1. Skagit King Pierce Chelan Douglas Okanogan Kittitas Yakima Kitsap Island Ferry Stevens Pend Oreille Spokane Lincoln Grant Adams Franklin Benton Walla Columbia Garfield Asotin Whitman Skamania Lewis Klickitat Clark Cowlitz Wahkiakum Pacific Grays Harbor Jefferson Clallam San Juan Mason Thurston Selected ACEs Selected UDSSelected Both NPM 11 MCH Performance Measure Map - 2015 Note: All selected CSHCN (required) NPM 3 NPM 11 Snohomish Whatcom NPM 3 NPM 8 NPM 15 SPM 1 SPM 2 SPM 6 NPM 7 NPM 10 NPM 14 FOM 5 FOM 6 Updated October 27, 2014 SPM 6 SPM 2 NPM 8 NPM 11 NPM 14 SPM 2

2. State Performance Measures: SMP 1 - The percent of pregnancies that are unintended: (1) Island SPM 2 - Percent of children 6-8 years old with dental caries experience in primary and permanent teeth: (4) Adams, Klickitat, Pacific, Snohomish, Whitman SPM 3 - The percent of children who receive a standardized developmental screening: (19) Adams, Asotin, Benton-Franklin, Chelan-Douglas, Clallam, Columbia, Cowlitz, Garfield, Grant, King, Kittitas, Klickitat, Lewis, Lincoln, NE Tri, Skagit, Spokane, Walla Walla, Whitman SPM 5 - Percent of households with children in which the reporting adult has an ACE score of 3 or more: (22) Benton-Franklin, Clark, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Thurston, Wahkiakum, Whatcom, Yakima SPM 6 - Identify health disparities, develop and implement interventions to address disparities, and evaluate the effectiveness of interventions in achieving health equity: (1) Whatcom National Performance Measures: NPM 3 - The percent of children with special health care needs age 0-18 who received coordinated, ongoing, comprehensive care with in a medical home: (3) Cowlitz, Skamania, Walla Walla NPM 5 - The percent of children with special health care needs age 0 to 18 whose families report the community-based service system are organized so they can use them easily: (35) REQUIRED NPM 6 - The percent of youth with special health care needs who receive the services necessary to make transition to all aspects of adult life, including adult health care, work, and independence: (1) Spokane NPM 7 - Percent of 19-35 month olds who have received full schedule of age appropriate immunizations against MMR, DPT, Pertussis, Haemophilis Influenza and Hep B: (3) Chelan-Douglas, Grant, Kittitas NPM 8 - The birth rate for teens 15-17: (3) Asotin, Grant, Lewis, NPM 10 - Rate of deaths to children 1-14 by motor vehicle crashes: (2) Grant, Okanogan NPM 11 - The percent of mothers who breastfeed their infants at 6 months of age: (6) Kitsap, Lewis, Mason, NE Tri, Pacific, Skamania NPM 13 - Percent of children without health insurance: (1) Kittitas NPM 14 - Percent of children 2-5, receiving WIC services with a BMI at or above the 85 th percentile: (2) Adams, Whitman NPM 15 - Percent of women who smoke in the last three months of pregnancy: (2) Clark, NE Tri Federal Outcome Measures: FOM 5 - The perinatal mortality rate per 1,000 live births: (2) Pierce FOM 6 - The child death rate per 100,000 children aged 1 through 14: (2) Grant, Pierce