Michigan The MCH Federal-State Partnership

 
Michigan's MCH program is administered by the Department of Community Health, Bureau of Family Maternal and Child Health under the authority of the Public Health Code. The Bureau includes the Divisions of Family and Community Health, WIC, and Children's Special Health Care Services. The Division of Family and Community Health has responsibility for family planning, prenatal care, adolescent health, childhood lead poisoning prevention, oral health, newborn hearing screening, infant mortality initiatives and child health. The WIC Division administers the USDA Supplemental Food Program for Women, Infants and Children, Project FRESH and breastfeeding initiatives. The CSHCS Division has responsibility for medical care and treatment for children with special health care needs, case management, ancillary services and the Parent Participation Program. 		 
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) 56.4% 56.4%
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) 46% 46%
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) 60.8% 60.8%
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) 90.9% 90.9%
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. 40.8% 40.8%
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. 81.8% 91%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 14.0 17
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 23.4% 50%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 2.3 2.2
The percent of mothers who breastfeed their infants at 6 months of age. 15.8% 40%
Percentage of newborns who have been screened for hearing before hospital discharge. 97.1% 100%
Percent of children without health insurance. 4.7% 4.1%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 29.5% 27.5%
Percentage of women who smoke in the last three months of pregnancy. 13.6% 10.6%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 7.0 7.3
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 87.8% 88.8%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 83.4% 90.3%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 7.8 7.4
The ratio of the black infant mortality rate to the white infant mortality rate. 2.9 2.1
The neonatal mortality rate per 1,000 live births. 6.8 5
The postneonatal mortality rate per 1,000 live births. 3.0 2
The perinatal mortality rate per 1,000 live births plus fetal deaths. 6.7 7
The child death rate per 100,000 children aged 1 through 14. 16.7 16.2
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of Medicaid-enrolled women who are screened for maternal depression * 50%
Percent of low birthweight births (<2500 grams) among live births. 8.2 7.7
Percent of preterm births (<37 weeks gestation) among live births 9.6 10
Percent of live births resulting from unintended pregnancies. 38.3% 37.3%
Increase the percent of Medicaid enrolled children, 0-6 years of age, who receive lead screening 29.2 50
Maternal mortality ratio in Black women 88.9 82
Rate of breastfeeding at six months 15.8% 40%
Percent of WIC-enrolled children who are overweight (BMI greater than or equal to 95th Percentile) 12.4% 11.7%
State Population: 10,071,822
Live Births: 127,476
 
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 26,314  $0 0%
Infants < 1 year old 123,368  $54,213,278 49.8%
Children 1 to 22 years old 2,376,132  $8,636,965 7.9%
Children with Special Healthcare Needs 36,969  $39,016,204 35.8%
Others 146,904  $6,511,767 6%
Administration   $472,891 .4%
Totals 2,709,687 $108,851,105 100%
 
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.
3		  
 
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: 17
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:

108,851,105
Other MCHB Grant Programs:

8,893,952
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

117,745,057
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Alethia Carr
Director, Bureau of Family, Maternal & Child Health
201 Townsend Street, 6th Floor
Lansing, MI 48913
517-335-8922
517-335-9032
carra@michigan.gov
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Kathleen Stiffler
Director, CHSCS Division
320 South Walnut Street
Lansing, MI 48913
517-335-5008
517-241-8970
stifflerk@michigan.gov
 
 
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
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Lansing, MI
$115,000
(EMSC Partnership Grants)
 
GREAT LAKES REGIONAL NODE FOR PEDIATRIC EMS RESEARCH
THE REGENTS OF THE UNIVERSITY OF MICHIGAN
Ann Arbor, MI
$742,630
(Emergency Medical Services for Children: Network Development Demonstration Project)

Healthy Start
 
HEALTHY START INITIATIVE
KALAMAZOO COUNTY HEALTH AND COMMUNITY SERVICES DEPARTMENT
Kalamazoo, MI
$600,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
GREAT BEGINNINGS SAGINAW COUNTY HEALTHY START
SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH
SAGINAW, MI
$600,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INITIATIVE
Inter-Tribal Council of Michigan, Inc. Consortium of Michigan's Federal Tribes
Sault Sainte Marie, MI
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INITIATIVES
DETROIT PUBLIC HEALTH DEPARTMENT
Detroit, MI
$1,575,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
GENESEE COUNTY HEALTH DEPARTMENT
FLINT, MI
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
Healthy Start Initiative-Eliminating Racial/Ethnic Disparities
SPECTRUM HEALTH
GRAND RAPIDS, MI
$749,270
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Lansing, MI
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
Health Families Expansion Program
Ele's Place
Lansing, MI
$42,000
(Healthy Tomorrows Partnership for Children Program)
 
MICHIGAN STATE SYSTEMS DEVELOPMENT INITIATIVE
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Lansing, MI
$94,644
(State Systems Development Initiative)
 
REGION V- EAST HEMOPHILIA COMPREHENSIVE CARE NETWORK
HEMOPHILIA FOUNDATION OF MICHIGAN
Ypsilanti, MI
$398,485
(Hemophilia Treatment Centers (SPRANS))
 
Children's Oral Healthcare Access Program
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Lansing, MI
$160,000
(Childrens Oral Healthcare Access Program)
 
Healthy Behaviors in Women
THE REGENTS OF THE UNIVERSITY OF MICHIGAN
Ann Arbor, MI
$140,958
(Healthy Behaviors in Women)
 
Healthy Behaviors in Women
Spectrum Health Hospitals
Grand Rapids, MI
$141,104
(Healthy Behaviors in Women)
 
Training CED/COR Pediatric and Child Psychiatry
THE REGENTS OF THE UNIVERSITY OF MICHIGAN
Ann Arbor, MI
$14,997
(Training CED/COR Pediatric and Child Psychiatry)
 
Heritable Disorders
MICHIGAN PUBLIC HEALTH INSTITUTE
Okemos, MI
$1,000,000
(Heritable Disorders)
 
THE NATIONAL CHILD DEATH REVIEW RESOURCE CENTER
MICHIGAN PUBLIC HEALTH INSTITUTE
Okemos, MI
$400,000
(The National Child Death Review Resource Center)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
Michigan Dept of Community Health
Lansing, MI
$118,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
MICHIGAN PROTECTION & ADVOCACY SERVICE INC
LANSING, MI
$61,864
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Lansing, MI
$150,000
(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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