KATCH EVALUATION: PROJECT OVERVIEW AND

RELATIONSHIP TO PRAMS

Kansas Blue Ribbon Panel on Infant Mortality

July 30, 2010

KATCH EVALUATION: PROJECT OVERVIEW AND

RELATIONSHIP TO PRAMS

Kansas Blue Ribbon Panel on Infant Mortality

July 30, 2010

Caitlin McMurtry, Research AssistantKansas Health Institute

Kansas Access to Comprehensive Health

Funded through a State Health Access Program grant from the Health Resources and Services Administration to KHPA.

Intended to facilitate the expansion of public health insurance coverage.

Aims to facilitate the implementation of Presumptive Eligibility for pregnant women.

WHAT IS KATCH?WHAT IS KATCH?

KHI serves as the evaluator of KHPA’s implementation of the KATCH grant.

KHI’s evaluation plan objectives: To assess implementation and completion of

key tasks and milestones To evaluate the contribution of the KATCH

program to the overall implementation of the state’s health care coverage expansion

To evaluate the impact of the KATCH program

WHAT IS KHI’S ROLE IN KATCH?

WHAT IS KHI’S ROLE IN KATCH?

To accomplish evaluation objectives 2 and 3, KHI will complete a baseline study that provides information necessary for:

Establishing baseline measures and setting targets for short-term and intermediate outcomes

Determining the magnitude of long-term KATCH project impacts

WHAT IS KHI’S ROLE IN KATCH?

WHAT IS KHI’S ROLE IN KATCH?

The household survey is an integral part of the baseline study to assess how many new mothers were eligible for Medicaid. Baseline data on eligibility can be compared to

administrative data that tells us how many women were actually given Medicaid support.• The KATCH household survey has been designed

using question from other states’ PRAMS surveys(e.g., Colorado, Nebraska, Missouri, Oklahoma).

HB 2454 amends former laws on the use of data contained in vital statistical records. HB 2454 authorizes the Secretary of KDHE to permit

the use of birth, death, and still birth certificates as identifiable data for purposes of maternal and child health (MCH) surveillance and monitoring.

Authorizes the Secretary to interview individuals for purposes of MCH surveillance and monitoring, if approved by the Health and Environmental Institutional Review Board.

ACCESSING VITAL STATISTICS

ACCESSING VITAL STATISTICS

KHI modeled its survey after PRAMS questionnaires from contiguous states and Kansas’s BRFSS. Reviewed questionnaires from Colorado,

Oklahoma, Missouri, Arkansas, Nebraska and Minnesota for content questions.

Used Kansas’ BRFSS as a model for language regarding confidentiality and informed consent.

KHI tried to build on other states’ PRAMS surveys by preserving their language.

KHI’S ADAPTATION OF PRAMS

KHI’S ADAPTATION OF PRAMS

KHI’s household survey question 19: “During the time in 2009 that you were pregnant, was there

any time that you were on WIC – the special supplemental nutrition program for women, infants, and children?”

Nebraska’s PRAMS question 27:“During your most recent pregnancy, were you on WIC (the

Special Supplemental Nutrition Program for Women, Infants, and Children)?”

KHI’S ADAPTATION OF PRAMS

KHI’S ADAPTATION OF PRAMS

KHI’s survey before and after HB 2454: Before: Screening survey, trying to find 42,000

women out of 2.8 million people.• At least one quarter of a million dollars.

After: Targeted calls to women who gave live birth to a child in 2009, and whose infants are still alive.• Approximately $100,000 dollars.

• KHI’s contracted survey research center will use various strategies to acquire the phone numbers of eligible women.

CHALLENGES AND COSTS

CHALLENGES AND COSTS

Kansas Access to Comprehensive Health KHI evaluates KHPA’s health insurance

expansion and implementation efforts. KHI’s household survey creates baseline

Medicaid eligibility data on new mothers. HB 2454 directly allows for this study and

reduces its costs. KHI’s household survey directly builds on

PRAMS questionnaires from peer states.

CONCLUSIONCONCLUSION

Information for policy makers. Health for Kansans.Information for policy makers. Health for Kansans.

KANSAS HEALTH INSTITUTE

KANSAS HEALTH INSTITUTE