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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 1: Well-Woman Visit

MCHbest Logo well-woman visit

Strategy. Federally Qualified Health Centers (FQHCs)

Approach. Expand the number of FQHCs in the state to provide preventive care services to the underinsured.

Source. Robert Wood Johnson Foundation's What Works for Health (WWFH) Database

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Overview. Federally qualified health centers (FQHCs) are public and private non-profit health care organizations that receive federal funding under Section 330 of the Public Health Service Act. Governed by a community board, FQHCs deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay.

Evidence. Scientifically Supported. There is strong evidence that federally qualified health centers (FQHCs) increase access to primary care (Urban-Saloner 2014, Shi 2013*, Lo Sasso 2010*, Siegel 2004*, Gresenz 2006, Bodenheimer 2010*, Hicks 2006, O’Malley 2005, Cunningham 2004, Shi 2007*, Shi 2007a*) and improve health outcomes for their patients (Meredith 2016*, Wright 2015*, Ross 2012*, Goldman 2012*, Bodenheimer 2010*, Hicks 2006). Read more in the WWFH database report. Read more about WWFH's evidence ratings. (*Links to citations can be accessed through the WWFH database).

Target Audience. State/Systems/Patients.

Outcome. Percent of women, ages 18 through 44, with a preventive medical visit in the past year.

Examples from the Field. Access descriptions of current ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the approach “Expand the number of FQHCs in the state to provide preventive care services to the underinsured,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of FQHCs statewide that provide preventive care services for women.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of FQHCs statewide that provide preventive care services for women.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of women ages 18 through 44 receiving preventive care services at a FQHC.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of women ages 18 through 44 receiving preventive care services at a FQHC.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.