1. Better Focusing on Our MCH Problems: Needs Assessment Prioritization Wrap Up William M. Sappenfield, MD, MPH Professor & Chair, Dept. of Community and Family Health USF College of Public Health 2015 HRSA MCH EPI Course

2. n Childhood oral health n Childhood asthma n Transition services for CSHCNs n Children’s health insurance n Smoking during pregnancy n Infant breastfeeding for six months n Teen birth rate n Childhood motor vehicle deaths n Adolescent suicides Exercise MCH Priorities

3. 3 rd 2 nd 3 rd 4 th 1 st 2 nd 3 rd 4 th 5 th Q-Sort Procedure Exercise: 9 Health Problems

4. 2.3—Smoking during pregnancy 2.4—Teen birth rate 2.7—Infant breastfeeding for six months 2.9—Childhood oral health 3.0— Transition services for CSHCNs 3.3—Childhood Asthma 3.4—Childhood motor vehicle deaths 3.4—Adolescent suicides 3.6—Children’s Health Insurance Exercise MCH Priorities Q-Sort Results

5. Number of Participants by MCH Priority Level for Children’s Health Insurance

6. Number of Participants by MCH Priority Level for Teen Birth Rate

7. What was your experience?

8. Part 1: Health Problem Prioritization Criteria Based Scoring n Magnitude of the problem n Trend n Severity/consequences n Perceived preventability n National/state goals

9. Criteria Childhood Oral Health CSHCN Transition ServicesBreastfeeding Adolescent Suicides Magnitude Trend Severity Preventable Goal Criteria-Based Scoring Exercise: 9 Health Problems

10. 19.2—Smoking during pregnancy 18.1—Childhood motor vehicle deaths 17.9—Teen birth rate 17.4—Infant breastfeeding for six months 16.9—Adolescent suicides 16.3—Children’s health insurance 16.2—Childhood oral health 15.4—Transition services for CSHCNs 13.2—Childhood asthma Exercise MCH Priorities

11. Interquartile Range, MCH Needs Assessment Priorities, 2015 MCH EPI

12. What was your experience?

13. MCH Needs Assessment Priorities by Selection Method, 2015 MCH EPI

14. What were the Differences?

15. Questions or Comments? William M. Sappenfield, MD, MPH USF College of Public Health wsappenf@health.usf.edu 813-974-3746