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Life Course Indicators Online Tool
Page Content  Explore the set of 59 life course indicators by Category, Data Source, or Domain (tabs) and click on the names to expand the section. Individual indicators are denoted by an ID number (e.g. LC-47) and include numerous details, such as a brief description, numerator, denominator, data source, similar measures in other indicator sets, and national comparison data, where appropriate. Throughout Fall 2013, AMCHP will continue to add PDF narratives for each indicator, which will include important notes on calculating the indicator as well as information on how the indicator aligns with the data and life course screening criteria.
Download a printer-friendly version of the list of indicators
Download an excel spreadsheet to sort and explore the indicators on your own Update: On June 18, 2014, a new version of the indicator spreadsheet was uploaded. Additions to this resource include national estimates for seven additional indicators and enhanced notes on calculations for seven indicators. One adjustment was made to an indicator definition (LC-51). Technical Notes: On January 14, 2014 and December 12, 2013, AMCHP staff made a series of technical corrections and updates to components of the final life course indicators, including numerators and denominators, to further clarify their calculation and use. Updates to numerators and denominators were minimal and were mostly clarifications; the majority of the changes add information to the notes on calculation. These changes are now reflected in the online tool, excel spreadsheet, and printer-friendly versions. If you are concerned about how these changes may influence your calculation of the indicators, please contact AMCHP staff, who can supply you with the details of the specific changes.
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Category
2011 LC-01: Adverse Childhood Experiences Among Adults Brief Description: Prevalence of adverse childhood experiences Numerator: Number of adults ages 18 and older responding to the Behavioral Risk Factor Surveillance System (BRFSS) survey who report that they experienced 3 or more adverse childhood experiences (ACE) Denominator: Number of adults 18 and older Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: Overall (among states who ask the questions): 23.92%
Minnesota: 20.82%
Montana: 25.53%
Vermont: 24.47%
Washington: 28.27%
Wisconsin: 21.30%
Range: 20.82%-28.27%; 2011;
(for notes on calculation, please view the narrative)
2011-2012 LC-02: Prevalence of Adverse Childhood Experiences Among Children Brief Description: Prevalence of adverse childhood experiences among children Numerator: Number of children whose parents responded to the NSCH that their children were exposed to adverse childhood experiences (9 questions related to ACEs) Denominator: Total number of children Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Screening for domestic violence National Comparison: 0 Adverse Childhood Experiences= 52.07%
1 Adverse Childhood Experience= 25.32%
2 or More Adverse Childhood Experiences= 22.61%; 2011-2012;
(for notes on calculation, please view the narrative)
LC-03: Substantiated Child Maltreatment Brief Description: Substantiated child maltreatment including experience of physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment Numerator: Number of children with reports of maltreatment types that include physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment and the report is considered substantiated. Denominator: Number of children under 17 years of age in the state. Data Source: National Child Abuse and Neglect Data System (NCANDS) Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-38; MIECHV Benchmark Area Prevention of Child Injuries, Child Abuse, Neglect, or Maltreatment, and Reduction of Emergency Department Visits: Reported substantiated maltreatment (substantiated/indicated/alternative response victim) for children in the program National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2010 LC-04: Breastfeeding Support - Baby Friendly Hospitals Brief Description: Proportion of births occurring in baby friendly hospitals Numerator: Number of births at Baby-Friendly designated hospitals for a given year Denominator: Number of births in State for a given year Data Source: Annual CDC Breastfeeding Report Card Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-24; MIECHV Benchmark Area Improved Maternal and Newborn Health:Breastfeeding; Chronic Disease Indicator National Comparison: 7.15%; 2010;
(for notes on calculation, please view the narrative)
2010 Brief Description: Proportion of population served by community water systems that received optimally fluoridated water. Numerator: Population on community water systems that received optimally fluoridated drinking water in a calendar year. Denominator: Population on community water systems in a calendar year Data Source: Water Fluoridation Reporting System Similar Measures in Other Indicator Sets: HP 2020 focus area OH-13; Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 73.9%; 2010;
(for notes on calculation, please view the narrative)
LC-06: Concentrated Disadvantage Brief Description: Proportion of households with high level of concentrated disadvantage, calculated using 5 Census variables Numerator: Number of households at high level of concentrated disadvantage Denominator: Total number of households Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among individuals. Numerator: Number of individuals experiencing homelessness in a given county Denominator: Total county population Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.19%; 2013;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among families. Numerator: Number of families experiencing homelessness in a given county Denominator: Total number of families at county level Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.09%; 2013;
(for notes on calculation, please view the narrative)
2010 Brief Description: Homicide rate Numerator: Total homicide-related deaths Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-29 National Comparison: 5.28 Per 100,000 US Persons; 2010;
(for notes on calculation, please view the narrative)
2011 LC-09: Household Food Insecurity Brief Description: Household Food Insecurity Numerator: Number of households experiencing food insecurity (household reports being unable to afford balanced meals, having to cut the size of meals because of too little money for food, or being hungry because of too little money for food.) Denominator: Number of households Data Source: United States Department of Agriculture (USDA) Economic Research Survey (ERS) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-13 National Comparison: 14.90%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of population living under the Federal Poverty Level Numerator: Number of families below the Federal Poverty Line or FPL (determined by US Thresholds) Denominator: Total number of families Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: HP 2020 Focus area SDOH-3; MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits); Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 18.60%; 2011;
(for notes on calculation, please view the narrative)
LC-11: Small for Gestational Age Brief Description: Proportion of singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Numerator: Singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Denominator: Total number of singleton live births
Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: None National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of 9-12th graders who reported being bullied on school property or electronically bullied Numerator: Number of 9th through 12th grade students (12-17 years) who reported having been bullied on school property or electronically during the past 12 months. Denominator: 9th through 12th grade student population (12-17 years) Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Healthy People 2020 focus area IVP-35. National Comparison: 25.50%; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-13: Experiences of Race-Based Discrimination or Racism among Women Brief Description: Percent of women who experienced discrimination right before or during pregnancy. Numerator: Number of women who answer Yes to the question “During the 12 months before your new baby was born, did you feel emotionally upset (for example, angry, sad or frustrated) as a result of how you were treated based on your race?” Denominator: Total number of women who recently had a live birth Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 8.80%; 2009-2011;
(for notes on calculation, please view the narrative)
2011-2012 LC-14: Perceived Experiences of Discrimination Among Children Brief Description: Percent of children who experienced discrimination in the past year (parent report) Numerator: Number of children age 0-17 years who (somewhat or very) often experience racial discrimination in the past year, as reported by their parent Denominator: Total number of children 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: None National Comparison: 1.21%; 2011-2012;
(for notes on calculation, please view the narrative)
2012 LC-15: Perceived Experiences of Racial Discrimination in Healthcare among Adults Brief Description: Percent of adults reporting racial discrimination in healthcare Numerator: Adults 18 and over reporting perceived racial discrimination in health care Denominator: Total adults 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: 3.92%; 2012;
(for notes on calculation, please view the narrative)
2011 LC-16: Racial Residential Segregation, by Community Brief Description: Differential distribution of individuals by race or other social or income factors (Dissimilarity Index). Numerator: Number of counties with dissimilarity index (DI) > .6 (very segregated) It is standard to view cities or other geographic areas with a DI under .3 as well integrated, those with a DI value between .3 and .6 as moderately segregated, and those with values above .6 as very segregated (10). See Notes for Calculation for formula Denominator: Total number of counties Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: Range of Dissimilarity (lowest and highest across 50 states): 0.070 to 0.49; 2011;
(for notes on calculation, please view the narrative)
LC-17: Early Intervention Brief Description: Proportion of children aged 0-3 years who received EI services of all children aged 0-3 years Numerator: Children aged 0-3 years receiving EI services in a given state Denominator: All children aged 0-3 years Data Source: IDEA 618 Child Count Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-29 National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
LC-18: WIC Nutrition Services Brief Description: Proportion of children aged 2-5 years receiving WIC services compared to proportion of children <185% FPL Numerator: Children aged 2-5 years participating in the WIC program Denominator: Total children aged 2-5 years whose income is below 185% FPL. Data Source: WIC program data Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits) National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 LC-19: Early Childhood Health Screening - EPSDT Brief Description: Percent of Medicaid-enrolled children who received at least one initial or periodic screen in past calendar year Numerator: Number of Medicaid enrollees ages 0-21 (enrolled for 90+ continuous days) receiving at least one initial or periodic screen Denominator: Total Medicaid-enrolled children ages 0-21 enrolled for 90+ continuous days Data Source: CMS - Annual Medicaid EPSDT Participation Report Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #02 is similar; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 62%; Note:This estimate uses publicly available reports and includes EPSDT data for ages children 0-20 instead of 0-21.; 2011;
(for notes on calculation, please view the narrative)
2011 LC-20: High School Graduation Rate Brief Description: High school graduation rate (4 year cohort) as measured by the Adjusted Cohort Graduation Rate. Numerator: Number of students who graduate in four years with a regular high school diploma Denominator: Number of students who form the adjusted cohort for the graduating class Data Source: National Center for Education Statistics Similar Measures in Other Indicator Sets: HP 2020 Focus Area AH-5.1; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 75.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-21: Mother's Education Level at Birth Brief Description: Percent of births by maternal education levels Numerator: Number of women delivering a live birth with <HS, HS, & some college Denominator: All live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 8th Grade or Less = 4.48%
