Tennessee The MCH Federal-State Partnership

 
Maternal and Child Health, within the Bureau of health Services in the Tennessee Department of health, consists of two sections; Child and Adolescent Health, Abstinence Only Education, SIDS, Early Childhood Comprehensive Systems Planning, School Health, Child Fatality Review, Child Care Resource and Referral Centers, EPSDT, and Childhood Lead Poisoning Prevention. Services for CSHCN (called Children’s Special Services) include; medical and other health needs; care coordination/case management; and a Parent Support Network (PEP). The Women’s Health/Genetics section includes comprehensive family planning services; prenatal care, adolescent pregnancy prevention, perinatal regionalization, women’s health, newborn screening follow-up, newborn hearing screening follow-up, and the network of the genetics and sickle cell centers.		  
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) 60.7% 62%
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) 52.7% 65%
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) 67.7% 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) 91.8% 93%
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. 100.0% 100%
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. 86.7% 89%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 27.8 25
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 21.8% 25%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 3.3 2
The percent of mothers who breastfeed their infants at 6 months of age. 31.4% 50%
Percentage of newborns who have been screened for hearing before hospital discharge. 92.5% 99%
Percent of children without health insurance. 6.4% 6%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 34.0% 27%
Percentage of women who smoke in the last three months of pregnancy. 19.4% 4%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 5.4 5
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 68.5% 80%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 63.7% 90%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 8.2 7
The ratio of the black infant mortality rate to the white infant mortality rate. 2.4 2.1
The neonatal mortality rate per 1,000 live births. 5.1 4.3
The postneonatal mortality rate per 1,000 live births. 3.1 2.6
The perinatal mortality rate per 1,000 live births plus fetal deaths. 9.9 8
The child death rate per 100,000 children aged 1 through 14. 20.1 15
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Reduce the percentage of high school students using tobacco (cigarettes and smokeless tobacco). 27.4% 26%
Reduce the percentage of high school students using alcohol. 41.8% 34%
Reduce the incidence of maltreatment of children younger than age 18 including physical, sexual, emotional abuse and neglect to a rate no more than 8 per 1,000. 10.7 7
Increase percentage of children with complete EPSDT annual examinations by 3 percent each year. 73.3% 95%
Reduce the proportion of teens and young adults ages 15 to 24 with chlamydia trachomatis infections attending family planning clinics 6.5 5.2
Reduce the number of babies born prematurely. 11.7% 10%
Increase percentage of adolescents with complete Early Periodic Screening, Diagnosis and Treatment(EPSDT) annual examinations by 5% each year. 39.4% 65%
Reduce the number of pregnant women who smoke and or use illicit drugs. 10.1% 5%
Reduce the number of overweight and obese children and adolescents. 39.9% 25%
Increase the percentage of youth with special health care needs, age 14 and older, who receive formal plans for transition to adulthood. 100.0% 100%
State Population: 6,156,719
Live Births: 84,345
 
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 16,315  $1,134,910 3.4%
Infants < 1 year old 54,388  $3,805,286 11.4%
Children 1 to 22 years old 251,971  $12,327,096 36.9%
Children with Special Healthcare Needs 8,583  $4,729,932 14.2%
Others 147,430  $10,280,949 30.8%
Administration   $1,101,530 3.3%
Totals 478,687 $33,379,703 100%
 
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.
3		  
 
 
FY 2007 Total: 18
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:

33,379,703
Other MCHB Grant Programs:

1,766,196
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

35,145,899
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Dr. Theodora Pinnock, MD
Director of MCH
425 5 TH Avenue North, 5 TH Floor
Nashville, TN 37247-4701
(615) 741-7353
(615) 741-1063
Theodora.pinnock@State.tn.us
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Jacqueline Johnson
Director, Children's Special Services
425 5 Th Avenue North, 5 TH Floor
Nashville, TN 37247-4701
(615) 741-7353
(615) 741-1063
Jacqueline.johnson@State.tn.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
Vanderbilt University School of Medicine
Nashville, TN
$115,000
(EMSC Partnership Grants)

Healthy Start
 
HEALTHY START INITIATIVE: ELIMINATING DISPARITIES IN PERINATAL HEALTH
SHELBY COUNTY GOVERNMENT
MEMPHIS, TN
$746,834
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
TENNESSEE STATE DEPARTMENT OF HEALTH
Nashville, TN
$100,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
STATE SYSTEMS DEVELOPMENT INITIATIVE (SSDI)
TENNESSEE STATE DEPARTMENT OF HEALTH
Nashville, TN
$94,644
(State Systems Development Initiative)
 
Genetic Services Project
St. Jude Children's Research Hospital
Memphis, TN
$183,000
(Genetic Services Project)
 
HLTH CARE INFORMATION & EDUCATION FOR FAMILIES OF CHILDREN W/SPECIAL HLTH CARE N
TENNESSEE DISABILITY COALITION
NASHVILLE, TN
$95,700
(Family Professional Partnership/CSHCN)
 
Continuing Education/Distance Learning
UNIVERSITY OF TENNESSEE HEALTH SCIENCES CENTER
Memphis, TN
$98,992
(MCH Distance Learning)
 
MCH Knowledge to Practice
University of Tennessee at Chatanooga
Chattanooga, TN
$29,999
(MCH Continuing Education)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
Tennessee Department of Health
Nashville, TN
$100,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
Disability Law & Advocacy Center of Tennessee
Nashville, TN
$52,027
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
TENNESSEE STATE DEPARTMENT OF HEALTH
Nashville, TN
$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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