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Overview of Title V (MCH) Performance Measurement

In 2015, HRSA transformed the Title V Maternal and Child Health Block Grant’s performance measurement system in order to show the contributions of Title V programs more directly while still maintain flexibility for the grantees.

A three-tiered performance measurement system was created with national outcome measures (NOMs), national performance measures (NPMs) and evidence-based/informed strategy measures (ESMs). NOMs are the ultimate goals that the federal Maternal and Child Health Bureau (MCHB) and States are attempting to achieve. NPMs are measures, generally associated with processes or programs, shown to affect NOMs. ESMs are evidence-based or informed measures that each State Title V program develops to affect the NPMs. There are 15 NPMs from which States select eight, with at least one from each population area. MCHB will provide the data for the NOMs and NPMs, when possible.

The Title V Measurement Framework mirrors what is typically seen in an evaluation logic model.

Title V Measurment Framework

Source: HRSA, Maternal and Child Health Bureau 

Ohio’s NPMs, SPMs, and NOM’s

NPM 1: Percent of women with a past year preventive visit

NPM 4: a) Percent of infants who are ever breastfed and b) percent of infants breastfed exclusively through 6 months

NPM 5: Percent of infants placed to sleep on their backs

NPM 6: Percent of children, ages 10 through 71 months, receiving a developmental screening using a parent-completed screening tool

NPM 8: Percent of children ages 6 through 11 and adolescents 12 through 17 who are physically active at least 60 minutes per day

NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year

NPM 11: Percent of children with and without special health care needs having a medical home

NPM 14: a) Percent of women who smoke during pregnancy and b) percent of children who live in households where someone smokes

SPM 1: Black infant mortality rate per 1,000 live births

SPM 2: Percent of children 0-12 years with a preventive medical visit in the past 12 months

SPM 4: Percent of infants who are exclusively breastfed at hospital discharge

NOM 1: Percent of pregnant women who receive prenatal care beginning in the first trimester

NOM 9.1: Infant mortality rate per 1,000 live births

NOM 9.3: Postneonatal mortality rate per 1,000 live births

NOM 17.2: Percent of children with special health care needs (CSHCN) receiving care in a well-functioning system

NOM 19: Percent of children in excellent or very good health

NOM 20: Percent of children and adolescents who are overweight or obese

NOM 22.3: Percent of adolescents, ages 13 through 17, that have received at least one dose of HPV vaccine.


Page Updated: 2/5/2018