Less than High School = 13.47%
High School = 45.45%
Greater than HS = 35.41%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Prevalence of unemployment Numerator: Number of persons age 16 and older in the labor force who are unemployed (and actively seeking work) Denominator: Number of persons age 16 and older Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 10.30%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-23: Adolescent Smoking Brief Description: Percent of adolescents who smoked cigarettes in the past 30 days Numerator: Total 9th-12th graders who smoked cigarettes ≥ 1 day during the past 30 days Denominator: Total population of 9th – 12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator E1; HP 2020 Focus area TU-2 (TU-2.2 is a Leading Health Indicator); CDC Winnable Battle (Decrease the percentage of youth who smoke cigarettes by 11%); MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 18.07%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-24: Adolescent Use of Alcohol Brief Description: Percent of adolescents using alcohol during the past 30 days Numerator: Number of adolescents aged 12 to 17 years who reported use of alcohol during the past 30 days Denominator: Total NSDUH survey respondents Ages 12-17 Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: Preconception Health Indicator E5; HP 2020 focus area SA-2.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 12.9%; 2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-25: Children with Special Health Care Needs Brief Description: Percent of children (0-17 years) with a special health care need Numerator: Children, ages 0-17 years with a special health care need Denominator: Children, ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus areas MICH-30 and MICH-31 are specific to CSHCN; Title V Programs report the number of CSHCN served but not prevalence National Comparison: 19.80%; 2011-2012;
(for notes on calculation, please view the narrative)
2012 Brief Description: Percent of adults with diagnosed diabetes Numerator: Total diabetes cases among adults ≥ 18 years Denominator: Total adult population Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I1; HP 2020 Focus area D-1; Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 10.17%; 2012;
(for notes on calculation, please view the narrative)
2009 LC-27: Exclusive Breastfeeding at 3 Months Brief Description: Percent of children exclusively breastfed through 3 months Numerator: Estimate of the number of children exclusively breastfed through 3 months of age. Denominator: Number of individuals surveyed Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-21.4; CDC Winnable Battle (Increase the proportion of infants who are breastfed by 15%); Title V Performance Measure #11 (similar); MIECHV Benchmark Area Improved Maternal and Newborn Health: Breastfeeding; Chronic Disease Indicator National Comparison: 36.0%±1.3%; 2009;
(for notes on calculation, please view the narrative)
2011-2012 LC-28: Exposure to Second Hand Smoke in the Home Brief Description: Percent of children living in a household where smoking occurs inside home Numerator: Number of children who live in a household with someone who smokes and smoking occurs inside home Denominator: Children age 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area TU-11; NQF measure 1346; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development National Comparison: 4.90%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults with diagnosed hypertension Numerator: Total number of adults aged 18 and over who indicated a health professional told them they had high blood pressure Denominator: Total adult population 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I3; HP 2020 Focus area HDS-5; Chronic Diease Indicator National Comparison: 31.48%; 2011;
(for notes on calculation, please view the narrative)
2012 Brief Description: Prevalence of illicit drug use in the past month among population 12 years and older. Numerator: Reported illicit drug use in the past month for those 12 and older Denominator: Total population aged 12 and older Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: HP 2020 Focus are SA-13, SA-2.4, SA-13.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs National Comparison: 9.20%; 2012;
(for notes on calculation, please view the narrative)
2007 LC-31: Intimate Partner Violence, Injury, Physical or Sexual Abuse Brief Description: Number of intimate partner victimizations per 1,000 persons age 18 and older Numerator: Number of persons aged 18 years or older who reported intimate partner violence Denominator: Number of persons aged 18 and older per 1,000 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator H1; HP 2020 Focus area IVP-39 National Comparison: 9.56%; 2007;
(for notes on calculation, please view the narrative)
2011-2012 Brief Description: Percent of children who are currently overweight or obese Numerator: Number of children 10-17 who are currently overweight or obese, based on BMI for age (BMI-for-age):overweight OR obese (85th percentile or above) Denominator: Total children with height and weight data Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-10; CDC Winnable Battle (Reduce the proportion of children and adolescents age 2-19 who are obese by 5%); Title V Performance Measure #14; Chronic Disease Indicator; National Comparison: 31.30%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults who are currently overweight or obese Numerator: Number of adults currently overweight or obese based on BMI overweight OR obese (with a BMI of 25 or above) Denominator: Total adults with height and weight data in the above respective population or group Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator F-2; HP 2020 Focus area NWS-9 (Leading Health Indicator); Title V Performance Measure #14; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 63.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-33: Physical Activity Among High School Students Brief Description: Proportion of high school students who are physically active for at least 60 minutes per day on five or more of the past seven days. Numerator: Number of high school students who report being active for at least 60 minutes per day on five or more of the past seven days. Denominator: All high school students. Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area PA-3; NQF measure 1348; Chronic Disease Indicator National Comparison: 49.45%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-34: Cervical Cancer Screening Brief Description: The proportion of women who receive the appropriate evidence-based clinical preventive services (Pap Smear) for cervical cancer screening Numerator: Women ages 21-65 who received a pap smear within the last three years Denominator: Total women ages 21-65 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area C-15; NQF measure 0032; Chronic Disease Indicator National Comparison: 83.84%; 2012;
(for notes on calculation, please view the narrative)
2012 LC-35: Children Receiving Age Appropriate Immunizations Brief Description: Percent of children ages 19-35 receiving age-appropriate immunizations according to the Advisory Committee for Immunization Practices (ACIP) guidelines and HP 2020 Goal. Numerator: Number of children surveyed who received ≥4 doses of DTaP/DT/DTP (Diphtheria/Tetanus/Acellular pertussis), ≥3 doses of poliovirus vaccine, ≥1 doses of measles-containing vaccine, full series of Hib (Haemophilus influenza - 3 or 4 doses, depending on product type), ≥3 doses of HepB (Hepatitis B), ≥1 dose of varicella vaccine, and >= 4 PCV (Pneumococcal) doses. 4:3:1:3:3:1:4 series Denominator: Number of children age 19-35 months Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus areas IID-1, IID-7, IID-8 (Leading Health Indicator), IID-9; Title V Performance Measure #07; NQF measure 0038; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits; United Health Rankings Core Measure National Comparison: 68.4% +/- 1.4 ; 2012;
(for notes on calculation, please view the narrative)
2013 LC-36A: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of adolescents ages 13-17 who receive the evidence-based clinical preventive service HPV vaccine Numerator: Adolescents aged 13-17 who received a complete series of HPV vaccine Denominator: Total population of adolescents aged 13-17 Data Source: National Immunization Survey-Teen (NIS-Teen) Similar Measures in Other Indicator Sets: HP 2020 Focus area IID-11.4; NQF measure 1959 National Comparison: 48.3% (±4.0); 2013;
(for notes on calculation, please view the narrative)
LC-36B: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of young adults ages 18-26 who receive the evidence-based clinical preventive service HPV vaccine Numerator: 18-26 year olds (male and females) who received complete series HPV vaccine Denominator: Total 18-26 year old adults Data Source: National Health Interview Survey (NHIS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011-2012 LC-37: Medical Home for Children Brief Description: Proportion of families who report their child received services in a medical home Numerator: Children ages 0-17 whose health care meets Medical Home criteria Denominator: Children ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-30; Title V Performance Measure #03 (For CSHCN); MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 54.41%; 2011-2012;
(for notes on calculation, please view the narrative)
LC-38: Asthma Emergency Department Utilization Brief Description: Proportion of persons on Medicaid with asthma having an asthma emergency department (ED) visit Numerator: Number of Medicaid beneficiaries with asthma having 1 or more ED visit for asthma during the measurement year. Denominator: Number of Medicaid beneficiaries with asthma during the measurement year. Data Source: Medicaid Analytical eXtract (MAX) files Similar Measures in Other Indicator Sets: HP 2020 Focus area RD-3; NQF measure 1381; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development; Chronic Disease Indicator National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011 LC-39: Inability or Delay in Obtaining Necessary Medical Care or Dental Care Brief Description: Percent of parents reporting their child was not able to obtain necessary medical care or dental care. Numerator: Number of survey respondents that report their child (ages 0-17) was not able to obtain or had a delay in obtaining necessary medical care or dental care. Denominator: Total child population ages 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-6; Title V Performance Measure #04 (limited to CSHCN); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children National Comparison: 6.70%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-40: Medical Insurance for Adults Brief Description: The proportion of adults with medical insurance. Numerator: Number of adults 19 years and older with medical insurance Denominator: All adults 19 years and older Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-1.1 (Leading Health Indicator); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children; Chronic Disease Indicator; United Health Rankings core measure National Comparison: 82.5%; 2012;
(for notes on calculation, please view the narrative)
2011 LC-41: Oral Health Preventive Visit for Children Brief Description: Percent of children who received a preventive dental visit in the past 12 months Numerator: Number of children ages 1-17 who received at least one preventative dental visit in the past 12 months Denominator: Total child population ages 1-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 focus area OH-7 (Leading Health Indicator); NQF measure 1334, Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 77.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-42: Depression Among Youth Brief Description: Percent 9th -12th graders who felt sad or hopeless almost every day for more than 2 weeks during the previous 12 months Numerator: Number of 9th -12th graders who felt sad or hopeless almost every day for more than two weeks during the previous 12 months Denominator: Number of 9th -12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.1 (Leading Health Indicator) National Comparison: 28.46%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-43: Mental Health Among Adults Brief Description: Percent of adults with poor mental health Numerator: Weighted number of adults ages 18 and over responding to the BRFSS survey reporting that their mental health, which includes stress, depression, and problems with emotions, was “not good for ≥14 days out of the past 30 days Denominator: Weighted number of adults ages 18 and over responding to the BRFSS survey Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.2 National Comparison: 11.22%; 2012;
