Indiana The MCH Federal-State Partnership

 
The Indiana State Department of Health administers the Title V grant through Maternal and Children’s Special Health Care Services (MCSHC), a division of the Operational Services Commission (OSC). MCSHC administered programs include: Prenatal Substance Use Prevention Program, Indiana Perinatal Network, SIDS, Preventive and Primary Child Health Care, Indiana RESPECT (Reducing Early Sex and Pregnancy by Educating Children and Teens), Family Care Coordination, Prenatal Care Services, Prenatal Care Coordination, Adolescent Health Centers, Family Planning Services, the Genomics/Newborn Screening Program which includes Early Hearing Detection and Intervention (EHD) Newborn Heal Stick Program, and Sickle Cell Program. MCSHC also administers Children’s Special Health Care Services (CSHCS), the state program for children with special health care needs, and Oral Health Services. Title V also supports programs administered within ISDH including: Indiana Childhood Lead Poisoning Prevention Program, Injury Prevention, and Nutrition and Physical Activity. MCSHCS collaborates with many other programs within ISDH such as WIC and Office of Primary Care.		  
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) 59.3% 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) 54.6% 57%
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) 61.8% 64%
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) 94.3% 97%
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. 41.1% 42%
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. 84% 86%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 20.2 18.9
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 48.7% 53%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 3.2 2.4
The percent of mothers who breastfeed their infants at 6 months of age. 34.6% 39%
Percentage of newborns who have been screened for hearing before hospital discharge. 99.6% 99.8%
Percent of children without health insurance. 9.0% 6.5%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 17.5% 15%
Percentage of women who smoke in the last three months of pregnancy. 15.7% 15.2%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 7.2 6.3
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 77.4% 86%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 76.6% 80.6%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 7.8 7.3
The ratio of the black infant mortality rate to the white infant mortality rate. 2.8 1.8
The neonatal mortality rate per 1,000 live births. 4.6 4.1
The postneonatal mortality rate per 1,000 live births. 2.5 2
The perinatal mortality rate per 1,000 live births plus fetal deaths. 6.5 5.6
The child death rate per 100,000 children aged 1 through 14. 20 15
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
The number of data sets, including the NBS, UNHS, Lead, IBDPR, Immunizations, CSHCS, Vital Statistics, and First Steps Data, that are completely integrated into the Indiana Child Health Data Set. 1.0 1
The rate per 10,000 for asthma hospitalizations (ICD 9 Codes: 493.0 - 493.9) among children less than five years old. 24 19
The percent of live births to mothers who smoke. 17.1% 14%
The percent of black women (15 through 44) with a live birth whose prenatal care visits were adequate. 58% 63%
The percentage of children age 0 to 7 years with blood lead levels equal to or greater than 10 Micrograms per deciliter. 0.9% 0.6%
The proportion of births occurring within 18 months of a previous birth to the same birth mother. 17% 13%
Number of community/neighborhood partnerships begun in 5 targeted counties to identify perinatal disparities. 1.0 1
The percentage of high school students who are overweight or at risk. 29.1% 18%
State Population: 6,345,289
Live Births: 88,674
 
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 24,342  $4,671,489 12.9%
Infants < 1 year old 98,278  $1,106,601 3%
Children 1 to 22 years old 80,322  $4,130,488 11.4%
Children with Special Healthcare Needs 6,896  $20,233,732 55.7%
Others 16,036  $5,587,647 15.4%
Administration   $597,130 1.6%
Totals 225,874 $36,327,087 100%
 
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.
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.
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.
1		  
 
 
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:

36,327,087
Other MCHB Grant Programs:

3,625,695
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

39,952,782
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Judith A. Ganser, MD, MPH
Medical Director
2 N. Meridian Street 7th Fl.
Indianapolis, Indiana 46204
317-233-1240
317-234-2995
jganser@isdh.in.gov
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Edward M. Bloom
Director
2 N. Meridian Street 7th Fl.
Indianapolis , Indiana 46204
317-233-1252
317-234-2995
ebloom@isdh.in.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.

Healthy Start
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
NORTHWEST INDIANA HEALTH DEPARTMENT COOP
HAMMOND, IN
$1,250,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
HEALTH & HOSPITAL CORP OF MARION COUNTY
Indianapolis, IN
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Research
 
Health Care Access for Delinquent Youth
INDIANA UNIVERSITY
Indianapolis, IN
$275,493
(MCH Research)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
INDIANA STATE DEPARTMENT OF HEALTH
Indianapolis, IN
$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
CLARIAN HEALTH PARTNERS
Indianapolis, IN
$49,925
(Healthy Tomorrows Partnership for Children Program)
 
INDIANA STATE DEPARTMENT OF HEALTH DATA LINKAGE GRANT
INDIANA STATE DEPARTMENT OF HEALTH
Indianapolis, IN
$94,644
(State Systems Development Initiative)
 
Family Professional Partnership/CSHCN
About Special Kids, Inc.
Indianapolis, IN
$95,700
(Family Professional Partnership/CSHCN)
 
INDIANA ADOLESCENT HEALTH TRAINING PROJECT
INDIANA UNIVERSITY
Indianapolis, IN
$377,000
(Leadership Education in Adolescent Health)
 
LEADERSHIP EDUCATION EXCELLENCE IN PEDIATRIC NUTRITION
INDIANA UNIVERSITY, SCHOOL OF MEDICINE
Indianapolis, IN
$140,000
(Leadership Training in Pediatric Nutrition)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
Indiana Vocational Rehabilitation Services
Indianapolis, IN
$100,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
Indiana Protection and Advocacy Services
Indianapolis, IN
$52,933
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
INDIANA STATE DEPARTMENT OF HEALTH
Indianapolis, IN
$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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