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.
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.
Racial Inequality and Injustice and the Health of America’s Children
Our nation is hurting. Many are afraid, angry, anxious, and frustrated as we witness institutional racism and social injustice, once again, ravaging communities of color. NICHQ CEO Scott D. Berns calls for meaningful change to end to systemic racism and injustice in our country.
Indianapolis Gives Moms and Babies in Prison a Healthy Start
Committed to championing a too-often forgotten population, Indianapolis Healthy Start partnered with the state’s women’s prison system to ensure that moms and babies could receive all recommended services and supports, starting with prenatal care and continuing for two years after birth.
Seven Strategies for Conducting Successful Services Virtually
Across the country, health and social service providers have had to find news way to support children and families in the face of COVID-19. Home visiting services, pediatric well-child visits, prenatal care and mental health appointments have largely had to transition from in-person appointments to visits virtually—either via phone or video. By learning how to conduct a successful virtual visit, health and social service providers can help ensure children and families receive the support they need during and after this pandemic.
In the Face of COVID-19, Baltimore Healthy Start Builds Resiliency
The COVID-19 pandemic has disrupted daily life across the country, with schools and childcare closed, routine medical care delayed, public transportation limited, and millions of jobs lost. These disruptions have disproportionately affected vulnerable low-income communities where families already face significant threats to their health and well-being, including housing and food insecurity and less access to medical care. In response, Baltimore Healthy Start, Inc. has launched a multi-pronged approach to support the families they serve.
Strengthening Early Childhood Systems: Lessons from the Pandemic and a Call to Action
For years, experts have called for a comprehensive system that links young children and families to needed health and social services at the community, state, and federal level. The coronavirus pandemic has revealed that the need for that system is more urgent than ever.