FIRST 5 Sacramento Commission

FIRST 5 Sacramento Commission EVALUATION COMMITTEE 2750 Gateway Oaks Drive, Suite 330 Sacramento, CA 95833 AGENDA MONDAY September 21, 2015 1:00 P.M. Members: Christina Elliott, David Gordon, Vice-Chair, Scott Moak, Steve Wirtz, Chair Advisory Committee Member: Walter Wyniarczuk Staff: Julie Gallelo, Carmen Garcia-Gomez Consultants: Applied Survey Research, LPC Consulting Clerk: Lisa Lim-Furukawa 1. Call to order and Roll Call (5 minutes) 2. Approve July 20, 2015 Draft Action Summary (5 minutes) 3. Commission Staff Update (10 minutes) 4. General Evaluation Update (20 minutes) Applied Survey Research LPC Consulting 5. Update: Evaluation Activities for Initiatives to Prevent African American Prenatal and Infant Deaths (30 minutes) 6. HEARTS for Kids Evaluation Reporting (30 minutes) 7. Committee Member Comments (5 minutes) a. Miscellaneous b. Future Agenda Items/Presentations: November Discussion: Evaluation and how it fits into sustainability Approve 2016 Meeting Schedule 8. Public Comments on Non-Agenda Matters (5 minutes) The meeting is voice recorded in its entirety. A CD will be available for check-out from the First 5 Sacramento Commission offices at 2750 Gateway Oaks Dr., Suite 330, Sacramento, the day after the meeting. The on-line version of the agenda and associated materials are posted for your convenience at http://www.first5sacramento.net/default.htm. Some documents may not have been posted on-line because of their size and/or format. As they become available, hard copies of all documents are available from the Clerk of the Commission at the First 5 Sacramento Commission offices. Page 1 of 1

First 5 Sacramento Evaluation Summary of Evaluation Activities July 11 September 9, 2015 The following evaluation activities took from July early September: We worked with Carmen to update Persimmony, including content and structural changes. Content changes included entering new milestones and client services for FY 15 16. We participated in discussions with Carmen and Persimmony staff regarding ways Persimmony could be modified to make it more appropriate for the data First 5 Sacramento s data collection and reporting needs. We also discussed additional changes that may be made to Persimmony in the future, such as linking client services and performance data. Supported the roll out of the new Family Information Form, including: o Family Information Form and consent form were translated into Hmong and Russian. o Specified what grantees should do for non consenting clients. This included creating a procedural document and a shorter version of the FIF to capture a few key pieces of information for non consenters. Began preparing for the First 5 California Annual report, including: o Webinar to learn about reporting requirements o Initial draft of AR 3 and updating numbers o Discussion of how numbers would be calculated for AR 2 We are currently working on exporting the FY 2014 15 data to analyze for the state report. We attended the quarterly contractors meeting in August, and have provided ongoing technical assistance to contractors, including: o Revisions to teleform for Smile Keepers; form is being finalized. o Created reporting form for Sacramento Covered to provide aggregate data on key outcomes o Followed up with library about survey for early literacy workshops o Discussion with WIC about reporting breastfeeding rates

Baseline Data from 2013 Birth Statistics Sacramento First 5 Evaluation Committee Meeting September 21, 2015 In July and August, LPC staff worked with First 5 Sacramento staff and home visitation program staff on finalizing the evaluation plan. This included: Developing program data collection forms for use with Persimmony. Assisting in designing data screens for Persimmony. Attending a training for WellSpace program staff about data collection and data entry into Persimmony. Offering to work with WellSpace s home visitation program to streamline paperwork and align them with the requirements of the program. Aligning existing CCHWB forms to current evaluation. Working with Sacramento County to extract the latest birth statistics 2013) to serve as a baseline. Designing one-page summary and data tables of baseline birth statistics. Evaluation next steps: Work with WellSpace home visitation project on streamlining data collection (if offer accepted). Update BMU s database to align with changes to data collection tools. Work with First 5 Sacramento staff to identify or create Persimmony reports to assist with data clean up. Review ISS revised evaluation tools.

