Maryland The MCH Federal-State Partnership

 
The Department of Health and Mental Hygiene, Family Health Administration (FHA) administers Maryland's Title V MCH Block Grant Program. The Title V Program provides leadership for maternal and child issues in Maryland, supports state and community needs assessment and planning activities, develops MCH policies and standards, and supports activities to protect, promote and improve the health of all women, children, adolescents and young adults including those with special health care needs. The Block Grant supports gap-filling direct services for the uninsured and the under-insured; enabling services, such as home visiting, care coordination and genetic counseling; population based services, such as newborn screening and blood lead testing; and infrastructure building activities such as epidemiological analyses and MCH standards development. FHA also provides leadership and direction for the WIC Program, the Title X Family Planning Program, the Primary Care Cooperative Agreement, Preventive Health Services, Health Promotion and Tobacco Use Prevention and Oral Health. The MCH Program partners and collaborates with other State agencies, advocacy groups, parent groups, providers and community- based organizations to support maternal and child health. 		 
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% 98%
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) 54.8% 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) 45.6% 48%
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) 65.5% 66.5%
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) 89.3% 90.3%
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. 37.5% 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. 92.4% 87%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 17.5 15.8
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 42.2% 45%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 2.5 3.5
The percent of mothers who breastfeed their infants at 6 months of age. 40.2% 41.5%
Percentage of newborns who have been screened for hearing before hospital discharge. 92.5% 90%
Percent of children without health insurance. 12.0% 12.1%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 33.0% 32%
Percentage of women who smoke in the last three months of pregnancy. 7.8% 7.4%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 4.2 4.1
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 87.8% 90%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 80.5% 82.5%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 8.0 7.9
The ratio of the black infant mortality rate to the white infant mortality rate. 3.0 2.3
The neonatal mortality rate per 1,000 live births. 5.8 5.1
The postneonatal mortality rate per 1,000 live births. 2.2 2.1
The perinatal mortality rate per 1,000 live births plus fetal deaths. 8.4 8.1
The child death rate per 100,000 children aged 1 through 14. 17.9 17.4
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of pregnancies that are intended 59.7% 60.5%
Percent of women reporting alcohol use in the last three months of pregnancy 7.2% 6.5%
Percent of Maryland kindergartners entering school ready to learn 67.0% 72%
Rate of emergency department visits for asthma per 10,000 children, ages 0-4 221.9 218
Percent of Maryland 12th graders who graduate from high school 85.4% 86.4%
Percentage of local jurisdictions addressing the issue of respite for families of CSHCN 62.5% 62.5%
Percent of mothers breastfeeding at six months 40.8% 50%
Percent of local jurisdictions with written plans to address racial and ethnic disparities in maternal and child health 8.3% 20%
Percent of jurisdictions that partner with medical homes to develop and to disseminate resource materials. 41.7% 83.3%
Number of policy or issue briefs developed by the Title V program 3.0 1
State Population: 5,618,344
Live Births: 77,478
 
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 77,430  $3,927,537 18.6%
Infants < 1 year old 78,738  $3,546,528 16.8%
Children 1 to 22 years old 43,509  $7,579,061 36%
Children with Special Healthcare Needs 10,614  $4,240,450 20.1%
Others 5,541  $0 0%
Administration   $1,784,462 8.5%
Totals 215,832 $21,078,038 100%
 
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
 
Family members participate on advisory committee or task forces and are offering training, mentoring, and reimbursement, when appropriate.
3		  
 
Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups.
3		  
 
Family members are involved in the Children with Special Health Care Needs elements of the MCH Block Grant Application process.
3		  
 
Family members are involved in service training of CSHCN staff and providers.
2		  
 
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		  
 
Family members of diverse cultures are involved in all of the above activities.
2		  
 
 
FY 2007 Total: 16
Total Possible:

 18
Scale:  0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met
 

MCH PARTNERSHIP FUNDS
FY 2007
Title V Federal-State Block Grant:

21,078,038
Other MCHB Grant Programs:

6,732,672
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

27,810,710
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Bonnie S. Birkel, CRNP, MPH
Director, Center for Maternal and Child Health
201 W. Preston Street
Baltimore, Maryland  21201
410-767-6717
410-333-5233
birkelb@dhmh.state.md.us
fha.state.md.us
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Susan R. Panny, M.D.
Director, Genetics and CSHCN
201 West Preston Street, Rm 421A
Baltimore, MD 21201
410-767-6730
410-333-5047
pannys@dhmh.state.md.us
fha.state.md.us
 
 
FY 2007 TITLE V AND MCHB DISCRETIONARY GRANTS

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.

