267659 Lessons learned: Recommendations for data collection and management from Stanislaus County's Healthy Birth Outcomes Program

Monday, October 29, 2012

Colleen Woolsey, PhD , Department of Community Health Services, Stanislaus County Health Services Agency, Modesto, CA
Amelia Goodfellow, BS , Department of Community Health Services, Stanislaus County Health Services Agency, Modesto, CA
The Healthy Birth Outcomes (HBO) program, a California Proposition 10 funded partnership beginning in 2004 between Stanislaus County Health Services Agency (HSA) and ten local family resource centers, was created to improve infant mortality and morbidity rates in Stanislaus County. HBO targets women at risk for adverse pregnancy events due to age and medical or psychosocial factors, helping them to build sustainable parenting skills and knowledge. The program, which is administered by HSA public health nurses and community health workers, operates in three domains: intensive case management via home visits; community support groups; and provider outreach/education. In addition, parenting education and resource referrals are provided though community support groups. HBO tracks over 35 indicators of program success via questionnaire and coordination with family resource center staff, including birth weight, gestational age, breastfeeding and level of case manager/client engagement. Early program data remains analytically inaccessible due to data collection errors, necessitating several renovations in data collection and management. Improvements include compilation of a global database; streamlined data collection by case managers; and revision of indicators for maximum evaluative value. This experience highlighted the importance of incorporating rigorous outcome measures at the beginning of the program design process. These can be easily and effectively integrated into the data collection for increased evaluative success.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning

Learning Objectives:
Identify potential weaknesses in data collection and management methods that may negatively impact ongoing evaluation and improvement of population intervention programs. Demonstrate data collection and management renovation for more effective program evaluation. Design effective data collection and management protocols for population intervention programs.

Keywords: Data Collection, Birth Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have participated in community intervention research as an undergraduate and now as a professional at Stanislaus County Health Services Agency. My research interests include methodological considerations of population intervention studies and developing strategies for infant, child, adolescent and maternal health. I have worked with a team of health professionals in this field to rigorously review the research being submitted.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.