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.
The Top Stories of 2018
With 2018 drawing to a close, we’re taking stock of the stories you found most engaging over the past year. From the opioid epidemic to mandated reporting to bedsharing and safe sleep, this year’s top stories tackle tough issues and are filled with passionate voices seeking to driving change in children’s health systems.
Developing Multi-Sector Partnerships in Early Childhood
Children and families deserve better services and supports. But silos in our systems makes those supports too hard to find. By building cross-sector partnerships, children’s health stakeholders can make it easier for families to find what they need when they need it. Keep reading for five strategies to develop sustainable cross-sector collaboration.
Countering Systems of Oppression
How do you have conversations about structural racism and its effect on health systems? Two health professionals open up about their experiences and share advice.
Historic Trauma is Affecting Tomorrow’s Children
When Indigenous people were dispossessed from their land, they not only lost their homes but were separated from their way of life. And in many cases, children were forcefully taken from their families. How do we synthesize the promotion of breastfeeding and safe sleep practices among within the context of this historical trauma? Collectively our Indigenous healthcare professionals offer three ideas.
Kindergarten Readiness Starts Prenatally
All children deserve an equal change to reach their full potential—to make lasting friendships, to explore and discover, and to dream big. Giving all children an equal start means supporting families from the earliest moments of development. Here, NICHQ President and CEO Scott D. Berns explains why we need to do more to support that early health by building a bridge between the prenatal and birth to 3 spaces.