(for notes on calculation, please view the narrative)
2009-2011 LC-44: Postpartum Depression Brief Description: Percent of women who have recently given birth who reported experiencing postpartum depression following a live birth Numerator: Number of women who experienced self-reported postpartum depression following a live birth Denominator: Total live births to recent mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator G3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Screening for maternal depressive symptoms National Comparison: 23%; 2009-2011;
(for notes on calculation, please view the narrative)
2010 Brief Description: Suicides per 100,000 population Numerator: Number of suicides Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-1 (Leading Health Indicator); Title V Performance Measure #16 (subset of this indicator) National Comparison: 12.45 per 100,000 US persons; 2010;
(for notes on calculation, please view the narrative)
2010 LC-46: Capacity to Assess Lead Exposure Brief Description: Capacity of states to assess lead exposure Numerator: State level: Yes or No to the question, does your state have an explicit requirement that blood lead test results be reported to the state health department; National level: Number of States / districts / territories with an explicit requirement that blood lead test results be reported to the state health department Denominator: State level: no denominator; National level: Number of states, districts and territories Data Source: Council of State and Territorial Epidemiologists (CSTE) State Reportable Conditions Assessment (SRCA) Similar Measures in Other Indicator Sets: None National Comparison: 69.09%; 2010;
(for notes on calculation, please view the narrative)
2012 LC-47: Data Capacity to Support Integrated Childhood Research Brief Description: Ability of state MCH programs to support integrated, population-based childhood research (i.e., research using linked program data). For state level, proportion of priority datasets to which the MCH program always has timely access (including for linkage) for program or policy planning purposes. For national level, proportion of states that have timely access to at least 5 priority datasets. Numerator: State level: Number of priority datasets (e.g. programs) the Title V agency always has timely access to for policy and program planning purposes (including for linkage). (score of 3= Yes, the MCH agency always has this ability). Priority programs are death certificates, Medicaid, WIC, newborn screening, hospital discharge, birth defects surveillance, PRAMS and YRBSS. National level: Number of states that always have timely access (score of 3) to at least 5 priority datasets. Denominator: State level: total number of priority datasets (N=8). National level: The number of states and the District of Columbia (jurisdictions) Data Source: Title V Information System (TVIS) - Health Systems Capacity Indicator 9A Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #09A and #09B National Comparison: 72.5% (37 of 51 states and DC have timely access to at least 5 priority data sets); 2012;
(for notes on calculation, please view the narrative)
2013 LC-48: States with P-20 Longitudinal Data Sets Brief Description: States with P-20W longitudinal data systems. A P-20W is a data system where policies and standards are aligned to link student data for specified purposes across the education continuum, from early childhood through K12, postsecondary and the workforce. Numerator: Number of states, territories, and jurisdictions that completed 8 or more essential actions of fully functional P-20/workforce longitudinal data system (P for preschool). Denominator: Total number of states, territories, and jurisdictions Data Source: The Data Quality Campaign (DQC) Similar Measures in Other Indicator Sets: None National Comparison: 33.33% (17 out of 51); 2013;
(for notes on calculation, please view the narrative)
2009-2011 LC-49: Diabetes During Pregnancy Brief Description: Percent of adult women with diagnosed diabetes during pregnancy, only Numerator: Total women with diabetes only during pregnancy Denominator: Total population of mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 9.23% ; 2009-2011;
(for notes on calculation, please view the narrative)
2011 LC-50: Early Sexual Intercourse Brief Description: Initiation of sexual intercourse before age 13 years. Numerator: Number of 9th - 12th grade students who report initiating sexual intercourse before age 13 years Denominator: Number of 9th - 12th grade students Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-9 National Comparison: 6.24%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: HIV rate (diagnosed cases) per 100,000 total population Numerator: Total diagnosed HIV cases in the population Denominator: Total population Data Source: CDC National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) Atlas Similar Measures in Other Indicator Sets: HP 2020 Focus areas HIV-1, HIV-2, and HIV-3; CDC Winnable Battle (Reduce the number of new HIV infections by 25%) National Comparison: 19.0 per 100,000; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-52: Postpartum Contraception Brief Description: Proportion of women using birth control postpartum Numerator: Respondents (women having a live birth) who reported that they or their husbands or partners were currently doing something to keep from getting pregnant Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator D7; MIECHV Benchmark Area Improved Maternal and Newborn Health: Inter-birth Intervals National Comparison: 84.19%; 2009-2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of teen births that are repeat teen births Numerator: Number of repeat live births to females 15-19 years (or other teenage group) Denominator: Number of live births to females 15-19 years (or other teenage group) Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%) National Comparison: 17.77%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Number of live births born to women aged 10-19 years per 1,000 women aged 10-19 years Numerator: Number of live births born to women aged 10-19 years Denominator: Number of women aged 10-19 years Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%); Title V Performance Measure #08 National Comparison: 16.73 per 1000 US women aged 10-19; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of live births born < 37 weeks gestation Numerator: Number of live births born prior to 37 weeks gestation Denominator: Total number of live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-9 National Comparison: 11.71%; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-56: Stressors During Pregnancy Brief Description: Proportion of women reporting two or more stressors during pregnancy. Numerator: Respondents (women having a live birth) who reported two or more stressors during most recent pregnancy Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 45.88%; 2009-2011;
(for notes on calculation, please view the narrative)
2011 LC-57: 4th Grade Proficiency Brief Description: Percent of 4th graders scoring proficient or above on math and reading Numerator: Number of 4th graders scoring proficient or above on math and reading Denominator: Total enrolled 4th graders in public schools Data Source: National Assessment of Educational Progress (NAEP) Similar Measures in Other Indicator Sets: HP 2020 Focus area AH-5.3.1; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s general cognitive skills National Comparison: Math: 40% Reading: 34%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-58A: Incarceration Rate Brief Description: Prevalence of juveniles ages 13-17 male or female, detained in residential placement Numerator: Number of juveniles ages 13-17 male or female, detained in residential placement Denominator: Total population of 13-17 year olds Data Source: National Center for Juvenile Justice, Office of Juvenile Justice and Delinquency Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: 82 per 100,000 juveniles ages 13-17 ; 2011;
(for notes on calculation, please view the narrative)
2011 LC-58B: Incarceration Rate Brief Description: Prevalence of adults incarcerated Numerator: Number of adults age 18 or over imprisoned Denominator: Total population of adults age 18 or over Data Source: Bureau of Justice Statistics, National Prisoner Statistics Program Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: Overall: 492 per 100,000 residents; 2011;
(for notes on calculation, please view the narrative)
2012 LC-59: Voter Registration Brief Description: Voter registration Numerator: Number of adults registered to vote Denominator: Total eligible population Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: None National Comparison: 71.20% ; 2012;
(for notes on calculation, please view the narrative)
Data Source
LC-06: Concentrated Disadvantage Brief Description: Proportion of households with high level of concentrated disadvantage, calculated using 5 Census variables Numerator: Number of households at high level of concentrated disadvantage Denominator: Total number of households Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of population living under the Federal Poverty Level Numerator: Number of families below the Federal Poverty Line or FPL (determined by US Thresholds) Denominator: Total number of families Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: HP 2020 Focus area SDOH-3; MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits); Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 18.60%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-16: Racial Residential Segregation, by Community Brief Description: Differential distribution of individuals by race or other social or income factors (Dissimilarity Index). Numerator: Number of counties with dissimilarity index (DI) > .6 (very segregated) It is standard to view cities or other geographic areas with a DI under .3 as well integrated, those with a DI value between .3 and .6 as moderately segregated, and those with values above .6 as very segregated (10). See Notes for Calculation for formula Denominator: Total number of counties Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: Range of Dissimilarity (lowest and highest across 50 states): 0.070 to 0.49; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Prevalence of unemployment Numerator: Number of persons age 16 and older in the labor force who are unemployed (and actively seeking work) Denominator: Number of persons age 16 and older Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 10.30%; 2011;
(for notes on calculation, please view the narrative)
2010 LC-04: Breastfeeding Support - Baby Friendly Hospitals Brief Description: Proportion of births occurring in baby friendly hospitals Numerator: Number of births at Baby-Friendly designated hospitals for a given year Denominator: Number of births in State for a given year Data Source: Annual CDC Breastfeeding Report Card Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-24; MIECHV Benchmark Area Improved Maternal and Newborn Health:Breastfeeding; Chronic Disease Indicator National Comparison: 7.15%; 2010;
(for notes on calculation, please view the narrative)
2011 LC-01: Adverse Childhood Experiences Among Adults Brief Description: Prevalence of adverse childhood experiences Numerator: Number of adults ages 18 and older responding to the Behavioral Risk Factor Surveillance System (BRFSS) survey who report that they experienced 3 or more adverse childhood experiences (ACE) Denominator: Number of adults 18 and older Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: Overall (among states who ask the questions): 23.92%
Minnesota: 20.82%
Montana: 25.53%
Vermont: 24.47%
Washington: 28.27%
Wisconsin: 21.30%
Range: 20.82%-28.27%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-15: Perceived Experiences of Racial Discrimination in Healthcare among Adults Brief Description: Percent of adults reporting racial discrimination in healthcare Numerator: Adults 18 and over reporting perceived racial discrimination in health care Denominator: Total adults 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: 3.92%; 2012;
(for notes on calculation, please view the narrative)
