Massachusetts The Maternal and Child Health Federal-State Partnership


 
The Massachusetts Title V MCH Services Block Grant Program is primarily located within the Bureau of Family Health and Nutrition (BFHN), Massachusetts Department of Public Health. The Bureau Director, Ron Benham, is the Title V Director for the Commonwealth. BFHN includes perinatal and early childhood programs/initiatives, the Children and Youth with Special Health Needs (CYSYCN) Program, WIC, Early Intervention (Part C, IDEA) and, the ACA MIECHV. A number of Title V supported programs are located in our sister Bureau, Community Health Access and Prevention (BCHAP); these include family planning services, teen pregnancy prevention programs, school health programs, oral health, injury control and violence prevention programs. BCHAP also includes a number of primary care/health access, wellness, and chronic disease prevention and health promotion programs with which we work closely on cross-cutting health issues. The BFHN solely and collaboratively works actively to improve and protect the health and well-being of women, children and families to achieve their optional development and health outcomes. It does this by: providing and expanding family-centered services and accessible systems of care; identifying and responding to the diverse cultural and changing needs of MA communities; partnering within the Bureau and with families, communities, and other public and private organizations and groups; advocating for resources to address unmet needs and to assure quality services; developing and implementing policy and innovative programs; monitoring health status and program effectiveness; and motivating and educating the public. In addition to reviewing how well programs are aligned with the state priorities identified in our 2010 Needs Assessment, the Bureau reviews how we: standardize systems to monitor and track progress with outcomes, targets and milestones specified for all programs; enhance and integrate data systems and use data to inform practice outcomes; identify health disparities and target services to reduce health disparities and serve those most in need; monitor, evaluate and manage increase in external demand; and focus and align efforts to support systems of care well before, during and after pregnancies. A particular focus is expanding the capacity of the CYSHCN Program and its resources; building an informed, engaged constituency; and supporting and enhancing collaborations within and outside the Bureau.
 
MATERNAL & CHILD HEALTH (MCH) MEASURES
Title V - Maternal Child Health National Performance Measures State 2012 Results State 2017 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) 74.1% 78%
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) 47.1% 55%
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) 62.2% 65%
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) 68.2% 70%
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. 46.6% 49%
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. 74.2% 80%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 7.3 7.3
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 62.6% 65%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 0.4 0.4
The percent of mothers who breastfeed their infants at 6 months of age. 56.8% 60%
Percentage of newborns who have been screened for hearing before hospital discharge. 99.2% 99.2%
Percent of children without health insurance. 1.5% 1%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 32.9% 28%
Percentage of women who smoke in the last three months of pregnancy. 9.1% 9%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 5.4 4.5
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 83.7% 88%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 77.9% 84%
Title V - Maternal Child Health National Outcome Measures State 2012 Results State 2017 Goal
The infant mortality rate per 1,000 live births. 4.2 4.2
The ratio of the black infant mortality rate to the white infant mortality rate. 2 2
The neonatal mortality rate per 1,000 live births. 3.2 3.1
The postneonatal mortality rate per 1,000 live births. 1.1 1.1
The perinatal mortality rate per 1,000 live births plus fetal deaths. 5 4.8
The child death rate per 100,000 children aged 1 through 14. 10.5 10.4
Title V - Maternal Child Health State Performance Measures State 2012 Results State 2017 Goal
The percentage of pregnancies among women age 18 and over that are intended. 75.3% 80%
Development and Implementation of Social Connectedness Measures across the Lifespan for Three Population Groups. 2.0 20
The percentage of women with a recent live birth reporting that they had their teeth cleaned recently (within 1 year before, during, or after pregnancy). 75% 77%
The percentage of School Based Health Center clients for whom an assessment for intimate partner/teen dating/sexual violence was done. 25.8% 75%
Data-driven promotion of healthy weight, physical activity and nutrition for 3 populations: children ages 0-5, children and youth ages 6-17, and women of reproductive age. 31.0 20
The rate (per 10,000) of hospitalizations due to asthma among Black, non-Hispanic and Hispanic children aged 0-4 years. 65 64
The rate (per 100,000) of unintentional motor vehicle traffic occupant deaths among youth aged 15-19 years. 5.7 5
The percentage of high school students having missed a school day due to feeling unsafe at or on the way to school. 4.8% 4.5%
The percentage of adolescents reporting no current use (in past 30 days) of either alcohol or illicit drugs. 68.6% 73%
State Population: 6,646,144
Live Births: 73,225
  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 2012
Pregnant Women 16,876  $1,717,270 3.1%
Infants < 1 year old 58,735  $804,447 1.5%
Children 1 to 22 years old 513,882  $10,376,177 18.7%
Children with Special Healthcare Needs 173,270  $35,877,274 64.8%
Others 38,983  $5,606,880 10.1%
Administration   $1,010,200 1.8%
Totals 801,746 $55,392,248 100%
 
