Massachusetts The MCH Federal-State Partnership

 
The Massachusetts Title V Maternal and Child Health Services Block Grant Program is primarily located within the Bureau of Family Health and Nutrition (BFHN), Massachusetts Department of Public Health. The Bureau Director, Sally Fogerty is the Title V Director for the Commonwealth. This Bureau includes Perinatal, Early Childhood, Children with Special Health Needs, WIC and Early Intervention (Part H., IDEA). After a reorganization within the Department, a number of Title V supported programs are located in our sister Bureau, Community Health Access and Promotion (BCHAP), including primary care services for women of reproductive age and adolescents, family planning services, teen pregnancy prevention programs, school health programs, oral health, injury control and violence prevention programs. BCHAP also includes a number of primary care/health access and chronic disease prevention and health promotion programs with which we work closely on cross-cutting health issues. The BFHN actively works to improve and to protect the health and well-being of women, children and families to achieve their optional development and health outcomes. It does this by: providing and expanding family-centered services and accessible systems of care; identifying and responding to the diverse cultural and changing needs of MA communities; partnering within the bureau, with families, communities, and other public and private organizations and groups, advocating for resources to address unmet needs and to assure quality services; developing and implementing policy and innovative programs; monitoring health status and program effectiveness; and motivating and educating the public. The Bureau has established the following priorities: standardize systems to monitor and track progress, with outcomes, targets and milestones specified for all programs, enhance and integrate data systems and use data to inform practice outcomes, identify healthy disparities and shape programs; target services to reduce health disparities and serve those most in need; monitor, evaluate and manage increase in external demand; focus and align efforts to support systems of care well before, during and after pregnancies; define and set direction for CYSHCH program, and support and enhance collaborations within the bureau and with other bureaus and agencies. 		 
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) 57.1% 65%
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) 45.7% 53%
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) 63.1% 70%
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) 87.6% 90%
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. 46.6% 50%
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. 88.3% 91%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 10.5 9.5
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 66.2% 71%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 1.2 1.2
The percent of mothers who breastfeed their infants at 6 months of age. 42.1% 46%
Percentage of newborns who have been screened for hearing before hospital discharge. 98.7% 99.6%
Percent of children without health insurance. 2.3% 1%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 34% 32%
Percentage of women who smoke in the last three months of pregnancy. 9.2% 6%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 4.3 4.1
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 86% 86%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 82% 83%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 4.8 4.8
The ratio of the black infant mortality rate to the white infant mortality rate. 2 2
The neonatal mortality rate per 1,000 live births. 3.6 3.5
The postneonatal mortality rate per 1,000 live births. 1.2 1.2
The perinatal mortality rate per 1,000 live births plus fetal deaths. 5.5 5.4
The child death rate per 100,000 children aged 1 through 14. 12 10
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
The percentage of pregnancies among women age 18 and over that are intended. 78.4% 82%
The percent of births to women who report not smoking during their current pregnancy. 92.5% 94%
The percentage of women with an interpregnancy interval (IPI) less than 12 months. 13.5% 13.3%
Percent of children and youth (ages 3 - 18) enrolled in Medicaid who receive preventive dental services annually. 45.9% 60%
The extent to which the Commonwealth is making progress in developing a system to promote healthy weight, including nutrition and physical activity, as measured on a unique scale from 0 - 87. 56.0 85
The degree to which Pediatric Sexual Assault Nurse Examiner (Pedi-SANE) services have been implemented statewide, as measured on a unique scale from 0 - 20. 15.0 19
The percent of licensed child care centers serving children age birth to five who have on-site health consultation 22.5% 50%
The extent to which perinatal health disparities are addressed at the state and local levels, collaboratively with stakeholders and community partners, as measured by a unique scale from 0 - 33. 11.0 19
The percentage of adolescents reporting no current use (in past 30 days) of either alcohol or illicit drugs. 66% 68%
The percentage of Massachusetts births that occur in a hospital that has an active Shaken Baby Syndrome Prevention Program. 0.0% 90%
State Population: 6,449,755
Live Births: 77,769
 
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 15,047  $2,737,152 3.5%
Infants < 1 year old 16,528  $813,626 1.1%
Children 1 to 22 years old 249,773  $20,229,188 26.2%
Children with Special Healthcare Needs 44,988  $46,022,746 59.6%
Others 47,283  $6,165,178 8%
Administration   $1,268,509 1.6%
Totals 373,619 $77,236,399 100%
 
By Source of Funds
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By Category of Services
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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.
2		  
 
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: 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:

77,236,399
Other MCHB Grant Programs:

