SAFE KIDS Buckle Up

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Demonstrating the Value of CSSIS to Your Lead
Agency

• Dwayne Smith
• Coordinator
• SAFE KIDS Anderson County
• Anderson, South Carolina

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SAFE KIDS Anderson County

• Located in NW South Carolina
• Established November 1999
• Led by Anderson Area Medical Center
• County Population 165,740
• Less than 27 live in urban areas
• 82 Caucasian, 17 African-American, 1
  Hispanic

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Anderson County Children

• Peds. population birth - 9 YO _at_ 22,600
• _at_ 25 live below or just over federal poverty
  level
• 2,624 children ages birth-5 YO enrolled in
  W.I.C. (23 of county)

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Anderson Area Medical Center

• 560 Bed Hospital
• Level II Trauma Center w/ 38 Bed E.D.
• 73,000 annual E.D. visits (200/day)
• On average, 127 children ages birth - 9 yrs.
  visit E.D. for MVC annually
• Average inpatient charge for children injured
  in MVC 4,149.00
• Average annual live births 1,899

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How We Got Started as an Injury Prevention
Initiative

• Community had a high level of readiness for a
  SAFE KIDS effort
• Genuine commitment and desire from hospital
  administration
• Hospital obtained grant funding to hire
  coordinator for a period of three years

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How We Got Started in CPS

• Strong statewide effort to promote CPS
• E.D. data confirmed MVC injury burden in
  birth-9 YO population
• Previous experience in CPS enabled smooth
  transition

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How We Got Started as a CSSIS

• People asked for it
• Very unstructured to begin with - office
  walk-ins, word of mouth advertising, etc.
• Bought an E-Z-Up tent and started from there

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Where Does CPS Funding Come From?

• Line item in Trauma Services budget to purchase
  CSSs
• SKBU
• Mini-grants from state agencies

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How Do We Keep Funding?

• Have clearly defined goals objectives for
  CSSIS
• EXAMPLE The goal of the CSSIS will be to
  establish a community resource that will

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• 1. Increase the number of upstate
  parents/caregivers who have access to resources
  provided by a CSSIS
• 2. Reduce the number of MVC-related injuries and
  fatalities among upstate children ages birth - 9
  years old

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• 3. Employ public health model of assessment,
  surveillance, implementation, and evaluation to
  gain a greater understanding of the pediatric
  injury burden due to MVC in Anderson County

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Sample Objectives

• 1. Establishment of a centralized community-based
  CPS resource program that will assist parents in
  securing children ages birth - 9 YO in
  appropriate child restraints according to best
  practice guidelines

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• 2. Integration of CPS efforts into clinical
  services provided at the Women's Children's
  Center, and in E.D.
• 3. Collaborate with the Center for Safety
  Research at Clemson University to conduct dynamic
  public health injury prevention research

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Demonstrate that you are reaching the target
population with a needed service(process
evaluation measures)

• Purpose
• When to conduct
• Important factors to consider
• Target population
• How to use results

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Demonstrate that you are making progress toward
program goals(impact evaluation measures)

• Purpose
• When to conduct
• Target population
• Methods
• How to use results

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Demonstrate a reduction in MVC injury burden
among target population (outcome evaluation
measures)

• Can be human and/or economic
• Purpose
• When to conduct
• Target population
• Methods
• How to use results

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When a long-term study is not feasible, use more
readily accessible info

• Pre- and post-intervention (i.e., establishment
  of CSSIS) data showing the number of local
  children ages birth - 9 YO seen in the E.D. for
  MVC-related injuries during a specific period of
  time (i.e., quarterly, biannually, annually)

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(continued)

• Pre- and post-intervention data showing the
  average total acute care charges (with patient
  identifiers eliminated) for the number of local
  children ages birth - 9 YO seen in the E.D. for
  MVC-related injuries during a specific period of
  time
• Sort injury and acute care charge stats by
  standard age groups (LT 1, 1-4, 5-9)

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Number of Anderson County Children Visiting E.D.
for MVC Injury
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Reduction in MVC Injuries Since Coalition
Inception (1999)
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Cost Savings Realized by Reducing MVC Injuries
Among Target Population
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Net Savings

• For the 3-year period dating 2000-2002,
  Anderson Area Medical Center allocated 21,770.43
  for the purchase of child restraints to be
  distributed free of charge under the SAFE KIDS
  initiative
• Net monetary return on lead agencys capital
  investment 107, 028.57

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Where Do We Go From Here?

• Continue doing what we do best - preventing
  injuries and savings lives
• Continue demonstrating that we are making a
  difference in reducing MVC-related injury volume,
  rates, and their associated costs
• Ask lead agency to dedicate more line-item
  funding for continuation of CPS education
  outreach

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Questions Comments?

• Dwayne Smith
• SAFE KIDS Anderson County
• [phone]
• dsmith3_at_anmed.com