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改进数据,增加登记人数:佛罗里达州儿童与家庭医疗保险计划(CHIPRA)数据系统

Improving Data, Enhancing Enrollment: Florida Covering Kids & Families CHIPRA Data System.

作者信息

Ray Jodi A, Detman Linda A, Chavez Margeaux, Gilbertson Matthew, Berumen Jessica

机构信息

Florida Covering Kids & Families, Lawton and Rhea Chiles Center for Healthy Mothers and Babies, University of South Florida, Tampa, FL, USA.

HSR&D Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans' Hospital, Tampa, FL, USA.

出版信息

Matern Child Health J. 2016 Apr;20(4):749-53. doi: 10.1007/s10995-015-1889-5.

DOI:10.1007/s10995-015-1889-5
PMID:26754347
Abstract

PURPOSE

According to the Kaiser Family Foundation (2014), 502,866 (11.7 %) of Florida children under 19 years of age are uninsured, giving Florida the second largest number of uninsured children in the United States. Florida Covering Kids & Families (FL-CKF) is dedicated to developing innovative outreach methods for enrolling and retaining eligible children in Florida KidCare, the state's Children's Health Insurance Program. FL-CKF has developed a strong data system that allows it to evaluate the effectiveness and success of statewide enrollment and retention efforts.

DESCRIPTION

The data system was created using the Checkbox survey systems. Community and school outreach partners enter data each month on all completed Florida KidCare applications via a secure interface. The system requires data be entered in a uniform format and forces vital data points to be completed. These data are then transmitted to the state to obtain timely application determination information on enrollments.

ASSESSMENT

The data system helps FL-CKF to determine which outreach strategies are successful and where changes need to be made to increase effectiveness. The system also provides feedback to community outreach partners in order to enable follow up with families when needed.

CONCLUSION

Organizations helping uninsured children apply for health insurance may benefit from creating data collection systems to monitor project efficacy and modify outreach and enrollment strategies for greater effectiveness.

摘要

目的

根据凯撒家庭基金会(2014年)的数据,佛罗里达州19岁以下儿童中有502,866人(占11.7%)未参保,这使得佛罗里达州成为美国未参保儿童数量第二多的州。佛罗里达儿童医保覆盖项目(FL-CKF)致力于开发创新的推广方法,以便让符合条件的儿童加入并留在佛罗里达儿童医保计划(该州的儿童健康保险计划)中。FL-CKF建立了一个强大的数据系统,使其能够评估全州范围内参保和续保工作的有效性和成效。

描述

该数据系统是使用Checkbox调查系统创建的。社区和学校推广合作伙伴每月通过安全接口输入所有已完成的佛罗里达儿童医保申请的数据。该系统要求数据以统一格式输入,并强制填写关键数据点。然后这些数据被传输到该州,以获取有关参保情况的及时申请判定信息。

评估

该数据系统帮助FL-CKF确定哪些推广策略是成功的,以及需要在哪些方面做出改变以提高有效性。该系统还向社区推广合作伙伴提供反馈,以便在需要时对家庭进行跟进。

结论

帮助未参保儿童申请医疗保险的组织可能会从创建数据收集系统中受益,以监测项目成效,并修改推广和参保策略以提高有效性。

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本文引用的文献

1
The Children's Health Insurance Program Reauthorization Act quality measures initiatives: moving forward to improve measurement, care, and child and adolescent outcomes.《儿童健康保险计划再授权法案》质量措施倡议:为改善衡量标准、医疗服务以及儿童和青少年的健康结果而努力。
Acad Pediatr. 2011 May-Jun;11(3 Suppl):S1-S10. doi: 10.1016/j.acap.2011.02.009.
2
Analysis of 23 million US hospitalizations: uninsured children have higher all-cause in-hospital mortality.对 2300 万美国住院患者的分析:未参保儿童的全因住院死亡率更高。
J Public Health (Oxf). 2010 Jun;32(2):236-44. doi: 10.1093/pubmed/fdp099. Epub 2009 Oct 29.
3
The health and cost impact of care delay and the experimental impact of insurance on reducing delays.
医疗延误对健康和成本的影响以及保险在减少延误方面的试验性影响。
J Pediatr. 2009 Aug;155(2):281-5.e1. doi: 10.1016/j.jpeds.2009.02.035. Epub 2009 Apr 25.