|
|
Objectives and Subobjectives
Goal:
Improve the health
and well-being of women, infants, children, and families.
As a result of the Healthy People 2010 Midcourse
Review, changes were made to the Healthy People 2010 objectives and
subobjectives.
These changes are
specific to the following situations:
- Changes in the wording of an
objective to more accurately describe what is being measured.
-
Changes to reflect a different data
source or new science.
-
Changes resulting from the
establishment of a baseline and a target (that is, when a formerly
developmental objective or subobjective became measurable).
-
Deletion of an objective or
subobjective that lacked a data source.
-
Correction of errors and omissions
in Healthy People 2010.
Revised baselines and targets for measurable objectives and
subobjectives do not fall into any of the above categories and, thus, are not
considered a midcourse review change.1
When changes were made to an objective, three
sections are displayed:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
In the Revised Objective section, the objective appears as revised
as a result of the midcourse review.
Details of the objectives and subobjectives in this
focus area, including any changes made at the midcourse, appear on the following
pages.
1See Technical Appendix for more information on baseline and target revisions.
Fetal, Infant,
Child, and Adolescent Deaths
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
16-1.
|
Reduce
fetal and infant deaths.
Target
and baseline:
Objective |
Reduction in Fetal and
Infant Deaths |
1997
Baseline
Rate per 1,000 Live
Births Plus Fetal Deaths |
2010
Target
Rate per 1,000 Live
Births Plus Fetal Deaths |
16-1a. |
Fetal deaths at 20 or more
weeks of gestation |
6.8 |
4.1 |
16-1b. |
Fetal and infant deaths
during perinatal period (28 weeks of gestation to less than 7 days after
birth) |
|
|
Target
setting method:
Better
than the best.
Data source:
National Vital Statistics System (NVSS),
CDC, NCHS.
Target and baseline:
Objective |
Reduction in Infant Deaths |
1998
Baseline
Rate per 1,000 Live
Births |
2010
Target
Rate per 1,000 Live
Births |
16-1c. |
All infant deaths (within 1
year) |
7.2 |
4.5 |
16-1d. |
Neonatal deaths (within the
first 28 days of life) |
4.8 |
2.9 |
16-1e. |
Postneonatal deaths (between
28 days and 1 year) |
2.4 |
1.2 |
Target setting method:
Better than the best.
Data source:
National Vital Statistics System (NVSS),
CDC, NCHS.
Target
and baseline:
Objective |
Reduction in Infant Deaths Related to Birth Defects |
1998 Baseline
Rate per 1,000 Live Births |
2010 Target
Rate per 1,000 Live Births |
16-1f. |
All birth defects |
|
|
16-1g. |
Congenital heart defects |
|
|
Target
setting method: Better
than the best.
Data source: National Vital Statistics System (NVSS),
CDC, NCHS.
16-1h. Reduce deaths from sudden infant death
syndrome (SIDS).
Target: 0.23 deaths7 per 1,000 live
births.
Baseline: 0.678 deaths per 1,000 live
births were from SIDS in 1999.8
Target setting method: Better than the best.
Data source: National Vital Statistics System (NVSS),
CDC, NCHS.
1 Baseline revised from 7.5 after
November 2000 publication.
2 Target revised from 4.5 because of
baseline revision after November 2000 publication.
3 Baseline revised from 1.6 after
November 2000 publication.
4 Target revised from 1.1 because of
baseline revision after November 2000 publication.
5 Baseline revised from 0.53 after
November 2000 publication.
6 Target revised from 0.38 because of
baseline revision after November 2000 publication.
7 Target revised from 0.25 because of
baseline revision after November 2000 publication.
8 Baseline and baseline year revised from
0.72 and 1998 after November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
16-2. |
Reduce the rate of child deaths.
Target
and baseline:
Objective |
Reduction in Deaths of
Children |
1998
Baseline
Rate per 100,000 |
2010
Target
Rate per 100,000 |
16-2a. |
Children aged 1 to 4 years |
|
|
16-2b. |
Children aged 5 to 9 years |
|
|
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
1 Baseline revised from 34.6 after
November 2000 publication.