2012 Brief Description: Percent of adults with diagnosed diabetes Numerator: Total diabetes cases among adults ≥ 18 years Denominator: Total adult population Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I1; HP 2020 Focus area D-1; Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 10.17%; 2012;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults with diagnosed hypertension Numerator: Total number of adults aged 18 and over who indicated a health professional told them they had high blood pressure Denominator: Total adult population 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I3; HP 2020 Focus area HDS-5; Chronic Diease Indicator National Comparison: 31.48%; 2011;
(for notes on calculation, please view the narrative)
2007 LC-31: Intimate Partner Violence, Injury, Physical or Sexual Abuse Brief Description: Number of intimate partner victimizations per 1,000 persons age 18 and older Numerator: Number of persons aged 18 years or older who reported intimate partner violence Denominator: Number of persons aged 18 and older per 1,000 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator H1; HP 2020 Focus area IVP-39 National Comparison: 9.56%; 2007;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults who are currently overweight or obese Numerator: Number of adults currently overweight or obese based on BMI overweight OR obese (with a BMI of 25 or above) Denominator: Total adults with height and weight data in the above respective population or group Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator F-2; HP 2020 Focus area NWS-9 (Leading Health Indicator); Title V Performance Measure #14; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 63.50%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-34: Cervical Cancer Screening Brief Description: The proportion of women who receive the appropriate evidence-based clinical preventive services (Pap Smear) for cervical cancer screening Numerator: Women ages 21-65 who received a pap smear within the last three years Denominator: Total women ages 21-65 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area C-15; NQF measure 0032; Chronic Disease Indicator National Comparison: 83.84%; 2012;
(for notes on calculation, please view the narrative)
2012 LC-43: Mental Health Among Adults Brief Description: Percent of adults with poor mental health Numerator: Weighted number of adults ages 18 and over responding to the BRFSS survey reporting that their mental health, which includes stress, depression, and problems with emotions, was “not good for ≥14 days out of the past 30 days Denominator: Weighted number of adults ages 18 and over responding to the BRFSS survey Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.2 National Comparison: 11.22%; 2012;
(for notes on calculation, please view the narrative)
2011 LC-58B: Incarceration Rate Brief Description: Prevalence of adults incarcerated Numerator: Number of adults age 18 or over imprisoned Denominator: Total population of adults age 18 or over Data Source: Bureau of Justice Statistics, National Prisoner Statistics Program Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: Overall: 492 per 100,000 residents; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: HIV rate (diagnosed cases) per 100,000 total population Numerator: Total diagnosed HIV cases in the population Denominator: Total population Data Source: CDC National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) Atlas Similar Measures in Other Indicator Sets: HP 2020 Focus areas HIV-1, HIV-2, and HIV-3; CDC Winnable Battle (Reduce the number of new HIV infections by 25%) National Comparison: 19.0 per 100,000; 2011;
(for notes on calculation, please view the narrative)
2011 LC-19: Early Childhood Health Screening - EPSDT Brief Description: Percent of Medicaid-enrolled children who received at least one initial or periodic screen in past calendar year Numerator: Number of Medicaid enrollees ages 0-21 (enrolled for 90+ continuous days) receiving at least one initial or periodic screen Denominator: Total Medicaid-enrolled children ages 0-21 enrolled for 90+ continuous days Data Source: CMS - Annual Medicaid EPSDT Participation Report Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #02 is similar; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 62%; Note:This estimate uses publicly available reports and includes EPSDT data for ages children 0-20 instead of 0-21.; 2011;
(for notes on calculation, please view the narrative)
2010 LC-46: Capacity to Assess Lead Exposure Brief Description: Capacity of states to assess lead exposure Numerator: State level: Yes or No to the question, does your state have an explicit requirement that blood lead test results be reported to the state health department; National level: Number of States / districts / territories with an explicit requirement that blood lead test results be reported to the state health department Denominator: State level: no denominator; National level: Number of states, districts and territories Data Source: Council of State and Territorial Epidemiologists (CSTE) State Reportable Conditions Assessment (SRCA) Similar Measures in Other Indicator Sets: None National Comparison: 69.09%; 2010;
(for notes on calculation, please view the narrative)
2012 LC-40: Medical Insurance for Adults Brief Description: The proportion of adults with medical insurance. Numerator: Number of adults 19 years and older with medical insurance Denominator: All adults 19 years and older Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-1.1 (Leading Health Indicator); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children; Chronic Disease Indicator; United Health Rankings core measure National Comparison: 82.5%; 2012;
(for notes on calculation, please view the narrative)
2012 LC-59: Voter Registration Brief Description: Voter registration Numerator: Number of adults registered to vote Denominator: Total eligible population Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: None National Comparison: 71.20% ; 2012;
(for notes on calculation, please view the narrative)
LC-17: Early Intervention Brief Description: Proportion of children aged 0-3 years who received EI services of all children aged 0-3 years Numerator: Children aged 0-3 years receiving EI services in a given state Denominator: All children aged 0-3 years Data Source: IDEA 618 Child Count Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-29 National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
LC-38: Asthma Emergency Department Utilization Brief Description: Proportion of persons on Medicaid with asthma having an asthma emergency department (ED) visit Numerator: Number of Medicaid beneficiaries with asthma having 1 or more ED visit for asthma during the measurement year. Denominator: Number of Medicaid beneficiaries with asthma during the measurement year. Data Source: Medicaid Analytical eXtract (MAX) files Similar Measures in Other Indicator Sets: HP 2020 Focus area RD-3; NQF measure 1381; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development; Chronic Disease Indicator National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011 LC-57: 4th Grade Proficiency Brief Description: Percent of 4th graders scoring proficient or above on math and reading Numerator: Number of 4th graders scoring proficient or above on math and reading Denominator: Total enrolled 4th graders in public schools Data Source: National Assessment of Educational Progress (NAEP) Similar Measures in Other Indicator Sets: HP 2020 Focus area AH-5.3.1; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s general cognitive skills National Comparison: Math: 40% Reading: 34%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-20: High School Graduation Rate Brief Description: High school graduation rate (4 year cohort) as measured by the Adjusted Cohort Graduation Rate. Numerator: Number of students who graduate in four years with a regular high school diploma Denominator: Number of students who form the adjusted cohort for the graduating class Data Source: National Center for Education Statistics Similar Measures in Other Indicator Sets: HP 2020 Focus Area AH-5.1; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 75.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-58A: Incarceration Rate Brief Description: Prevalence of juveniles ages 13-17 male or female, detained in residential placement Numerator: Number of juveniles ages 13-17 male or female, detained in residential placement Denominator: Total population of 13-17 year olds Data Source: National Center for Juvenile Justice, Office of Juvenile Justice and Delinquency Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: 82 per 100,000 juveniles ages 13-17 ; 2011;
(for notes on calculation, please view the narrative)
LC-03: Substantiated Child Maltreatment Brief Description: Substantiated child maltreatment including experience of physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment Numerator: Number of children with reports of maltreatment types that include physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment and the report is considered substantiated. Denominator: Number of children under 17 years of age in the state. Data Source: National Child Abuse and Neglect Data System (NCANDS) Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-38; MIECHV Benchmark Area Prevention of Child Injuries, Child Abuse, Neglect, or Maltreatment, and Reduction of Emergency Department Visits: Reported substantiated maltreatment (substantiated/indicated/alternative response victim) for children in the program National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
LC-36B: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of young adults ages 18-26 who receive the evidence-based clinical preventive service HPV vaccine Numerator: 18-26 year olds (male and females) who received complete series HPV vaccine Denominator: Total 18-26 year old adults Data Source: National Health Interview Survey (NHIS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2009 LC-27: Exclusive Breastfeeding at 3 Months Brief Description: Percent of children exclusively breastfed through 3 months Numerator: Estimate of the number of children exclusively breastfed through 3 months of age. Denominator: Number of individuals surveyed Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-21.4; CDC Winnable Battle (Increase the proportion of infants who are breastfed by 15%); Title V Performance Measure #11 (similar); MIECHV Benchmark Area Improved Maternal and Newborn Health: Breastfeeding; Chronic Disease Indicator National Comparison: 36.0%±1.3%; 2009;
(for notes on calculation, please view the narrative)
2012 LC-35: Children Receiving Age Appropriate Immunizations Brief Description: Percent of children ages 19-35 receiving age-appropriate immunizations according to the Advisory Committee for Immunization Practices (ACIP) guidelines and HP 2020 Goal. Numerator: Number of children surveyed who received ≥4 doses of DTaP/DT/DTP (Diphtheria/Tetanus/Acellular pertussis), ≥3 doses of poliovirus vaccine, ≥1 doses of measles-containing vaccine, full series of Hib (Haemophilus influenza - 3 or 4 doses, depending on product type), ≥3 doses of HepB (Hepatitis B), ≥1 dose of varicella vaccine, and >= 4 PCV (Pneumococcal) doses. 4:3:1:3:3:1:4 series Denominator: Number of children age 19-35 months Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus areas IID-1, IID-7, IID-8 (Leading Health Indicator), IID-9; Title V Performance Measure #07; NQF measure 0038; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits; United Health Rankings Core Measure National Comparison: 68.4% +/- 1.4 ; 2012;
(for notes on calculation, please view the narrative)
2013 LC-36A: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of adolescents ages 13-17 who receive the evidence-based clinical preventive service HPV vaccine Numerator: Adolescents aged 13-17 who received a complete series of HPV vaccine Denominator: Total population of adolescents aged 13-17 Data Source: National Immunization Survey-Teen (NIS-Teen) Similar Measures in Other Indicator Sets: HP 2020 Focus area IID-11.4; NQF measure 1959 National Comparison: 48.3% (±4.0); 2013;
(for notes on calculation, please view the narrative)
2011-2012 LC-02: Prevalence of Adverse Childhood Experiences Among Children Brief Description: Prevalence of adverse childhood experiences among children Numerator: Number of children whose parents responded to the NSCH that their children were exposed to adverse childhood experiences (9 questions related to ACEs) Denominator: Total number of children Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Screening for domestic violence National Comparison: 0 Adverse Childhood Experiences= 52.07%
