. 2015 Apr 1;19(5):945–957. doi: 10.1007/s10995-015-1739-5

Table 5.

Performance measure framework example using safe sleep: national outcome measures–national performance measures–evidence-based/informed strategy measures

National outcome measures associated with national performance measure on safe sleep	National performance measure (NPM)	Examples of evidence-based/informed strategies	Examples of evidence based/informed strategy measures	Examples of evidence based/informed strategy measures with targets and goals
Infant mortality per 1000 live births Post neonatal mortality per 1000 live births Sleep-related SUID mortality per 1000 live births	Safe sleep (percent of infants placed to sleep on their backs)	(a) Sudden Unexpected Infant Death (SUID) cases are reviewed by Child Death Review (CDR) teams using the CDC SUID Investigation Reporting Form and classification system (b) Analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) and SUID-CDR data to identify program targets, inform interventions, develop fact sheets (c) Implementing a social marketing campaign (d) Partnership with the Womens, Infants and Children’s Program (WIC), Home Visiting, or other programs to provide safe sleep education and counseling (e) Safe sleep protocols in all birthing hospitals (f) Enforcing laws regarding mandatory training for childcare providers, medical professionals, emergency medical technicians (g) Train-the-trainer programs for the various providers engaged pre and post-natally	(a) % of SUID cases reviewed with complete SUID Investigation Reporting Forms and classified using CDC categories (b) # of state-wide or local programs integrating PRAMS/SUID data to develop or target interventions (c) # of hits to campaign website or hotline calls for more information (d) #/% of WIC participants. Home visiting clients, or other program participants that received safe sleep counseling (e) % of birthing hospitals that adopt safe sleep protocols (f) % of audited child care providers or other professionals in compliance with regulation (g) % of licensed medical professionals who received CE credits on SUID prevention or safe sleep practices in the past year	(a) Increase % of SUID cases reviewed with complete SUID Investigation Reporting Forms and classified using CDC categories to 90 % in the next year (b) Increase # of state-wide or local programs integrating PRAMS/SUID data to develop or target interventions by 20 % in the next year (c) Increase # of hits to campaign website or hotline calls for more information by 10 % in the next year the next year (d) Increase % of WIC participants, home visiting clients, or other program participants that received safe sleep counseling by 25 % in the next year (e) Increase # of birthing hospitals in the State that adopt safe sleep protocols by 20 % in the next year (f) Increase % of audited child care providers or other professionals in compliance with regulation by 35 % in the next year (g) Increase % of licensed medical professionals who received CE credits on SUID prevention or safe sleep practices by 20 % in the next year

National outcome measures associated with national performance measure on safe sleep

National performance measure (NPM)

Examples of evidence-based/informed strategies

Examples of evidence based/informed strategy measures

Examples of evidence based/informed strategy measures with targets and goals

Infant mortality per 1000 live births

Post neonatal mortality per 1000 live births

Sleep-related SUID mortality per 1000 live births

Safe sleep (percent of infants placed to sleep on their backs)

(a) Sudden Unexpected Infant Death (SUID) cases are reviewed by Child Death Review (CDR) teams using the CDC SUID Investigation Reporting Form and classification system

(b) Analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) and SUID-CDR data to identify program targets, inform interventions, develop fact sheets

(d) Partnership with the Womens, Infants and Children’s Program (WIC), Home Visiting, or other programs to provide safe sleep education and counseling

(e) Safe sleep protocols in all birthing hospitals

(f) Enforcing laws regarding mandatory training for childcare providers, medical professionals, emergency medical technicians

(g) Train-the-trainer programs for the various providers engaged pre and post-natally

(a) % of SUID cases reviewed with complete SUID Investigation Reporting Forms and classified using CDC categories

(b) # of state-wide or local programs integrating PRAMS/SUID data to develop or target interventions

(d) #/% of WIC participants. Home visiting clients, or other program participants that received safe sleep counseling

(e) % of birthing hospitals that adopt safe sleep protocols

(f) % of audited child care providers or other professionals in compliance with regulation

(g) % of licensed medical professionals who received CE credits on SUID prevention or safe sleep practices in the past year

(a) Increase % of SUID cases reviewed with complete SUID Investigation Reporting Forms and classified using CDC categories to 90 % in the next year

(b) Increase # of state-wide or local programs integrating PRAMS/SUID data to develop or target interventions by 20 % in the next year

(d) Increase % of WIC participants, home visiting clients, or other program participants that received safe sleep counseling by 25 % in the next year

(e) Increase # of birthing hospitals in the State that adopt safe sleep protocols by 20 % in the next year

(f) Increase % of audited child care providers or other professionals in compliance with regulation by 35 % in the next year

(g) Increase % of licensed medical professionals who received CE credits on SUID prevention or safe sleep practices by 20 % in the next year