MCHbest. NPM 15: Continuous and Adequate Insurance
Strategy. Outreach Using School-Based Communication Tools
Approach. Use school-based outreach tools to promote enrollment among children and families.
Overview. Routine school communication tools can be used to help identify and enroll children who are uninsured but may be eligible for state-subsidized health insurance programs. One study included health-insurance status forms in school registration packets, welcome materials, and free and reduced lunch application forms.1
Evidence. Emerging. Initial research showed positive results for this strategy, but further research is needed to confirm effects. This strategy has been tested more than once and results trend positive overall. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. School settings.
Outcome. Increase enrollment in public insurance for eligible children. 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. Access descriptions of 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 “Use school-based outreach tools to promote enrollment among children and families,” 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):
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):
1 Aller, J. Enrolling eligible but uninsured children in Medicaid and the State Children's Health Insurance Program (SCHIP): A multi-district pilot program in Michigan schools (Doctoral dissertation, Central Michigan University.