1 Adverse Childhood Experience= 25.32%
2 or More Adverse Childhood Experiences= 22.61%; 2011-2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-14: Perceived Experiences of Discrimination Among Children Brief Description: Percent of children who experienced discrimination in the past year (parent report) Numerator: Number of children age 0-17 years who (somewhat or very) often experience racial discrimination in the past year, as reported by their parent Denominator: Total number of children 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: None National Comparison: 1.21%; 2011-2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-25: Children with Special Health Care Needs Brief Description: Percent of children (0-17 years) with a special health care need Numerator: Children, ages 0-17 years with a special health care need Denominator: Children, ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus areas MICH-30 and MICH-31 are specific to CSHCN; Title V Programs report the number of CSHCN served but not prevalence National Comparison: 19.80%; 2011-2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-28: Exposure to Second Hand Smoke in the Home Brief Description: Percent of children living in a household where smoking occurs inside home Numerator: Number of children who live in a household with someone who smokes and smoking occurs inside home Denominator: Children age 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area TU-11; NQF measure 1346; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development National Comparison: 4.90%; 2011-2012;
(for notes on calculation, please view the narrative)
2011-2012 Brief Description: Percent of children who are currently overweight or obese Numerator: Number of children 10-17 who are currently overweight or obese, based on BMI for age (BMI-for-age):overweight OR obese (85th percentile or above) Denominator: Total children with height and weight data Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-10; CDC Winnable Battle (Reduce the proportion of children and adolescents age 2-19 who are obese by 5%); Title V Performance Measure #14; Chronic Disease Indicator; National Comparison: 31.30%; 2011-2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-37: Medical Home for Children Brief Description: Proportion of families who report their child received services in a medical home Numerator: Children ages 0-17 whose health care meets Medical Home criteria Denominator: Children ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-30; Title V Performance Measure #03 (For CSHCN); MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 54.41%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 LC-39: Inability or Delay in Obtaining Necessary Medical Care or Dental Care Brief Description: Percent of parents reporting their child was not able to obtain necessary medical care or dental care. Numerator: Number of survey respondents that report their child (ages 0-17) was not able to obtain or had a delay in obtaining necessary medical care or dental care. Denominator: Total child population ages 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-6; Title V Performance Measure #04 (limited to CSHCN); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children National Comparison: 6.70%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-41: Oral Health Preventive Visit for Children Brief Description: Percent of children who received a preventive dental visit in the past 12 months Numerator: Number of children ages 1-17 who received at least one preventative dental visit in the past 12 months Denominator: Total child population ages 1-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 focus area OH-7 (Leading Health Indicator); NQF measure 1334, Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 77.50%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-24: Adolescent Use of Alcohol Brief Description: Percent of adolescents using alcohol during the past 30 days Numerator: Number of adolescents aged 12 to 17 years who reported use of alcohol during the past 30 days Denominator: Total NSDUH survey respondents Ages 12-17 Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: Preconception Health Indicator E5; HP 2020 focus area SA-2.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 12.9%; 2012;
(for notes on calculation, please view the narrative)
2012 Brief Description: Prevalence of illicit drug use in the past month among population 12 years and older. Numerator: Reported illicit drug use in the past month for those 12 and older Denominator: Total population aged 12 and older Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: HP 2020 Focus are SA-13, SA-2.4, SA-13.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs National Comparison: 9.20%; 2012;
(for notes on calculation, please view the narrative)
2010 Brief Description: Homicide rate Numerator: Total homicide-related deaths Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-29 National Comparison: 5.28 Per 100,000 US Persons; 2010;
(for notes on calculation, please view the narrative)
LC-11: Small for Gestational Age Brief Description: Proportion of singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Numerator: Singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Denominator: Total number of singleton live births
Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: None National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 LC-21: Mother's Education Level at Birth Brief Description: Percent of births by maternal education levels Numerator: Number of women delivering a live birth with <HS, HS, & some college Denominator: All live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 8th Grade or Less = 4.48%
Less than High School = 13.47%
High School = 45.45%
Greater than HS = 35.41%; 2011;
(for notes on calculation, please view the narrative)
2010 Brief Description: Suicides per 100,000 population Numerator: Number of suicides Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-1 (Leading Health Indicator); Title V Performance Measure #16 (subset of this indicator) National Comparison: 12.45 per 100,000 US persons; 2010;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of teen births that are repeat teen births Numerator: Number of repeat live births to females 15-19 years (or other teenage group) Denominator: Number of live births to females 15-19 years (or other teenage group) Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%) National Comparison: 17.77%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Number of live births born to women aged 10-19 years per 1,000 women aged 10-19 years Numerator: Number of live births born to women aged 10-19 years Denominator: Number of women aged 10-19 years Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%); Title V Performance Measure #08 National Comparison: 16.73 per 1000 US women aged 10-19; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of live births born < 37 weeks gestation Numerator: Number of live births born prior to 37 weeks gestation Denominator: Total number of live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-9 National Comparison: 11.71%; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-13: Experiences of Race-Based Discrimination or Racism among Women Brief Description: Percent of women who experienced discrimination right before or during pregnancy. Numerator: Number of women who answer Yes to the question “During the 12 months before your new baby was born, did you feel emotionally upset (for example, angry, sad or frustrated) as a result of how you were treated based on your race?” Denominator: Total number of women who recently had a live birth Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 8.80%; 2009-2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-44: Postpartum Depression Brief Description: Percent of women who have recently given birth who reported experiencing postpartum depression following a live birth Numerator: Number of women who experienced self-reported postpartum depression following a live birth Denominator: Total live births to recent mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator G3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Screening for maternal depressive symptoms National Comparison: 23%; 2009-2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-49: Diabetes During Pregnancy Brief Description: Percent of adult women with diagnosed diabetes during pregnancy, only Numerator: Total women with diabetes only during pregnancy Denominator: Total population of mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 9.23% ; 2009-2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-52: Postpartum Contraception Brief Description: Proportion of women using birth control postpartum Numerator: Respondents (women having a live birth) who reported that they or their husbands or partners were currently doing something to keep from getting pregnant Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator D7; MIECHV Benchmark Area Improved Maternal and Newborn Health: Inter-birth Intervals National Comparison: 84.19%; 2009-2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-56: Stressors During Pregnancy Brief Description: Proportion of women reporting two or more stressors during pregnancy. Numerator: Respondents (women having a live birth) who reported two or more stressors during most recent pregnancy Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 45.88%; 2009-2011;
(for notes on calculation, please view the narrative)
2013 LC-48: States with P-20 Longitudinal Data Sets Brief Description: States with P-20W longitudinal data systems. A P-20W is a data system where policies and standards are aligned to link student data for specified purposes across the education continuum, from early childhood through K12, postsecondary and the workforce. Numerator: Number of states, territories, and jurisdictions that completed 8 or more essential actions of fully functional P-20/workforce longitudinal data system (P for preschool). Denominator: Total number of states, territories, and jurisdictions Data Source: The Data Quality Campaign (DQC) Similar Measures in Other Indicator Sets: None National Comparison: 33.33% (17 out of 51); 2013;
(for notes on calculation, please view the narrative)
2012 LC-47: Data Capacity to Support Integrated Childhood Research Brief Description: Ability of state MCH programs to support integrated, population-based childhood research (i.e., research using linked program data). For state level, proportion of priority datasets to which the MCH program always has timely access (including for linkage) for program or policy planning purposes. For national level, proportion of states that have timely access to at least 5 priority datasets. Numerator: State level: Number of priority datasets (e.g. programs) the Title V agency always has timely access to for policy and program planning purposes (including for linkage). (score of 3= Yes, the MCH agency always has this ability). Priority programs are death certificates, Medicaid, WIC, newborn screening, hospital discharge, birth defects surveillance, PRAMS and YRBSS. National level: Number of states that always have timely access (score of 3) to at least 5 priority datasets. Denominator: State level: total number of priority datasets (N=8). National level: The number of states and the District of Columbia (jurisdictions) Data Source: Title V Information System (TVIS) - Health Systems Capacity Indicator 9A Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #09A and #09B National Comparison: 72.5% (37 of 51 states and DC have timely access to at least 5 priority data sets); 2012;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among individuals. Numerator: Number of individuals experiencing homelessness in a given county Denominator: Total county population Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.19%; 2013;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among families. Numerator: Number of families experiencing homelessness in a given county Denominator: Total number of families at county level Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.09%; 2013;
(for notes on calculation, please view the narrative)
2011 LC-09: Household Food Insecurity Brief Description: Household Food Insecurity Numerator: Number of households experiencing food insecurity (household reports being unable to afford balanced meals, having to cut the size of meals because of too little money for food, or being hungry because of too little money for food.) Denominator: Number of households Data Source: United States Department of Agriculture (USDA) Economic Research Survey (ERS) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-13 National Comparison: 14.90%; 2011;
