State special emphasis report : instructions for preparing infant and early childhood injury data
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State special emphasis report : instructions for preparing infant and early childhood injury data

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      The National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention (CDC) is pleased to provide this document to guide states in preparing an injury special emphasis report that will be useful to the maternal, infant, and early childhood home visiting programs in states. Under CDC Program Announcement CE11–1101 (Core VIPP), 28 states have been funded to create and submit a state special emphasis report on infant and early childhood injuries for the home visiting programs in their states.

      Four of the 28 states funded under the Base Integration Component were additionally funded to conduct injury surveillance quality improvement activities: Colorado, Massachusetts, North Carolina, and Utah. These four states collaborated on this guidance document. Specifically, they took the lead in developing potential injury analyses among infants and young children and in writing this guidance document.

      In general, the purpose of the Surveillance Quality Improvement (SQI) component of the Core VIPP is to conduct injury data investigations supportive of promoting and advancing uniform injury case definitions, improving data quality and advancing methodology. This work is to advance the consensus process for developing and implementing injury surveillance activities and to develop and/or improve standardized procedures for specific causes of injury. Given that these four states have an ability to develop standardized procedures, they were well suited to develop the injury analyses for infant and early childhood injury and translate them into this guidance document for a broader audience to use.

      Since December 2011, the four states have met specifically to develop this guidance—to take an idea and make it a reality in a short period of time. The states contacted their state home visiting programs to learn more. The federal Affordable Care Act funded the Maternal, Infant, and Early Childhood Home Visiting Programs (MIECHV) to provide comprehensive evidence-based home visiting services to improve outcomes for families with expectant mothers and young children who reside in at-risk communities. Based on previous research, these evidence-based home visiting programs will improve maternal and prenatal health, infant health, and child health and development, including increasing a child’s school readiness, reducing child maltreatment and domestic violence, and improving parenting skills. The four states learned about which home visiting models were being funded under this program and the specific locations of the at-risk communities served in the state, as well as the expected ages of the participants in the program. Using this information, the four states

      ran preliminary data analyses for the age groups using the three data sets required in order to apply for the Core VIPP funding: deaths, hospitalizations, and emergency department visits. These preliminary analyses highlighted the need to balance useful, specific results with protecting confidentiality, thereby limiting the options for the infant and early childhood injury report. Since February, the core writers met weekly to make decisions about the details, to apply these decisions to the data, to revise the analyses and the figures, and to write the methods. Once a month, the full SQI team met to review progress and offer suggestions to the writing team.

      Suggested citation: Gabella BA, Proescholdbell SK, Hume B, Hedin R, Johnson RL, Thomas KE. State Special Emphasis Report: Instructions for Preparing Infant and Early Childhood Injury Data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2012.



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