New Hampshire The MCH Federal-State Partnership

 
The Title V program is located in the NH Department of Health and Human Services. The Title V program is divided between the Maternal and Child Health Section (MCH) located within the Division of Public Health Services and the Special Medical Services Unit (SMS) located within the Division of Community Based Services. Guided by a newly instituted Memorandum of Understanding, Administration of the Block Grant is assigned jointly to MCH for services to women, infants and children, and to SMS for children and youth with special health care needs. Together both components of the Title V program provide direct, enabling, population based,and infrastructure building services in the following areas: maternal and child health; children with special health care needs; family planning; childhood lead poisoning prevention; adolescent health; home visiting; health and safety in child care; injury prevention; early hearing detection and intervention; and newborn screening. 		 
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) 60% 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) 49.6% 54%
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) 67.3% 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) 85.8% 89%
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. 51.6% 55%
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. 80.7% 86%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 7.4 6.9
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 42.4% 44%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 89.3 80
The percent of mothers who breastfeed their infants at 6 months of age. 48.7% 54%
Percentage of newborns who have been screened for hearing before hospital discharge. 98.2% 100%
Percent of children without health insurance. 6.0% 3.5%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 33.6% 29%
Percentage of women who smoke in the last three months of pregnancy. 13.3% 9%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 37.2 30
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 78.0% 83%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 82.0% 87%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. * 4
The ratio of the black infant mortality rate to the white infant mortality rate. * 1.1
The neonatal mortality rate per 1,000 live births. * *
The postneonatal mortality rate per 1,000 live births. * *
The perinatal mortality rate per 1,000 live births plus fetal deaths. * *
The child death rate per 100,000 children aged 1 through 14. 31.4 27
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of data linkage projects completed 80.0% 100%
Percent of children age two (24-35 months) on Medicaid who have been tested for lead. 33.8% 38%
Percent of third grade children screened who had untreated dental decay. 24.2% 22%
The rate (per 100,000) of emergency department visits among youths aged 15-19 resulting from being an occupant in a motor vehicle crash 2207.6 1800
Percent of adolescents (ages 10-20) eligible for an EPSDT service who received an EPSDT service during the past year 43.5% 49%
Percent of center-based child care facilities in the MCH catchment area and serving children under age 2, that are visited at least once a month by a child care health consultant 1.8% 35%
[REVISED]:The percent of CSHCN who are at risk for/are overweight or obese * 8
[REVISED]: The percent of respite/childcare providers, serving medically and behaviorally complex children, who have participated in competence-based training. * 100
State Population: 1,315,828
Live Births: 14,380
 
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 2,119  $648,669 7.4%
Infants < 1 year old 13,897  $1,059,235 12.1%
Children 1 to 22 years old 30,052  $2,911,790 33.2%
Children with Special Healthcare Needs 3,582  $2,811,972 32%
Others 55,176  $1,020,259 11.6%
Administration   $326,286 3.7%
Totals 104,826 $8,778,211 100%
 
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.
1		  
 
 
FY 2007 Total: 15
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:

8,778,211
Other MCHB Grant Programs:

2,566,556
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

11,344,767
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Patricia Tilley
Title V Director/Administrator Maternal and Child Health
29 Hazen Drive
Concord , NH 03301
603-271-4526
603-271-3918
ptilley@dhhs.state.nh.us
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Elizabeth Collins, RN-BC, MS
Administrator/CSHCN Director
129 Pleasant Street
Concord, NH 03301
603-271-8181
603-271-4209
ecollins@dhhs.state.nh.us
http://www.dhhs.state.nh.us/DHHS/SPECIALMEDSRVCS/default.htm
 
 
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
TRUSTEES OF DARTMOUTH COLLEGE
Hanover, NH
$114,142
(EMSC Partnership Grants)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
NH ST DEPT OF SAFETY (BEMS)
Concord, NH
$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
TRUSTEES OF DARTMOUTH COLLEGE
Hanover, NH
$295,500
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
Integrated Services for Young Children with Special Health Care Needs
Crotched mountain Foundation
Greenfield, NH
$250,000
(Medical Home/CSHCN)
 
Healthy Tomorrows Partnership for Children Program
GOOD BEGINNINGS OF SULLIVAN COUNTY
Claremont, NH
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
Healthy Tomorrows Partnership for Children Program
WEEKS MEDICAL CENTER, INC
LANCASTER, NH
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
NEW HAMPSHIRE MCH DATA LINKAGE PROJECT
NH ST DEPT OF HEALTH & WELFARE, DIV OF PUBLIC HEALTH
Concord, NH
$94,644
(State Systems Development Initiative)
 
Awareness and Access to Care for Children and Youths with Epilepsy
TRUSTEES OF DARTMOUTH COLLEGE
Hanover, NH
$340,000
(Awareness and Access to Care for Children and Youths with Epilepsy)
 
Continuing Education/Distance Learning
Trustees of Dartmouth College
Lebanon, NH
$130,000
(MCH Distance Learning)
 
Training CED/COR Pediatric and Child Psychiatry
TRUSTEES OF DARTMOUTH COLLEGE
Hanover, NH
$15,000
(Training CED/COR Pediatric and Child Psychiatry)
 
Heritable Disorders
University of New Hampshire
Durham, NH
$817,613
(Heritable Disorders)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
New Hampshire Bureau of Developmental Services
Concord, NH
$99,657
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
DISABILITIES RIGHTS CENTER INC
CONCORD, NH
$50,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
NEW HAMPSHIRE UNIVERSAL NEWBORN HEARING SCREENING PROGRAM
NH ST DEPT OF SAFETY (BEMS)
Concord, NH
$120,000
(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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