MCHbest. NPM 7: Injury Hospitilization
Strategy. Oversight and Regulation of Innovative Programs
Approach. Provide oversight and regulation of innovative programs such as comprehensive home safety assessments.
Overview. Legislation and policies that encourage safe behaviors and discourage risky behaviors are important components of injury prevention. Development of a state-wide program such as the home assessment program can be an efficient way to promote injury prevention and safe behaviors.1
Evidence. Moderate Evidence. Policies and legislation that promote safety such as safe driving and school regulations (e.g., concussion management) have been shown to reduce injury rates. Developing policies on regulating home safety assessments or other innovative programs may have a positive effect on overall child safety.2 Access the findings from the environmental scan through the MCH Digital Library. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. (Read more about understanding evidence ratings).
Target Audience. State/National.
Outcome. Injury Prevention and Safe Behaviors. 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 ESM across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access description of this ESM through the MCH Digital Library. You can use this ESM to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Provide oversight and regulation of innovative programs such as comprehensive home safety assessments,” 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).
1Brown, D. W., Anda, R. F., Tiemeier, H., Felitti, V. J., Edwards, V. J., Croft, J. B., & Giles, W. H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine, 37(5), 389-396. doi: 10.1016/j.amepre.2009.06.021.
2 Strengthen the Evidence for MCH Programs: Environmental Scan of Strategies -- National Performance Measure #7