Texas The Maternal and Child Health Federal-State Partnership


 
The Department of State Health Services (DSHS) is the state agency responsible for administration of Title V and is one of four state health and human service agencies under the oversight of the Health and Human Services Commission. Within DSHS, the Division for Family and Community Health Services is responsible for most women's and children's programs. The Division administers Newborn Screening; the Texas Early Hearing Detection and Intervention Program; Vision Screening; Spinal Screening; Genetic Services; Texas Health Steps (EPSDT) Medical, Dental, and Medical Case Management services; Children with Special Health Care Needs Services Program; Oral Health Program; Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); Breast and Cervical Cancer Services; Prenatal Medical and Dental Services; Child Health and Dental Services; Primary Health Care Services; County Indigent Health Care Program; and the Texas Primary Care Office.
 
MATERNAL & CHILD HEALTH (MCH) MEASURES
Title V - Maternal Child Health National Performance Measures State 2013 Results State 2018 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) 70.3% 75%
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) 40.1% 46%
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) 58.0% 58.9%
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) 56.6% 65%
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. 35.4% 37.9%
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. 65.9% 75%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 21.5 18
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 51.0% 60%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 2.5 2.4
The percent of mothers who breastfeed their infants at 6 months of age. 51.4% 55%
Percentage of newborns who have been screened for hearing before hospital discharge. 99.1% 98%
Percent of children without health insurance. 14.7% 13.7%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 30.1% 29%
Percentage of women who smoke in the last three months of pregnancy. 3.2% 2.7%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 9.0 8
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 47.0% 52%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 63.5% 65%
Title V - Maternal Child Health National Outcome Measures State 2013 Results State 2018 Goal
The infant mortality rate per 1,000 live births. 5.9 *
The ratio of the black infant mortality rate to the white infant mortality rate. 2.2 1.7
The neonatal mortality rate per 1,000 live births. 4.0 3.5
The postneonatal mortality rate per 1,000 live births. 1.9 1.9
The perinatal mortality rate per 1,000 live births plus fetal deaths. 5.4 4.9
The child death rate per 100,000 children aged 1 through 14. 18.5 *
Title V - Maternal Child Health State Performance Measures State 2013 Results State 2018 Goal
Change in percentage of CYSHCN living in congregate care settings as percent of base year 2003. 77.9% 80%
Rate of excess feto-infant mortality in Texas. 1.3 1.3
The percent of active or maintained Title V funded initiatives that include a mental or behavioral health component. 66.9% 70%
The percent of women between the ages of 18 and 44 who are current cigarette smokers. 11.6% 11%
The percent of obesity among school-aged children (grades 3-12). 39.5% 36%
Rate of preventable child deaths (0-17 year olds) in Texas. 11.8 10.5
The percent of Title V funded initiatives that utilize or promote the use of evidence based practices. 57.0% 60%
State Population: 26,448,193
Live Births: 394,993
  Indicators for the annual reporting year may be unavailable or provisional at the time of reporting and may be updated or finalized throughout the year. Please contact the State for details about the indicator data.
 

TITLE V FEDERAL - STATE BLOCK GRANT EXPENDITURES

By Number of Individuals Served and Population Group
Populations Served Number of Individuals Served Expenditures FY 2013
Pregnant Women 32,486  $6,060,720 7.8%
Infants < 1 year old 395,186  $221,893 .3%
Children 1 to 22 years old 4,271,165  $28,596,023 36.9%
Children with Special Healthcare Needs 180,990  $35,958,351 46.4%
Others 4,551  $968,787 1.2%
Administration   $5,707,148 7.4%
Totals 4,884,378 $77,512,922 100%
 
By Source of Funds
Pie chart displays state block grant expenditures by source of funds d
By Category of Services
Pyramid hierarchy displays state block grant expenditures by category of services d
HOTLINE CALLS
Bar graph displays state block grant expenditures by hotline calls d

 

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.

2
 
 
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.

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).

2
 
 
Family members of diverse cultures are involved in all of the above activities.

3
 
 
 
FY 2013 Total: 14

Total Possible:

18
Scale:  0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met

 


MATERNAL CHILD HEALTH PARTNERSHIP FUNDS
FY 2013

Title V Federal-State Block Grant:

77,512,922

Other Maternal and Child Health Bureau Grant Programs:

26,436,780

Total Maternal Child Health Partnership Funds:

103,949,702

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program:
Tammy Sajak, MPH
State Title V Director
PO Box 149347 MC1922
Austin, Texas 78714-9347
512-776-2184
512-776-7658
Tammy.Sajak@dshs.state.tx.us
 
Title V Program's Services for Children with Special Health Care Needs:
Manda Hall, MD
State Title V CSHCN Director
PO Box 149347 MC1938
Austin, Texas 78714-9347
512-776-2567
512-776-7565
Manda.Hall@dshs.state.tx.us
 
State Family or Youth Leader:
 
No contact information provided
 
 

FY 2013 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.

