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SAMPLE, DESIGN, & INTERVENTIONACHIEVEMENTMEASUREBoston EmbeddedFigures Test, HooperVisual OrganizationTest, Road Map TestOUTCOMEPiers-Harris Children’sSelf Concept ScaleNo deficits on visuospatial test, no left-right confusion, performed well inRoad Map test.Neuropsychological test score did not correlate neither with duration ofdisease, nor with metabolic control.Weil (1964)Sample: 39 children with diabetes & 26 siblings withoutdiabetes who had previous intelligence testing in thePediatric Diabetes Clinic of the University Hospitals ofClevelandStudy Design: Case-controlCalifornia AchievementTests in Reading &Arithmetic –administered in smallgroups homogenous toageStanford-BinetIntelligence Scale(Form M) –administeredindividually in aprevious studyChildren with diabetes performed no better or no worse than their siblings,each evaluated with regard to their own mental age.Age at onset played no significant role in the academic performance ofchildren with diabetes.Duration of disease did not affect the sibling with diabetes differences inany specific manner.Yu (2000)Sample: 66 IDDM children, mean age=12 yrs, Earlyonset diabetes (
SAMPLE, DESIGN, & INTERVENTIONACHIEVEMENTMEASUREOUTCOME(Beta=.36), which, in turn, was associated with lower grades (Beta=-.41).EPILEPSYAustin (1999)*Sample: N = 194 children (98 with epilepsy, 96 withasthma) between 11 and 17 years of age who werefollowed for 4 yearsEpilepsy Measure: Seizure severity (summed type ofseizure, seizure frequency, and number of antiepilepticdrugs and observed side effects)Asthma Measure: Asthma severity (summed frequencyof asthma attacks, medication side effects,hospitalizations, visits to hospital emergencydepartments, and number of school absences)Time 1: CaliforniaAchievement Tests(CAT) or the IowaTests of Basic Skills(ITBS)Follow Up: IndianaStatewide Tests ofEducational Progress(ISTEP)Covariate: Age at onsetThe epilepsy sample as a group scored significantly lower in each of thefive academic areas (composite, reading, mathematics, language,vocabulary) than the asthma sample.Subjects with high severity epilepsy scored significantly lower than eachof the three asthma subgroups and the low-severity epilepsy subgroup.Males with high severity epilepsy performed significantly worse thanfemales who had inactive epilepsy for each of the academic achievementareas.Study Design: CohortChildren with either inactive or low-severity epilepsy had mean scorescomparable to national norms; those with high seizure severity had meanscores ranging from 3 to 5 points below national norms.Change in academic achievement over time did not differ significantlyfrom zero for any achievement area for either the epilepsy or asthmasamples.Austin (1998)*Sample: N = 225 children (117 with epilepsy, 108 withasthma) who had been treated with medication for theirrespective condition for at least 1 year and who had noother chronic conditionAsthma or Epilepsy Measures: Age at onset; Seizureseverity;Seizure type; Seizure frequency; Asthmaseverity score; Asthma frequency scores; Asthmamedication side effects; Hospitalizations and emergencyroom visits for the past year; School absencesStudy Design: Case-controlSchool administeredgroup tests (includingthe CaliforniaAchievement Test &Iowa Tests of BasicSkills)Child BehaviorChecklistAdjusted for age of onsetThere were significant main effects for condition for each of the five areas(reading, mathematics, language, vocabulary, and composite), withchildren with epilepsy fairing worse than children with asthma.Those most at risk for poor academic achievement are children with themost severe epilepsy.Correlations were generally low between academic achievement andschool self-concept. Correlations between attitude and academicachievement within the asthma sample were higher than for the epilepsysample.In the asthma sample, there was a strong trend for males to score lowerthan females (p = 0.052) in Language. Further, condition severity,attitude, and adaptive functioning were significantly associated with eachof the academic achievement scores.E-78
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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15 Texas Association of Counties,
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ecording and evaluation; physical e
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Medicaid and the State Children’s
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ReferencesAmerican Academy of Pedia
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downloads/bipa.pdf#search='Medicare
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Texas Health and Human Services Com
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Appendix CAn Analysis of Reform Opt
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Encouraged by these low rates, Cong
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Establishing state-only tax incenti
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New York passed the Health Care Ref
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Hospital Cost Containment — Maryl
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dollar spent. 237 Texas spent almos
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Another option for small businesses
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• Medical equipment and supplies,
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pay the premiums for Medicaid benef
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Medicaid to children born after Sep
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Bill of Rights or “TABOR”; and
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The federal share for CHP+ is 65 pe
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SCHIP: increased eligibility in CHP
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• Medical equipment and supplies