2013 Sacramento County African American Birth Statistics Initiatives to Prevent African American Perinatal & Infant Deaths 2013 Baseline Data Infant Sleep Related Deaths Campaign Child Abuse Prevention Center (CAPC) Perinatal Conditions Education Campaign Runyon Saltzman Einhorn, Inc. Black Mothers United Center for Community Health & Well Being, Inc. Healthy Empowered Families WellSpace Health African American births by all other racial groups

10% of all births in Sacramento County are by African American women Birth Record Data Provided by Sacramento County Division of Public Health Proportion of Paid for by Medi Cal *Medi Cal payment used as a proxy for low income 69% of African American births paid by Medi Cal 45% of births by all other racial groups paid by Medi Cal Comparison of Birth Risk Factors: African American to All Other Racial Groups Mother initiated care after African American 22% 1st trimester All Other Racial Groups 19% African American infants are 3 times more likely to die in their first year of life than all other infants. Infant Mortality Rates African 12.1 American Infants 4.1 All Other Infants Infant born low birthweight: < 2,500 grams (5lbs, 5 oz) 6% 9% Infant born premature: < 37 weeks 9% 12% www.lpc associates.com

Evaluation of Initiatives to Prevent African American Perinatal & Infant Deaths DATA TABLES: Baseline Data from 2013 Birth Statistics of Mothers Residing in Sacramento County Birth Outcomes and Prenatal Care - 2013 Sacramento County 2013 Sac County All African Americans Total # % of AA All Other Racial Group Total # % of Other Ethnicity Started prenatal care after first trimester 3,702 427 22% 3,275 19% Born Premature: <37 weeks 1,882 232 12% 1,650 9% Low Birth Weight: <2,500 grams (5lbs, 5oz) 1,298 188 9% 1,110 6% Delivery Method: C Section 5,504 656 33% 4,848 28% Total 19,367 1,979 10% 17,388 90% Comparison of Prenatal Care and Birth Outcomes between Groups and SES Status African American All Other Racial Group Medi- Medi- Other Cal Cal Other Payment Payment Payment Payment Started prenatal care after first trimester 23% 18% 27% 12% Born Premature: <37 weeks 11% 14% 10% 9% Low Birth Weight: <2,500 grams (5lbs, 5oz) 10% 9% 3% 9% Delivery Method: C Section 34% 31% 27% 28% Total 1,357 622 7,883 9,505 *MediCal Payment is used as a rough proxy for low socio-economic status All data provided by the Sacramento County Division of Public Health Page 1 www.lpc-associates.com

Baseline Data from 2013 Birth Statistics Infant Mortality - 2013 Sacramento County 2013 Infant Deaths: < 1 year Sac County African Americans All Other Racial Group All Total # % of County Rate per 1,000 Total # % of County Rate per 1,000 95 24 25% 12.1 71 75% 4.1 Cause of Infant Death Count (by category) Congenital 22 Maternal 11 SIDS 11 GestLBW 6 Circulatory <5 Intrauterine <5 Respiratory <5 Homicide <5 Others 35 Total 85 All data provided by the Sacramento County Division of Public Health Page 2 www.lpc-associates.com

