A Running Start Health: For Every child, birth to 5
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Sources

InterventionProgress MeasureSources
Safe sleep campaignNumber of fliers distributed; Number of digital viewsBaseline TBD
Breastfeeding PromotionNumber of "baby-friendly" hospitalsWorld Health Organization and UNICEF. Baby-friendly Hospital Initiative (BFHI) standards. Reported on by Baby-Friendly USA. https://www.babyfriendlyusa.org/find-facilities/designated-facilities--by-state. Web. (Accessed June 27, 2017).
Home visiting for infantsNumber of families with pregnant women or children <6 enrolled in home visiting programsPhiladelphia Healthy Start Community Action Network. Philadelphia families served by home visiting programs. Query restraints: [Programs analyzed include CHOP Early Head Start, Health Federation Early Head Start, MCC Early Head Start, MCC Healthy Families America, MCC Healthy Start, MCC MOMobile, MCC MOMobile Safe Start, PDPH MOM Program, PDPH Healthy Start, Nurse Family Partnership, Mabel Morris Family Home Visit Program, Communities in Schools ELECT Program, Diversified Community Services HIPPY, Parent-Child Home Program]. 2015. Analysis by Stacey Kallem, MD, MPH, University of Pennsylvania National Clinical Scholars Program and the Philadelphia Maternal and Infant Community Action Network Access to Care Work Group. Philadelphia Home Visiting Centralized Intake Proposal. Internal document. (Accessed June 27, 2017).
Identification & treatment of maternal mental health and substance use problemsNumber of children <6 in a household with at least one adult receiving substance abuse treatment through CBHCity of Philadelphia. Department of Behavioral Health and Intellectual disAbility Services. Community Behavioral Health. CBH HealthChoices eligible children ages 0-5 in households with at least one adult, eighteen years or older, receiving substance abuse treatment services. CY2016. Performance Evaluation, Analytics & Research Division. Data prepared by Sarah Chen, Ph.D. and Aelesia E. Pisciella, Ph.D. (Accessed April 18, 2017).
 Number of children <6 in a household with at least one adult receiving mental health services through CBHCity of Philadelphia. Department of Behavioral Health and Intellectual disAbility Services. Community Behavioral Health. CBH HealthChoices eligible children ages 0-5 in households with at least one adult, eighteen years or older, receiving substance abuse treatment services. CY2016. Performance Evaluation, Analytics & Research Division. Data prepared by Sarah Chen, Ph.D. and Aelesia E. Pisciella, Ph.D. (Accessed April 18, 2017).
Homelessness prevention & diversionNumber of families provided homeless prevention assistanceCity of Philadelphia. Office of Homeless Services. Number of families receiving funds from at least one of the following: ESG prevention assistance, EARU assistance, Mortgage assistance, or utility assistance. FY2016. Performance Management Division. Homeless Management Information Systems (HMIS). Database. (Accessed April 18, 2017).
Abuse prevention/parenting supportsNumber of children <6 who reach permanencyCity of Philadelphia. Department of Human Services. Number of children <6 who reached permanency. CY2016. Performance Management and Technology Division. Legacy FACTS2. Database. (Accessed March 29, 2017).
 Number of families with <6 receiving in home services who reached family stabilizationCity of Philadelphia. Department of Human Services. Number of families with <6 receiving in home services who reached family stabilization. CY2016. Performance Management and Technology Division. Legacy FACTS2. Database. (Accessed March 29, 2017).
Early intervention services for infants/toddlers with or at risk for developmental delaysNumber of children <36 months screenedPA Department of Education and Department of Public Welfare, Office of Child Development and Early Learning (OCDEL). Early Intervention Children Ages 0-2 Served in Philadelphia Urban County Classification. Academic Year 2015-2016. OCDEL 2015-2016 Reach & Risk Report. http://www.pakeys.org/pages/get.aspx?page=EarlyLearning_Reach. Web. (Accessed May 10, 2017).
Early childhood educationAvailable seats in Keystone STAR 3 and 4 programsPA Department of Education and Department of Public Welfare, Office of Child Development and Early Learning (OCDEL). Estimated supply of Keystone Three or Four Star childcare supply, block group. 2016. Data accessed by The Reinvestment Fund. Data prepared by City of Philadelphia Mayor’s Office of Community Empowerment and Opportunity, Christie Balka, Director of Children and Youth Strategies. Childcare Map. https://www.childcaremap.org/tool.html. Web. (Accessed April 24, 2017).
Identification & remediation of hazards in homeNumber of rental units that have been Lead Safe or Lead Free newly certified City of Philadelphia. Department of Public Health. Lead and Health Homes Program. Database. (Accessed June 28, 2017).
Nutrition & physical activity in child careNumber of childcare centers that have received education on Department of Public Health standardsBaseline TBD

 