DHSPS - Division of Healthy Start and Perinatal Services
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
NEIGHBORHOOD CENTERS INC.
BELLAIRE, TX
$720,300
(Healthy Start: Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
SAN ANTONIO, CITY OF
SAN ANTONIO, TX
$715,821
(Healthy Start: Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
CATHOLIC CHARITIES, DIOCESE OF FORT WORTH, INC.
Fort Worth, TX
$645,733
(Healthy Start: Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
Dallas County Hospital District
Dallas, TX
$828,787
(Healthy Start: Eliminating Racial/Ethnic Disparities)
 
Disparities in Perinatal Health-Border Initiatives
BCFS HEALTH AND HUMAN SERVICES
San Antonio, TX
$720,300
(Healthy Start: Disparities in Perinatal Health-Border, AK and HI Initiative)
 
Disparities in Perinatal Health-Border Initiatives
VALLEY PRIMARY CARE NETWORK
Harlingen, TX
$695,736
(Healthy Start: Disparities in Perinatal Health-Border, AK and HI Initiative)

DHVECS -Division of Home Visitin Early Childhood Systems
 
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) competitive grant program  
HEALTH & HUMAN SERVICES COMMISSION, TEXAS
Austin, TX
$7,200,000
(Maternal, Infant, and Early Childhood Home Visiting (MIECHV) competitive grant program  )
 
Affordable Care Act (ACA) Maternal, Infant and Early Childhood Home Visiting Program
HEALTH & HUMAN SERVICES COMMISSION, TEXAS
Austin, TX
$10,737,881
(Maternal, Infant, and Early Childhood Home Visiting (MIECHV) formula grant program)

DSCSHCN - Division of Services for Children with Special Health Needs
 
Universal Newborn Hearing Screening and Intervention
STATE HEALTH SERVICES, TEXAS DEPARTMENT OF
Austin, TX
$255,382
(Universal Newborn Hearing Screening and Intervention/Reducing Loss to Follow-up after Failure to Pass Newborn Hearing Screening)
 
State Implementation Grants for Improving Services for Children and Youth with ASD
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Houston, TX
$75,000
(State Implementation Grants for Improving Services for Children and Youth with Autism Spectrum Disorder (ASD) and other Developmental Disabilities)
 
Family Professional Partnership/CSHCN
TEXAS PARENT TO PARENT
Austin, TX
$95,700
(Family to Family Health Information Centers)
 
Awareness and Access to Care for Children and Youths with Epilepsy
EPILEPSY FOUNDATION OF TEXAS
Houston, TX
$389,371
(Innovative Strategies in Serving Children and Youth with Epilepsy)

Emergency Medical Services for Children (EMSC)
 
EMSC Partnership Grants
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$130,000
(EMSC Partnership Grants)
 
EMSC Targeted Issue Grants
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$300,000
(EMSC Targeted Issue Grants)

Title V - Community Integrated Service Systems (CISS)
 
Community-Based Integrated Service Systems (Local/State)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Houston, TX
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
State Implementation Grants for Integrated Community Systems for CSHCN
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$86,500
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
State Implementation Grants for Integrated Community Systems for CSHCN
TEXAS CHILDREN'S HOSPITAL
Houston, TX
$276,224
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
Healthy Tomorrows Partnership for Children Program
NEIGHBORHOOD CENTERS INC.
Bellaire, TX
$43,745
(Healthy Tomorrows Partnership for Children Program)
 
STATE SYSTEMS DEVELOPMENT INITIATIVE (SSDI)
STATE HEALTH SERVICES, TEXAS DEPARTMENT OF
Austin, TX
$93,858
(State Systems Development Initiative)
 
Hemophilia Treatment Centers (SPRANS)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Houston, TX
$500,000
(Hemophilia Treatment Centers (SPRANS))
 
GENETICS SERVICES
TEXAS HEALTH INSTITUTE
Austin, TX
$593,000
(Genetic Services Project)
 
Certificate in MCH Public Health
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Houston, TX
$176,634
(Certificate in MCH Public Health)
 
Leadership Education in Neurodevelopmental and Related Disorders Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Houston, TX
$479,928
(Leadership Education in Neurodevelopmental and Related Disorders Training Program)
 
Leadership Training in Pediatric Nutrition
BAYLOR COLLEGE OF MEDICINE
Houston, TX
$176,800
(Leadership Training in Pediatric Nutrition)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
HEALTH & HUMAN SERVICES COMMISSION, TEXAS
Austin, TX
$250,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
Disability Rights Texas
AUSTIN, TX
$110,080
(TBI Protection & Advocacy)
 


* Data not available



Population Data: For the 50 states, the District of Columbia, and Puerto Rico: Population estimates (July 1, 2013), U.S. Bureau of the Census, for the remaining seven jurisdictions: 2013 CIA World Factbook; Washington, DC. Live Births: National Vital Statistics Reports, Vol. 59, No. 3 (December 21, 2010), Centers for Disease Control. 2006 data for the Marshall Islands and Palau was retrieved from Pacific Regional Information System (PRISM). 2008 Live Birth data for Virgin Islands was obtained from the National Vital Statistics Reports, Vol. 59, No. 1 (December 8, 2010), Centers for Disease Control. 2005 Live Birth data was obtained directly from FM.

MCH Partnership Funds – FY 13: This MCH Partnership total includes other MCHB grant programs, which was collected from HRSA’s Electronic Handbook (EHB) System for Fiscal Year 2013.
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