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.
Navigating Well-Child Visits and Vaccinations during COVID-19
Well-child visits and recommended vaccinations are essential, ensuring children stay healthy and are protected from preventable diseases and illnesses such as measles, whooping cough, and seasonal flu. But, as the COVID-19 pandemic persists, data shows that fewer childhood vaccinations have been given and many children have fallen behind on their scheduled appointments. Healthcare professionals should utilize the following strategies to work with parents and caregivers to get their children caught up on missed appointments and recommended vaccinations.
Exploring a Nonbinary Approach to Health
NICHQ is not abandoning the traditional use of the terms “mother” and “maternal.” We are embracing the inclusive language of “birthing person/people” across our work. A move toward inclusive language does not force us to stop using language that so many people identify with; at its core, inclusion is about creating more space for one another. We are taking care to expand the use of these terms in our communications, on our website, in our resources, and eventually, in all our projects.
It Starts with Us and It Starts Now: Healing for Moms and Babies Begins with Ourselves and Our Systems
NICHQ CEO Scott D. Berns, MD, MPH, FAAP shares a message on healing and the ongoing need for equity-designed systems in 2021 and beyond.
Safe Sleep and Breastfeeding Initiative Invites Advocates to Join Communities of Practice
A multi-year initiative to improve infant safe sleep and breastfeeding is launching sector-specific Communities of Practice in 2021 to address policies, improve skills, and learn from other advocates’ experiences.
Coordinated Systems Are Key to Addressing Rising Preterm Birth Rates
Sovannah, a mother of three in Kansas, is an advocate for systems-level change. During her third pregnancy, she connected with a network of supports that she says completely changed her family’s experience. Here, she shares her story that sheds light on the powerful potential of coordinated systems — for reducing preterm births and for strengthening families.
Making Fathers Visible in Maternal and Child Health
From cognitive and social emotional development to education and accomplishments, children with involved fathers achieve better health outcomes. Yet despite fathers’ positive impact on maternal and child health, many of the systems intended to serve women and children were not designed with fathers in mind. That’s why we’re sharing strategies to increasing father involvement in early childhood programs.