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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 15: Continuous and Adequate Insurance

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Strategy. Family Supports

Approach. Work collaboratively with the Family-to-Family Health Information Centers to ensure families with CYSHCN have the information, resources, and assistance they need.

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Overview. Family-to-Family Health Information Centers (F2Fs) are family-run organizations that provide information and assistance to families of children and youth with special health care needs (CYSHCN) and the professionals who serve them. Many Title V/CYSHCN programs and Medicaid agencies work collaboratively with the F2F in their state to ensure families with CYSHCN have the information, resources, and assistance they need to understand, enroll in, and fully utilize private health insurance and the public health benefit programs for which they are eligible.1

Evidence. Expert Opinion/Field Generated. The Catalyst Center/National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs (CYSHCN) has identified this strategy as an innovative strategy. Read more in theirĀ practice report.

Target Audience. Families.

Outcome. Percent of children, ages 0 through 17, who are continuously and adequately insured. 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 1 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 approach “Work collaboratively with the Family-to-Family Health Information Centers to ensure families with CYSHCN have the information, resources, and assistance they need,” 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 organization locations in the state.
  • Number of families seeking support at a family support organization.

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

  • Percent of families within 15 miles of a family support organization location.
  • Percent of families with CYSHCN seeking support at a family support organization

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

  • Number of families that utilized private health insurance or public health benefits after receiving support at a family support organization.

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

  • Percent of families that utilized private health insurance or public health benefits after receiving support at a family support organization.

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 Catalyst Center/National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs. Family Supports Financing Strategy.

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.