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  Evaluation Results

  Santa Clara County CHI
Mathematica Policy Research, in partnership with Urban Institute and the University of California, San Francisco and with support from The David and Lucile Packard Foundation, has conducted an evaluation of the Santa Clara County Children's Health Initiative with three main components: (1) an enrollment analysis that measures the CHIs impact on children's enrollment in Medi-Cal and Healthy Families; (2) an impact analysis that measures the effects of Healthy Kids on participating children's access to care, their utilization of services, unmet health care needs, school-related outcomes, and parents’ satisfaction with their children’s health care and perceptions of care quality; and (3) a process analysis that documents key elements of CHI and Healthy Kids, including the goals and challenges of CHI and the qualitative experiences of Healthy Kids participants and their families.

San Mateo County CHI: First Annual Report | Second Annual Report | Third Annual Report
The Urban Institute—along with consultant Dana Hughes of the University of California at San Francisco; Mathematica Policy Research; and the Aguirre Group—were chosen to evaluate the San Mateo County CHI. The evaluation, beginning in May 2003, spans five years, and includes multiple evaluation components and data sources. This first annual report includes data from a comprehensive site visit in October, 2003; aggregate data on demographic characteristics, health service use, and cost from the Health Plan of San Mateo; and aggregate data from the members of the Hospital Consortium on services and uncompensated care. The second annual report addresses the demographic and health status characteristics of children enrolled in Healthy Kids (comparing them with enrollees in the Healthy Families and Medi-Cal programs); their access to care; their use of services; their parents' satisfaction with the program; and the cost of their care. The third annual report examines issues that are of special interest to the CHI including: the demographic and health status characteristics of Healthy Kids served by the CHI; how demographic characteristics and service use have changed over time; characteristics of high cost users of services and how they differ from other children; access to dental services; access to mental health services; the role of schools in outreach and enrollment; and the factors influencing employer decisions to offer insurance for dependents.

Los Angeles County CHI
The Healthy Kids program of Los Angeles County provides insurance coverage to low income children who do not have access to other health insurance. This series of reports is being produced under the Healthy Kids program evaluation, which is designed to provide feedback to stakeholders on the progress of the initiative. First 5 L.A. contracts with The Urban Institute and its partners to conduct the evaluation.

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