2 Target revised from 18.6 because of
baseline revision after November 2000 publication.
3 Baseline revised from 17.7 after
November 2000 publication.
4 Target revised from 12.3 because of
baseline revision after November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
16-3. |
Reduce deaths of adolescents and
young adults.
Target
and baseline:
Objective |
Reduction in Deaths of
Adolescents and Young Adults |
1998
Baseline
Rate per
100,000 |
2010
Target
Rate per
100,000 |
16-3a. |
Adolescents aged 10 to 14
years |
|
|
16-3b. |
Adolescents aged 15 to 19
years |
|
|
16-3c. |
Young adults aged 20 to 24
years |
|
|
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
1 Baseline revised from 22.1 after
November 2000 publication.
2 Target revised from 16.8 because of
baseline revision after November 2000 publication.
3 Baseline revised from 70.6 after
November 2000 publication.
4 Target revised from 39.8 because of
baseline revision after November 2000 publication.
5 Baseline revised from 95.3 after
November 2000 publication.
6 Target revised from 49.0 because of
baseline revision after November 2000 publication.
|
Maternal Deaths
and Illnesses
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
16-4. |
Reduce maternal deaths.
Target:
4.31 maternal deaths per
100,000 live births.
Baseline:
9.92 maternal deaths per
100,000 live births occurred in 1999.2
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
1 Target revised from 3.3 because of
baseline revision after November 2000 publication.
2 Baseline and baseline year revised from
7.1 and 1998 after November 2000 publication.
|
ORIGINAL
OBJECTIVE
|
16-5. |
Reduce maternal illness and
complications due to pregnancy.
Target
and baseline:
Objective |
Reduction in Maternal
Illness and Complications |
1998
Baseline
Rate per 100
Deliveries |
2010
Target
Rate per 100
Deliveries |
16-5a. |
Maternal complications
during hospitalized labor and delivery |
31.2 |
24.0 |
16-5b. |
Ectopic pregnancies |
Developmental |
Developmental |
16-5c. |
Post partum complications,
including post partum depression |
Developmental |
Developmental |
Target
setting method:
Better
than the best.
Data
source:
National Hospital
Discharge Survey, CDC, NCHS.
Potential
data source: National
Hospital Discharge Survey (NHDS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
(Including
subobjectives deleted)
|
16-5. |
Reduce maternal illness and
complications due to pregnancy.
Target
and baseline:
Objective* |
Reduction in Maternal
Illness and Complications |
1998
Baseline
Rate per 100
Deliveries |
2010
Target
Rate per 100
Deliveries |
16-5a. |
Maternal complications
during hospitalized labor and delivery |
31.2 |
24.0 |
16-5b. |
(Subobjective deleted due to lack of data source)*Ectopic
pregnancies |
Developmental
|
Developmental
|
16-5c. |
(Subobjective deleted due to lack of data source)* Post partum complications, including post
partum depression |
Developmental
|
Developmental
|
* For data control purposes, subobjectives are not
renumbered.
Target
setting method:
Better
than the best.
Data
source:
National Hospital
Discharge Survey (NHDS), CDC, NCHS.
Potential data source:
National Hospital Discharge Survey (NHDS),
CDC, NCHS.
|
REVISED
OBJECTIVE
|
16-5. |
Reduce maternal illness and
complications due to pregnancy.
Target
and baseline:
Objective* |
Reduction in Maternal
Illness and Complications |
1998
Baseline
Rate per 100
Deliveries |
2010
Target
Rate per 100
Deliveries |
16-5a. |
Maternal complications
during hospitalized labor and delivery |
31.2 |
24.0 |
* For data control purposes, subobjectives are not
renumbered.
Target
setting method:
Better
than the best.
Data
source:
National Hospital
Discharge Survey (NHDS), CDC, NCHS.
|
Prenatal Care
NO
CHANGE IN OBJECTIVE
|
16-6. |
Increase the proportion of pregnant
women who receive early and adequate prenatal care.
