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The Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (DHHS) has the primary responsibility for promoting and improving the health of our nation’s women, children and families. The MCHB convened a workgroup to develop the new standardized Minimum/Core (M/C) Indicators as a consensus-based, common set of state MCH reporting measures, definitions and data elements that can accommodate differing levels of state MCH data capacity. The M/C Indicators are divided into three data sets: Minimum/National Dataset (M/NDS); Core/National Dataset (C/NDS); and Core/State Dataset (C/SDS). Data for these measures will be updated annually. The N/C Indicators are intended to
Minimum/National Data Set (M/NDS) – North Carolina
Core/National Data Set (C/NDS) – North Carolina
Core/State Data Set (C/SDS) – North Carolina
For questions or more information about the NC M/C Indicators, please contact the State Systems Development Initiative Project Coordinator (Email or 919-707-5515).
| # | Indicator | Brief Description | Data Source | Links to Data by Year |
|---|---|---|---|---|
| 1 | Infant Mortality | Death rate for liveborn infants under one year of age. | State Center for Health Statistics, Vital Statistics | |
| 2 | Black/White Infant Mortality Ratio | The ratio of black infant mortality rate to white infant mortality rate based on 5 year time span | State Center for Health Statistics, Vital Statistics | |
| 3 | Total Low Birthweight | Percent of liveborn infants weighing 2,500 grams or under (5 pounds, 8 ounces or less), regardless of the period of gestation. | State Center for Health Statistics, Vital Statistics | |
| 4 | Very Low Birthweight | Percent of liveborn infants weighing under 1,500 grams (3 pounds, 4 ounces or less), regardless of the period of gestation. | State Center for Health Statistics, Vital Statistics | |
| 5 | Newborn Hearing Screening before Hospital Discharge | Percent of newborns that have been screened for hearing before hospital discharge | WCSWeb Hearing Link (NC Database) | |
| 6 | Breastfeeding – At least some at 6 months | Breastfeeding – At least some at 6 months | National Immunization Survey (NIS) | |
| 7 | Children's Immunization Status | Percent of children aged 24 months with age-appropriate vaccines | National Immunization Survey (NIS) | |
| 8 | CSHCN – Services – Medical Home Access | Percent of children, ages 0-18, with special health care needs (CSHCN) who have a medical home. | National Survey of Children's Health (NSCH) | |
| 9 | CSHCN Services-Adequate Insurance | Percent of children with special health care needs whose families have adequate insurance | National Survey of Children's Health (NSCH) | |
| 10 | CSHCN Services-Community Based Services | Percent of children with special health care needs (CSHCN) receiving care in a well-functioning system | National Survey of Children's Health (NSCH) | |
| 11 | CSHCN Services - Transitions to Adult Services | Percent of children, ages 12-17, with and without special health care needs (CSHCN) who received services necessary to make transitions to adult health care | National Survey of Children's Health (NSCH) | |
| 12 | Child Death Rate | Death rate for children ages 1-9 per 100,000 | State Center for Health Statistics, Vital Statistics | |
| 13 | Adolescent Death Rate | Death rate for youth ages 10-19 per 100,000 | State Center for Health Statistics, Vital Statistics | |
| 14 | Adolescent Death-Suicide Rate | Suicide mortality rate for adolescents ages 15-19 | State Center for Health Statistics, Vital Statistics | |
| 15 | Child Death Rate – Motor Vehicle | Death rate due to motor vehicle crashes for children ages ≤14 | State Center for Health Statistics, Vital Statistics | |
| 16 | Adolescent Death Rate – Motor Vehicle | Death rate due to motor vehicle crashes for adolescents ages 15-19 | State Center for Health Statistics, Vital Statistics | |
| 17 | Adolescent Death - Unintentional Injuries | Death rate due to unintentional injuries among adolescents ages 15-19 | State Center for Health Statistics, Vital Statistics | |
| 18 | Teen Birth Rate | Rate of births per 1,000 women ages 15 to 19. | State Center for Health Statistics, Vital Statistics | |
| 19 | Chlamydia Rates – Women Ages 15-19 | Rate of reported cases of chlamydia in women ages 15-19 | North Carolina Sexually Transmitted Diseases (STD) Surveillance Branch | |
| 20 | Chlamydia Rates – Women Ages 20-24 | Rate of reported cases of chlamydia in women ages 20-24 | North Carolina Sexually Transmitted Diseases (STD) Surveillance Branch | |
| 21 | Access to Health Insurance | Percent of children without health insurance | Census Bureau | |
| 22 | Medicaid/CHIP Income Criteria | Poverty eligibility levels for the State’s Medicaid and SCHIP programs for infants (0 to 1), children, and pregnant women | North Carolina Division of Medical Assistance | |
| 23 | Poverty - Total | Percent of State residents with poverty levels at <50% FPL, <100% FPL, and <125% FPL | Current Population Survey, Annual Social and Economic Supplement | |
| 24 | Poverty - Childhood | Percent of State residents less than 18 years of age with poverty levels at <50% FPL, <100% FPL, and <125% FPL | Current Population Survey, Annual Social and Economic Supplement |
