Tribal MIECHV Performance Measures

Tribal MIECHV Performance Measures.docx

Tribal Maternal, Infant, and Early Childhood Home Visiting Program Performance Reporting Form 2

Tribal MIECHV Performance Measures

OMB: 0970-0500

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Tribal Maternal, Infant, and

Early Childhood

Home Visiting Program


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Performance Measures

Numerators & Denominators

























Tribal MIECHV Performance Measures Numerators and Denominators


Area

Construct

Indicator

Numerator

Denominator

Core Measures

1

Implementation

Receipt of Home Visits



Percentage of recommended home visits received by families enrolled in the home visiting program during the reporting period

Number of home visits received by families during the reporting period

Number of home visits families should receive according to model developer fidelity requirements during the reporting period

2

Implementation

Home Visit Implementation Observation


Percentage of recommended home visits where home visitors are observed for implementation quality and receive feedback from their supervisors during the reporting period

Number of home visits where home visitors are observed for implementation quality and receive feedback from their supervisors during the reporting period

Number of home visits where home visitors should receive an observation according to model developer guidelines during the reporting period

3

Implementation

Reflective Supervision

Percentage of recommended individual and/or group reflective supervision sessions received by home visitors during the reporting period

Number of individual and/or group reflective supervision sessions received by home visitors during the reporting period

Number of individual and/or group reflective supervision sessions that home visitors should receive during the reporting period

4

I - Maternal and Newborn Health

Depression Screening

Percent of primary caregivers enrolled in HV who are screened for depression using a validated tool within 3 months of enrollment (for those not enrolled prenatally) by 3 months post- delivery (for those enrolled prenatally) and at least annually thereafter

For those not enrolled prenatally, number of primary caregivers enrolled in HV who are screened for depression within the first three months since enrollment; for those enrolled prenatally, the number of primary caregivers screened for depression by three months post- delivery; or annually after the first year of enrollment

Number of primary caregivers not enrolled prenatally who are enrolled in HV for at least three months; the number of mothers enrolled prenatally who have reached 3 months post-delivery

5

I - Maternal and Newborn Health

Substance Abuse Screening

Percent of primary caregivers enrolled in HV who are screened for substance abuse using a validated tool within 3 months of enrollment and at least annually thereafter

Number of primary caregivers enrolled in HV who are screened for substance abuse using a validated tool within 3 months of enrollment and annually after the first year of enrollment

Number of primary caregivers enrolled in HV for at least three months

6

I - Maternal and Newborn Health

Well Child Visit

Percent of the AAP-recommended number of well-child visits received by children enrolled in home visiting during the reporting period

Number of AAP-recommended well-child visits received by children (index child) enrolled in home visiting during the reporting period

Number of AAP-recommended well-child visits children (index child) enrolled in home visiting should receive during the reporting period

7

II - Child Maltreatment, Injuries and ED Visits

Child Injury Prevention

Percentage of primary caregivers enrolled in home visiting who are provided with training on prevention of child injuries

Number of primary caregivers enrolled in home visiting who are provided with training on prevention of infant and child injuries during the reporting period

Number of primary caregivers enrolled in home visiting

8

III – School Readiness and Achievement

Parent-Child Interaction

Percent of primary caregivers enrolled in HV who receive an observation of caregiver-child interaction by the home visitor using a validated tool.

Number of primary caregivers enrolled in HV who receive an observation of caregiver-child interaction by the home visitor using a validated tool

Number of primary caregivers enrolled in HV with children reaching the end of the desired age range specified by the tool or HV model

9

III – School Readiness and Achievement

Developmental Screening

Percentage of children enrolled in HV screened at least annually for developmental delays using a validated* parent-completed tool

Number of children (index child) enrolled in HV with at least one documented developmental screening during the reporting period.

Number of children (index child) enrolled in HV during the reporting period that required a screening

10

IV - Crime or Domestic Violence

IPV Screening

Percentage of primary caregivers enrolled in HV who are screened for intimate partner violence using a validated* tool within 6 months of enrollment and at least annually thereafter

Number of primary caregivers enrolled in HV who are screened for IPV using a validated tool within 6 months of enrollment and annually after the first year of enrollment

Number of primary caregivers enrolled in HV for at least 6 months

11

V - Family Economic Self-Sufficiency

Screening for Economic Strain

Percentage of primary caregivers who are screened for unmet basic needs (poverty, food insecurity, housing insecurity, etc.) within 3 months of enrollment and at least annually thereafter

Number of primary caregivers who are screened for unmet basic needs within 3 months of enrollment and annually after the first year of enrollment

Number of primary caregivers enrolled in home visiting for at least 3 months

12

VI- Coordination and Referrals

Completed Developmental Referrals

Percentage of children enrolled in home visiting with positive screens for developmental delays (measured using a validated* tool) who receive a timely referral for services and a follow up

Number of children (index child) enrolled in HV who received referral information to early intervention services (and met the conditions specified in the denominator) and for whom the HV program followed up on the referral within 45 days

Number of children (index child) enrolled in HV during the reporting period with positive screens for developmental delays (measured using a validated tool)

Flex Measures (select 2 from 1-7 and 1 from 8-11)

1

I - Maternal and Newborn Health

Breastfeeding

Percentage of women enrolled prior to child’s birth who initiate breastfeeding

Number of women enrolled prenatally who initiate breastfeeding

Number of women enrolled prenatally who gave birth within the reporting period

2

I - Maternal and Newborn Health

Postpartum Care

Percent of mothers enrolled in HV prenatally or within 30 days after delivery who received a postpartum visit with a health care provider within 8 weeks (56 days) of delivery.

