Promoting Healthy Women, Infants and Children Action Plan - Appendix

Action Plan Indicators

Indicator Data Source Frequency Geographic Granularity Sub-Populations Baseline (Year) Target for 2018 (Method)
Focus Area 1: Maternal and Infant Health
Preterm Births
Rate of preterm birth
(Objective 1-1)
NYS NYSDOH
Vital Statistics
Annual State, county   11.6%
(2010)
10.2%
(12% improvement)
Racial/ethnic and economic ratio of preterm birth
(Objective 1-2)
NYS NYSDOH
Vital Statistics
Annual State, county Black NH/White NH
Hispanic/White NH
Medicaid/non-Medicaid
1.58
1.24
1.10
(2010)
1.42
1.12
1.0
(10% improvement)
Infant mortality rate
(Objective 1-2)
NYS NYSDOH
Vital Statistics
Annual State, county Race/ethnicity 5.1 per 1,000
(2010)
 
Percentage of births that are low birth weight NYS NYSDOH
Vital Statistics
Annual State, county Race/ethnicity 8.2%
(2010)
 
Percentage of births with prenatal care
starting in the first trimester
NYS NYSDOH
Vital Statistics
Annual State, county Race/ethnicity 73.2%
(2010)
 
Percentage of women who smoke during
the last three months of pregnancy
NYS PRAMS Annual State, NYC, and
Rest of State
  7.2%
(2010)
 
Breastfeeding
Percentage of infants who are exclusively
breastfed in delivery hospital
(Objective 2-1)
NYS NYSDOH
Vital Statistics
Annual State, county   43.7% 48.1%
(10% Improvement)
Racial/ethnic and economic ratio of
exclusive breastfeeding in delivery hospital
(Objective 2-2)
NYS NYSDOH
Vital Statistics
Annual State, county Black NH/White NH
Hispanic/White NH
Medicaid/non-Medicaid
0.52
0.58
0.60
(2010)
0.57
0.64
0.66
(10% Improvement)
Infants exclusive breastfed at 3 months National Immunization
Survey
Annual State, NYC, and
Rest of State
  33.0%
(2009)
 
Infants exclusively breastfed at 6 months National Immunization
Survey
Annual State, NYC, and
Rest of State
  15.3%
(2009)
 
Percentage infants enrolled in WIC who
were breastfed for at least 6 months
Pediatric Nutrition
Surveillance System
Annual State, county   39.7%
2008-2010
 
Maternal Mortality
Maternal mortality rate
(Objective 3-1)
NYS NYSDOH
Vital Statistics
Annual State, county   23.1/100,000 live births
(2008-2010)
19.7/100,000 live births
(10% Improvement)
Racial/ethnic ratio of maternal mortality
rates
(Objective 3-2)
NYS NYSDOH
Vital Statistics
Annual State Black NH/White NH 5.29
(2008-2010)
4.76
(10% Improvement)
Focus Area 2: Child Health
Comprehensive Well-Child Care
Percentage of children (ages 0-15
months, 3-6 years and 12-21 years) who
received recommended # of well-child
care visits among children enrolled in
government sponsored managed care
health plans
(Objective 4-1)
NYSDOH Office of
Patient Quality and
Safety
Annual State, County   69.9%
(2011)
77%
(10% Improvement)
Percentage of children who have had the
recommended number of well-child care
visits:
  • Ages 0-15 months
  • 3-6 years
  • 12-21 years
NYS eQARR Annual Health plan      
Percentage of children (ages 0-15 months,
3-6 years and 12-21 years) who received
recommended # of well-child care visits
among children enrolled in employer
sponsored managed care health plans
eQARR
Managed Care Plan
Performance
Annual State   62%
(2012)
 
Percentage of children ages 10 months to
5 years screened for developmental,
behavioral and social delays
National Survey of
Children's Health
Every 5 Years State   11.7%
(2007)
 
Percentage of children tested for lead
exposure at least twice by age 3
NYDOH Childhood
Blood Lead Registry
Annual State, county   52.9%
(2010)
(Birth Cohort 2007)
 
Percentage of children ages 19-35 months
who are fully Immunized (4 DTaP, 3 Polio,
1 MMR, 3 Hep B, 3 Hib, 1 Varicella,
4 PCV13)
National Immunization
Survey, NYSISS
Annual State, county   65.1%
(2011)
 
Percentage of adolescent females ages
13 - 17, who received HPV immunization
series
National Immunization
Survey, NYSISS
Annual State, county   34.2%
(2011)
 
Percentage of children ages 2-17 enrolled
in managed care plans whose weight was
assessed by body mass index (BMI)
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
65%
64%
62%
(2010)
 
Percentage of children enrolled in
managed care plans, ages 3-17 years,
counseled on nutrition or referred for
nutrition education
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
71%
70%
66%
(2010)
 
Percentage of children enrolled in
managed care plans, ages 3-17 years,
counseled on physical or referred for
physical activity
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
58%
61%
59%
(2010)
 
Percentage of adolescents ages 12-17 years enrolled in managed care who had at least one visit with a PCP or OB/GYN and received an assessment, counseling and/or education for:
  1. Risk behaviors and preventive actions
    associated with sexual activity
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
60%
59%
54%
(2010)
 
