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Tracking Maternal and Child Health Data in North Carolina

 

The Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (DHHS) has the primary responsibility for promoting and improving the health of our nation’s women, children and families. The MCHB convened a workgroup to develop the new standardized Minimum/Core (M/C) Indicators as a consensus-based, common set of state MCH reporting measures, definitions and data elements that can accommodate differing levels of state MCH data capacity.  The M/C Indicators are divided into three data sets: Minimum/National Dataset (M/NDS); Core/National Dataset (C/NDS); and Core/State Dataset (C/SDS). Data for these measures will be updated annually. The M/C Indicators are intended to

  • provide data comparability across states & regions;
  • promote the sharing of data/analytic tools;
  • improve consistency of health data reporting; and
  • support evidence-based policy development.

Minimum/National Data Set (M/NDS) – North Carolina

Core/National Data Set (C/NDS) – North Carolina

Core/State Data Set (C/SDS) – North Carolina

For questions or more information about the NC M/C Indicators, please contact the State Systems Development Initiative Project Coordinator (Email or 919-707-5515).

 

Minimum/National Data Set (M/NDS) – North Carolina

# Indicator Brief Description Data Source Links to Data by Year
1 Infant Mortality Death rate for liveborn infants under one year of age. State Center for Health Statistics, Vital Statistics

2015
2014
2013
2012
2011
2010

2 Black/White Infant Mortality Ratio The ratio of black infant mortality rate to white infant mortality rate based on 5 year time span State Center for Health Statistics, Vital Statistics

2015
2014
2013
2012

3 Total Low Birthweight Percent of liveborn infants weighing 2,500 grams or under (5 pounds, 8 ounces or less), regardless of the period of gestation. State Center for Health Statistics, Vital Statistics

2011 to 2015

4 Very Low Birthweight Percent of liveborn infants weighing under 1,500 grams (3 pounds, 4 ounces or less), regardless of the period of gestation. State Center for Health Statistics, Vital Statistics

2011 to 2015

5 Newborn Hearing Screening before Hospital Discharge Percent of newborns that have been screened for hearing before hospital discharge WCSWeb Hearing Link (NC Database)

2010 to 2014

6 Breastfeeding – At least some at 6 months Breastfeeding – At least some at 6 months National Immunization Survey (NIS)

2013
2012
2011
2010
2009

7 Children's Immunization Status Percent of 2 year-olds with recommended vaccines by their second birthday National Immunization Survey (NIS)

2011 to 2015

8 CSHCN – Services – Medical Home Access Percent of children, ages 0-18, with special health care needs (CSHCN) who have a medical home. Historically, the National Survey of Children with Special Health Care Needs (NS-CSHCN); For 2017 on, the National Survey of Children's Health (NSCH)

NS-CSHCN - 2005/06 & 2009/10

9 CSHCN Services-Adequate Insurance Percent of children with special health care needs whose families have adequate insurance Historically, the NS-CSHCN; For 2017 on, the NSCH.

NS-CSHCN - 2005/06 & 2009/10

10 CSHCN Services-Community Based Services  Percent of children with special health care needs whose families report easily-negotiated community-based service systems Historically, the NS-CSHCN; For 2017 on, the NSCH.

NS-CSHCN - 2009/10

11 CSHCN Services - Transitions to Adult Services Percent of children, ages 12-17, with and without special health care needs (CSHCN) who received services necessary to make transitions to adult health care Historically, the NS-CSHCN; For 2017 on, the NSCH.

NS-CSHCN - 2005/06 & 2009/10

12 Child Death Rate Death rate for children ages 1-9 per 100,000 State Center for Health Statistics, Vital Statistics

2011 to 2015

13 Adolescent Death Rate Death rate for youth ages 10-19 per 100,000 State Center for Health Statistics, Vital Statistics

2011 to 2015

14 Adolescent Death-Suicide Rate Suicide mortality rate for adolescents ages 15-19 State Center for Health Statistics, Vital Statistics

2011 to 2015

15 Child Death Rate – Motor Vehicle Death rate due to motor vehicle crashes for children ages ≤14 State Center for Health Statistics, Vital Statistics

2011 to 2015

16 Adolescent Death Rate – Motor Vehicle Death rate due to motor vehicle crashes for adolescents ages 15-19 State Center for Health Statistics, Vital Statistics

2011 to 2015

17 Adolescent Death - Unintentional Injuries Death rate due to unintentional injuries among adolescents ages 15-19 State Center for Health Statistics, Vital Statistics

2011 to 2015

18 Teen Birth Rate Rate of births per 1,000 women ages 15 to 19. State Center for Health Statistics, Vital Statistics

2011 to 2015

19 Chlamydia Rates – Women Ages 15-19 Rate of reported cases of chlamydia in women ages 15-19 North Carolina Sexually Transmitted Diseases (STD) Surveillance Branch

2011 to 2015

20 Chlamydia Rates – Women Ages 20-24 Rate of reported cases of chlamydia in women ages 20-24 North Carolina Sexually Transmitted Diseases (STD) Surveillance Branch

