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US Maps: Compare 2016 NSCH NPMs and NOMs Across States

In the US Maps, all states' data are compared to the nation. Statistical tests for state-by-state comparisons require additional analysis. Click here to request a data set. 

2016-2017 Combined National Survey of Children's Health Across State Comparison Maps Coming Soon!

The US state maps below compare each state’s performance to the national average on National Performance Measures (NPMs) and National Outcome Measures (NOMs) from the 2016 National Survey of Children's Health (NSCH).

To start, click on any measure below.

National Performance Measures (NPMs)

NPM 1: Well-Woman Visit (ages 18-44)*
NPM 6: Developmental Screening (ages 9-35 months )
NPM 8.1: Physical Activity (ages 6-11)
NPM 8.2: Physical Activity (ages 12-17)
NPM 9: Bully Others (ages 12-17)
NPM 9: Bullied (ages 12-17)
NPM 10: Preventive Medical Visit (ages 12-17)
NPM 11: Medical Home: CSHCN (ages 0-17)
NPM 11: Medical Home: Non-CSHCN (ages 0-17)
NPM 12: Transition: CSHCN (ages 12-17)
NPM 12: Transition: Non-CSHCN (ages 12-17)
NPM 13.2: Preventive Dental Visit (ages 1-17)
NPM 14.2: Smoking (ages 0-17)
NPM 15: Adequate Insurance (ages 0-17)

National Outcome Measures (NOMs)

NOM 14: Tooth Decay/Cavities (ages 1-17)
NOM 17.1: Children with Special Health Care Needs (ages 0-17)
NOM 17.2: Systems of Care (ages 0-17)
NOM 17.3: Autism (ages 3-17)
NOM 17.4: ADD/ADHD (ages 3-17)
NOM 18: Mental Health Treatment (ages 3-17)
NOM 19: Overall Health Status (ages 0-17)
NOM 20: Obesity (ages 10-17)
NOM 21: Uninsured (ages 0-17)^
NOM 25: Forgone Health Care (ages 0-17)

Suggested citation format: Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. "[National Performance Measure/National Outcome Measure Name] State Comparison Map." 2016 National Survey of Children’s Health. Retrieved [mm/dd/yy] from

Data Sources: All NPMs and NOMs come from the National Survey of Children's Health, except where indicated:
*Behavioral Risk Factor Surveillance System (BRFSS), 2015
^American Community Survey (ACS), 2015

Maps for the following measures are not available because estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable: NPM 6: Developmental screening, NPM 9: Bully others, NPM 12: Transition (CSHCN), and NOM 18: Mental and behavioral health treatment.

Due to changes in the survey’s mode of data collection and sampling frame, as well as adjustments to item wording where necessary, MCHB alerts data users that it is not possible to compare estimates from the redesigned survey to those from previous iterations of the NSCH or NS-CSHCN or to conduct related trend analyses. The redesigned NSCH will support trend analyses beginning with data from 2016.