Wyoming MCH Title V National Outcome Measures (NOM) and National Performance Measures (NPM)

National Outcome Measures (NOMs) and National Performance Measures (NPMs) were chosen and developed by the Health Resources & Services Administration's (HRSA) Maternal and Child Health Bureau for the Title V Block Grant.  

The Outcome and Performance Measures span all population domains and reflect the health status of the maternal and child health (MCH) population. 

More about Title V can be found here.

The data displayed below is from the Federally Available Data (FAD) document developed by HRSA for Title V.  Rates displayed for Wyoming may not exactly match the same rates seen in other WY MCH Epidemiology reports. The dissimilarities are generally within rounding differences and are due to slightly different data sets at the state vs federal levels.  In some cases, the state-level data set is used to provide more current data.  Standard Measures (SMs) are additional measures states/jurisdictions can monitor and utilize to measure progress across chosen priorities. Please refer to the Data Notes tabs for NOMs, NPMs, and SMs for more information.

In addition to the measures, HRSA has also developed an additional FAD Analysis Spreadsheet file that provides some basic analyses to assess state performance over time and compare it with the US overall.   The trend line interpretations presented in the dashboard below are based on the results of these analyses, and more about how this was done can be found in the FAD Analysis Spreadsheet, which is attached in the FAD document.  For some measures, an analysis was not performed, and the 95% Confidence Intervals (CIs), generated by HRSA, were utilized to facilitate analytic comparisons both within Wyoming and for comparisons between Wyoming and the Nation.  The 95% CIs contain the range on either side of the estimate, for which one is 95% confident that the range contains this actual, true percentage or rate.  When the confidence intervals for the national and state estimates, for example, overlap, this means that it is possible that the actual, true population value for the entire nation and the actual, true population value for the state may be similar in magnitude.

DATA SOURCES:

ACS - The American Community Survey (ACS), administered by the US Census Bureau, is an ongoing survey that provides vital information on a yearly basis about the United States and its people.

ASAR - Annual School Assessment Reports (ASAR) is the only currently available source of vaccination coverage data among students attending kindergarten in the United States. These data are used to monitor compliance with school vaccination laws and to identify areas vulnerable to outbreaks of vaccine-preventable diseases due to increasing exemptions or other reasons for non-vaccination. Federally funded immunization programs partner with departments of education, school nurses, and other school personnel to assess vaccination coverage and exemption status of children enrolled in public and private kindergartens.

BRFSS - The Behavioral Risk Factor Surveillance System is a national system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services.

HCUP-SID - The Health Care Cost and Utilization Project’s (HCUP) Sate Inpatient Databases (SID) includes inpatient discharge records from community hospitals in a State.

NIS - The National Immunization Surveys (NIS) are a group of telephone surveys sponsored and conducted by CDC’s National Center for Immunization and Respiratory Diseases (NCIRD).

NSCH - The National Survey of Children’s Health (NSCH) provides data on multiple, intersecting aspects of children’s lives—including physical and mental health, access to quality health care, and the child’s family, neighborhood, school, and social context.

NSDUH - National Survey on Drug Use and Health (NSDUH) is the leading source of population-based statistical data on alcohol, tobacco, drug use, mental health, and other behavioral health information.

NVSS - The National Vital Statistics System is the oldest and most successful example of inter-governmental data sharing in Public Health and the shared relationships, standards, and procedures form the mechanism by which NCHS collects and disseminates the Nation’s official vital statistics. These data are provided through contracts between NCHS and vital registration systems operated in the various jurisdictions legally responsible for the registration of vital events – births, deaths, marriages, divorces, and fetal deaths.

PRAMS - The Pregnancy Risk Assessment Monitoring System (PRAMS), is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments. Developed in 1987, PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. PRAMS surveillance currently covers about 83% of all U.S. births.

WIC - The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides federal grants to states for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.

YRBSS - The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of health-related behaviors that contribute to the leading causes of death and disability among youth and adults, as well as measures the prevalence of obesity and asthma and other health-related behaviors plus sexual identity and sex of sexual contacts.