RiskProgress MeasureSource
Risk:
Cosleeping/unsafe sleep
Progress Measure:
Reduce the percent of parents reporting unsafe sleep arrangements
Source:
Baseline TBD
Risk:
Lack of breastfeeding
Progress Measure:
Increase breastfeeding initiation
Source:
City of Philadelphia. Department of Public Health. Percentage of women initiating breastfeeding before hospital discharge, out of all women for whom breastfeeding status is known. CY2014. Pennsylvania Vital Statistics. Reported on by the Philadelphia Department of Public Health. Database. (Accessed May 16, 2017).
Risk:
Maternal mental health/substance use problems
Progress Measure:
Reduce the number of substance-exposed infants at birth
Source:
Pennsylvania Health Care Cost Containment Council. Inpatient discharges with a principal ICD-9-CM diagnosis code of V30-V39 or ICD-10-CM diagnosis code of Z38.0-Z38.8 were identified as live births; Women hospitalized for a live born delivery were identified using ICD-9-CM diagnosis codes V27.0, V27.2, V27.3, V27.5, and V27.6 and ICD-10-CM diagnosis codes Z37.0, Z37.2, Z37.3, Z37.5, and Z37.6; ICD-9-CM coding was used for 2015-Q1 through 2015-Q3; ICD-10-CM coding was used for 2015-Q4 [Regional constraint: Philadelphia residents only that received care at a hospital in either Philadelphia, Bucks, Chester, Delaware, or Montgomery county]. CY2015. Distributed by Philadelphia Department of Public Health, Division of Disease Control. International Classification of Diseases, Ninth Revision and Tenth Revision, Clinical Modification. Database. (Accessed April 11, 2017).
Risk:
Homelessness & housing instability
Progress Measure:
Reduce the number of children <6 entering shelter
Source:
City of Philadelphia. Office of Homeless Services. Unduplicated Client Count, Total Number of Clients Children Age 0-5 in Emergency Shelters. August 2016-December 2016. Performance Management Division. Homeless Management Information System (HMIS). Database. (Accessed April 19, 2017).
Risk:
Limited parenting capacity
Progress Measure:
Reduce the number of Substantiated General Protective Service reports
Source:
City of Philadelphia. Department of Human Services. Number of Substantiated General Protective Service reports. CY2016. Performance Management and Technology Division. Legacy FACTS2. Database. (Accessed March 29, 2017).
Risk:
Child abuse/neglect
Progress Measure:
Reduce the number of Indicated Child Protective Service reports
Source:
City of Philadelphia. Department of Human Services. Number of Indicated Child Protective Service reports. CY2016. Performance Management and Technology Division. Legacy FACTS2. Database. (Accessed March 29, 2017).
Risk:
Hazardous housing conditions
Progress Measure:
Reduce the rate of violations per 1,000 occupied housing units
Source:
City of Philadelphia. Licenses & Inspections. Rate of Philadelphia Building Construction and Occupancy Code violations per 1,000 occupied housing units. Violations are based on follow-up inspections to complaints filed through Philly 311 CY2015. Reported annually by the Philadelphia Department of Public Health. Community Health Assessment 2016, http://www.phila.gov/health/pdfs/2016%20CHA%20Slides_updatedPHC4.pdf. Web. (Accessed April 21, 2017).
Risk:
Unhealthy diet & physical inactivity
Progress Measure:
Increase the percent of childcare centers meeting Department of Public Health standards
Source:
City of Philadelphia. Philadelphia Department of Public Health. Percentage of commercially licensed childcare centers compliant with PDPH recommendations for screen time and sugar sweetened beverages; Query restraint; [Compliance for screen time is defined as “Less than thirty minutes of screen time per week for children 2 years and older”; Compliance for sugar sweetened beverages is defined as “Sugar sweetened beverages are never offered”]. October 2016 to February 2017. Surveyed and Reported by the Division of Chronic Disease Prevention. Internal document: Survey of Nutrition and Physical Activity Practices in Philadelphia Early Childhood Education Centers. (Accessed June 28, 2017).

 

OutcomeMeasure of SuccessSource
Outcome:
Sleep-related deaths
Measure of Success:
Reduce the number of infant sleep-related deaths
Source:
City of Philadelphia. Department of Public Health. Number of sleep-related infant deaths as classified by Medical Examiner. CY2011-2016. Medical Examiner’s Office. Coroner Medical Examiner (CME). Database. (Accessed May 4, 2017).
Outcome:
Developmental delays
Measure of Success:
Increase the percent of infants at 18 months meeting all SWYC developmental milestones
Source:
Baseline TBD
Outcome:
School Readiness
Measure of Success:
ncrease the number of entering kindergarten students who are kindergarten-ready
Source:
Baseline TBD
Outcome:
Injuries
Measure of Success:
Reduce the number of injury visits to emergency departments among children <6
Source:
City of Philadelphia. Department of Public Health. Number of injury visits to emergency departments among children under 6 years. CY2014-2016. Disease Control (DDC). PDPH Syndromic Surveillance System. (Accessed April 20, 2017).
Outcome:
Asthma exacerbations
Measure of Success:
Reduce the number of asthma emergency department visits among children <6
Source:
City of Philadelphia. Department of Public Health. Number of asthma visits to emergency departments among children under 6 years. CY2014-2016. Disease Control (DDC). PDPH Syndromic Surveillance System. (Accessed April 20, 2017).
Outcome:
Lead exposure
Measure of Success:
Reduce the number of children <6 newly diagnosed with blood lead ≥ 5 µg/dL
Source:
City of Philadelphia. Philadelphia Department of Public Health. Number of children <6 newly identified with venous blood lead level ¬ 5 ug/dL. 2011-2016. Lead and Healthy Homes Program. National Electronic Disease Surveillance System (NEDSS). Database. (Accessed May 18, 2017).
Outcome:
Overweight and Obesity
Measure of Success:
Decrease the percent of children enrolled in kindergarten or first grade who are overweight or obese
Source:
City of Philadelphia. Department of Public Health. Percentage of children enrolled in K or 1st grade SDP with BMI >= 85th percentile for their age and gender group based on 2000 CDC growth charts, nurse measured. Chronic Disease Prevention. Internal analysis of school surveillance of students’ height and weight data, 2009-2010 through 2013-2014. (Accessed May 15, 2017).