By Source of Funds
d
By Category of Services
d
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.

3
 
 
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.

3
 
 
Family members are involved in service training of CSHCN staff and providers.

3
 
 
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).

3
 
 
Family members of diverse cultures are involved in all of the above activities.

3
 
 
 
FY 2012 Total: 18

Total Possible:

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

 


MATERNAL CHILD HEALTH PARTNERSHIP FUNDS
FY 2012

Title V Federal-State Block Grant:

55,392,248

Other Maternal and Child Health Bureau Grant Programs:

25,756,806

Total Maternal Child Health Partnership Funds:

81,149,054

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program:
Ron Benham
Director, Bureau of Family Health and Nutrition
Mass. Department of Public Health, 250 Washington St.
Boston, MA 02108
(617) 624-5901
(617) 624-5990
ron.benham@state.ma.us
 
Title V Program's Services for Children with Special Health Care Needs:
Ron Benham
Director, Bureau of Family Health and Nutrition
Mass. Department of Public Health, 250 Washington St.
Boston, MA 02108
(617) 624-5901
(617) 624-5990
ron.benham@state.ma.us
 
State Family or Youth Leader:
Suzanne Gottlieb
Director of Family Initiatives, BFHN
Mass. Department of Public Health, 250 Washington St.
Boston, MA 02108
(617) 624-5979
(617) 624-5990
suzanne.gottlieb@state.ma.us
 
 

FY 2012 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.

Emergency Medical Services for Children (EMSC)
 
EMSC Partnership Grants
PUBLIC HEALTH, MASSACHUSETTS DEPT OF
Boston, MA
$130,000
(EMSC Partnership Grants)

Healthy Start
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
BOSTON PUBLIC HEALTH COMMISSION
BOSTON, MA
$2,125,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Research
 
MCH Research
BOSTON MEDICAL CENTER CORPORATION
BOSTON, MA
$299,992
(MCH Research)
 
MCH Research
BOSTON MEDICAL CENTER CORPORATION
Boston, MA
$298,186
(MCH Research)
 
MCH Research
BOSTON MEDICAL CENTER CORPORATION
Boston, MA
$299,982
(MCH Research)
 
MCH Research
UNIVERSITY OF MASSACHUSETTS
Boston, MA
$300,000
(MCH Research)
 
MCH Research
UNIVERSITY OF MASSACHUSETTS
Worcester, MA
$289,463
(MCH Research)
 
MCH Research
MASSACHUSETTS GENERAL HOSPITAL, THE
Boston, MA
$242,200
(MCH Research)

Section 3, Title II, Part R, Section 399BB of the Public Health Service Act (Combating Autism Act of 2006), Public Law 109 – 416
 
Combating Autism Act Initiative - Autism Intervention Research Network Competitions
MASSACHUSETTS GENERAL HOSPITAL, THE
Boston, MA
$3,996,711
(Combating Autism Act Initiative - Autism Intervention Research Network Competitions)

Social Security Act, Title V, amended by the Patient Protection and Affordable Care Act
 
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) competitive grant program  
PUBLIC HEALTH, MASSACHUSETTS DEPT OF
Boston, MA
$9,395,256
(Affordable Care Act - Maternal, Infant and Early Childhood Home Visiting Program)

Title V - Special Projects of Regional and National Significance (SPRANS)
 
