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
|