MCHbest. NPM 15: Continuous and Adequate Insurance
Strategy. Outreach Using a Data Collection System
Approach. Develop a data collection system that can monitor and evaluate the effectiveness and success of enrollment and retention efforts.
Overview. Data collection systems can be used to collect, track, and monitor data on potential enrollees to ensure the efficiency and success of enrollment and retention efforts. Such data systems can be used to identify outcomes and to provide feedback that allows outreach partners to follow-up with families. In one study, school and community outreach partners entered uniform data based on a checkbox survey that forced vital data points to be completed. These data were then transmitted to the state to help expedite the enrollment of eligible children in public insurance.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. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. State/Community.
Outcome. Increase the enrollment and retention of children eligible for public health insurance programs; quicken the turnaround time for application determination and enrollment; and increase the efficiency and cost effectiveness of outreach programs. 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 “Develop a data collection system that can monitor and evaluate the effectiveness and success of statewide enrollment and retention efforts,” 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 Ray JA, Detman LA, Chavez M, Gilbertson M, Berumen J. Improving data, enhancing enrollment: Florida Covering Kids & Families CHIPRA data system. Maternal and Child Health Journal. 2015 Apr 1;20(4):749-53.