Healthy Tomorrows Partnership for Children Program
REACH OUT AND READ, INC.
Boston, MA
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
Healthy Tomorrows Partnership for Children Program
CHILDREN'S HOSPITAL CORPORATION, THE
Boston, MA
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
STATE SYSTEMS DEVELOPMENT INITIATIVE (SSDI)
PUBLIC HEALTH, MASSACHUSETTS DEPT OF
Boston, MA
$91,045
(State Systems Development Initiative)
 
Family Professional Partnership/CSHCN
FEDERATION FOR CHILDREN WITH SPECIAL NEEDS, INC., THE
Roxbury Crossing, MA
$95,700
(Family Professional Partnership/CSHCN)
 
Epidemiological MCH/SPH Institute
TRUSTEES OF BOSTON UNIVERSITY
Boston, MA
$27,250
(Epidemiological MCH/SPH Institute)
 
Epidemiological MCH/SPH Institute
HARVARD COLLEGE, PRESIDENT & FELLOWS OF
Boston, MA
$27,250
(Epidemiological MCH/SPH Institute)
 
Leadership Education in Adolescent Health
CHILDREN'S HOSPITAL CORPORATION, THE
BOSTON, MA
$376,941
(Leadership Education in Adolescent Health)
 
Leadership Education in Neurodevelopmental and Related Disorders Training Program
CHILDREN'S HOSPITAL CORPORATION, THE
Boston, MA
$741,800
(Leadership Education in Neurodevelopmental and Related Disorders Training Program)
 
Leadership Education in Neurodevelopmental and Related Disorders Training Program
UNIVERSITY OF MASSACHUSETTS
WORCESTER, MA
$685,732
(Leadership Education in Neurodevelopmental and Related Disorders Training Program)
 
Maternal and Child Health Public Health Training Program
HARVARD COLLEGE, PRESIDENT & FELLOWS OF
Boston, MA
$331,549
(Leadership Education in Neurodevelopmental and Related Disorders Training Program)
 
Maternal and Child Health Public Health Training Program
TRUSTEES OF BOSTON UNIVERSITY
Boston, MA
$338,549
(Leadership Education in Neurodevelopmental and Related Disorders Training Program)
 
Developmental-Behavioral Pediatrics Training Program
CHILDREN'S HOSPITAL CORPORATION, THE
BOSTON, MA
$192,467
(Developmental-Behavioral Pediatrics Training Program)
 
Sickle Cell
BOSTON MEDICAL CENTER CORPORATION
Boston, MA
$377,100
(Sickle Cell)
 
Sickle Cell
National Initiative For Children's Healthcare Quality, Inc.
Boston, MA
$646,634
(Sickle Cell)
 
Health Insurance and Financing/CSHCN
TRUSTEES OF BOSTON UNIVERSITY
Boston, MA
$405,625
(Health Insurance and Financing/CSHCN)
 
Integrated Community Service Systems /CSHCN
UNIVERSITY OF MASSACHUSETTS
Dorchester, MA
$436,160
(Integrated Community Service Systems /CSHCN)
 
Oral Health
MEDICAID/SCHIP DENTAL PROGRAM REPRESENTATIVE ASSOCIATION
Sandwich, MA
$249,989
(Oral Health)
 
MCH Coop. Agrs. - Nat'l Child Fatality Review Resource Center
EDUCATION DEVELOPMENT CENTER, INC.
NEWTON, MA
$850,000
(MCH Coop. Agrs. - Nat'l Child Fatality Review Resource Center)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
MASSACHUSETTS REHABILITATION COMMISSION
BOSTON, MA
$250,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
DISABILITY LAWS CENTER INC
Boston, MA
$59,009
(TBI Protection & Advocacy)

Universal Newborn Hearing Screening
 
Universal Newborn Hearing Screening and Intervention
PUBLIC HEALTH, MASSACHUSETTS DEPT OF
Boston, MA
$270,000
(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, 2012), U.S. Bureau of the Census, for the remaining seven jurisdictions: 2012 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 12: This MCH Partnership total includes other MCHB grant programs, which was collected from HRSA’s Electronic Handbook (EHB) System for Fiscal Year 2012.
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