(for notes on calculation, please view the narrative)
2010 Brief Description: Proportion of population served by community water systems that received optimally fluoridated water. Numerator: Population on community water systems that received optimally fluoridated drinking water in a calendar year. Denominator: Population on community water systems in a calendar year Data Source: Water Fluoridation Reporting System Similar Measures in Other Indicator Sets: HP 2020 focus area OH-13; Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 73.9%; 2010;
(for notes on calculation, please view the narrative)
LC-18: WIC Nutrition Services Brief Description: Proportion of children aged 2-5 years receiving WIC services compared to proportion of children <185% FPL Numerator: Children aged 2-5 years participating in the WIC program Denominator: Total children aged 2-5 years whose income is below 185% FPL. Data Source: WIC program data Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits) National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of 9-12th graders who reported being bullied on school property or electronically bullied Numerator: Number of 9th through 12th grade students (12-17 years) who reported having been bullied on school property or electronically during the past 12 months. Denominator: 9th through 12th grade student population (12-17 years) Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Healthy People 2020 focus area IVP-35. National Comparison: 25.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-23: Adolescent Smoking Brief Description: Percent of adolescents who smoked cigarettes in the past 30 days Numerator: Total 9th-12th graders who smoked cigarettes ≥ 1 day during the past 30 days Denominator: Total population of 9th – 12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator E1; HP 2020 Focus area TU-2 (TU-2.2 is a Leading Health Indicator); CDC Winnable Battle (Decrease the percentage of youth who smoke cigarettes by 11%); MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 18.07%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-33: Physical Activity Among High School Students Brief Description: Proportion of high school students who are physically active for at least 60 minutes per day on five or more of the past seven days. Numerator: Number of high school students who report being active for at least 60 minutes per day on five or more of the past seven days. Denominator: All high school students. Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area PA-3; NQF measure 1348; Chronic Disease Indicator National Comparison: 49.45%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-42: Depression Among Youth Brief Description: Percent 9th -12th graders who felt sad or hopeless almost every day for more than 2 weeks during the previous 12 months Numerator: Number of 9th -12th graders who felt sad or hopeless almost every day for more than two weeks during the previous 12 months Denominator: Number of 9th -12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.1 (Leading Health Indicator) National Comparison: 28.46%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-50: Early Sexual Intercourse Brief Description: Initiation of sexual intercourse before age 13 years. Numerator: Number of 9th - 12th grade students who report initiating sexual intercourse before age 13 years Denominator: Number of 9th - 12th grade students Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-9 National Comparison: 6.24%; 2011;
(for notes on calculation, please view the narrative)
Domain
2011 LC-01: Adverse Childhood Experiences Among Adults Brief Description: Prevalence of adverse childhood experiences Numerator: Number of adults ages 18 and older responding to the Behavioral Risk Factor Surveillance System (BRFSS) survey who report that they experienced 3 or more adverse childhood experiences (ACE) Denominator: Number of adults 18 and older Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: Overall (among states who ask the questions): 23.92%
Minnesota: 20.82%
Montana: 25.53%
Vermont: 24.47%
Washington: 28.27%
Wisconsin: 21.30%
Range: 20.82%-28.27%; 2011;
(for notes on calculation, please view the narrative)
2011-2012 LC-02: Prevalence of Adverse Childhood Experiences Among Children Brief Description: Prevalence of adverse childhood experiences among children Numerator: Number of children whose parents responded to the NSCH that their children were exposed to adverse childhood experiences (9 questions related to ACEs) Denominator: Total number of children Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Screening for domestic violence National Comparison: 0 Adverse Childhood Experiences= 52.07%
1 Adverse Childhood Experience= 25.32%
2 or More Adverse Childhood Experiences= 22.61%; 2011-2012;
(for notes on calculation, please view the narrative)
LC-03: Substantiated Child Maltreatment Brief Description: Substantiated child maltreatment including experience of physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment Numerator: Number of children with reports of maltreatment types that include physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment and the report is considered substantiated. Denominator: Number of children under 17 years of age in the state. Data Source: National Child Abuse and Neglect Data System (NCANDS) Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-38; MIECHV Benchmark Area Prevention of Child Injuries, Child Abuse, Neglect, or Maltreatment, and Reduction of Emergency Department Visits: Reported substantiated maltreatment (substantiated/indicated/alternative response victim) for children in the program National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
LC-06: Concentrated Disadvantage Brief Description: Proportion of households with high level of concentrated disadvantage, calculated using 5 Census variables Numerator: Number of households at high level of concentrated disadvantage Denominator: Total number of households Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among individuals. Numerator: Number of individuals experiencing homelessness in a given county Denominator: Total county population Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.19%; 2013;
(for notes on calculation, please view the narrative)
2013 Brief Description: Prevalence of homelessness among families. Numerator: Number of families experiencing homelessness in a given county Denominator: Total number of families at county level Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress Similar Measures in Other Indicator Sets: None National Comparison: 0.09%; 2013;
(for notes on calculation, please view the narrative)
2010 Brief Description: Homicide rate Numerator: Total homicide-related deaths Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-29 National Comparison: 5.28 Per 100,000 US Persons; 2010;
(for notes on calculation, please view the narrative)
2011 LC-09: Household Food Insecurity Brief Description: Household Food Insecurity Numerator: Number of households experiencing food insecurity (household reports being unable to afford balanced meals, having to cut the size of meals because of too little money for food, or being hungry because of too little money for food.) Denominator: Number of households Data Source: United States Department of Agriculture (USDA) Economic Research Survey (ERS) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-13 National Comparison: 14.90%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of population living under the Federal Poverty Level Numerator: Number of families below the Federal Poverty Line or FPL (determined by US Thresholds) Denominator: Total number of families Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: HP 2020 Focus area SDOH-3; MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits); Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 18.60%; 2011;
(for notes on calculation, please view the narrative)
LC-11: Small for Gestational Age Brief Description: Proportion of singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Numerator: Singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Denominator: Total number of singleton live births
Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: None National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of 9-12th graders who reported being bullied on school property or electronically bullied Numerator: Number of 9th through 12th grade students (12-17 years) who reported having been bullied on school property or electronically during the past 12 months. Denominator: 9th through 12th grade student population (12-17 years) Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Healthy People 2020 focus area IVP-35. National Comparison: 25.50%; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-13: Experiences of Race-Based Discrimination or Racism among Women Brief Description: Percent of women who experienced discrimination right before or during pregnancy. Numerator: Number of women who answer Yes to the question “During the 12 months before your new baby was born, did you feel emotionally upset (for example, angry, sad or frustrated) as a result of how you were treated based on your race?” Denominator: Total number of women who recently had a live birth Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 8.80%; 2009-2011;
(for notes on calculation, please view the narrative)
2011-2012 LC-14: Perceived Experiences of Discrimination Among Children Brief Description: Percent of children who experienced discrimination in the past year (parent report) Numerator: Number of children age 0-17 years who (somewhat or very) often experience racial discrimination in the past year, as reported by their parent Denominator: Total number of children 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: None National Comparison: 1.21%; 2011-2012;
(for notes on calculation, please view the narrative)
2012 LC-15: Perceived Experiences of Racial Discrimination in Healthcare among Adults Brief Description: Percent of adults reporting racial discrimination in healthcare Numerator: Adults 18 and over reporting perceived racial discrimination in health care Denominator: Total adults 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: None National Comparison: 3.92%; 2012;
(for notes on calculation, please view the narrative)
2011 LC-16: Racial Residential Segregation, by Community Brief Description: Differential distribution of individuals by race or other social or income factors (Dissimilarity Index). Numerator: Number of counties with dissimilarity index (DI) > .6 (very segregated) It is standard to view cities or other geographic areas with a DI under .3 as well integrated, those with a DI value between .3 and .6 as moderately segregated, and those with values above .6 as very segregated (10). See Notes for Calculation for formula Denominator: Total number of counties Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: None National Comparison: Range of Dissimilarity (lowest and highest across 50 states): 0.070 to 0.49; 2011;
(for notes on calculation, please view the narrative)
2011 LC-20: High School Graduation Rate Brief Description: High school graduation rate (4 year cohort) as measured by the Adjusted Cohort Graduation Rate. Numerator: Number of students who graduate in four years with a regular high school diploma Denominator: Number of students who form the adjusted cohort for the graduating class Data Source: National Center for Education Statistics Similar Measures in Other Indicator Sets: HP 2020 Focus Area AH-5.1; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 75.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-21: Mother's Education Level at Birth Brief Description: Percent of births by maternal education levels Numerator: Number of women delivering a live birth with <HS, HS, & some college Denominator: All live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 8th Grade or Less = 4.48%
Less than High School = 13.47%
High School = 45.45%