Target
and baseline:
Objective |
Increase in Maternal
Prenatal Care |
1998
Baseline
Percent of
Live
Births |
2010
Target
Percent of
Live
Births |
16-6a. |
Care beginning in first
trimester of pregnancy |
83 |
90 |
16-6b. |
Early and adequate prenatal
care |
74 |
90 |
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
16-7. |
(Developmental) Increase the
proportion of pregnant women who attend a series of prepared childbirth
classes.
Potential
data sources:
National
Pregnancy and Health Survey, NIH, NICHD; National Survey of Family Growth
(NSFG) or National Health Interview Survey (NHIS), CDC, NCHS. |
OBJECTIVE
WITH REVISIONS
|
16-7. |
(Developmental) Increase the
proportion of pregnant women who attend a series of prepared childbirth
classes.
Target:
77 percent.
Baseline:
66 percent of pregnant women attended a
series of prepared childbirth classes in 2000.
Target
setting method:
Better
than the best.
Potential
dData
sources:
National
Pregnancy and Health Survey, NIH, NICHD; National Survey of Family
Growth (NSFG) or National Health Interview Survey (NHIS), CDC, NCHS
National Survey of Early Childhood Health (NSECH), CDC, NCHS.
|
REVISED
OBJECTIVE
|
16-7. |
Increase the proportion of pregnant
women who attend a series of prepared childbirth classes.
Target:
77 percent.
Baseline:
66 percent of pregnant women attended a
series of prepared childbirth classes in 2000.
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Early Childhood Health (NSECH), CDC, NCHS.
|
Obstetrical Care
NO
CHANGE IN OBJECTIVE
|
16-8. |
Increase the proportion of very low
birth weight (VLBW) infants born at level III hospitals or subspecialty
perinatal centers.
Target:
90 percent.
Baseline:
73 percent of VLBW infants were born at
level III hospitals or subspecialty perinatal centers in 1996–97.
Target
setting method:
25 percent
improvement.
(Better than the best
will be used when data are available.)
Data
source:
Title V Reporting
System, HRSA, MCHB.
|
NO
CHANGE IN OBJECTIVE
|
16-9. |
Reduce cesarean births among
low-risk (full-term, singleton, vertex presentation) women.
Target
and baseline:
Objective |
Reduction in Cesarean Births |
1998
Baseline
Percent of Live
Births |
2010
Target
Percent of Live
Births |
16-9a. |
Women giving birth for the
first time |
18 |
15 |
16-9b. |
Prior cesarean birth |
72 |
63 |
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
|
Risk Factors
NO
CHANGE IN OBJECTIVE
|
16-10. |
Reduce low birth weight (LBW) and
very low birth weight (VLBW).
Target
and baseline:
Objective |
Reduction in Low and Very
Low Birth Weight |
1998
Baseline
Percent of
Live
Births |
2010
Target
Percent of
Live
Births |
16-10a. |
Low birth weight (LBW) |
7.6 |
5.0 |
16-10b. |
Very low birth weight (VLBW) |
1.4 |
0.9 |
Target
setting method:
Better
than the best.
Data
source:
National Vital
Statistics System (NVSS), CDC, NCHS.
|
|
NO
CHANGE IN OBJECTIVE
|
16-11. |
Reduce preterm births.
Target
and baseline:
Objective |
Reduction in Preterm Births |
1998
Baseline
Percent of
Live
Births |
2010
Target
Percent of
Live
Births |
16-11a. |
Total preterm births |
11.6 |
7.6 |
16-11b. |
Live births at 32 to 36
weeks of gestation |
9.6 |
6.4 |
16-11c. |
Live births at less than 32
weeks of gestation |
2.0 |
1.1 |
Target
setting method: Better
than the best.
Data
source: National Vital
Statistics System (NVSS), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
16-12. |
(Developmental) Increase the
proportion of mothers who achieve a recommended weight gain during their
pregnancies.
Potential
data source:
National
Vital Statistics System (NVSS), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
16-13. |
Increase the percentage of healthy
full-term infants who are put down to sleep on their backs.
Target:
70 percent.
