MCHB State Systems Development Initiative Grant Program

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The Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB), Division of State and Community Health (DSCH) is providing funds to support a five-year project period of the State Systems Development Initiative Grant Program (SSDI). SSDI was launched in 1993 to complement the Title V Maternal and Child Health (MCH) Block Grant Program and to combine the efforts of State MCH and Children with Special Health Care Needs (CSHCN) Agencies. In general, SSDI is intended to assist State Agency MCH and CSHCN programs in the building of State and community infrastructure that results in comprehensive, community-based systems of care for all children and their families. For Fiscal Year 2011, applications must continue to focus grant resources on the Title V Block Grant Health Systems Capacity Indicator (HSCI) #9(A), the ability of States to assure that the Maternal and Child program and Title V agency have access to policy and program relevant information and data. States will be expected to focus SSDI resources on establishing or improving the data linkages between birth records and 1) infant death certificates, 2) Medicaid eligibility or paid claims files, 3) WIC eligibility files, and 4) newborn screening files. States should give first priority to these four data linkages, and then focus on establishing or improving access to 1) hospital discharge surveys, 2) a birth defects surveillance system, 3) a survey of recent mothers at least every two years, similar to the Pregnancy Risk Assessment Monitoring System (PRAMS), and 4) a survey of adolescent health and behaviors at least every two years, like the Youth Risk Behavior Surveillance System (YRBS). While States are expected to concentrate SSDI resources on the Title V Block Grant HSCI #9(A), with first priority on data linkages, they may continue to address ongoing needs assessment and improve the data capacity for the performance/outcome measures of the Title V Block Grant Program. Any activity regarding needs assessment or performance/outcome measures should focus on deficiencies and specifics for improvement.

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