About the National Data

Data

Baseline: 15.7 percent of children and adolescents under 18 years with special health care needs received care in a family-centered, comprehensive, and coordinated system in 2016-17

Target: 19.5 percent

Numerator
Number of children and adolescents under 18 years with special health care needs who receive their care in a family-centered, comprehensive, and coordinated system.
Denominator
Number of children and adolescents under 18 years with special health care needs.
Target-setting method

Percentage point improvement

Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
Target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Methodology notes
Between five and six indicators are used to measure the quality of a system of care for children with special health care needs (CSHCN) aged 0-17 (depending on age):
Families of children and youth with special health care needs partner in decision making at all levels and are satisfied with the services they receive;
Children and youth with special health care needs receive coordinated, updated, ongoing, comprehensive care within a medical home;
Families of CSHCN have adequate private and/or public insurance to pay for the services they need;
Children are screened early and continuously for special health care needs;
Community-based services for children and youth with special health care needs are organized so families can use them easily;
A child is considered to be served by a "service system," as described in the Healthy People objective, if his or her care met all relevant criteria for his or her age. For children from birth through age 17 years, the first five outcomes were included; an additional outcome related to health care transition planning is included only for children aged 12 through 17 years.

Children with special health care needs are identified using the CSHCN Screener3, which consists of five questions concerning common health care consequences.

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from the related Healthy People 2020 objectives in that it is a composite of MICH-31.1 and MICH-31.2, which used data from the National Survey of Children with Special Health Care Needs (NS-CSHCN) to track children ages 0 to 11 years and adolescents 12 to 17 years, respectively, receiving care in family-centered, comprehensive, and coordinated systems. The data source for this objective is the National Survey of Children's Health (NSCH).

1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.