Emergency Medical Services for Children (EMSC)
 
EMSC Partnership Grants
MARYLAND INSTITUTE FOR EMSS
Baltimore, MD
$115,000
(EMSC Partnership Grants)

Healthy Start
 
Healthy Start Initiative-Eliminating Racial/Ethnic Disparities
BALTIMORE CITY HEALTHY START, INC.
Baltimore, MD
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
BALTIMORE CITY HEALTHY START, INC.
Baltimore, MD
$1,250,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
MARYLAND DEPT OF HEALTH & MENTAL HYGIENE
Baltimore, MD
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
Improving Understanding of Maternal and Child Health and Health Care Issues
Grantmakers for Children, Youth and Families
Silver Spring, MD
$200,000
(Improving Understanding of Maternal and Child Health and Health Care Issues)
 
Healthy Tomorrows Partnership for Children Program
UNIVERSITY OF MD MEDICAL SYSTEM FOUNDATION
BALTIMORE, MD
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
MARYLAND'S STATE SYSTEMS DEVELOPMENT INITIATIVE
MARYLAND STATE DEPARTMENT
Baltimore, MD
$94,644
(State Systems Development Initiative)
 
Family Professional Partnership/CSHCN
THE PARENTS' PLACE OF MARYLAND
Glen Burnie, MD
$95,700
(Family Professional Partnership/CSHCN)
 
Awareness and Access to Care for Children and Youths with Epilepsy
Epilepsy Foundation
Landover, MD
$523,719
(Awareness and Access to Care for Children and Youths with Epilepsy)
 
Epidemiological MCH/SPH Institute
JOHNS HOPKINS UNIVERSITY
Baltimore, MD
$26,000
(Epidemiological MCH/SPH Institute)
 
Training CED/COR Pediatric and Child Psychiatry
JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD
$15,000
(Training CED/COR Pediatric and Child Psychiatry)
 
Leadership Education in Adolescent Health (LEAH)
JOHNS HOPKINS UNIVERSITY
Baltimore, MD
$297,000
(Leadership Education in Adolescent Health)
 
Heritable Disorders
American College of Medical Genetics
Bethesda, MD
$799,978
(Heritable Disorders)
 
Awareness and Access to Care for Children and Youth with Epilepsy
Epilepsy Foundation
Landover, MD
$750,000
(Awareness and Access to Care for Children and Youths with Epilepsy)
 
SICKLE CELL DISEASE & NEWBORN SCREENING PROGRAM
SICKLE CELL DISEASE ASSOCIATION OF AMERICA INC
Baltimore, MD
$759,641
(Sickle Cell)
 
ADVANCING MENTAL HEALTH SERVICES IN SCHOOLS
UNIVERSITY OF MARYLAND, BALTIMORE
Baltimore, MD
$300,000
(Adolescent Health/School-Based Health)
 
Sudden Infant Death Syndrome
THE SUDDEN INFANT DEATH SYNDROME ALLIANCE
Pikesville, MD
$250,000
(Sudden Infant Death Syndrome)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
MARYLAND DEPT OF HEALTH & MENTAL HYGIENE
Baltimore, MD
$115,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
MARYLAND DISABILITY LAW CENTER
BALTIMORE, MD
$51,118
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
MARYLAND DEPT OF HEALTH & MENTAL HYGIENE
Baltimore, MD
$149,872
(Universal Newborn Hearing Screening and Intervention)
 

* Data not available

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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