MCHB Core Outcomes

The Maternal and Child Health Bureau (MCHB) is charged with providing a foundation and structure for assuring the health of American mothers and children.  This includes children and youth with special health care needs (CYSHCN).   Since 1989, MCHB has framed this mission for CYSHCN into an agenda that "provides and promotes family-centered, community-based, coordinated care for children with special health care needs and to facilitate the development of community-based systems of services for such children and their families."  This agenda has also been reinforced by the current administration and Health and Human Resources Services Administration (HRSA) initiative, Healthy People 2020.

To move this agenda forward, MCHB has defined six outcomes (or performance measures) and provided funding for national centers, cooperative agreements and state implementation grants in promoting and measuring the outcomes.
three young women

  1. Family Participation (Partnering): Families of children with special health care needs will partner in decision-making at all levels and will be satisfied with the services they receive.

  2. Medical Home: Children with special health care needs will receive coordinated, ongoing, comprehensive care within a medical home.

  3. Insurance Coverage (Financing): Families of children with special health care needs will have adequate private and/or public insurance to pay for the services they need.

  4. Screening: Children will be screened early and continuously for special health care needs.

  5. Organization of Services (Navigating Systems): Community-based service systems will be organized so families can use them easily.

  6. Transition to Adulthood: Youth with special health care needs will receive the services necessary to make transitions to all aspects of adult life, including adult health care, work, and independence.