Baseline:
35 percent of healthy full-term infants
aged under 8 months were put down to sleep on their backs in 1996.
Target
setting method:
Better
than the best.
Data
source:
National Infant
Sleep Position Study, NIH, NICHD.
|
Developmental
Disabilities and Neural Tube Defects
ORIGINAL
OBJECTIVE
|
16-14. |
Reduce the occurrence of
developmental disabilities.
Target
and baseline:
Objective |
Reduction in Developmental
Disabilities in Children |
1991–94
Baseline
Rate per 10,000 |
2010
Target
Rate per 10,000 |
16-14a. |
Mental retardation |
131.0*1 |
124.52 |
16-14b. |
Cerebral palsy |
33.3†3 |
31.64 |
16-14c. |
Autism spectrum disorder |
Developmental |
Developmental |
16-14d. |
Epilepsy |
Developmental |
Developmental |
* Children aged 8 years in metropolitan Atlanta, GA,
having an IQ of 70 or less.
† Children aged 8 years in metropolitan
Atlanta, GA.
Target
setting method: 5 percent
improvement.
Data
source: Metropolitan
Atlanta Developmental Disabilities Surveillance Program (MADDSP), CDC,
NCEH.
1 Baseline revised from 131 after
November 2000 publication.
2 Target revised from 124 because of
baseline revision after November 2000 publication.
3 Baseline revised from 32.2 after
November 2000 publication.
4 Target revised from 31.5 because of
baseline revision after November 2000 publication. |
OBJECTIVE
WITH REVISIONS
(Including
subobjective deleted)
|
16-14. |
Reduce the occurrence of
developmental disabilities.
Target
and baseline:
Objective |
Reduction in Developmental
Disabilities in Children |
1991–94
Baseline (unless noted)
Rate per
10,000 |
2010
Target
Rate per 10,000 |
16-14a. |
Mental retardation |
131.0*1 |
124.52 |
16-14b. |
Cerebral palsy |
33.3†3 |
31.64 |
|
Reduction in age of identification |
Months |
Months |
16-14c. |
Autism spectrum disorder ‡ |
50 (1996) |
48 |
16-14d.
|
(Subobjective
deleted due to lack of data source)§ Epilepsy |
Developmental |
Developmental |
* Children aged 8 years in metropolitan Atlanta, GA,
having an IQ of 70 or less.
† Children aged 8 years in metropolitan
Atlanta, GA.
‡ Age at identification of autism.
§ For data control purposes,
subobjectives are not renumbered.
Target
setting method:
5 percent
improvement.
Data
source:
Metropolitan
Atlanta Developmental Disabilities Surveillance Program (MADDSP), CDC, NCEHBDDD.
1 Baseline revised from 131 after
November 2000 publication.
2 Target revised from 124 because of
baseline revision after November 2000 publication.
3 Baseline revised from 32.2 after
November 2000 publication.
4 Target revised from 31.5 because of
baseline revision after November 2000 publication.
|
REVISED
OBJECTIVE
|
16-14. |
Reduce the occurrence of
developmental disabilities.
Target
and baseline:
Objective* |
Reduction in Developmental
Disabilities in Children |
1991–94
Baseline
(unless noted)
Rate per
10,000 |
2010
Target
Rate per 10,000 |
16-14a. |
Mental retardation |
131.0†1 |
124.52 |
16-14b. |
Cerebral palsy |
33.3‡3 |
31.64 |
|
Reduction in age of identification |
Months |
Months |
16-14c. |
Autism spectrum disorder § |
50 (1996) |
48 |
* For data control purposes, subobjectives are not
renumbered.
† Children aged 8 years in metropolitan
Atlanta, GA, having an IQ of 70 or less.
‡ Children aged 8 years in metropolitan
Atlanta, GA.
§ Age at identification of autism.
Target
setting method:
5 percent
improvement.
Data
source:
Metropolitan
Atlanta Developmental Disabilities Surveillance Program (MADDSP), CDC,
NCBDDD.
1 Baseline revised from 131 after
November 2000 publication.
2 Target revised from 124 because of
baseline revision after November 2000 publication.