8,400,955
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

85,637,354
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Karin Downs, RN, MPH
Assistant Director for Clinical Affairs, Division of Perinatal, Early Childhood and Special Health Needs
Massachusetts Department of Public Health 250 Washington Street, 5th Floor
Boston, MA 02108
(617) 624-5967
(617) 624-5990
karin.downs@state.ma.us
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Ron Benham
Dir., Div for Perinatal, Early Childhood & Special Health Needs
Mass Dept of Public Health, 250 Washington St.
Boston, MA 02108
(617) 624-5901
(617) 624-6062
ron.benham@state.ma.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
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
BOSTON, MA
$115,000
(EMSC Partnership Grants)

Healthy Start
 
HEALTHY START INITIATIVE: ELIMINATING DISPARITIES IN PERINATAL HEALTH
GREAT BROOK VALLEY HEALTH CENTER
WORCESTER, MA
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INITIATIVE
BOSTON PUBLIC HEALTH COMMISSION
BOSTON, MA
$2,125,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Research
 
How Does the Family Matter? Influences of Child and Adolescent Family Factors on Adult Mental Health and Functioning
SIMMONS COLLEGE
BOSTON, MA
$99,772
(MCH Research)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
BOSTON, MA
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
State Implementation Grants for Integrated Community Systems for CSHCN
COMMONWEALTH OF MASSACHUSETTS
Boston, MA
$300,000
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
Medical Home/CSHCN
UNIVERSITY OF MASSACHUSETTS
Worcester, MA
$150,000
(Medical Home/CSHCN)
 
HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN
CAMBRIDGE HEALTH ALLIANCE
Cambridge, MA
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
Health Families Expansion Program
UNIV. OF MASS. MEDICAL SCHOOL
WORCESTER, MA
$49,136
(Healthy Tomorrows Partnership for Children Program)
 
Health Families Expansion Program
DORCHESTER HOUSE MULTI-SERVICE CENTER
DORCHESTER, MA
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
Healthy Tomorrows Partnership for Children Program
CHILDREN'S HOSPITAL
BOSTON, MA
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
STATE SYSTEMS DEVELOPMENT INTIATIVE FOR MA
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
BOSTON, MA
$94,644
(State Systems Development Initiative)
 
REGION COMPREHENSIVE HEMOPHILIA PROGRAM
UNIV. OF MASS. MEDICAL SCHOOL
Worcester, MA
$340,900
(Hemophilia Treatment Centers (SPRANS))
 
Children's Oral Healthcare Access Program
Commonwealth of Massachusetts / Department of Public Health
Boston, MA
$160,000
(Childrens Oral Healthcare Access Program)
 
Integrated Health and Behavioral Health Care for Children And Adolescents
Cambridge Medical Care Foundation
Cambridge, MA
$199,895
(Integrated Health and Behavioral Health Care for Children And Adolescents )
 
Family Professional Partnership/CSHCN
Federation for Children with Special Needs
Boston, MA
$95,700
(Family Professional Partnership/CSHCN)
 
State Grants for Perinatal Depression
Commonwealth of Massachusetts / Department of Public Health
Boston, MA
$209,632
(State Grants for Perinatal Depression)
 
Continuing Education/Distance Learning
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
WORCESTER, MA
$129,914
(MCH Distance Learning)
 
Epidemiological MCH/SPH Institute
Trustees of Boston University, Boston University Medical Campus
Boston, MA
$26,000
(Epidemiological MCH/SPH Institute)
 
Epidemiological MCH/SPH Institute
President and Fellows of Havard College
Boston, MA
$26,000
(Epidemiological MCH/SPH Institute)
 
Training CED/COR Pediatric and Child Psychiatry
CHILDREN'S HOSPITAL
BOSTON, MA
$15,000
(Training CED/COR Pediatric and Child Psychiatry)
 
MCH Knowledge to Practice
Trustees of Boston University, Boston University Medical Campus
Boston, MA
$29,980
(MCH Continuing Education)
 
ADOLESCENT HEALTH TRAINING PROGRAM
CHILDREN'S HOSPITAL
BOSTON, MA
$375,000
(Leadership Education in Adolescent Health)
 
Promoting Integration of State Health Information Systems and Newborn Screening Service Systems
Commonwealth of Massachusetts / Department of Public Health
Boston, MA
$198,897
(Promoting integration of State Health Information Systems and Newborn Screening Service Systems)
 
Health Insurance and Financing/ CSHCN
TRUSTEES OF BOSTON UNIVERSITY
Boston, MA
$498,878
(Health Insurance and Financing/ CSHCN)
 
National Child Death Review Resource Center
EDUCATION DEVELOPMENT CENTER, INC.
NEWTON, MA
$1,500,000
(The National Child Death Review Resource Center)
 
Cooperative Agreement - Evidence Base for Systems of Care
MASSACHUSETTS GENERAL HOSPITAL
Boston, MA
$299,452
(Cooperative Agreement - Evidence Base for Systems of Care)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
MASSACHUSETTS REHAB. COMMISSION
BOSTON, MA
$118,600
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
Disability Law Center Inc
Boston, MA
$53,555
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
BOSTON, MA
$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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