26 Health Care Early and The proportion of pregnant women Numerator: 1) The Denominator: 1) Vital records – Access and Adequate who receive early and adequate number of women who The number of live certificates of live birth – Quality Prenatal Care prenatal care. initiated PNC in the 1st births that occurred NCHS. States can also trimester in a calendar in the calendar year use their own vital year and 2) the number and 2) the number records data that may of women who received of live births in a be more timely than adequate PNC based on calendar year that available via NCHS. the Kotelchuck index in a calendar year 27 Health Care Preconception Percent of women who have Numerator – Number of Denominator – Pregnancy Risk Access and Health discussed preconception health with women who reported Total number of Assessment Monitoring Quality Counseling a health care worker prior to that they obtained women of System (PRAMS) pregnancy. preconception counseling childbearing age surveyed 28 Health Care Health Care Percent of adults who report they Numerator: Number of Denominator: Adult Behavioral Risk Factor Access and Utilization - Adult have had a preventive health visit in adults (18+ years) who population (18+ Surveillance System Quality the past year. reported having had a years) (BRFSS routine health checkup within the past year 29 Health Care Transition Youth with special health care needs Numerator: CSHCN age Denominator: All National Survey of Access and Services for receive services necessary for a 12-17 years whose Children with Children with Special Quality Youth with successful transition to adult life. doctors usually/always special health care Health Care Needs Special Health encourage increasing needs age 12-17 Care Needs responsibility for years and (when needed) have discussed transitioning to adult health care, changing health care needs, and how to maintain insurance coverage; CSHCN age 12-17 who did not achieve this outcome.
26 Health Care Access and Quality Early and Adequate Prenatal Care The proportion of pregnant women who receive early and adequate prenatal care. Numerator: 1) The number of women who initiated PNC in the 1st trimester in a calendar year and 2) the number of women who received adequate PNC based on the Kotelchuck index in a calendar year Denominator: 1) The number of live births that occurred in the calendar year and 2) the number of live births in a calendar year Vital records – certificates of live birth – NCHS. States can also use their own vital records data that may be more timely than that available via NCHS. 27 Health Care Access and Quality Preconception Health Counseling Percent of women who have discussed preconception health with a health care worker prior to pregnancy. Numerator – Number of women who reported that they obtained preconception counseling Denominator – Total number of women of childbearing age surveyed Pregnancy Risk Assessment Monitoring System (PRAMS) 28 Health Care Access and Quality Health Care Utilization - Adult Percent of adults who report they have had a preventive health visit in the past year. Numerator: Number of adults (18+ years) who reported having had a routine health checkup within the past year Denominator: Adult population (18+ years) Behavioral Risk Factor Surveillance System (BRFSS 29 Health Care Access and Quality Transition Services for Youth with Special Health Care Needs Youth with special health care needs receive services necessary for a successful transition to adult life. Numerator: CSHCN age 12-17 years whose doctors usually/always encourage increasing responsibility for and (when needed) have discussed transitioning to adult health care, changing health care needs, and how to maintain insurance coverage; CSHCN age 12-17 who did not achieve this outcome. Denominator: All Children with special health care needs age 12-17 years National Survey of Children with Special Health Care Needs
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