3 Baseline revised from 32.2 after
November 2000 publication.
4 Target revised from 31.5 because of
baseline revision after November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
16-15. |
Reduce the occurrence of spina bifida
and other neural tube defects (NTDs).
Target:
3 new cases per 10,000 live births.
Baseline:
6 new cases of spina bifida or another NTD
per 10,000 live births occurred in 1996.
Target
setting method:
50 percent
improvement.
(Better than the best
will be used when data are available.)
Data
source:
National Birth
Defects Prevention Network (NBDPN), CDC, NCBDDD.
|
NO
CHANGE IN OBJECTIVE
|
16-16. |
Increase the proportion of
pregnancies begun with an optimum folic acid level.
Target
and baseline:
Objective |
Increase in Pregnancies
Begun With Optimum Folic Acid Level |
1991–94
Baseline
Percent |
2010
Target
Percent |
16-16a. |
Consumption of at least 400
µg of folic acid each day from fortified foods or dietary supplements
by nonpregnant women aged 15 to 44 years |
21 |
80 |
|
|
Concentration
in ng/ml |
Concentration in ng/ml |
16-16b. |
Median RBC folate level
among nonpregnant women aged 15 to 44 years |
160 |
220 |
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
Prenatal Substance
Exposure
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
16-17. |
Increase abstinence from alcohol,
cigarettes, and illicit drugs among pregnant women.
Target
and baseline:
Objective |
Increase in Reported
Abstinence in Past Month From Substances by Pregnant Women* |
2002–03 1 Baseline
(unless noted)
Percent of Pregnant
Women |
2010
Target
Percent of Pregnant
Women |
16-17a. |
Alcohol |
902 |
953 |
16-17b. |
Binge drinking |
964 |
100 |
16-17c. |
Cigarette smoking† |
87 (1998) |
99 |
16-17d. |
Illicit drugs |
965 |
100 |
* Pregnant women aged 15 to 44 years.
† Smoking during pregnancy for all women
giving birth in 1998 in 46 States, the District of Columbia, and New York
City.
Target
setting method: For 16-17a
and 16-17c, better than the best; for 16-17b and 16-17d, complete
elimination.
Data
sources: National Survey
on Drug Use and Health (NSDUH), SAMHSA; National Vital Statistics System
(NVSS), CDC, NCHS.
1 Baseline year revised from 1996–97
after November 2000 publication.
2 Baseline revised from 86 after November
2000 publication.
3 Target revised from 94 because of
baseline revision after November 2000 publication.
4 Baseline revised from 99 after November
2000 publication.
5 Baseline revised from 98 after November
2000 publication.
|
ORIGINAL
OBJECTIVE
|
16-18. |
(Developmental) Reduce the occurrence
of fetal alcohol syndrome (FAS).
Potential
data source:
Fetal Alcohol
Syndrome Network (FASNet), CDC, NCEH.
|
OBJECTIVE
WITH REVISIONS
|
16-18. |
(Developmental) Reduce the
occurrence of fetal alcohol syndrome (FAS).
Target:
0.1 cases per 1,000 live births.
Baseline:
Fetal alcohol syndrome
occurred in 0.4 per 1,000 live births* in 1995–97.
Target
setting method:
Better
than the best.
Potential
dData
source:
Fetal Alcohol
Syndrome Surveillance Network (FASSNet), CDC, NCEHNCBDDD.
* Based on data from Alaska, Arizona, Colorado, and
New York.
|
REVISED
OBJECTIVE
|
16-18. |
Reduce the occurrence of fetal
alcohol syndrome (FAS).
Target:
0.1 cases per 1,000 live births.
Baseline:
Fetal alcohol syndrome occurred in 0.4 per
1,000 live births* in 1995–97.
Target
setting method:
Better
than the best.
Data
source:
Fetal Alcohol
Syndrome Surveillance Network (FASSNet), CDC, NCBDDD.
* Based on data from Alaska, Arizona, Colorado, and
New York.
|
Breastfeeding,
Newborn Screening, and Service Systems
ORIGINAL
OBJECTIVE
|
16-19. |
Increase the proportion of mothers
who breastfeed their babies.
