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Redesigning the Maternal, Infant and Early Childhood Home Visiting Program Performance Measurement System.

Judith Labiner-Wolfe1,2, Catherine J Vladutiu3, Kyle Peplinski3

  • 1Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD, 20857, USA. Jlabiner-wolfe@hrsa.gov.

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Summary

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program redesigned its performance measures, reducing them by nearly half. This supports national analysis and targeted improvements for families.

Keywords:
Early childhoodFederal governmentHome visitingPerformance measurement

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Area of Science:

  • Public Health
  • Health Services Research
  • Program Evaluation

Background:

  • The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program mandates performance assessments across six key areas of maternal and child well-being.
  • A 2015 redesign of the MIECHV Program's performance measurement system aimed to facilitate national-level analyses and cross-grantee comparisons.
  • The redesign sought to align measures with other federal initiatives and reduce reporting burdens for awardees.

Purpose of the Study:

  • To describe the process of redesigning the MIECHV Program's national performance measures.
  • To introduce the resulting set of national performance measures implemented in 2016.

Main Methods:

  • Stakeholder and expert listening sessions were conducted.
  • Findings from other home visiting performance initiatives were reviewed.
  • Public comment was solicited and addressed, with measures cleared by the Office of Management and Budget.
  • Detailed eligibility criteria, assessment timing, frequency, and data collection windows were specified for each measure.

Main Results:

  • A revised set of 19 national performance measures was established for all MIECHV-funded programs starting in 2016.
  • The number of measures was reduced by nearly half compared to the pre-redesign reporting requirements.
  • The new measures are aligned with federal benchmarks like Healthy People 2020 and other maternal and child health programs.

Conclusions:

  • Performance data from MIECHV awardees will be used for program assessment and to identify areas needing technical assistance.
  • The redesigned measures aim to support continuous quality improvement within the MIECHV Program.
  • The ultimate goal is to ensure demonstrable, positive impacts for at-risk families participating in home visiting services.