s) of Service Provided

    • Infrastructure Building Service

  4. Project Description on Experience to Date

    1. Project Description

      1. Problem:

        State Systems Development Initiative (SSDI) efforts have greatly increased the state’s Maternal and Child Health (MCH) data capacity; however, there still exist gaps in key health data linkages

      2. Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.

        Goal 1: The ongoing establishment and improvement of data linkages in key maternal and child health areas
        Objective 1: Establish protocols for the linkage of birth records to, a) Infant death certificates, b)Medicaid eligibility or paid claims files, c)WIC eligibility files, and d)Newborn screening files
        Objective 2: Establish protocols for the linkage of birth records to a) Hospital Discharge Surveys, b)Birth Defects Surveillance system, c) Pregnancy Risk Assessment Monitoring Survey (PRAMS), and d)Youth Risk Behavior Survey (YRBS).
         
        Goal 2: Develop and expand local level data access and capacity for maternal and child health programs and systems of care.
        Objective 1: Revise and further development of Florida’s community infant mortality health problem analysis (HPA) by county and coalition area.
        Objective 2: Provide training and technical assistance activities for maternal and child health professionals at the state and local levels to include a variety of methods of analysis of data and programs.
         
        Goal 3: Expand the state Title V agency data capacity to assure data linkages and data sources for national performance and outcome measures, state performance measures, and needs assessment indicators.
        Objective 1: To provide technical assistance, guidance and analysis for Florida’s Title V MCH Block Grant
        Objective 2: Identification of data sources and the system capacity for linkages for tracking national performance and outcome measures, state performance measures, and needs assessment indicators
         
        Goal 4: Increase evaluation and analysis activities for maternal and child health issues, including issues related to special populations and racial disparities in health outcome indicators
        Objective 1: Establish a statewide Maternal and Child Health “think tank” to enhance collaboration of research and evaluation activities among professionals working in maternal and child health
        Objective 2: Develop annual programmatic maternal and child health program reports
        Objective 3: Develop and write up findings from analyses of special topics related to maternal and child health
         
      3. Activities/Methodology undertaken to meet project goals:

        The project will continue the support of project coordinator and medical epidemiologist to direct the activities of the grant. These staff will work in concert with the maternal and child health data and evaluation team, MCH program and contract management staff, the Office of Health Planning, Evaluation and Data, the Office of Vital Statistics, Children with Special Health Care Needs, local Healthy Start Coalitions, and local county health departments to determine need and plan for strategies to accomplish the goals and activities outlined in the application. Project staff will convene workgroups to address data linkages and establish protocols as needed. Staff will also participate in workgroups to address emerging MCH issues and to provide special analysis as needed by groups working on these issues.

      4. The first three Healthy People 2010 objectives which this project addresses are listed below.


      5. Coordination: List the State, local health agencies or other organizations involved project and their roles.

        The following are key partners who serve on workgroups to facilitate MCH data linkages: Florida Department of Health (FDOH) Office of Health Planning Evaluation and Data, Bureau of WIC, Division of Children with Special Health Care Needs, University of South Florida, University of Florida, and Florida Birth Defects Registry. Staff also works closely with state universities, local Healthy Start coalitions, and local county health departments to assess data capacity and needs.

      6. Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.

        Achievement of the goals and objectives will be measured by evaluation of following: 1) linked MCH data sets, 2) staff capacity to track performance measures and outcomes, 3) local communities’ access and analysis of MCH data, 4) the MCH “think tank,” 5) Florida’s Healthy Start Annual Report and Florida’s Pregnancy Associated Mortality Review Report, and 6) the existence of special reports and analyses on MCH topics.

    2. Continuing Grants ONLY

      1. Experience to Date :

        Bill Sappenfield, M.D., has been hired to provide medical epidemiological support to the SSDI project. The project has developed the 2005 Healthy Start Report to the Legislature, and is in process of analyzing data for the Pregnancy Related Mortality Review process in order to develop a biannual report for that project. Staff has also worked with Florida’s Women’s Health initiative, providing technical assistance and data support. Staff is currently working to analyze data for evaluation and potential modification of the Healthy Start universal prenatal screening tool. Work providing technical assistance to local communities is ongoing and statistical software packages have been purchased to enhance the data capacity of communities who have identified this as a gap in resources. SSDI project staff is working with universities and department colleagues to develop protocols for the expansion of linked MCH data sets. Work for the development and validation of the 2004 official matched file containing links to live births, fetal and infant deaths, the Healthy Start prenatal and infant screens, Medicaid status, and program services is underway. Staff is exploring mechanisms for matching these files to PRAMS, hospital discharge, and Medicaid claims files. Plans are underway for reconvening the MCH think tank, to include university partners and key stakeholders. A key topic for this group to consider will be the evaluation framework for Florida’s Healthy Start program.

      2. Website URL and annual number of hits:

        URL: http://www.doh.state.fl.us/family/mch/index.html

        Number of hits:

  5. Key Words

    • Data linkage
    • Infant health
    • Maternal health
    • State data

  6. Annotation:

    This project provides data, evaluation, and epidemiological support to Florida MCH programs and partners in order to expand the overall MCH capacity for the state. Program staff works in partnership with state and local MCH professionals to identify and address technical assistance needs. The project also directs work to expand data linkages for MCH in order to better understand factors related to health outcomes for the MCH population. The staff coordinates and facilitate workgroups to identify and address MCH evalaution and data issues. Finally, project staff works to address special issues such as racial disparities in health outcomes by providing data and data analysis to partners on these special topics.

Are the Data Reported on this Form Provisional or Final?

Provisional

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