Number of mothers enrolled in HV prenatally or within 30 days after delivery who received a postpartum visit with a health care provider within 8 weeks (56 days) of delivery

Number of mothers who enrolled in HV prenatally or within 30 days after delivery and remained enrolled for at least 8 weeks (56 days) after delivery

3

I - Maternal and Newborn Health

Immunizations

Percent of children enrolled in home visiting who receive all AAP-recommended immunizations during the reporting period

Number of children (index child) enrolled in HV who receive all AAP-recommended immunizations during the reporting period

Number of children (index child) enrolled in HV during the reporting period

4

II - Child Maltreatment, Injuries and ED Visits

Screening for Parenting Stress

Percentage of primary caregivers who are screened for parenting stress using a validated* tool within 3 months of enrollment and at least annually thereafter

For those not enrolled prenatally, number of primary caregivers enrolled in HV who are screened for parenting stress within the first three months since enrollment; for those enrolled prenatally, the number of primary caregivers screened for parenting stress by three months post- delivery; or annually after the first year of enrollment

Number of primary caregivers not enrolled prenatally who are enrolled in HV for at least three months; the number of mothers enrolled prenatally who have reached 3 months post-delivery

5

II - Child Maltreatment, Injuries and ED Visits

Safe Sleep

Percentage of primary caregivers educated about the importance of putting infants to sleep on their backs, without bed-sharing and soft-bedding

Number of primary caregivers educated about the importance of putting infants to sleep on their backs, and without bed-sharing and soft-bedding during the reporting period

Number of primary caregivers enrolled in home visiting during the reporting period who are either pregnant or have a child under 12 months of age

6

II - Child Maltreatment, Injuries and ED Visits

Child Injury

Rate of injury-related visits to the Emergency Department (ED) or urgent care since enrollment among children enrolled in HV

Number of parent-reported nonfatal injury-related visits to the Emergency Department (ED) or urgent care since enrollment among children (index child) enrolled in HV

Number of children (index child) enrolled in HV during the reporting period

7

III – School Readiness and Achievement

Early Language and Literacy Activities

Percent of children enrolled in HV with a caregiver who reported that during a typical week the caregiver or a family member read, told stories, and/or sang songs with their child every day

Number of children (index child) enrolled in HV with a caregiver who reported that during a typical week the caregiver or a family member read, told stories, and/or sang songs with their child every day.

Number of children (index child) enrolled in HV during the reporting period

8

VI- Coordination and Referrals

Completed IPV referrals

Percentage of primary caregivers screening positive for intimate partner violence who receive a timely referral for services and a follow up

Number of primary caregivers enrolled in HV who received referral information to appropriate services (and met the conditions specified in the denominator) and for whom the HV program followed up on the referral within 45 days

Number of primary caregivers enrolled in HV with positive screens for IPV (measured using a validated tool)

9

VI- Coordination and Referrals

Completed Depression and Parenting Stress Referrals

Percent of primary caregivers screening positive for depression or parenting stress using a validated* tool who receive a timely referral for services and a follow up

Number of primary caregivers enrolled in HV who received referral information to appropriate services (and met the conditions specified in the denominator) and for whom the HV program followed up on the referral within 45 days

Number of primary caregivers enrolled in HV who had a positive screen for depression or parenting stress (measured using a validated tool)

10

VI- Coordination and Referrals

Completed Substance Abuse Referrals

Percent of primary caregivers screening positive for substance abuse using a validated* tool who receive a timely referral for services and a follow up

Number of primary caregivers enrolled in HV who received referral information to appropriate services (and met the conditions specified in the denominator) and for whom the HV program followed up on the referral within 45 days

Number of primary caregivers enrolled in HV who had a positive screen for substance abuse (measured using a validated tool)

11

VI- Coordination and Referrals

Completed Economic Strain Referrals

Percent of primary caregivers with unmet basic needs who receive a timely referral for services and a follow up

Number of primary caregivers enrolled in HV who received referral information to appropriate services (and met the conditions specified in the denominator) and for whom the HV program followed up on the referral within 45 days

Number of primary caregivers enrolled in HV who had a positive screen for unmet basic needs



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AuthorDepartment of Health and Human Services
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File Created2022-10-21

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