Maternal, Infant, and Early Childhood Home Visiting

In this blog, I would like to discuss the Maternal, Infant, and Early Childhood Home Visiting program.
The program was established by the Congress in 2010 and in March 2014, extended funding through March 2015, building on the initial $1.5 billion investment. This program aims at providing mothers the skills and knowledge to raise their kids from birth to kindergarten. To qualify for this program, the fed funded community assessment need to determine the eligibility criteria of at-risk families.
Beneficiary Eligibility:

    Eligible families residing in communities in need of such services, as identified in a State needs assessment
    Low-income eligible families
    Eligible families who are pregnant women under age 21
    Eligible families with a history of child abuse or neglect or have had interactions with child welfare services
    Eligible families with a history of substance abuse or need substance abuse treatment
    Eligible families that have users of tobacco products in the home
    Eligible families that are or have children with low student achievement
    Eligible families with children with developmental delays or disabilities
    Eligible families who, or that include individuals serving or formerly serving in the Armed Forces, including those with members who have had multiple deployments outside the US.

Eligible family:

    A woman who is pregnant, and the father of the child if available, or
    A parent or primary caregiver of the child, including grandparents or other relatives and foster parents serving as the child’s primary caregiver from birth until kindergarten entry, including a noncustodial parent with an ongoing relationship with, and at times provides physical care for the child.

Evidence based programs targeted by MIECHV program

Child FIRST
Early Head Start – Home Visiting
Early Intervention Program for Adolescent Mothers
Early Start (New Zealand)
Family Check-Up
Family Spirit
Healthy Families America (HFA)
Healthy Steps
Home Instruction for Parents of Preschool Youngsters (HIPPY)
Maternal Early Childhood Sustained Home Visiting Program (MESCH)
Minding the Baby
Nurse Family Partnership (NFP)
Oklahoma Community-Based Family Resource and Support Program
Parents as Teachers (PAT)
Play and Learning Strategies (PALS) Infant
SafeCare Augmented
Home Visiting Helps At-Risk Families Across the U.S.

How to keep personal health information safe

Personally, I don’t see any privacy threats to personal health information if patients are giving the option to hold on to their health records. There are several ways how this could be achieved. My intention discussing this issue is the monopoly power that health care providers may hold when they become guardians of the health care data. Analogical case to health care providers are bankers, who monopolize the financial market and its liquidity.
Why don’t we make the patients kings, who decide with who they can share their records, and still they can request to delete their information if they decide to. Some people may decide not to leave any finger print during and after their life time, let’s honor their decision and wishes. Worse, some villain may decide to use these data to change the reality of true science.
It is the same thing with what Google and Facebook are doing with our social life, and believe or not that one day people will ask these information bankers to delete their recorded information included mine in this post.

Blumenthal D, McGraw D. Keeping personal health information safe: the importance of good data hygiene. JAMA. 2015;313(14):1424.

What do we know about health care determinants?

Share with your friends and colleagues the major driving factor about our health.

Market Research for Health Care and beyond

ImageAs a nation, we only spend 9% of national health expenditures in embracing healthy behavior. On the other hand, only 6% of health determinates are related to access to services, although 90% of national health expenditures is spent on medical services.[1] Therefore, presumably, providing primary care providers the tools and the means to change and educate patients about their health determinate will have a significant impact on overall spending on medical services.

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Medicaid Expansion Some Numbers and Association

Expand or not expand, ask me?

Market Research for Health Care and beyond

Several states are reluctant to go for Medicaid expansion. I am not sure whether Medicaid expansion will be beneficial for those who decided not to implement it. The resistance to implement the expansion in the first place shows that they don’t believe that everyone should have a chance  to care. Moreover, it shows that they are using this notion that ” if you can’t pay for it, you don’t even think about it”. The same people think that businesses should thrive under their watch, though it affects negatively the health behaviors of their citizens, that businesses are worth implementing as long as they are profitable. The question, why don’t we make those who influence negatively our citizens health and behavior pay the price.

Imaging Robinson Crusoe in his beautiful island hurting himself, evidently his coconut production will decrease thus his injures will be worse than before.