2011 to 2015

21 Access to Health Insurance Percent of children without health insurance Census Bureau

2011 to 2015

22 Medicaid/CHIP Income Criteria Poverty eligibility levels for the State’s Medicaid and SCHIP programs for infants (0 to 1), children, and pregnant women North Carolina Division of Medical Assistance

Eligibility Levels

23 Poverty - Total Percent of State residents with poverty levels at <50% FPL, <100% FPL, and <125% FPL Current Population Survey, Annual Social and Economic Supplement

2011 to 2015

24 Poverty - Childhood Percent of State residents Ages 0-19 with poverty levels at <50% FPL, <100% FPL, and <125% FPL Current Population Survey, Annual Social and Economic Supplement

2011 to 2015

 

Core/National Data Set (C/NDS) – North Carolina

# Indicator Brief Description Data Source Links to Data by Year
1 Total Preterm Birth Preterm birth rate <37 weeks gestation State Center for Health Statistics, Vital Statistics

2011 to 2015

2 Very Preterm Birth <32 weeks Very preterm birth rate less than 32 weeks gestation State Center for Health Statistics, Vital Statistics

2011 to 2015

3 Smoking during Pregnancy Percent of live births with maternal tobacco use, as identified on the birth certificate. State Center for Health Statistics, Vital Statistics

2011 to 2015

4 Folic Acid Intake Percent of mothers (all ages) who took multivitamins/folic acid daily prior to pregnancy State Center for Health Statistics, North Carolina Pregnancy Risk Assessment Monitoring System (NC PRAMS)

2012
2011
2010
2009
2008
2007

5 Breastfeeding-Exclusively at 3 months Percent of caregivers reporting child was exclusively breastfeeding at 3 months National Immunizations Survey (NIS)

2013
2012
2011
2010
2009

6 Access to Medical Home Percent of children, ages 0-18, who have a medical home. National Survey of Children's Health (NSCH)

NSCH - 2007 & 2011/12

7 Cesarean Section – no prior cesarean Percent of cesarean deliveries among low-risk first births State Center for Health Statistics, Vital Statistics

2011 to 2015

8 WIC BMI Assessment Percent of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index at or above the 85th percentile State WIC Data

2010 to 2014

 

Core/State Data Set (C/SDS) – North Carolina

1 Pregnancy Weight Gain Percent of mothers who achieve recommended weight gain during pregnancy State Center for Health Statistics, Vital Statistics

2011 to 2015

2 Newborn Bloodspot Screening 1) Percent of newborn bloodspot screening results (both positive and negative results) communicated to the newborn's healthcare provider by standard reporting means within 7 days of life NC State Laboratory of Public Health

Data will be posted as it becomes available

2) Percent of presumptive positive results for time-critical conditions communicated to newborn’s healthcare provider within 5 days of life NC State Laboratory of Public Health

Data will be posted as it becomes available

3) Percent of presumptive positive results for all other conditions communicated to newborn’s healthcare provider within 7 days of life NC State Laboratory of Public Health

Data will be posted as it becomes available

3 Back to Sleep Percent of infants placed to sleep on their backs State Center for Health Statistics, North Carolina Pregnancy Risk Assessment Monitoring System (NC PRAMS)

2012
2011
2010
2009
2008
2007

4 Child-Immunization – Medicaid patients only Percent of Medicaid-enrolled 19-35 month-olds with recommended vaccines NC Immunization Registry and/or NC Medicaid files (as reported for NCQA/HEDIS)

2011 to 2015

5 Adolescent Immunization – Medicaid patients only Percent of Medicaid-enrolled 13-year-olds who received at specific vaccines by their 13th birthday (Specific Vaccines: HPV, Tdap, or Meningoccocal Conjugate) NC Immunization Registry

2015

6 Emergency Department Visits – Medicaid patients only Rate of Emergency Department visits among Medicaid-enrolled children up to age 19 NC Medicaid files (as reported for NCQA/HEDIS)

2011 to 2015

7 Asthma Hospitalization Rate of children hospitalized for asthma per 10,000 children less than five years of age. State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data

2010 to 2014

8 Child Injury – Unintentional Nonfatal Injuries – 9 years and under Rate per 100,000 of  children ≤9 years with nonfatal injuries State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data

2010 to 2014

9 Adolescent Injury – Unintentional Nonfatal Injuries – 10 to 19 years Rate per 100,000 of  adolescents ages 10-19 years with nonfatal injuries State Center for Health Statistics, Vital Statistics

2010 to 2014

10 Child Injury-Motor Vehicle Unintentional Nonfatal Injuries – 14 years and under Rate per 100,000 of  children ≤14 years with nonfatal injuries due to motor vehicle accidents State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data

2010 to 2014

11 Adolescent Injury – Motor Vehicle Nonfatal Injuries – 15 to 19 years Rate per 100,000 of adolescents 15 to 19 years of age with nonfatal injuries due to motor vehicle accidents  State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data

2010 to 2014

12 VLBW Infants born at Level III+ Centers Percent of high risk births at appropriate hospitals/centers State Center for Health Statistics, Vital Statistics

Data will be posted as it becomes available