Baseline Data from 2013 Birth Statistics Zip Code of Mother - 2013 Zip Code All County Total Count Percent of All African American Total Count Percent of All Percent of w/in Zipcode 95823 1,326 7% 271 14% 20% 95838 705 4% 104 5% 15% 95822 595 3% 104 5% 17% 95828 840 4% 102 5% 12% 95825 455 2% 88 4% 19% 95670 777 4% 83 4% 11% 95833 596 3% 82 4% 14% 95821 504 3% 75 4% 15% 95758 713 4% 72 4% 10% 95842 587 3% 69 3% 12% 95820 559 3% 65 3% 12% 95826 477 2% 63 3% 13% 95834 483 2% 62 3% 13% 95815 423 2% 57 3% 13% 95824 536 3% 54 3% 10% 95660 521 3% 53 3% 10% 95835 590 3% 49 2% 8% 95831 369 2% 44 2% 12% 95608 632 3% 43 2% 7% 95832 225 1% 43 2% 19% 95841 321 2% 41 2% 13% 95757 521 3% 40 2% 8% 95624 644 3% 39 2% 6% 95843 642 3% 36 2% 6% 95829 341 2% 34 2% 10% 95818 242 1% 33 2% 14% 95817 185 1% 30 2% 16% 95827 279 1% 27 1% 10% 95610 574 3% 16 1% 3% 95621 522 3% 14 1% 3% 95864 225 1% 12 1% 5% 95630 688 4% 9 0% 1% 95811 50 0% 9 0% 18% 95662 302 2% 6 0% 2% 95628 343 2% 5 0% 1% 95814 42 0% 5 0% 12% 95632 345 2% - - - All data provided by the Sacramento County Division of Public Health Page 3 www.lpc-associates.com

Baseline Data from 2013 Birth Statistics (Continued) All County Percent Percent Percent Total Total Zip Code of All of All of Count Count w/in Zipcode 95742 251 1% - - - 95819 196 1% - - - 95673 188 1% - - - 95816 127 1% - - - 95626 65 0% - - - 95655 60 0% - - - 95693 59 0% - - - 95683 38 0% - - - 95690 32 0% - - - 95641 16 0% - - - 95652 10 0% - - - 95830 10 0% - - - 95638 8 0% - - - 95812 6 0% - - - 95615 6 0% - - - 95747 - - - - - 95804 - - - - - 95840 - - - - - 95680 - - - - - 95611 - - - - - 95639 - - - - - 95813 - - - - - 95837 - - - - - 95857 - - - - - 95860 - - - - - 95866 - - - - - 95873 - - - - - Unknown/Under 5 116 1% 40 2% 34% Counts TOTAL 19,251 100% 1,939 100% 10% ths All data provided by the Sacramento County Division of Public Health Page 4 www.lpc-associates.com

Baseline Data from 2013 Birth Statistics Birth Hospitals - 2013 HOSPITAL NAME CITY All County # % # % Sutter Memorial Hospital Sacramento 4,892 25% 560 28% Kaiser Foundation Hospital Roseville Roseville 3,086 16% 193 10% Kaiser Foundation Hospital South Sac Sacramento 2,111 11% 281 14% Mercy General Hospital Sacramento 1,940 10% 317 16% Mercy San Juan Hospital Carmichael 1,783 9% 156 8 Methodist Hospital Of Sacramento Sacramento 1,705 9% 228 12% UCD Medical Center Sacramento 1,256 6% 131 7 Sutter Roseville Medical Center Roseville 1,010 5% 27 1 Mercy Hospital Of Folsom Folsom 585 3% 8 0 Sutter Davis Hospital Davis 254 1% 9 0 Lodi Memorial Hospital Lodi 121 1% 0 0 The Birth Center Fair Oaks 41 0% 0 0 San Joaquin General Hospital French Camp 28 0% 0 0 Woodland Health Care Woodland 28 0% 0 0 Northbay Medical Center Fairfield 14 0% 0 0 St. Joseph's Medical Center Stockton 12 0% 0 0 Marshall Hospital Placerville 11 0% 0 0 Fremont Medical Center Yuba City 11 0% 0 0 Lucile Packard Children's Hospital Palo Alto 9 0% 0 0 Alta Bates Medical Center Berkeley 8 0% 5 0 Kaiser Hospital: Oakland Oakland 7 0% 0 0 Kaiser Hospital Of Modesto Modesto 7 0% 0 0% Sutter Delta Medical Center Antioch 6 0% 0 0% Univ. Of California Med Center San Francisco 5 0% 0 0% Unknown Or Less Than 5 Count Multiple 437 2% 64 3% TOTAL 19,367 100% 1,979 100% an All data provided by the Sacramento County Division of Public Health Page 5 www.lpc-associates.com