CHILDREN’S BOARD OF HILLSBOROUGH COUNTY

RESULT: CHILDREN ARE HEALTHY AND SAFE (Prenatal – Birth) DRAFT 2016 OUTCOMES AND RECOMMENDED MEASURES/INDICATORS HOW MUCH DID WE DO? (For all programs to gather) # of Program Participants # of Births # Children/Families Provided Information and Referral

PRENATAL TO BIRTH

HOW WELL DID WE DO IT? (For all programs to select & gather) #/% of Participants Engaged/Retained. #/% of Participants Satisfied with Services Provided. #/% of Referred Children/Families Linked to Services/Medical Care. #/% of Staff with Necessary Training/Certification. #/% Children with a Medical/Dental Home. #/% Children with Health Insurance.

(For all programs to select & gather) *May not all be reported to CBHC

IS ANYONE BETTER OFF?

PRENATAL TO BIRTH

Bold outcome is required in the main focus area; Programs should select additional outcomes based on guidelines from the funding platforms. Bold measures are those currently in use in funded programs.

Outcomes:

Recommended Measures:

Skills/Knowledge: 

85% Parents/Caregivers with Increased 1. Heartsaver CPR AED Skills Sheet Knowledge of Appropriate Health and 2. Heartsaver Pediatric First Aid Skills Sheet Safety Measures. 3. Curriculum Based (per program model)

Attitude: 

85% Pregnant Women with Improved Attitudes towards Breastfeeding.

1. Iowa Infant Feeding Attitude Scale

2. Modified Breastfeeding Attrition Prediction Tool Revised (BAPT) 3. Breastfeeding Self-Efficacy Scale-SF (Short Form)

Indicators: 1. Assessment Or Grade of “Pass” on CPR testing Checklist 2. Assessment Or Grade of “Pass” on First Aid Skills Checklist 3. A minimum score of 8 out of 10 correct responses at posttest (LifeCare) 3. An increase from Pre and Post (Layla’s House) 3. Response of Agree or Strongly Agree on Question 1 of Car Seat Class Evaluation (CBFRC) 3. A posttest score of at least 10 correct responses on the SIDS and Safe Infant Sleep Survey (MM) 3. A posttest score of at least 10 correct responses on the BHS Survey (Bethesda)

1. An increase in total score from pretest to posttest with posttest total scores of at least 55.

CHILDREN’S BOARD OF HILLSBOROUGH COUNTY

RESULT: CHILDREN ARE HEALTHY AND SAFE (Prenatal – Birth) DRAFT 2016 OUTCOMES AND RECOMMENDED MEASURES/INDICATORS Behavior: 

80% Postnatal Mothers who Initiate Breastfeeding.

1. Hospital Breastfeeding Records



75% Pregnant Women Attending Routine Prenatal Care Visits as Prescribed by Physician.

1. Kotelchuck Index (APNCU) 2. Life Skills Progression (Prenatal Care Scale)

1. Breastfeeding (including expressing) is

initiated following birth. 1. Kotelchuck Index (APNCU) - A score of 80%

or greater (Adequate and Adequate plus). 2. LSP - final score of at least 4 on Prenatal Care Scale.

Circumstance: 

  

1. Prenatal care is received by at least 20th

70% Pregnant Women Receiving Adequate Prenatal Care Prior to 20 weeks Gestation. 90% Babies Born at Appropriate Birth Weight.

1. Birth Certificate or Physician Records

1. Hospital Discharge Records or Birth Certificate

1. Infants weighing > or = 5.5 lbs. (5lbs. 8 ozs)

90% Babies Born Full Term.

1. Hospital Discharge Records or Birth Certificate

1. Infants born at 37 weeks or greater (full

1. Drug Screen or Hospital Record

1. Babies born will be substance free (with the exception of Methadone or Suboxone).

90% Babies Born Substance Free.

week gestation.

or more term).

CHILDREN’S BOARD OF HILLSBOROUGH COUNTY

RESULT: CHILDREN ARE HEALTHY AND SAFE (Birth to Age 8) DRAFT 2016 OUTCOMES AND RECOMMENDED MEASURES/INDICATORS HOW MUCH DID WE DO? (For all programs to gather)

# of Program Participants # of Births # Children/Families Provided Information and Referral

BIRTH TO AGE 8

HOW WELL DID WE DO IT? (For all programs to select & gather)

(For all programs to select & gather)

*May not all be reported to CBHC #/% of Participants Engaged/Retained. #/% of Participants Satisfied with Services Provided. #/% of Referred Children/Families Linked to Services/Medical Care. #/% of Staff with Necessary Training/Certification. #/% Children with a Medical/Dental Home. #/% Children with Health Insurance. IS ANYONE BETTER OFF? BIRTH TO AGE 8

Bold outcome is required in the main focus area; Programs should select additional outcomes based on guidelines from the funding platforms. Bold measures are those currently in use in funded programs.

