Lessons in Demonstrating Return on Investment from State-Based Health Campaigns
Public health initiatives have traditionally been able to claim success by showing positive health impacts through program evaluations. However, as public health funding grows scarcer there is a growing expectation for evidence of economic impacts from funders.
States like Oklahoma and Tennessee, among others, have seen the need for and benefit of generating double impact evidence—health and economic—of their maternal and child health initiatives. However, conducing return on investment (ROI) analysis is not something all states have familiarity with or capabilities to do.
A new issue brief, co-authored by the Association of Maternal and Child Health Programs (AMCHP) and NICHQ, shares lessons learned by Oklahoma and Tennessee on the process of performing an ROI analysis of a maternal and child health program. The issue brief is a result of a commitment to spread learnings from the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN).
Performing an ROI analysis of a maternal and child health program requires multiple sources of data, such as vital statistics and hospital discharge records. In Oklahoma and Tennessee, multidisciplinary teams were engaged including state and hospital representatives as well as stakeholder groups, such as state perinatal quality collaboratives, and those trained in economic analyses.
In Tennessee, skill at economic analysis was an easily tapped resource through the University of Tennessee Health Science Center. The state has a long history of collaboration between state health stakeholders and academic health economists. In contrast, Oklahoma identified economics expertise using a competitive bid process. The issue brief provides details about the process for arriving at a final ROI answer for each state.
“While initiative leaders might assume that their efforts, in addition to improving health, save money, an ROI analysis lets leaders bring hard evidence to their state legislature or other funders, which helps to make the case for additional funding in the future,” says NICHQ Project Director Zhandra Levesque, MPH.
It is anticipated that ROI analyses may play an even greater role as the U.S. healthcare delivery system continues its transition to paying healthcare providers based on the quality of care rather than the quantity of care delivered.
Keeping Families Together Improves Children’s Health Outcomes, from Borders to Communities
Thousands of children were recently separated from their families on the Texas border. Too many children have undergone the trauma of preventable family separation, which cannot be undone. NICHQ's new Chief Health Officer, Elizabeth Coté, MD, MPA, has witnessed the devastating effects of caregiver-child separation in communities across the country and across the world. In this article, she speaks up about the harm of that separation and urges us to remain vigilant about keeping families together.
Case Study: Engagement of Title V, Healthy Start and Families to Increase New Mother Wellness in NJ
A new issue brief, co-authored by AMCHP and NICHQ, explores how New Jersey engaged mothers in its efforts to improve postpartum visit rates as a strategy to increase new mother wellness.
As Unplanned Pregnancy Rates Drop, Births Improve
Fewer unplanned pregnancies means more healthy moms and babies. It’s a fact that has ignited efforts to address unplanned pregnancies as a strategy to improve infant mortality rates. Here, find out how to empower women about their sexual and reproductive health and improve birth outcomes.
Building Resiliency in Teen Moms Can Improve Breastfeeding and Save Babies
Less than one in five adolescent mothers exclusively breastfeeds their babies for the recommended six months. This means that, with the right supports, over 80 percent more teen moms and their babies can gain proven health benefits, including a reduced risk of sudden infant death syndrome. Here, Lori Feldman-Winter, MD, MPH, highlights strategies that uniquely empower teen mothers to breastfeed their babies.
We Did it for the Babies: A Story of Collective Impact
Inspire better infant feeding habits by sparking a social movement in your state. This is what we saw in New York State during an initiative that brought improved breastfeeding care to approximately 25 percent of New York mothers so that they could give their babies the best start possible. Discover their story here.