Program performance is measured against several short-term health status indicators among the women, infants and children enrolled in WIC, FCM or both programs. Measures include:
- enrollment in both WIC and FCM;
- first trimester enrollment in WIC and FCM;
- appropriate prenatal weight gain of pregnant women in WIC;
- initiation of breastfeeding in WIC;
- three or more well-child visits to FCM infants before age 1;
- fully immunized infants and two-year-olds in WIC;
- health insurance coverage of infants and children in WIC;
- developmental screening of infants and children in WIC and FCM;
- face-to-face contacts and home visits for pregnant women and infants in FCM.
The Department uses Cornerstone, its maternal and child health management information system, to generate quarterly reports on these performance measures. Agency performance provides the basis for ongoing technical assistance. The Quarterly Provider Reports are available for provider and public access.
The Department also provides administrative and financial rewards to high performing agencies. The top two-thirds of agencies on the ranking report receive a WIC/FCM certification visit every two years, whereas the lower third may receive an annual evaluation visit in addition to the certification visit. Regional staff focus technical assistance activities on the agencies in the bottom third. In the spring of each year, the Department uses performance data from the first three-quarters of the fiscal year to determine which agencies will require more frequent visits. The proportion of agencies that will be exempted from annual review is re-evaluated annually.
Trend data, supplemented with a discussion of the significance of each indicator for improving the health of women and children, are presented below.