| # | Indicator | Brief Description | Data Source | Links to Data by Year |
|---|---|---|---|---|
| 1 | Total Preterm Birth | Preterm birth rate <37 weeks gestation | State Center for Health Statistics, Vital Statistics | |
| 2 | Very Preterm Birth <32 weeks | Very preterm birth rate less than 32 weeks gestation | State Center for Health Statistics, Vital Statistics | |
| 3 | Smoking during Pregnancy | Percent of live births with maternal tobacco use, as identified on the birth certificate. | State Center for Health Statistics, Vital Statistics | |
| 4 | Folic Acid Intake | Percent of mothers (all ages) who took multivitamins/folic acid daily prior to pregnancy | State Center for Health Statistics, North Carolina Pregnancy Risk Assessment Monitoring System (NC PRAMS) | |
| 5 | Breastfeeding-Exclusively at 3 months | Percent of caregivers reporting child was exclusively breastfeeding at 3 months | National Immunizations Survey (NIS) | |
| 6 | Access to Medical Home | Percent of children, ages 0-18, who have a medical home. | National Survey of Children's Health (NSCH) | |
| 7 | Cesarean Section – no prior cesarean | Percent of cesarean deliveries among low-risk first births | State Center for Health Statistics, Vital Statistics | |
| 8 | WIC BMI Assessment | Percent of children, ages 2 through 4 years, receiving WIC services with a Body Mass Index at or above the 85th percentile | Crossroads WIC System and WIC Legacy System |
| # | Indicator | Brief Description | Data Source | Links to Data by Year |
|---|---|---|---|---|
| 1 | Pregnancy Weight Gain | Percent of mothers who achieve recommended weight gain during pregnancy | State Center for Health Statistics, Vital Statistics | |
| 2 | Newborn Bloodspot Screening | 1) Percent of newborn bloodspot screening results (both positive and negative results) communicated to the newborn's healthcare provider by standard reporting means within 7 days of life | NC State Laboratory of Public Health |
Data will be posted as it becomes available |
| 2) Percent of presumptive positive results for time-critical conditions communicated to newborn’s healthcare provider within 5 days of life | NC State Laboratory of Public Health |
Data will be posted as it becomes available |
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| 3) Percent of presumptive positive results for all other conditions communicated to newborn’s healthcare provider within 7 days of life | NC State Laboratory of Public Health |
Data will be posted as it becomes available |
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| 3 | Back to Sleep | Percent of infants placed to sleep on their backs | State Center for Health Statistics, North Carolina Pregnancy Risk Assessment Monitoring System (NC PRAMS) | |
| 4 | Child-Immunization – Medicaid patients only | Percent of Medicaid-enrolled 24-35 month-olds with recommended vaccines | NC Immunization Registry | |
| 5 | Adolescent Immunization – Medicaid patients only | Percent of Medicaid-enrolled 13-year-olds who received specific vaccines by their 13th birthday (Specific Vaccines: HPV, Tdap, or Meningoccocal Conjugate) | NC Immunization Registry | |
| 6 | Emergency Department Visits – Medicaid patients only | Rate of Emergency Department visits among Medicaid-enrolled children up to age 19 | NC Medicaid files (as reported for NCQA/HEDIS) | |
| 7 | Asthma Hospitalization | Rate of children hospitalized for asthma per 10,000 children less than five years of age. | State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data* | |
| 8 | Child Injury – Unintentional Nonfatal Injuries – 9 years and under | Rate per 100,000 of children ≤9 years with nonfatal injuries | State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data* | |
| 9 | Adolescent Injury – Unintentional Nonfatal Injuries – 10 to 19 years | Rate per 100,000 of adolescents ages 10-19 years with nonfatal injuries | State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data* | |
| 10 | Child Injury-Motor Vehicle Unintentional Nonfatal Injuries – 14 years and under | Rate per 100,000 of children ≤14 years with nonfatal injuries due to motor vehicle accidents | State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data* | |
| 11 | Adolescent Injury – Motor Vehicle Nonfatal Injuries – 15 to 19 years | Rate per 100,000 of adolescents 15 to 19 years of age with nonfatal injuries due to motor vehicle accidents | State Center for Health Statistics, Hospital Discharge Data & Population Estimates using NCSH Bridged Population Data* | |
| 12 | VLBW Infants born at Level III+ Centers | Percent of high risk births at appropriate hospitals/centers | State Center for Health Statistics, Vital Statistics |
Data will be posted as it becomes available |
*A new diagnostic coding system (ICD-10CM) was implemented in October of 2015. The new coding system is not comparable to the ICD-9CM coding criteria used previously. Therefore, reporting of Calendar Year 2015 discharge data will not be available because it crosses over two different diagnostic coding methods. Hospital discharge summary reports for Calendar Year 2016 onward will be published as soon as standardized ICD-10CM reporting categories are established.