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6. Funds obtained through the recov
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Status ReportMaineCare Program Expa
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the federal poverty level. 404 Sinc
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need their jobs as a source of empl
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Endnotes191 Deborah Chollet, Issue
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225 Ibid.226 Maryland Health Care C
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259 Kaiser Family Foundation, State
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SCHIP&subcategory=Medicaid+Spending
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325 Kaiser Family Foundation, State
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361 State Coverage Initiatives, Sta
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SCHIP&subcategory=SCHIP&topic=Feder
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An Analysis of Reform Options Devel
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ReferencesAdvantage Insurance and F
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Donnell-Kay Foundation. “Amendmen
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Kaiser Family Foundation. Demograph
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State Coverage Initiatives. Profile
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Appendix DLocal Initiatives to Expa
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with more coordinated services that
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FinancingSources of revenue include
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AdministrationThe Health and Hospit
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Until 1993, Denver Health (DH) was
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different benefit plans are offered
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Cost SharingPatient cost-sharing is
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management programs. I-Care promote
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the county indigent care plan. Bene
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Firstplan xxvi,12Moore County, Mich
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Benefits and ServicesEnrollees can
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EligibilityAs of 2005, enrollment i
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etween $23 and $120 per month. Ther
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Healthcare Accountability Act xxxvi
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Coordination - When health care age
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subsidized initiatives offer exposu
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arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
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significant differences between tho
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Table 1. Prevalence of Selected Chr
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findings of lower test scores are b
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al (McKewen et al., 1998) report a
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Section 3. School-Based Interventio
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mathematics, science and oral expre
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Table 4. Summary of Research Findin
Page 212 and 213: etween SES and health is a dose-res
Page 214 and 215: Self-Rated Health. Evidence accumul
Page 216 and 217: economic hardship. One of the skill
Page 218 and 219: Education also improves the stabili
Page 220 and 221: sex in the expectation of a more pr
Page 222 and 223: TABLE 6. SUMMARY OF EXPLANATIONS FO
Page 224 and 225: According to the Census 2000 data,
Page 226 and 227: Policy Reports Recommendations (Tot
Page 228 and 229: Section 2. Recommendations on Schoo
Page 230 and 231: Childhood ConditionsSchool-based Pr
Page 232 and 233: Childhood ConditionsDiabetes (n=11)
Page 234 and 235: eduction in reading test scores com
Page 236 and 237: Table 10. Estimates of the Cost of
Page 238 and 239: National Asthma Education and Preve
Page 240 and 241: REFERENCESAck, M., Miller, I., & We
Page 242 and 243: Elo, I. T., & Preston, S. H. (1996)
Page 244 and 245: Kaemingk, K. L., Pasvogel, A. E., G
Page 246 and 247: Miller, D. S., & Miller, T. Q. (199
Page 248 and 249: Ross, C. E., & Wu, C. L. (1996). Ed
Page 250 and 251: Williams, D. R. (1990). Socioeconom
Page 252 and 253: SAMPLE, DESIGN, & INTERVENTIONACHIE
Page 254 and 255: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 268 and 269: SICKLE CELL ANEMIAArmstrong(1996)SA
Page 272 and 273: SAMPLE, DESIGN, & INTERVENTIONSickl
Page 274 and 275: SAMPLE, DESIGN, & INTERVENTIONhemog
Page 278 and 279: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 280 and 281: Curriculum Content: Statute §28.00
Page 282 and 283: • HEALTH PROMOTING ENVIRONMENTSch
Page 284 and 285: • COORDINATION/IMPLEMENTATIONCoor
Page 286 and 287: Education and Health: A Review and
Page 288 and 289: Appendix FState Regulation of Healt
Page 290 and 291: coverage they offer. 14 By 2004 onl
Page 292 and 293: poor health may make coverage more
Page 294 and 295: account for most, or even much, of
Page 296 and 297: More active state intervention in t
Page 298 and 299: Table 3 (GAO Appendix IV) shows whi
Page 300 and 301: Appendix GEmergency and Trauma Care
Page 302 and 303: The treatment of shock prior to sur
Page 304 and 305: the EMS needs in rural areas of the
Page 306 and 307: Level IV trauma centers should be a
Page 308 and 309: Table 2. Trends in Trauma Severity,
Page 310 and 311: the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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