Annual Health Goals for the Maternal and Child Health (MCH) Population in Utah - FY 2022

(July 2021 – June 2022)

Use the tab headings to select different population domains, and the highlighted text to expand each section for entering your comments.

National Priority Area / Measure: Access to Care/Well-woman visit [National Performance Measure NPM-01]

Access to Care/Well-woman visit [National Performance Measure NPM-01]

Percent of women, ages 18 through 44, with a preventive medical visit in the past year

By 2025, increase the percent of Utah women, ages 18-44, who had a preventive medical visit within the past 12 months from 66.1% (BRFSS, 2018) to 69.0%.

  • The Maternal and Infant Health Program will use social media platforms to educate women on the well-woman visit.
  • The Maternal and Infant Health Program will create a coalition for community partners and organizations that work with women of reproductive age to create a strategic plan that will guide future activities.
  • The Maternal and Infant Health Program will add questions to the Utah Behavioral Risk Factor Surveillance Survey (BRFSS) asking respondents on the barriers and facilitators of visiting a doctor for a routine checkup.
  • The Maternal and Infant Health Program will partner with the Salt Lake County Health Department’s Home Visiting program to educate their clients on women’s health, including preconception health and the well-woman visit.

State Priority Area / Measure: Perinatal Mood and Anxiety Disorders/Maternal Mental Health [State Performance Measure SPM-01]

Perinatal Mood and Anxiety Disorders/Maternal Mental Health [State Performance Measure SPM-01]

Percent of mothers that report a doctor, nurse or other health care worker asked if they were feeling down or depressed during prenatal and postpartum care

By 2025, increase the number of women who self-report if a healthcare provider asked them if they were feeling down or depressed both during prenatal and postpartum care from 56% (2019 PRAMS) to 59%.

  • The Maternal and Infant Health Program will finalize a provider toolkit for perinatal mood and anxiety screening and referral for the Utah Women and Newborns Quality Collaborative, and pilot the toolkit for improvements.
  • The Maternal and Infant Health Program will provide perinatal mental health training to at least one OB, midwife, psychotherapist, Pediatrician, and TriCare (Veteran population) provider and Spanish speaking care providers.
  • The Maternal and Infant Health Program will expand use of online depression screening and counseling to rural districts through the University of Utah.
  • The Maternal and Infant Health Program will continue to use social media platforms to encourage women to seek screening and care from providers.

National Priority Area / Measure: Breastfeeding and poor infant nutrition [National Performance Measure NPM-04a]

Breastfeeding and poor infant nutrition [National Performance Measure NPM-04a]

Percent of infants who are ever breastfed

By 2025, increase the percent of infants born in Utah who are ever breastfed from 89.7% (NIS, 2015) to 91.7%.

  • The Maternal and Infant Health Program will continue training hospitals and offering support for the Stepping Up for Utah Babies breastfeeding program.
  • The Utah Women, Infants & Children (WIC) program will continue working towards increasing referrals to the Peer Counseling Program for all 13 local agencies.
  • The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) program will continue to work with new worksites on breastfeeding policy, accommodations, and leave times.

National Priority Area / Measure: Breastfeeding and poor infant nutrition [National Performance Measure NPM-04b]

Breastfeeding and poor infant nutrition [National Performance Measure NPM-04b]

Percent of infants breastfed exclusively through 6 months

By 2025, increase the percent of infants born in Utah who are exclusively breastfed through 6 months of age from 27.8% (NIS, 2015) to 31.5%.

  • The Maternal and Infant Health Program will continue training hospitals and offering support for the Stepping Up for Utah Babies breastfeeding program.
  • The Utah Women, Infants & Children (WIC) program will continue working towards increasing referrals to the Peer Counseling Program for all 13 local agencies.
  • The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) program will continue to work with new worksites on breastfeeding policy, accommodations, and leave times.

National Priority Area / Measure: Developmental screening/Developmental screening [National Performance Measure NPM-06]

Developmental screening/Developmental screening [National Performance Measure NPM-06]

Percent of children, ages 9 through 35 months, who received a developmental screening using a parent-completed screening tool in the past year

By 2025, increase the percentage of children, ages 9 months through 35 months, who receive a parent-completed developmental health screen in the previous year from 31.1% (NSCH, 2017-18) to 32.3%.

