Texas The MCH Federal-State Partnership

 
The Texas Department of State Health Services (DSHS) is the state agency responsible for administration of the Title V program and is one of four state health and human service agencies under the umbrella of the Health and Human Services Commission. Within DSHS, the Division for Family and Community Health Services is responsible for most women’s and children’s programs. The Division administers the Newborn Screening and the Texas Early Hearing Detection and Intervention Program; the Genetic Services Program; the Family Planning Program under Titles V, X, XIX and XX; Texas Health Steps (EPSDT) Medical, Dental, and Medical Case Management; the Children with Special Health Care Needs Services Program (CSHCN SP); the Oral Health Program; the Vision and Hearing Screening Program; the Program for the Amplification for Children of Texas; Women, Infants and Children Nutrition Program (WIC); the Breast and Cervical Cancer Services Program; Title V Women's Health and Child Health Programs; Texas Primary Care Office; the Primary Health Care Program; and the County Indigent Health Care 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) 57.9% 58.4%
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) 46.3% 46.8%
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) 58.2% 58.7%
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) 88.2% 88.7%
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. 37.1% 37.6%
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. 76.4% 80%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 33.6 30
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 22.7% 35%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 4.8 4.5
The percent of mothers who breastfeed their infants at 6 months of age. 34.2% 39%
Percentage of newborns who have been screened for hearing before hospital discharge. 95.0% 96.5%
Percent of children without health insurance. 20.7% 18%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 21.3% 20%
Percentage of women who smoke in the last three months of pregnancy. 7.8% 7.1%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 6.4 4
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 49.7% 55%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 72.2% 75%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 6.5 5.5
The ratio of the black infant mortality rate to the white infant mortality rate. 2.7 1.7
The neonatal mortality rate per 1,000 live births. 4.2 3.5
The postneonatal mortality rate per 1,000 live births. 2.1 2
The perinatal mortality rate per 1,000 live births plus fetal deaths. 9.7 8.9
The child death rate per 100,000 children aged 1 through 14. 21.4 20
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Change in percentage of CSHCN living in congregate care settings as percent of base year 2003 99.4% 80%
The percent of obesity among women ages 18 to 44 25.5% 20.5%
Percent of licensed child care centers in metropolitan counties that have no deficiencies in operational policies that address health and safety of children. 30.1% 92%
The proportion of women between the ages of 18 and 44 who are current cigarette smokers. 19.3% 14.5%
The prevalence of at-risk for obesity and obesity among adolescents enrolled in high school 31.6% 22%
The percent of children provided preventive dental services. 42.1% 45%
Rate of family violence incidents involving females victims per 1,000 women in Texas 13.1 11.1
State Population: 23,904,380
Live Births: 399,612
 
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 159,425  $15,567,424 18.1%
Infants < 1 year old 414,161  $152,145 .2%
Children 1 to 22 years old 6,073,452  $21,388,600 24.8%
Children with Special Healthcare Needs 81,622  $36,137,635 42%
Others 137,412  $7,414,872 8.6%
Administration   $5,416,055 6.3%
Totals 6,866,072 $86,076,731 100%
 
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.
2		  
 
Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups.
2		  
 
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.
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).
0		  
 
Family members of diverse cultures are involved in all of the above activities.
2		  
 
 
FY 2007 Total: 10
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:

86,076,731
Other MCHB Grant Programs:

8,644,993
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

94,721,724
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Sam Cooper
Interim Director for the Office of Title V
1100 W. 49th St. mail code: 1922
Austin, TX 78756
512-458-7111, ext. 2184
sam.cooper@dshs.state.tx.us
www.dshs.state.tx.us
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Lesa Walker, M.D.
State CSHCN Director
P O Box 149347 - MC1938
Austin, TX 78714-9347
512-458-7355
512-458-7238
lesa.walker@dshs.state.tx.us
www.dshs.state.tx.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
Texas Department of State Health Services
Austin, TX
$115,000
(EMSC Partnership Grants)
 
EMSC Targeted Issue Grants
The University of Texas Southwestern Medical Center at Dallas
Dallas, TX
$199,999
(EMSC Targeted Issue Grants)
 
EMSC Targeted Issue Grants
Baylor College of Medicine
Houston, TX
$198,645
(EMSC Targeted Issue Grants)

Healthy Start
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
NEIGHBORHOOD CENTERS, INC.
Bellaire, TX
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INITIATIVE
SAN ANTONIO CITY DEPARTMENT OF FINANCE
SAN ANTONIO, TX
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
CATHOLIC CHARITIES DIOCESE OF FORT WORTH, INC.
FORT WORTH, TX
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
DALLAS COUNTY HOSPITAL DISTRICT
DALLAS, TX
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INITIATIVE- ELIMINATING DISPARITIES IN PERINATAL HEALTH - BORDER H
BAPTIST CHILDRENS HOME MINISTRIES
San Antonio, TX
$870,000
(Disparities in Perinatal Health-Border Initiatives)
 
HEALTHY START INITIATIVE- ELIMINATING DISPARITIES IN PERINATAL HEALTH - BORDER H
VALLEY PRIMARY CARE NETWORK
Harlingen, TX
$844,425
(Disparities in Perinatal Health-Border Initiatives)

Research
 
IMPROVING ADOLESCENT ADHERENCE TO HORMONAL CONTRACEPTION
UNIV OF TEXAS MEDICAL BRANCH
GALVESTON, TX
$254,991
(MCH Research)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
TEXAS HEALTH & HUMAN SERVICES COMMISSION
Austin, TX
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
Healthy Tomorrows Partnership for Children Program
People's Community Clinic
Austin, TX
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
TEXAS STATE SYSTEMS DEVELOPMENT INITIATIVE PROJECT
Texas Department of State Health Services
Austin, TX
$94,570
(State Systems Development Initiative)
 
REGION VI COMPREHENSIVE HEMOPHILIA PROGRAM
UNIVERSITY OF TEXAS HSC AT HOUSTON
Houston, TX
$497,344
(Hemophilia Treatment Centers (SPRANS))
 
Family Professional Partnership/CSHCN
Texas Parent to Parent
Austin, TX
$95,700
(Family Professional Partnership/CSHCN)
 
LEADERSHIP EDUCATION IN ADOLESCENT HEALTH
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$372,000
(Leadership Education in Adolescent Health)
 
TRAINING LONG TERM - NUTRITION
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$135,000
(Leadership Training in Pediatric Nutrition)
 
Heritable Disorders
Texas Health Institute
Austin, TX
$435,961
(Heritable Disorders)
 
NATIONAL NEWBORN SCREENING AND GENETICS CENTER
UNIVERSITY OF TEXAS HEALTH SCI CTR
SAN ANTONIO, TX
$850,000
(National Newborn Screening and Genetics Resource Center)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
Texas Department of State Health Services
Austin, TX
$118,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
ADVOCACY INCORPORATED
AUSTIN, TX
$87,128
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
Universal Newborn Hearing Screening and Intervention
Texas Department of Assistive and Rehabilitative Services
Austin, TX
$136,230
(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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