Target
and baseline:
Objective |
Increase in Mothers Who
Breastfeed |
1998
Baseline
Percent |
2010
Target
Percent |
16-19a. |
In early post partum period |
64 |
75 |
16-19b. |
At 6 months |
29 |
50 |
16-19c. |
At 1 year |
16 |
25 |
Target
setting method:
Better
than the best.
Data
source:
Mothers’ Survey,
Abbott Laboratories, Inc., Ross Products Division.
|
OBJECTIVE
WITH REVISIONS
|
16-19. |
Increase the proportion of mothers
who breastfeed their babies.
Target
and baseline:
Objective |
Increase in Mothers Who
Breastfeed |
1998
Baseline (unless noted)
Percent of Mothers |
2010
Target
Percent of Mothers |
16-19a. |
In early post partum period |
64 |
75 |
16-19b. |
At 6 months |
29 |
50 |
16-19c. |
At 1 year |
16 |
25 |
16-19d. |
Exclusively through 3
months |
43 (2002) |
60 |
16-19e. |
Exclusively through 6
months |
13 (2002) |
25 |
Target
setting method:
Better
than the best.
Data
sources:
Mothers’ Survey,
Abbott Laboratories, Inc., Ross Products Division; National Immunization Survey (NIS), CDC, NIP and NCHS.
|
REVISED
OBJECTIVE
|
16-19. |
Increase the proportion of mothers
who breastfeed their babies.
Target
and baseline:
Objective |
Increase in Mothers Who
Breastfeed |
1998
Baseline
(unless noted)
Percent of Mothers |
2010
Target
Percent of Mothers |
16-19a. |
In early post partum period |
64 |
75 |
16-19b. |
At 6 months |
29 |
50 |
16-19c. |
At 1 year |
16 |
25 |
16-19d. |
Exclusively through 3 months |
43 (2002) |
60 |
16-19e. |
Exclusively through 6 months |
13 (2002) |
25 |
Target
setting method: Better
than the best.
Data
sources: Mothers’ Survey,
Abbott Laboratories, Inc., Ross Products Division; National Immunization
Survey (NIS), CDC, NIP and NCHS.
|
ORIGINAL
OBJECTIVE
|
16-20. |
(Developmental) Ensure appropriate
newborn bloodspot screening, followup testing, and referral to services.
16-20a.
Ensure that all newborns are screened at
birth for conditions mandated by their State-sponsored newborn screening
programs, for example, phenylketonuria and hemoglobinopathies.
16-20b.
Ensure that followup diagnostic testing
for screening positives is performed within an appropriate time period.
16-20c.
Ensure that infants with diagnosed
disorders are enrolled in appropriate service interventions within an
appropriate time period.
Potential
data source:
Title V
Performance Measures, HRSA, MCHB, National Newborn Screening and Genetic
Resource Center.
|
OBJECTIVE
WITH REVISIONS
(Including
subobjective deleted)
|
16-20. |
(Developmental) Ensure appropriate
newborn bloodspot screening, and followup testing, and
referral to services.
16-20a.
Ensure that all newborns are screened at
birth for conditions mandated by their State-sponsored newborn screening
programs, for example, phenylketonuria and hemoglobinopathies by
matching the number screened by the State to birth certificate
information.
16-20b.
Ensure that followup diagnostic
testing for screened positives is performed within an appropriate
time period by monitoring the period from time of birth to initial diagnosiswithin
an appropriate time period.
16-20c. (Subobjective
deleted due to lack of data source) Ensure that infants
with diagnosed disorders are enrolled in appropriate service
interventions within an appropriate time period.
Potential
data source: Title V
Performance Measures, HRSA, MCHB, National Newborn Screening and
Genetic Resource Center (NNSGRC).
|
REVISED
OBJECTIVE
|
16-20. |
(Developmental) Ensure appropriate
newborn bloodspot screening and followup testing.
16-20a.
Ensure that all newborns are screened at
birth for conditions mandated by their State-sponsored newborn screening
programs by matching the number screened by the State to birth certificate
information.