Outcomes: Skills/Knowledge: 

85% Parents/Caregivers with Increased Knowledge of Appropriate Health and Safety Measures.

Recommended Measures: 1. 2. 3. 4.

Life Skills Progression (Safety Subscale) Heartsaver CPR AED Skills Sheet Heartsaver Pediatric First Aid Skills Sheet Curriculum Based (per program model)

Indicators: 1. 2. 3. 4.

LSP - score of at least 4 on the Safety Subscale. Assessment Or Grade of “Pass” on CPR Skills Assessment Or Grade of “Pass” on First Aid Skills Response of Agree or Strongly Agree on Question 1 of Car Seat Class Evaluation (CBFRC) 4. A score of 5 or higher on the “NOW” rating on Question 1 AND Question 2 AND Question 6 AND Question 7 (FRANC/BB) 4. Parent has a Help Me Cope Action Plan AND Parent identified appropriate strategies for Steps 2, 3, 4 and 5 AND Parent is able to recall strategies OR was able to utilize strategies at post program phone call. (Safe Baby Plus) 4. A posttest score of at least 10 correct responses on the SIDS and Safe Infant Sleep Survey (Metropolitan Ministries)

CHILDREN’S BOARD OF HILLSBOROUGH COUNTY

RESULT: CHILDREN ARE HEALTHY AND SAFE (Birth to Age 8) DRAFT 2016 OUTCOMES AND RECOMMENDED MEASURES/INDICATORS 4. A posttest score of at least 10 correct responses on the BHS Survey (Bethesda) 4. Increased total score (number of correct responses) from pretest to posttest (Layla’s House; Prevent Blindness)

Behavior: 

 



2. Life Skills Progression (Breastfeeding Scale)

1. Postnatal mothers will sustain breastfeeding for at least 2 months. 2. LSP - score of at least 4 on the Breastfeeding Scale

1. The Observing the Parent-Child Relationship (PCR) Scale

1. A final total score of at least 30 points with no decreases in total score from pretest.

80% Mothers Exhibiting Fewer Symptoms of Depression.

1. Model-Based (program specific)

1. Final post test scores of 33 or above on the HFPI depression subscale (items 12-20). (Healthy Families)

90% Children Attending Well-Baby/WellChild visits as Prescribed by Physician (formerly children with good to excellent health status).

1. Pediatric Health Record 2. Life Skills Progression (Child Well Care Scale)

65% Postnatal Mothers who Sustain Breastfeeding for at Least 2 Weeks, or up to 2 months, or up to 4 months. 85% Children Demonstrating a Secure Attachment to a Nurturing Caregiver.

1. WIC Case Notes or Program Client File

2. Edinburgh Postnatal Depression Scale 3. Patient Health Questionnaire (PHQ-9) 4. Postpartum Depression Screening Scale (PDSS) 5. Beck Depression Inventory-II

1. Child's pediatric health record shows evidence of child attending an adequate number of prescribed visits (7 out of 9 prescribed visits during the first 2 years of life; 5 out of 6 prescribed visits in the first year of life or 2 out of 3 prescribed visits between 12 and 24 months of age). 2. LSP - score of at least 4 on Child Well Care Scale.

CHILDREN’S BOARD OF HILLSBOROUGH COUNTY

RESULT: CHILDREN ARE HEALTHY AND SAFE (Birth to Age 8) DRAFT 2016 OUTCOMES AND RECOMMENDED MEASURES/INDICATORS Circumstance: 

90% Children with Decreased Vulnerability to Contracting VaccinePreventable Diseases.

1. Florida Department of Health Florida Certificate of Immunization (HCHD blue form) or Florida Shots Record



80% Children at Healthy Height/Weight.

1. CDC Growth Chart



85% Children with Reduced Risk of Unintentional Injury.

1. Life Skills Progression (Safety Subscale) 2. TIPP/Framingham Safety Survey 3. Curriculum-Based (Program Specific)



90% Families with Safer Housing

1. Curriculum-Based (Program Specific)

1. Health Care Provider signs off that Part-A Immunizations are Complete OR Part-B Temporary Medical Exemption is complete and that immunizations are on schedule to be completed (680 form) or Part C-Medical Exemption 1. Height/weight percentile and BMI, child is >5th percentile and