EPSDT Impact on Health Status: Estimates Based on Secondary Analysis of Administratively Generated Data

Irwin, Patrick H.; Conroy-Hughes, Rosemary

doi:10.1097/00005650-198202000-00008

Cited by 15 publications

(7 citation statements)

References 2 publications

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“…Outcomes, which cannot be evaluated in short-term projects, relate to achievement of long-term goals such as improvement in health and reduction in health care costs. Previous research has shown that, if used, EPSDT can achieve these outcomes (Currier, 1979;Irwin & Conroy-Hughes, 1982;Keller, 1983;Manning, 1985;Reis et al, 1984;Select Committee, 1985). Therefore, a project to evaluate interventions to improve EPSDT use focuses on evaluating impact, not outcome.…”

Section: Development Of the Modelmentioning

confidence: 96%

Improving EPSDT Use: Development and Application of a Practice‐Based Model for Public Health Nursing Research

Selby

Riportella-Muller

Sorenson

et al. 1989

Public Health Nursing

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The purposes of this article are to describe the process of adapting an existing model to create a framework suitable for public health nursing (PHN) practice and to demonstrate how the resulting model can guide research for PHN practice. Using the PRECEDE (predisposing, reinforcing, and enabling causes in educational diagnosis and evaluation) model as a base, we synthesized concepts of health behavior, health education, health promotion/disease prevention, and program evaluation to develop a model for planning and evaluating aggregate-level PHN interventions to improve the use of the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) in rural North Carolina. The model provided the framework for identifying variables relevant to EPSDT use, designing interventions to improve use, and planning a research evaluation of the effectiveness, efficacy, and cost effectiveness of the interventions. This model, and the process used in adapting it for PHN practice, should be helpful for others investigating methods of reaching and bringing effective health-promotion/disease-prevention information to underserved, low-education members of minority groups.

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Section: Development Of the Modelmentioning

confidence: 96%

Improving EPSDT Use: Development and Application of a Practice‐Based Model for Public Health Nursing Research

Selby

Riportella-Muller

Sorenson

et al. 1989

Public Health Nursing

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“…[6][7][8] We sought to assess the effect of vigorous enforcement of federal EPSDT law on mental health outpatient and emergency treatment rates in California. California's county mental health plans are relatively autonomous compared to county systems in many other states, because county mental health plans have been given a high level of fiscal, administrative, and programmatic control by the state.…”

Section: Study Aimsmentioning

confidence: 99%

Effects on Outpatient and Emergency Mental Health Care of Strict Medicaid Early Periodic Screening, Diagnosis, and Treatment Enforcement

et al. 2007

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We investigated enforcement of mental health benefits provided by California Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Enforcement, compelled by a consumer-driven lawsuit, resulted in an almost 4-fold funding increase over a 5-year period. We evaluated the impact of enforcement on outpatient treatment intensity (number of visits per child) and rates of emergency care treatment. Using fixed-effects regression, we examined the number of outpatient mental health visits per client and the percentage of all clients using crisis care across 53 autonomous California county mental health plans over 32 three-month periods (quarters; emergency crisis care rates) and 36 quarters (out-patient mental health visits). Enforcement of EPSDT benefits in accordance with federal law produced favorable changes in patterns of mental health service use, consistent with policy aims.

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“…At the time of this study, the Wisconsin income eligibility requirement for EPSDT was 88 percent of the federal poverty level. Other states have other rules, but the program is fairly consistent nationwide and, along with the Women, Infants, and Children Program has been recognized as the primary component of the federal safety net for young children (Currier, 1977;Irwin & Conroy-Hughes, 1982; Reis, Pliska, & Hughes, 1984;Rosenbaum &Johnson, 1986). The program has few detractors (Bergman, 1977).…”

Section: The Epsdt Modelmentioning

confidence: 99%

Reaching Children of the Uninsured and Underinsured in Two Rural Wisconsin Counties: Findings from a Pilot Project

Clarridge

Larson²,

Newman³

1993

The Journal of Rural Health

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Debates about the accessibility, costs, and coverages of health care for the population at large have recently accelerated. This paper addresses some of the demographic, health, and fiscal ramifications of creating a preventive health care bridge to children in uninsured and underinsured families in two rural Wisconsin counties. The study findings revealed that the initial health status of children making a preventive health visit under a minimal copayment plan was noticeably worse than the status of those who had the free Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program available to them on a more or less continual basis. Upon their first visit, the children who did not have access to a free EPSDT program had a greater number of medical and dental health problems and fewer preventive dental care visits than their EPSDT contemporaries. Beyond a greater number of problems, however, we found no noticeable differences between the two groups in the types of health problems present (i.e. the clinical distribution of the problems was similar across the two groups). This paper also contrasts referral completion rates and rates of diagnostic confirmation of identified problems between the two groups. Finally, we provide estimates of the cost of coverage for each unprotected child.

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EPSDT Impact on Health Status: Estimates Based on Secondary Analysis of Administratively Generated Data

Cited by 15 publications

References 2 publications

Improving EPSDT Use: Development and Application of a Practice‐Based Model for Public Health Nursing Research

Improving EPSDT Use: Development and Application of a Practice‐Based Model for Public Health Nursing Research

Effects on Outpatient and Emergency Mental Health Care of Strict Medicaid Early Periodic Screening, Diagnosis, and Treatment Enforcement

Reaching Children of the Uninsured and Underinsured in Two Rural Wisconsin Counties: Findings from a Pilot Project

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