16-20b.
Ensure that followup testing for screened
positives is performed within an appropriate time period by monitoring the
period from time of birth to initial diagnosis.
Potential
data source:
Title V
Performance Measures, HRSA, MCHB, National Newborn Screening and Genetic
Resource Center (NNSGRC).
|
ORIGINAL
OBJECTIVE
|
16-21. |
(Developmental) Reduce
hospitalization for life-threatening sepsis among children aged 4 years and
under with sickling hemoglobinopathies.
Potential
data source:
National Hospital
Discharge Survey (NHDS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
16-21. |
(Developmental) Reduce
hospitalization for sickle cell disease among children aged 9 years
andfor life-threatening sepsis among children aged 4 years and under
with sickling hemoglobinopathies under.
Target:
33.0 discharges per 100,000 children
aged 9 years and under.
Baseline:
41.3 hospital discharges for
sickle cell disease per 100,000 children aged 9 years and under
occurred in 1995–99.
Target
setting method:
20
percent improvement.
Potential
dData
source:
National Hospital
Discharge Survey (NHDS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
16-21. |
Reduce
hospitalization for sickle cell disease among children aged 9 years and
under.
Target:
33.0 discharges per 100,000 children aged
9 years and under.
Baseline:
41.3 hospital discharges for sickle cell
disease per 100,000 children aged 9 years and under occurred in 1995–99.
Target
setting method:
20 percent
improvement.
Data
source:
National Hospital
Discharge Survey (NHDS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
16-22. |
(Developmental) Increase the
proportion of children with special health care needs who have access to a
medical home.
Potential
data source:
Title V
Reporting System, HRSA, MCHB.
|
OBJECTIVE
WITH REVISIONS
|
16-22. |
(Developmental) Increase the
proportion of children with special health care needs who have access to a
medical home.
Target:
100 percent.
Baseline:
53 percent of children with special
health care needs received care in medical homes during 2001.
Target
setting method:
Total
coverage.
Potential
dData
source:
Title V
Reporting SystemNational Survey of Children With Special Health
Care Needs (NSHCN), CDC, NCHS, and HRSA, MCHB.
|
REVISED
OBJECTIVE
|
16-22. |
Increase the proportion of children
with special health care needs who have access to a medical home.
Target:
100 percent.
Baseline:
53 percent of children with special health
care needs received care in medical homes during 2001.
Target
setting method:
Total
coverage.
Data
source:
National Survey of
Children With Special Health Care Needs (NSHCN), CDC, NCHS, and HRSA,
MCHB. |
ORIGINAL OBJECTIVE
|
16-23. |
Increase the proportion of
Territories and States that have service systems for children with special
health care needs.
Target:
100 percent.
Baseline:
15.7 percent of Territories and States met
Title V for service systems for children with special health care needs in FY
1997.
Target
setting method:
Total
coverage.
Data
source:
Title V Block
Grant Application Form 13, HRSA, MCHB.
|
OBJECTIVE WITH REVISIONS
|
16-23. |
Increase the proportion of Territories
and States that have service systems for children with special
health care needs who receive their care in family-centered,
comprehensive, and coordinated systems.
Target:
100 percent.
Baseline:
15.735 percent percent of
Territories and States met Title V for service systems forof
children with special health care needs received their care in
family-centered, comprehensive, and coordinated systems in FY 19972001.
Target
setting method:
Total
coverage.
Data
source:
Title V Block
Grant Application Form 13, National Survey of Children With
Special Health Care Needs (NSHCN), CDC, NCHS, and HRSA, MCHB.
|
REVISED OBJECTIVE
|
16-23. |
Increase the proportion of children
with special health care needs who receive their care in family-centered,
comprehensive, and coordinated systems.
Target:
100 percent.
Baseline:
35 percent of children with special health
care needs received their care in family-centered, comprehensive, and
coordinated systems in 2001.
Target
setting method:
Total
coverage.
Data
source:
National Survey of
Children With Special Health Care Needs (NSHCN), CDC, NCHS, and HRSA, MCHB.
|
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