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MICH-30.2 Data Details

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MICH-30.2 Increase the proportion of children with special health care needs who have access to a medical home

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Survey of Children with Special Health Care Needs (NS-CSHCN); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
No
Measure: 
percent
Baseline (Year): 
47.1 (2005–06)
Target: 
51.8
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of children under 18 years of age with special health care needs receiving care in medical homes

Denominator: 

Number of children under 18 years of age with special health care needs

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2007 National Survey of Children's Health:

    [NUMERATOR:]

    Child has one or more health care providers considered to be personal doctor or nurse (PDN)

    During past 12 months, how often did all child's doctors and other health providers:

    Spend enough time with child?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Listen carefully to parent?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Provide needed information?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Help parents feel like partner in child's care?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Referrals for specialist care

    During past 12 months:

    Needed a referral to see any doctors or receive any services?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [IF yes:] any problems getting the referral that was needed?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Usual sources for care

    Is there a place child usually goes when he/she is sick?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [IF yes:] What kind of place is it?

    1. Doctor's office
    2. Emergency room
    3. Hospital outpatient department
    4. Clinic
    5. Some other place
    6. Don’t know
    7. Refused

    Help with care coordination

    Does anyone help family to arrange or coordinate child's care?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Did family need extra help arranging or coordinating child's health care?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [IF yes:] How often got as much help as needed arranging or coordinating child's health care?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Provider communication

    How satisfied with communication between child's doctors and other providers?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Needed doctors or other providers to communicate with child's school or other programs?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [IF yes;:] How satisfied with that communication?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Respect for diversity

    During past 12 months, how often were child's doctors and other health providers:

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Sensitive to family's values and customs?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    Language services

    During past 12 months:

    Needed an interpreter to help speak with child's doctors or nurses?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [IF yes:] How often able to get someone other than a family member to help speak with child's doctors or nurses?

    1. Never
    2. Sometimes
    3. Usually
    4. Always
    5. Never
    6. Don’t know
    7. Refused

    [NUMERATOR AND DENOMINATOR:]

    Presence of a special health care need

    The next questions are about any kind of health problems, concerns, or conditions that may affect [S.C.]’s behavior, learning, growth, or physical development.

    Does [S.C.] currently need or use medicine prescribed by a doctor, other than vitamins?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Is [his/her] need for prescription medicine because of ANY medical, behavioral, or other health condition?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Does [S.C.] need or use more medical care, mental health, or educational services than is usual for most children of the same age?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Is [his/her] need for medical care, mental health or educational services because of ANY medical, behavioral, or other health condition?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Is [S.C.] limited or prevented in any way in [his/her] ability to do the things most children of the same age can do?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Is [his/her] limitation in abilities because of ANY medical, behavioral, or other health condition?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Does [S.C.] need or get special therapy, such as physical, occupational, or speech therapy?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Is [his/her] need for special therapy because of ANY medical, behavioral, or other health condition?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Does [S.C.] have any kind of emotional, developmental, or behavioral problem for which [he/she] needs treatment or counseling?

    1. Yes
    2. No
    3. Don’t know
    4. Refused
Data Collection Frequency: 
Periodic
Methodology Notes: 

    The measurement of medical home access in the 2007 National Survey of Children’s Health has been described in detail elsewhere. In brief, the overall medical home measure from the 2007 NSCH is a composite of five different sub-component topics assessing the following: Child has at least one personal doctor or nurse, Family-centered care;, Getting needed referral;, Usual source(s) for care; Effective care coordination.

    Children with Special Health Care Needs are defined using questions k2q10-k2q23 of the children with special health care needs screener (see QUESTIONS USED TO OBTAIN THE NATIONAL DATA).

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
National Survey of Children with Special Health Care Needs (NS-CSHCN); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Measure: 
percent
Numerator: 

Number of children under 18 years of age with special health care needs receiving care in medical homes

Denominator: 

Number of children under 18 years of age with special health care needs

Questions Used to Obtain the State Data: 

      From the 2007 National Survey of Children's Health:

      [NUMERATOR:]

      Child has one or more health care providers considered to be personal doctor or nurse (PDN)

      During past 12 months, how often did all child's doctors and other health providers:

      Spend enough time with child?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Listen carefully to parent?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Provide needed information?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Help parents feel like partner in child's care?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Referrals for specialist care

      During past 12 months:

      Needed a referral to see any doctors or receive any services?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      [IF yes:] any problems getting the referral that was needed?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Usual sources for care

      Is there a place child usually goes when he/she is sick?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      [IF yes:] What kind of place is it?

      1. Doctor's office
      2. Emergency room
      3. Hospital outpatient department
      4. Clinic
      5. Some other place
      6. Don’t know
      7. Refused

      Help with care coordination

      Does anyone help family to arrange or coordinate child's care?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Did family need extra help arranging or coordinating child's health care?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      [IF yes:] How often got as much help as needed arranging or coordinating child's health care?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Provider communication

      How satisfied with communication between child's doctors and other providers?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Needed doctors or other providers to communicate with child's school or other programs?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      [IF yes;:] How satisfied with that communication?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Respect for diversity

      During past 12 months, how often were child's doctors and other health providers:

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Sensitive to family's values and customs?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      Language services

      During past 12 months:

      Needed an interpreter to help speak with child's doctors or nurses?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      [IF yes:] How often able to get someone other than a family member to help speak with child's doctors or nurses?

      1. Never
      2. Sometimes
      3. Usually
      4. Always
      5. Never
      6. Don’t know
      7. Refused

      [NUMERATOR AND DENOMINATOR:]

      Presence of a special health care need

      The next questions are about any kind of health problems, concerns, or conditions that may affect [S.C.]’s behavior, learning, growth, or physical development.

      Does [S.C.] currently need or use medicine prescribed by a doctor, other than vitamins?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Is [his/her] need for prescription medicine because of ANY medical, behavioral, or other health condition?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Does [S.C.] need or use more medical care, mental health, or educational services than is usual for most children of the same age?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Is [his/her] need for medical care, mental health or educational services because of ANY medical, behavioral, or other health condition?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Is [S.C.] limited or prevented in any way in [his/her] ability to do the things most children of the same age can do?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Is [his/her] limitation in abilities because of ANY medical, behavioral, or other health condition?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Does [S.C.] need or get special therapy, such as physical, occupational, or speech therapy?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Is [his/her] need for special therapy because of ANY medical, behavioral, or other health condition?

      1. Yes
      2. No
      3. Don’t know
      4. Refused

      Does [S.C.] have any kind of emotional, developmental, or behavioral problem for which [he/she] needs treatment or counseling?

      1. Yes
      2. No
      3. Don’t know
      4. Refused
Data Collection Frequency: 
Periodic
Methodology Notes: 

      The measurement of medical home access in the 2007 National Survey of Children’s Health has been described in detail elsewhere. In brief, the overall medical home measure from the 2007 NSCH is a composite of five different sub-component topics assessing the following: Child has at least one personal doctor or nurse, Family-centered care;, Getting needed referral;, Usual source(s) for care; Effective care coordination.

      Children with Special Health Care Needs are defined using questions k2q10-k2q23 of the children with special health care needs screener (see QUESTIONS USED TO OBTAIN THE NATIONAL DATA).