  • Utah's Local Health Departments (LHDs) will work to implement tiered goals which include; ASQ Online Training and Promotion; ASQ Trained and Ready to Use ASQ; and Advanced ASQ Use.
  • Early Childhood Utah (ECU) will continue to provide support to the LHDs on their work towards tiered goals in the form of ongoing ASQ Online training, promoting developmental health resources and materials for integrating ASQ Online use into regular programing practices.
  • ECU will continue outreach to community health clinics and pediatric providers in all areas of the state to garner interest in utilizing the Utah Department of Health ASQ Online screening tools in their practice.
  • ECU will continue to serve as staff to the Early Childhood Utah Advisory Council to coordinate statewide early childhood activities with multi-sector engagement.
  • Early Childhood Utah will continue to develop and enhance data relationships and data tools that are imperative to Early Childhood Systems work. Additionally, ECIDS will release Program Engagement reports that speak to the level of which a family/child attended or engaged in services.

State Priority Area / Measure: Family connectedness/Family Meals [State Performance Measure SPM-02]

Family connectedness/Family Meals [State Performance Measure SPM-02]

Percent of family members who live in the household that ate a meal together 4 or more days per week

By 2025, increase the percent of family members who live in the household that ate a meal together 4 or more days per week from 76.7% to 81.7% (2017-2018 National Survey of Children’s Health)

  • The Family and Youth Outreach Program will teach five virtual (and potentially in-person) 4-hour TEEN Speak workshops for a total of 100 adults.
  • The Family and Youth Outreach Program will find two new community partners with whom to implement Teen Speak.
  • The Family and Youth Outreach Program will continue working with UT Foster Care to teach TEEN Speak with their clients.
  • The Family and Youth Outreach Program will carry out Two Training of Educators workshops to increase the State's capacity to implement TEEN Speak.
  • The Family and Youth Outreach Program will ask Governor Cox to proclaim September 2021 as Healthy Family Meals Month.
  • The Family and Youth Outreach Program will create and publish podcasts regarding Healthy Family Meals Month, and how to cook healthy family meals.
  • The Family and Youth Outreach Program will create and post family meals Facebook posts during Family meals month in 2021and throughout the year.

National Priority Area / Measure: Mental Health/Bullying [National Performance Measure NPM-09]

Mental Health/Bullying [National Performance Measure NPM-09]

Percent of adolescents, ages 12 through 17, who are bullied or who bully others

By 2025, decrease the percentage of adolescents (10-18 years of age) who report being bullied at school in the past 12 months from 27.9% (YRBSS 2017) to 23%.

  • The Violence and Injury Prevention Program will partner with the Utah Board of Education to offer more trainings and opportunities to Utah School for Bystander training.
  • The Violence and Injury Prevention Program will develop a virtual and pre-recorded bystander training so in the future training plans and goals will have less barriers and disruptions.
  • The Violence and Injury Prevention Program will develop a better system to capture bystander intervention programs that use upstanding or other bystander intervention approaches.

National Priority Area / Measure: Dental Care/Oral health [National Performance Measure NPM-13b]

Dental Care/Oral health [National Performance Measure NPM-13b]

Percent of children, ages 1 through 17, who had a preventive dental visit in the past year

By 2025, increase the percent of children (ages 1 through 17) who had a preventive dental visit in the past year from 81.4% (NSCH, 2017-2018) to 82.6%

  • The Oral Health Program will continue to work with and promote teledentistry to increase access to care for school-based programs.
  • The Oral Health Program will continue to provide oral health articles bi-annually for the American Academy of Pediatrics Utah Chapter newsletter. As well as bi-annual newsletters for the WIC Wire and Flash.
  • The Oral Health Program will continue to use the “12 Oral Health Messages” modules and magnets to share with Women, Infants & Children (WIC) offices, Head Start, Fostering Healthy Children, Home Visiting etc. Maternal and infant oral health messages are included in this.
  • The State Dental Director will continue to work with the Utah Dental Association to encourage participation in programs for underserved children in Utah.
  • The Oral Health Educator in collaboration with Oral Health Program Interns will continue to provide middle school students with the adolescent oral health campaign educational intervention and local dental resources. This will be available in person and virtually.
  • The Oral Health Program will continue interprofessional collaborations and outreach to vulnerable populations with the University of Utah's Physician Assistant Program.
  • The Oral Health Educator will work with the State Nurse Collaborator to create an oral health toolkit for all school RNs in Utah. Including information on (AAP) Oral Health Risk Assessment, trauma, nutrition and educational posters.

