The Reduction of Infant Mortality in Illinois

The Family Case Management Program and Special Supplemental Nutrition Program for Women, Infants and Children (WIC)


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:

  1. enrollment in both WIC and FCM;
  2. first trimester enrollment in WIC and FCM;
  3. appropriate prenatal weight gain of pregnant women in WIC;
  4. initiation of breastfeeding in WIC;
  5. three or more well-child visits to FCM infants before age 1;
  6. fully immunized infants and two-year-olds in WIC;
  7. health insurance coverage of infants and children in WIC;
  8. developmental screening of infants and children in WIC and FCM; and
  9. face-to-face contacts and home visits for pregnant women and infants in FCM.

The Department uses its maternal and child health management information system, Cornerstone, to generate quarterly reports on these performance measures. Agency performance provides the basis for ongoing technical assistance. These reports can be found at http://www.dhs.state.il.us/page.aspx?item=31152 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 and an annual review of their high risk infant follow-up procedures. The lower third receives an annual evaluation of the entire MCH programming protocol 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.

Trend data, supplemented with a discussion of the significance of each indicator for improving the health of women and children, are presented below.