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Strengthening the evidence base for maternal and child health programs

New: MCH Best strategies database for sample ESMs

Evidence Tools
MCH Best. NPM 10: Adolescent Well-Visit

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young woman speaking with a doctorSchool-Based Health Centers

MCH Strategy. Support partnerships between primary care clinics and local school-based health centers.

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Overview. Thoughtful and intentional implementation of an expanded medical home partnership between primary care physicians and school-based health centers increases the number of shared high-risk adolescent patients. Shared patients have improved compliance with quality measures, which may lead to long-term improved health equity.1

Evidence. Emerging. There is emerging, recent evidence on the effectiveness of partnerships between primary care clinics and local school-based health centers. This strategy has been tested more than once and results trend positive overall. More research is needed for conclusive results. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).

Target Audience. Patient/Consumer.

Outcome. Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.

Examples from the Field. There are currently 6 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the strategy “Support partnerships between primary care clinics and local school-based health centers,” 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 adolescents that were provided a well-visit though a school-based health centers statewide.

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

  • Percent of adolescents that were provided a well-visit though a school-based health centers statewide.

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

  • Number of adolescents that were provided a well-visit though a school-based health centers statewide who reported satisfaction of services rendered at the well visit.

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

  • Percent of adolescents that were provided a well-visit though a school-based health centers statewide who reported satisfaction of services rendered at the well visit.

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.


Reference:

1 Riley M, Laurie AR, Plegue MA, Richarson CR. The adolescent "expanded medical home": schoolbased health centers partner with a primary care clinic to improve population health and mitigate social determinants of health. J Am Board Fam Med. 2016;29(3):339-347.

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.