State Priority Area / Measure: Economic Stability/Free & Reduced School Lunch Program [State Performance Measure SPM-03]

Economic Stability/Free & Reduced School Lunch Program [State Performance Measure SPM-03]

Percent of students enrolled in the free or reduced price lunch program

By 2025, increase the number of students who participate in the National School Breakfast and Lunch Programs from 47.0% (Utah State Board of Education Child Nutrition Program Database) to 62.0%.

  • The Healthy Living through Environment, Policy & Improved Clinical Care Program will continue to support Local Education Agencies to strengthen local wellness policies during their tri-annual administrative review. Local Health Departments will provide an assessment tool, participate on wellness committees, and provide guidance to ensure that all components of the wellness policy are included.
  • The Healthy Living through Environment, Policy & Improved Clinical Care Program will partner with the State Board of Education to ensure that schools who participate in the National School Lunch Program also participates in the National School Breakfast Program. Local Health Departments will work with Local Education Agencies and schools to implement innovative service models to increase participation.
  • The Healthy Living through Environment, Policy & Improved Clinical Care Program (EPICC) will promote farm to school initiatives such as harvest of the season with food service directors. EPICC will provide support and connections to local growers to meal services staff and work with food service directors to increase participation in school meals with marketing tools.

National Priority Area / Measure: Family and Provider Connectedness/Care Coordination/ Medical Home [National Performance Measure NPM-11]

Family and Provider Connectedness/Care Coordination/ Medical Home [National Performance Measure NPM-11]

Percent of children with and without special health care needs, ages 0 through 17, who have a medical home

By 2025, increase the percent of children with special health care needs who receive care within a medical home from 40.4% (NSCH, 2017-18) to 42.5%.

  • The Bureau of Children with Special Health Care Needs will educate pediatric medical and services providers on the importance of establishing some or all components of the medical home.
  • The Bureau of Children with Special Health Care Needs will work with families to understand the importance of receiving care within a medical home; Integrated Services Program staff will help connect families who do not have a primary care provider with local pediatricians and family practice providers.
  • The Bureau of Children with Special Health Care Needs will conduct an inventory or pediatric providers across the State who participate in and provide telehealth and tele evaluation services.
  • The Bureau of Children with Special Health Care Needs will provide internet and cellular technology to families with limited access through the Integrated Services Program's Technology Lending Library.

National Priority Area / Measure: Transition [National Performance Measure NPM-12]

Transition [National Performance Measure NPM-12]

Percent of adolescents with and without special health care needs, ages 12 through 17, who received services necessary to make transitions to adult health care

By 2025, increase the percent of adolescents with special health care needs who receive services necessary to make transitions to adult health care from 17.5% (NSCH, 2017-18) to 21.5%.

  • The Bureau of Children with Special Health Care Needs will continue to convene monthly transition to adult medicine sub-committees that work on curriculum, marketing, quality improvement and patient/family experience, and referral and follow-up for resources and transition planning.
  • The Bureau of Children with Special Health Care Needs will work with stakeholders to coordinate data collection efforts to determine reach and number of youth and families who are in the transition to adult medicine process, and who have completed and successfully transitioned to adult medicine.
  • The Bureau of Children with Special Health Care Needs will continue to fund partner organizations such as the Medical Home Portal, Utah Children’s Care Coordination Network (UCCCN), Utah Parent Center, and Utah Family Voices to further transition to adult medicine activities.
  • The Integrated Services Program will promote transition activities in-house and with care coordinators at the four local health departments to work with families, youth, and young adults so they may feel prepared to transition to adult medicine.

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