Child & Family Well-Being Measures Workgroup Meeting #9 May 14, - PowerPoint PPT Presentation

Child & Family Well-Being Measures Workgroup Meeting #9 May 14, 2015

Agenda 1. Bundled Measure Proposal for Early Childhood Care and Education 2. Continued Review of Prospective Measures for Adoption – Community – Person-Centered System Integration – Additional Measures • Intimate Partner Violence • Housing 3. Assessing Initially Selected Measures Against Measure Selection Criteria – Process Description – Summary Results – Measure-Specific Results 2

Kindergarten Readiness Bundle  Status of work on bundle  Feedback from Joint ELC/EHPB meeting  Workgroup Recommendation 3

Community Used # Measure Name Description Data Source by/Steward 50 Population Receiving Percentage of Oregon CDC Water CDC population on public Fluoridation Reporting Fluoridated Water water systems receiving System and US fluoridated water. Census 51 Teen Pregnancy Rate of pregnancies OHA Public Health OHA Rate, Ages 15-17 among women ages 15 - Division, Birth Years 17 years. Certificate Records 4

Community (Continued) Used Measure Data # Description by/Steward Name Source 229 Incarcerated Inmates fill out a family survey, which asks Family Department of Parents – them to list each child and their age. Survey Corrections Children at Information from this survey would be current at Time of the moment of the inmates’ intake. Intake If a child/children was born after the inmate’s Intake this information would not be captured. If one wanted to calculate the current (i.e., post- Intake) age(s) of an inmate’s child(ren), one would have to add the appropriate number of years to the figure reported at intake. 230 Incarcerated Other intake paperwork asks the inmate to Intake Department of Parents – report the number of children who were living Paper Corrections Children at with them at the time of their arrest, which often work Time of can be a number of months or even years prior Arrest to their incarceration. 5

Community (continued) Data Source Used # Measure Name Description by/Steward 231 Youth in OYA Percentage of youth in Oregon Youth Youth Bio- Oregon Youth Care/Custody Authority care/custody that are the psychosocial Authority That Are Parents biological parent of a child. Summary (conducted every 2 years) 6

Person-Centered System Integration Used # Measure Name Description Data Source by/Steward 228 Low Income Percentage of children that Census Data: Children Children with and would be below the poverty line Supplemental First for Without Safety without safety net programs Poverty Measure Oregon/ Net Support and percentage that are below Public Use Annie E the poverty line with safety net Research Files and Casey programs. Current Population Foundation Survey 39 SNAP Utilization The ratio of Oregonians served DHS Food Stamp DHS by SNAP to the number of low- Management income Oregonians. Information System and Census (note: This measure was Estimates reclassified from Domain 2.) 7

Person-Centered System Integration (continued) Used # Measure Name Description Data Source by/Steward 177 CYSHN Who Among CYSHN who needed National Survey Oregon Title V Needed Mental mental health/counseling, the of Children and Grant/The Child Health/Counseling percentage of CYHSN who Youth with and Adolescent received all needed care. Special Health Health Needs Measurement Initiative 178 CYSHN Who Among CYSHN who needed National Survey Oregon Title V Needed specialized services, the of Children and Grant/The Child Specialized percentage of CYHSN who Youth with and Adolescent Services received all needed care. Special Health Health Needs Measurement Initiative 8

Other New Measures – Positive Relationships Used # Measure Name Description Data Source by/Steward 235 Pregnancy Combination of the results of PRAMS Survey CDC Related - IPV the following two questions: Composite • During the 12 months before you got pregnant with your new baby, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any other way? • During your most recent pregnancy, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any other way? 9

Other New Measures – Economic Stability Used # Measure Name Description Data Source by/Steward 233 Children in Low- The share of Population Reference Bureau, Kids Count income children living in analysis of data from the U.S. Households with a low-income Census Bureau, Census 2000 High Housing households Supplementary Survey, 2001 Cost Burden where more than Supplementary Survey, 2002 30 percent of the through 2013 American monthly income Community Survey. was spent on rent, mortgage payments, taxes, insurance, and/or related expenses. 234 Homelessness Total number of This report is based on point- HUD Among Families children under in-time information provided to with Children and 18 that are HUD by Continuums of Care Children homeless and (CoCs) as part of their CoC total number of Program application process, families with per the Notice of Funding children that are Availability (NOFA). 10 homeless.

Scoring the Measure Set Against Measure Selection Criteria  Measures initially endorsed by the group were evaluated against the previously adopted measure selection criteria.  Dana, Rita, Michael B and Michael J reviewed the measures and performed the scoring.  Measures earned different points based on how well the met the criteria: 2 points for “yes”, 1 point for a “sometimes” and 0 points for “no.”  The purpose of scoring was to identify measures that misalign with the criteria so that the group can discuss if the measures should be retained in the initial measure set. 11

Initially Adopted Measure Selection Criteria 1. Promotes Alignment : potential alignment with local and/or national efforts 2. Actionable and Timely : measurement results are available soon after the event(s) being measured and can be applied by those being measured or those conducting measurement to initiate change 3. Outcome-Related : addresses actual outcomes or evidence supports link to outcomes 4. High Impact : generates valuable information where potential improvement is greatest 5. Endorsed/ Evidence-Based : have been endorsed by a national body and/or there is peer-reviewed research evidence supporting the measure’s validity and reliability 6. Transformative : reflect innovative and transformative practices 7. Appropriate for Audience : meaningful and useful to those evaluating or monitoring performance 8. Data are Readily Available : the entity responsible for generating or otherwise obtaining measurements can do so with currently available resources and with large enough denominators to produce reliable results 9. Supports Racial and Ethnic Equity : The measure can be stratified by race, ethnicity, gender, language and/or geography (e.g., county and sub-county) as appropriate to highlight relevant disparities that need to be addressed. 10.9. 12

Expanded and Revised Measure Selection Criteria 1. Evidence-Based and Promotes Alignment : The measure has been endorsed by a national body and/or there is peer-reviewed research evidence supporting the measure’s validity and reliability for the group being measured and the measure promotes alignment with state and/or national efforts specific to child and family wellbeing. 2. Actionable and Timely : The measurement results are available soon after the event(s) being measured and these results can be applied by those being measured or those conducting measurement to initiate change. 3. Outcome-Related : The measure addresses actual outcomes (e.g., dental decay addressed) or there is evidence that what is being measured is causally related or a predictor of positive outcome (e.g., more young children being read to as a predictor of greater kindergarten readiness). 4. High Impact : The measure assesses a system attribute with significant impact on child and/or family well-being. 13

Expanded and Revised Measure Selection Criteria (cont’d) 5. Transformative : Improving performance relative to the measure would positively transform service delivery. 6. Appropriate for Audience : The measure is meaningful and useful to those evaluating or monitoring the performance of the entity or system being measured. 7. Data are Readily Available : The data for calculating the measure are readily available and the entity responsible for generating, calculating or otherwise obtaining measurements can do so with currently available resources and with large enough denominators to produce reliable results for the population being measured. 8. Supports Racial and Ethnic Equity : The measure can be stratified by race, ethnicity, gender, language and/or geography (e.g., county and sub-county) as appropriate to highlight relevant disparities that need to be addressed. 14

Summary Results  66 Measures were Scored  Maximum score was 16  Minimum score was 6  Average score was 11  Created three buckets to evaluate scores – Low (6-9) – Medium (10-13) – High (14-16) 15

Frequency Distribution Number of Percent of Measures Measures Low (6-9) 15 23% Medium (10-13) 42 64% High (14-16) 6 14% Total 66 100% 16