  • Depression
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
62%
49%
44%
(2010)
 
  • Tobacco use (cigarettes, chew
    or cigars)
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
64%
63%
58%
(2010)
 
  • Substance use (alcohol, street drugs,
    non-prescription drugs, prescription
    drug misuse and inhalant use)
eQARR
Managed Care Plan
Performance
Annual State Medicaid
Child Health Plus
Commerial
60%
62%
57%
(2010)
 
Children enrolled in public health
insurance managed care plans who have a
primary care provider, NCQA-certified
Patient-Centered Medical Home
NYSDOH Office of
Patient Quality and
Safety
Annual State, county Medicaid
Child Health Plus
40%
36%
(2011)
 
Percentage of children under the age of
19 with health insurance
(Objective 4-3)
U.S. Census Bureau,
Small Area Health
Insurance Estimates
Annual State, county   94.9%
(2010)
100%
Dental Caries
Percentage of 3rd grade children with
evidence of untreated tooth decay
(Objective 5-1)
NYSDOH Oral Health
Survey of Third-Grade
Children
Every 5 Years State, county   24%
(2009-2011)
21.6%
(10% Improvement)
Economic ratio of evidence of untreated
tooth decay among 3rd grade children
NYSDOH Oral Health
Survey of Third-Grade
Children
Every 5 Years State, county High income/low-income
3rd grade children
2.46 2.21
(10% Improvement)
Percentage of 3rd grade children with
treated or untreated tooth decay
NYSDOH Oral Health
Survey of Third-Grade
Children
Every 5 Years State, county   45%
(2009-2011)
 
Percentage of NYS children who have
protective dental sealants on at least one
molar
(Objective 5-2)
NYSDOH Oral Health
Survey of Third-Grade
Children
Every 5 Years State, county   42%
(2009-2011)
 
Percentage of children ages 2-20 years
enrolled in Medicaid who had at least one
dental visit in past year.
(Objective 5-3)
NYSDOH Medicaid
Data
Annual State, county Medicaid children
ages 2-20
40.8%
(2008-2010)
 
Percentage of NYS residents served by
community water systems with optimally
fluoridated water
(Objective 5-4)
CDC Fluoridation
Reporting System
Annual State, county   71.4%
(2012)
78.5%
(10% Improvement)
Percentage of children with Special Health
Care Needs (CSHCN) ages 0-17 years who
received preventive dental care in the past
year
(Objective 5-5)
National Survey of
Children with Special
Health Care Needs
  State Insurance type,
race, age
86%
(2009-2010)
 
Percentage of children with Special Health
Care Needs (CSHCN) ages 0-17 years who
reported unmet dental care or orthodontia
in the past year
National Survey of
Children with Special
Health Care Needs
  State Insurance type,
race, age
5%
(2009-2010)
 
Focus Area 3: Reproductive, Preconception and Inter-conception Health
Unintended Adolescent Pregnancy
Percentage of live births resulting in an
unintended pregnancy
(Objective 6-1)
NYS NYSDOH
Vital Statistics
  State, county   26.4%
(2011)
23.8%
(10% Improvement)
Racial/ethnic and economic ratio of births
that were unintended
(Objective 6-2)
NYS NYSDOH
Vital Statistics
Annual State, county Black NH/White NH
Hispanic/White NH
Medicaid/Non-Medicaid
2.11
1.59
1.71
(2011)
1.90
1.43
1.54
(10% Improvement)
Adolescent pregnancy rate ages 15-17
years per 1,000 people of same age group
(Objective 6-3)
NYS NYSDOH
Vital Statistics
  State, county   28.5 per 1,000
(2010)
25.7 per 1,000
(10% Improvement)
Racial/ethnic ratio of teen pregnancies
(Objective 6-4)
NYS NYSDOH
Vital Statistics
  State, county Black NH/White NH
Hispanic/White NH
5.47
4.58
(2010)
4.9
4.1
(10% Improvement)
Percentage of live births resulting from an
unintended pregnancy
Pregnancy Risk
Assessment Monitoring
System
  State   34.4%  
Racial/ethnic ratio of births resulting from
unintended pregnancy
Pregnancy Risk
Assessment Monitoring
System
  State Black NH/White NH 1.87  
Use of Preventive Health Care Services by Women of Reproductive Age
Percentage of women ages 18-64 years
with health coverage
(Objective 7-1)
U.S. Census Bureau
Small Area Health
Insurance Estimates
Annual State, county   86.1
(2010)
100%
Percentage of births within 24 months of a
previous pregnancy
(Objective 7-3)
NYS NYSDOH
Vital Statistics
Annual State, county   18.9%
(2010)
17.0%
(10% Improvement)
Percentage of women ages 18-44 years
report they have any kind of health care
coverage
NYS BRFSS   State   86.8%
(2008-2010)
 
Percentage of women ages 18-44 years
reported seeing a doctor for a routine
checkup within the last year
(Objective 7-2)
NYS BRFSS Annual State   70.8%
(2008-2010)
 
Percentage of women ages 18-44 years
who report that they had a dental visit
within the last year
NYS BRFSS Annual State   74.9%
(2006,2008,2010)