Greater than HS = 35.41%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Prevalence of unemployment Numerator: Number of persons age 16 and older in the labor force who are unemployed (and actively seeking work) Denominator: Number of persons age 16 and older Data Source: American Community Survey (ACS) Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency:Employment or education of participating adults National Comparison: 10.30%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-23: Adolescent Smoking Brief Description: Percent of adolescents who smoked cigarettes in the past 30 days Numerator: Total 9th-12th graders who smoked cigarettes ≥ 1 day during the past 30 days Denominator: Total population of 9th – 12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator E1; HP 2020 Focus area TU-2 (TU-2.2 is a Leading Health Indicator); CDC Winnable Battle (Decrease the percentage of youth who smoke cigarettes by 11%); MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 18.07%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-24: Adolescent Use of Alcohol Brief Description: Percent of adolescents using alcohol during the past 30 days Numerator: Number of adolescents aged 12 to 17 years who reported use of alcohol during the past 30 days Denominator: Total NSDUH survey respondents Ages 12-17 Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: Preconception Health Indicator E5; HP 2020 focus area SA-2.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator National Comparison: 12.9%; 2012;
(for notes on calculation, please view the narrative)
2011-2012 LC-25: Children with Special Health Care Needs Brief Description: Percent of children (0-17 years) with a special health care need Numerator: Children, ages 0-17 years with a special health care need Denominator: Children, ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus areas MICH-30 and MICH-31 are specific to CSHCN; Title V Programs report the number of CSHCN served but not prevalence National Comparison: 19.80%; 2011-2012;
(for notes on calculation, please view the narrative)
2012 Brief Description: Percent of adults with diagnosed diabetes Numerator: Total diabetes cases among adults ≥ 18 years Denominator: Total adult population Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I1; HP 2020 Focus area D-1; Chronic Disease Indicator; United Health Rankings Core Measure National Comparison: 10.17%; 2012;
(for notes on calculation, please view the narrative)
2009 LC-27: Exclusive Breastfeeding at 3 Months Brief Description: Percent of children exclusively breastfed through 3 months Numerator: Estimate of the number of children exclusively breastfed through 3 months of age. Denominator: Number of individuals surveyed Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-21.4; CDC Winnable Battle (Increase the proportion of infants who are breastfed by 15%); Title V Performance Measure #11 (similar); MIECHV Benchmark Area Improved Maternal and Newborn Health: Breastfeeding; Chronic Disease Indicator National Comparison: 36.0%±1.3%; 2009;
(for notes on calculation, please view the narrative)
2011-2012 LC-28: Exposure to Second Hand Smoke in the Home Brief Description: Percent of children living in a household where smoking occurs inside home Numerator: Number of children who live in a household with someone who smokes and smoking occurs inside home Denominator: Children age 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area TU-11; NQF measure 1346; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development National Comparison: 4.90%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults with diagnosed hypertension Numerator: Total number of adults aged 18 and over who indicated a health professional told them they had high blood pressure Denominator: Total adult population 18 and over Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator I3; HP 2020 Focus area HDS-5; Chronic Diease Indicator National Comparison: 31.48%; 2011;
(for notes on calculation, please view the narrative)
2012 Brief Description: Prevalence of illicit drug use in the past month among population 12 years and older. Numerator: Reported illicit drug use in the past month for those 12 and older Denominator: Total population aged 12 and older Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Similar Measures in Other Indicator Sets: HP 2020 Focus are SA-13, SA-2.4, SA-13.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs National Comparison: 9.20%; 2012;
(for notes on calculation, please view the narrative)
2007 LC-31: Intimate Partner Violence, Injury, Physical or Sexual Abuse Brief Description: Number of intimate partner victimizations per 1,000 persons age 18 and older Numerator: Number of persons aged 18 years or older who reported intimate partner violence Denominator: Number of persons aged 18 and older per 1,000 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator H1; HP 2020 Focus area IVP-39 National Comparison: 9.56%; 2007;
(for notes on calculation, please view the narrative)
2011-2012 Brief Description: Percent of children who are currently overweight or obese Numerator: Number of children 10-17 who are currently overweight or obese, based on BMI for age (BMI-for-age):overweight OR obese (85th percentile or above) Denominator: Total children with height and weight data Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-10; CDC Winnable Battle (Reduce the proportion of children and adolescents age 2-19 who are obese by 5%); Title V Performance Measure #14; Chronic Disease Indicator; National Comparison: 31.30%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of adults who are currently overweight or obese Numerator: Number of adults currently overweight or obese based on BMI overweight OR obese (with a BMI of 25 or above) Denominator: Total adults with height and weight data in the above respective population or group Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: Preconception Health Indicator F-2; HP 2020 Focus area NWS-9 (Leading Health Indicator); Title V Performance Measure #14; Chronic Disease Indicators; United Health Rankings Core Measure National Comparison: 63.50%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-33: Physical Activity Among High School Students Brief Description: Proportion of high school students who are physically active for at least 60 minutes per day on five or more of the past seven days. Numerator: Number of high school students who report being active for at least 60 minutes per day on five or more of the past seven days. Denominator: All high school students. Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area PA-3; NQF measure 1348; Chronic Disease Indicator National Comparison: 49.45%; 2011;
(for notes on calculation, please view the narrative)
LC-38: Asthma Emergency Department Utilization Brief Description: Proportion of persons on Medicaid with asthma having an asthma emergency department (ED) visit Numerator: Number of Medicaid beneficiaries with asthma having 1 or more ED visit for asthma during the measurement year. Denominator: Number of Medicaid beneficiaries with asthma during the measurement year. Data Source: Medicaid Analytical eXtract (MAX) files Similar Measures in Other Indicator Sets: HP 2020 Focus area RD-3; NQF measure 1381; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development; Chronic Disease Indicator National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011 LC-42: Depression Among Youth Brief Description: Percent 9th -12th graders who felt sad or hopeless almost every day for more than 2 weeks during the previous 12 months Numerator: Number of 9th -12th graders who felt sad or hopeless almost every day for more than two weeks during the previous 12 months Denominator: Number of 9th -12th graders Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.1 (Leading Health Indicator) National Comparison: 28.46%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-43: Mental Health Among Adults Brief Description: Percent of adults with poor mental health Numerator: Weighted number of adults ages 18 and over responding to the BRFSS survey reporting that their mental health, which includes stress, depression, and problems with emotions, was “not good for ≥14 days out of the past 30 days Denominator: Weighted number of adults ages 18 and over responding to the BRFSS survey Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.2 National Comparison: 11.22%; 2012;
(for notes on calculation, please view the narrative)
2009-2011 LC-44: Postpartum Depression Brief Description: Percent of women who have recently given birth who reported experiencing postpartum depression following a live birth Numerator: Number of women who experienced self-reported postpartum depression following a live birth Denominator: Total live births to recent mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator G3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Screening for maternal depressive symptoms National Comparison: 23%; 2009-2011;
(for notes on calculation, please view the narrative)
2010 Brief Description: Suicides per 100,000 population Numerator: Number of suicides Denominator: Total population Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-1 (Leading Health Indicator); Title V Performance Measure #16 (subset of this indicator) National Comparison: 12.45 per 100,000 US persons; 2010;
(for notes on calculation, please view the narrative)
2009-2011 LC-49: Diabetes During Pregnancy Brief Description: Percent of adult women with diagnosed diabetes during pregnancy, only Numerator: Total women with diabetes only during pregnancy Denominator: Total population of mothers Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 9.23% ; 2009-2011;
(for notes on calculation, please view the narrative)
2011 LC-50: Early Sexual Intercourse Brief Description: Initiation of sexual intercourse before age 13 years. Numerator: Number of 9th - 12th grade students who report initiating sexual intercourse before age 13 years Denominator: Number of 9th - 12th grade students Data Source: Youth Risk Behavior Surveillance System (YRBSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-9 National Comparison: 6.24%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: HIV rate (diagnosed cases) per 100,000 total population Numerator: Total diagnosed HIV cases in the population Denominator: Total population Data Source: CDC National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) Atlas Similar Measures in Other Indicator Sets: HP 2020 Focus areas HIV-1, HIV-2, and HIV-3; CDC Winnable Battle (Reduce the number of new HIV infections by 25%) National Comparison: 19.0 per 100,000; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of teen births that are repeat teen births Numerator: Number of repeat live births to females 15-19 years (or other teenage group) Denominator: Number of live births to females 15-19 years (or other teenage group) Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%) National Comparison: 17.77%; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Number of live births born to women aged 10-19 years per 1,000 women aged 10-19 years Numerator: Number of live births born to women aged 10-19 years Denominator: Number of women aged 10-19 years Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%); Title V Performance Measure #08 National Comparison: 16.73 per 1000 US women aged 10-19; 2011;
(for notes on calculation, please view the narrative)
2011 Brief Description: Percent of live births born < 37 weeks gestation Numerator: Number of live births born prior to 37 weeks gestation Denominator: Total number of live births Data Source: National Vital Statistics System (NVSS) Records Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-9 National Comparison: 11.71%; 2011;
(for notes on calculation, please view the narrative)
2009-2011 LC-56: Stressors During Pregnancy Brief Description: Proportion of women reporting two or more stressors during pregnancy. Numerator: Respondents (women having a live birth) who reported two or more stressors during most recent pregnancy Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: None National Comparison: 45.88%; 2009-2011;
(for notes on calculation, please view the narrative)
2011 LC-57: 4th Grade Proficiency Brief Description: Percent of 4th graders scoring proficient or above on math and reading Numerator: Number of 4th graders scoring proficient or above on math and reading Denominator: Total enrolled 4th graders in public schools Data Source: National Assessment of Educational Progress (NAEP) Similar Measures in Other Indicator Sets: HP 2020 Focus area AH-5.3.1; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s general cognitive skills National Comparison: Math: 40% Reading: 34%; 2011;
(for notes on calculation, please view the narrative)