I conducted a simple Bootstrap…

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Food Security and Health Care

Food security and our health what perspectives are we looking for?

Market Research for Health Care and beyond

Today, I watched this wonderful presentation of OCP Group CEO and Chairman, and I was wondering about the two slides he was presenting. He is really a great presenter. The event is great in part because, food security is a critical to growth and well-being of the population, and in part health care should be built or should evolve around food consumption and quality of food produced. I would like to have a chance to present in this event and meet this knowledgeable CEO,  and more specifically, I would like to present and provide some concrete solution for North-South collaboration in improving population health.

Africa as other part of the world experience deficit in number of food calories per capita, the West on the other hand has an excess. However, the question of fair trade is required, people need the know-how not hands-out.

Robinson Crusoe will not succeed in…

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Do we need to change our behavior to avoid chaos?

Dr. Markides on financial crise

Market Research for Health Care and beyond

Dr. Markides,

Dr. Markides is talented speaker, and as reasonable human being I will be influenced by his talk, and I am confident that his audience does. I like when Dr. Markides asked an important question about what are the underlying sources of our current and future problems? this is a powerful statement and his answer and his research focus a very small picture of the system or superficial answers to current problems.

Dr. Markides is true to pinpoint to that our problems is the making for our behavior and our inability to solve the complexity of the system. We are all responsible and we need to believe that our differences are our weaknesses.

The financial market is just one piece of our current problems. I am looking for bloggers are researchers who are interested to join me and develop a comprehensive map of our underlying sources in health care…

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Difference-in-differences an application in health care

Healthy behavior is the key to sustain who we are. “Adam Bouras”

Market Research for Health Care and beyond

Difference-in-differences (DID) methods is used to evaluate the impact of different policies. the simplest of these DID is when there are two groups and two time periods. where one of the groups is exposed to the treatment in the second second period and the control group is not exposed to the treatment in both periods, and both two groups are followed in two time periods. From this short review, I would like to share the findings of Okoro et al. (2014) on the effects of MA health reform on the use of clinical preventive services . The authors compared the change in health care access as a result of the expansion of the health insurance coverage. the authors compared MA with other New England states (ONES). To do so, they used BRFSS, and as well they looked at different preventive services and health access by age group and gender over different time periods…

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Difference-in-differences an application in health care

Difference-in-differences (DID) methods is used to evaluate the impact of different policies. the simplest of these DID is when there are two groups and two time periods. where one of the groups is exposed to the treatment in the second second period and the control group is not exposed to the treatment in both periods, and both two groups are followed in two time periods. From this short review, I would like to share the findings of Okoro et al. (2014) on the effects of MA health reform on the use of clinical preventive services . The authors compared the change in health care access as a result of the expansion of the health insurance coverage. the authors compared MA with other New England states (ONES). To do so, they used BRFSS, and as well they looked at different preventive services and health access by age group and gender over different time periods both for ONES and MA. The authors found a significant improve in MA in access to care. For clinical preventive services, MA showed to have greater increases in colorectal cancer screening and not to have had a decline in cervical cancer screening as was observed in the ONES. These results are significant but they can’t be generalized to other states, which decides to expand their health insurance coverage. More research is needed to be conducted, which control of health behavior of the population from which states. Reference: Okoro, C. A., Dhingra, S. S., Coates, R. J., Zack, M., & Simoes, E. J. (2014). Effects of Massachusetts health reform on the use of clinical preventive services. Journal of general internal medicine, 29(9), 1287-1295.

Do we need to change our behavior to avoid chaos?

Dr. Markides,

Dr. Markides is talented speaker, and as reasonable human being I will be influenced by his talk, and I am confident that his audience does. I like when Dr. Markides asked an important question about what are the underlying sources of our current and future problems? this is a powerful statement and his answer and his research focus a very small picture of the system or superficial answers to current problems.

Dr. Markides is true to pinpoint to that our problems is the making for our behavior and our inability to solve the complexity of the system. We are all responsible and we need to believe that our differences are our weaknesses.

The financial market is just one piece of our current problems. I am looking for bloggers are researchers who are interested to join me and develop a comprehensive map of our underlying sources in health care system.