2011 LC-58A: Incarceration Rate Brief Description: Prevalence of juveniles ages 13-17 male or female, detained in residential placement Numerator: Number of juveniles ages 13-17 male or female, detained in residential placement Denominator: Total population of 13-17 year olds Data Source: National Center for Juvenile Justice, Office of Juvenile Justice and Delinquency Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: 82 per 100,000 juveniles ages 13-17 ; 2011;
(for notes on calculation, please view the narrative)
2011 LC-58B: Incarceration Rate Brief Description: Prevalence of adults incarcerated Numerator: Number of adults age 18 or over imprisoned Denominator: Total population of adults age 18 or over Data Source: Bureau of Justice Statistics, National Prisoner Statistics Program Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions National Comparison: Overall: 492 per 100,000 residents; 2011;
(for notes on calculation, please view the narrative)
2010 LC-04: Breastfeeding Support - Baby Friendly Hospitals Brief Description: Proportion of births occurring in baby friendly hospitals Numerator: Number of births at Baby-Friendly designated hospitals for a given year Denominator: Number of births in State for a given year Data Source: Annual CDC Breastfeeding Report Card Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-24; MIECHV Benchmark Area Improved Maternal and Newborn Health:Breastfeeding; Chronic Disease Indicator National Comparison: 7.15%; 2010;
(for notes on calculation, please view the narrative)
2010 Brief Description: Proportion of population served by community water systems that received optimally fluoridated water. Numerator: Population on community water systems that received optimally fluoridated drinking water in a calendar year. Denominator: Population on community water systems in a calendar year Data Source: Water Fluoridation Reporting System Similar Measures in Other Indicator Sets: HP 2020 focus area OH-13; Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 73.9%; 2010;
(for notes on calculation, please view the narrative)
LC-17: Early Intervention Brief Description: Proportion of children aged 0-3 years who received EI services of all children aged 0-3 years Numerator: Children aged 0-3 years receiving EI services in a given state Denominator: All children aged 0-3 years Data Source: IDEA 618 Child Count Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-29 National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
LC-18: WIC Nutrition Services Brief Description: Proportion of children aged 2-5 years receiving WIC services compared to proportion of children <185% FPL Numerator: Children aged 2-5 years participating in the WIC program Denominator: Total children aged 2-5 years whose income is below 185% FPL. Data Source: WIC program data Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits) National Comparison:
National comparison not yet available
(for notes on calculation, please view the narrative)
2011 LC-19: Early Childhood Health Screening - EPSDT Brief Description: Percent of Medicaid-enrolled children who received at least one initial or periodic screen in past calendar year Numerator: Number of Medicaid enrollees ages 0-21 (enrolled for 90+ continuous days) receiving at least one initial or periodic screen Denominator: Total Medicaid-enrolled children ages 0-21 enrolled for 90+ continuous days Data Source: CMS - Annual Medicaid EPSDT Participation Report Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #02 is similar; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 62%; Note:This estimate uses publicly available reports and includes EPSDT data for ages children 0-20 instead of 0-21.; 2011;
(for notes on calculation, please view the narrative)
2012 LC-34: Cervical Cancer Screening Brief Description: The proportion of women who receive the appropriate evidence-based clinical preventive services (Pap Smear) for cervical cancer screening Numerator: Women ages 21-65 who received a pap smear within the last three years Denominator: Total women ages 21-65 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) Similar Measures in Other Indicator Sets: HP 2020 Focus area C-15; NQF measure 0032; Chronic Disease Indicator National Comparison: 83.84%; 2012;
(for notes on calculation, please view the narrative)
2012 LC-35: Children Receiving Age Appropriate Immunizations Brief Description: Percent of children ages 19-35 receiving age-appropriate immunizations according to the Advisory Committee for Immunization Practices (ACIP) guidelines and HP 2020 Goal. Numerator: Number of children surveyed who received ≥4 doses of DTaP/DT/DTP (Diphtheria/Tetanus/Acellular pertussis), ≥3 doses of poliovirus vaccine, ≥1 doses of measles-containing vaccine, full series of Hib (Haemophilus influenza - 3 or 4 doses, depending on product type), ≥3 doses of HepB (Hepatitis B), ≥1 dose of varicella vaccine, and >= 4 PCV (Pneumococcal) doses. 4:3:1:3:3:1:4 series Denominator: Number of children age 19-35 months Data Source: National Immunization Survey (NIS) Similar Measures in Other Indicator Sets: HP 2020 Focus areas IID-1, IID-7, IID-8 (Leading Health Indicator), IID-9; Title V Performance Measure #07; NQF measure 0038; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits; United Health Rankings Core Measure National Comparison: 68.4% +/- 1.4 ; 2012;
(for notes on calculation, please view the narrative)
2013 LC-36A: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of adolescents ages 13-17 who receive the evidence-based clinical preventive service HPV vaccine Numerator: Adolescents aged 13-17 who received a complete series of HPV vaccine Denominator: Total population of adolescents aged 13-17 Data Source: National Immunization Survey-Teen (NIS-Teen) Similar Measures in Other Indicator Sets: HP 2020 Focus area IID-11.4; NQF measure 1959 National Comparison: 48.3% (±4.0); 2013;
(for notes on calculation, please view the narrative)
LC-36B: Human Papillomavirus (HPV) Immunization Brief Description: The proportion of young adults ages 18-26 who receive the evidence-based clinical preventive service HPV vaccine Numerator: 18-26 year olds (male and females) who received complete series HPV vaccine Denominator: Total 18-26 year old adults Data Source: National Health Interview Survey (NHIS) Similar Measures in Other Indicator Sets: None National Comparison: National comparison not yet available ; ;
(for notes on calculation, please view the narrative)
2011-2012 LC-37: Medical Home for Children Brief Description: Proportion of families who report their child received services in a medical home Numerator: Children ages 0-17 whose health care meets Medical Home criteria Denominator: Children ages 0-17 years Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-30; Title V Performance Measure #03 (For CSHCN); MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits National Comparison: 54.41%; 2011-2012;
(for notes on calculation, please view the narrative)
2011 LC-39: Inability or Delay in Obtaining Necessary Medical Care or Dental Care Brief Description: Percent of parents reporting their child was not able to obtain necessary medical care or dental care. Numerator: Number of survey respondents that report their child (ages 0-17) was not able to obtain or had a delay in obtaining necessary medical care or dental care. Denominator: Total child population ages 0-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-6; Title V Performance Measure #04 (limited to CSHCN); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children National Comparison: 6.70%; 2011;
(for notes on calculation, please view the narrative)
2012 LC-40: Medical Insurance for Adults Brief Description: The proportion of adults with medical insurance. Numerator: Number of adults 19 years and older with medical insurance Denominator: All adults 19 years and older Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-1.1 (Leading Health Indicator); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children; Chronic Disease Indicator; United Health Rankings core measure National Comparison: 82.5%; 2012;
(for notes on calculation, please view the narrative)
2011 LC-41: Oral Health Preventive Visit for Children Brief Description: Percent of children who received a preventive dental visit in the past 12 months Numerator: Number of children ages 1-17 who received at least one preventative dental visit in the past 12 months Denominator: Total child population ages 1-17 Data Source: National Survey of Children’s Health (NSCH) Similar Measures in Other Indicator Sets: HP 2020 focus area OH-7 (Leading Health Indicator); NQF measure 1334, Chronic Disease Indicator; National Oral Health Surveillance System Indicator National Comparison: 77.50%; 2011;
(for notes on calculation, please view the narrative)
2010 LC-46: Capacity to Assess Lead Exposure Brief Description: Capacity of states to assess lead exposure Numerator: State level: Yes or No to the question, does your state have an explicit requirement that blood lead test results be reported to the state health department; National level: Number of States / districts / territories with an explicit requirement that blood lead test results be reported to the state health department Denominator: State level: no denominator; National level: Number of states, districts and territories Data Source: Council of State and Territorial Epidemiologists (CSTE) State Reportable Conditions Assessment (SRCA) Similar Measures in Other Indicator Sets: None National Comparison: 69.09%; 2010;
(for notes on calculation, please view the narrative)
2012 LC-47: Data Capacity to Support Integrated Childhood Research Brief Description: Ability of state MCH programs to support integrated, population-based childhood research (i.e., research using linked program data). For state level, proportion of priority datasets to which the MCH program always has timely access (including for linkage) for program or policy planning purposes. For national level, proportion of states that have timely access to at least 5 priority datasets. Numerator: State level: Number of priority datasets (e.g. programs) the Title V agency always has timely access to for policy and program planning purposes (including for linkage). (score of 3= Yes, the MCH agency always has this ability). Priority programs are death certificates, Medicaid, WIC, newborn screening, hospital discharge, birth defects surveillance, PRAMS and YRBSS. National level: Number of states that always have timely access (score of 3) to at least 5 priority datasets. Denominator: State level: total number of priority datasets (N=8). National level: The number of states and the District of Columbia (jurisdictions) Data Source: Title V Information System (TVIS) - Health Systems Capacity Indicator 9A Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #09A and #09B National Comparison: 72.5% (37 of 51 states and DC have timely access to at least 5 priority data sets); 2012;
(for notes on calculation, please view the narrative)
2013 LC-48: States with P-20 Longitudinal Data Sets Brief Description: States with P-20W longitudinal data systems. A P-20W is a data system where policies and standards are aligned to link student data for specified purposes across the education continuum, from early childhood through K12, postsecondary and the workforce. Numerator: Number of states, territories, and jurisdictions that completed 8 or more essential actions of fully functional P-20/workforce longitudinal data system (P for preschool). Denominator: Total number of states, territories, and jurisdictions Data Source: The Data Quality Campaign (DQC) Similar Measures in Other Indicator Sets: None National Comparison: 33.33% (17 out of 51); 2013;
(for notes on calculation, please view the narrative)
2009-2011 LC-52: Postpartum Contraception Brief Description: Proportion of women using birth control postpartum Numerator: Respondents (women having a live birth) who reported that they or their husbands or partners were currently doing something to keep from getting pregnant Denominator: All respondents (women having a live birth) Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS) Similar Measures in Other Indicator Sets: Preconception Health Indicator D7; MIECHV Benchmark Area Improved Maternal and Newborn Health: Inter-birth Intervals National Comparison: 84.19%; 2009-2011;
(for notes on calculation, please view the narrative)
2012 LC-59: Voter Registration Brief Description: Voter registration Numerator: Number of adults registered to vote Denominator: Total eligible population Data Source: Current Population Survey (CPS) Similar Measures in Other Indicator Sets: None National Comparison: 71.20% ; 2012;
(for notes on calculation, please view the narrative)
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