miechv updates data & evaluation

MIECHV UPDATESData & Evaluation

Michelle P. [email protected]

1Departments of Education and Public Welfare | www.education.state.pa.us | www.dpw.state.pa.us

Home Visiting Stakeholders Meeting

2/20/2013

4 separate (but connected) pieces

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MIECHVData & Evaluati

on

Demographic, Service

Utilization & Benchmark

Data

State Evaluation (PolicyLab)

National Evaluation (MIHOPE –

Strong Start)

National Evaluation (MIHOPE)

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on



Data



Strong Start)


Baseline Data

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• Year One• Formula Year One• Families enrolled 7/1/2011 –

6/30/2012

• Submitted to HRSA on February 4, 2013

490 Families Served

124 Pregnant Women349 Female Caregivers

17 Male Caregivers

490 Parents

232 Girls271 Boys

7 Unknown

510 Children

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+ +

Benchmark Area 1: Maternal and Newborn Health

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Construct 1.1: Prenatal Care

Percentage of pregnant women who arereceiving prenatal care by the 3rd trimester

98%Goal: INCREASE

Baseline Period: 07/01/2011-06/30/2012 (Comparison Period: 07/01/2012-06/30/2013)


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Construct 1.2: Prenatal use ofalcohol, tobacco, or illicit drugs

Percentage of pregnant women who smoked in the 3rd trimester

29%Goal: DECREASE



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Construct 1.3: Preconception care

Percentage of postpartum women who have a medical home prior to becoming

pregnant

83%Goal: INCREASE



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Construct 1.4: Inter-birth intervals

Percent of postpartum womenwho use birth control

81%Goal: INCREASE



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Construct 1.5: Screening for maternal depressive symptoms

Percent of mothers who werescreened for maternal depression

84%Goal: INCREASE or MAINTAIN



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Construct 1.6: Breastfeeding

Percentage of postpartum women whobreast-fed for at least the first six months

9%Goal: INCREASE



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Construct 1.7: Well-child visits

Percentage of children who receive the recommend schedule of well-child visits

*Goal: INCREASE

* First data point is 1 Year Post Enrollment so no data to report yet



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Construct 1.8: Maternal and childhealth insurance status

Percentage of mothers and childrenwho currently have health insurance

96%Goal: INCREASE


Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or

Maltreatment; Emergency Department Visits

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Construct 2.1: Visits for children to the emergency department from all

causes

Percentage of children whovisited the emergency department

19%Goal: DECREASEBaseline Period: 01/01/2012-12/31/2012 (Comparison Period:

01/01/2013-12/31/2013)



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Construct 2.2: Visits of mothers to the emergency department from all

causes

Percentage of mothers whovisited the emergency department


01/01/2013-12/31/2013)



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Construct 2.3: Information provided or training of participants on prevention of

child injuries

Percentage of mothers who received information or training on child injury prevention

75%Goal: INCREASE




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Construct 2.4: Incidence of childinjuries requiring medical treatment

Percentage of children who had an injurythat required medical treatment

10%Goal: DECREASE




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Construct 2.5: Reported suspected maltreatment for children in the

program

Percentage of children with acase of suspected maltreatment


07/01/2012-06/30/2013)



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Construct 2.6: Reported substantiated maltreatment for

children in the program

Percentage of children with a caseof substantiated maltreatment


07/01/2012-06/30/2013)



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Construct 2.7: First time victims of maltreatment for children in the

program

Percentage of children with a substantiated case

of maltreatment who are first time victims

0%Goal: DECREASE


Benchmark Area 3: School Readiness and

Achievement

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Construct 3.1: Parent support for children’s learning and development

Percentage of mothers who report anIncrease in involvement (as related to their

children’s learning and development)

*Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment sounable to determine who is included in the baseline

group yetBaseline Period: 01/01/2012-12/31/2012 (Comparison Period: 01/01/2013-12/31/2013)


Achievement

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Construct 3.2: Parent knowledge of child development and of theirchild’s developmental progress

Percentage of mothers who report an increasein knowledge of their child’s development

*Goal: INCREASE




Achievement

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Construct 3.3: Parenting behaviorsand parent-child relationship

Percentage of mothers who report a positivechange in their relationship with their child

*Goal: INCREASE




Achievement

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Construct 3.4: Parent emotional well-being or parenting stress

Percentage of mothers who werescreened for maternal depression




Achievement

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Construct 3.5: Child communication,language and emergent literacyPercentage of children with age appropriate

development in communication

*Goal: INCREASE



http://agesandstages.com/asq-products/asq-3/


Achievement

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Construct 3.6: Child general cognitive skillsPercentage of children with age appropriate

development in general cognitive skills

*Goal: INCREASE





Achievement

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Construct 3.7: Child’s positive approachesto learning including attention

Percentage of children with age appropriatedevelopment in positive approaches to learning

*Goal: INCREASE





Achievement

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Construct 3.8: Child’s social behavior, emotional regulation, and emotional well-

beingPercentage of children with age appropriate development in

social behavior, emotion regulation, and emotional well-being

*Goal: INCREASE



http://agesandstages.com/asq-products/asqse/


Achievement

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Construct 3.9: Child’s physical health and development

Percentage of children with age appropriatedevelopment in physical development

*Goal: INCREASE




Benchmark Area 4: Domestic Violence

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Construct 4.1: Screening for domestic violence

Percentage of mothers who werescreened for domestic violence




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Construct 4.2: Of families identified for the presence of domestic

violence, number of referrals made to domestic violence services

Percentage of mothers who screenedpositive for domestic violence who werereferred to domestic violence services

58%Goal: INCREASE or MAINTAINBaseline Period: 01/01/2012-12/31/2012 (Comparison Period:

01/01/2013-12/31/2013)


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Construct 4.3: Of families identified for the presence of domestic violence,

number of families for which a safety plan was completed

Percentage of mothers who screened positive

for domestic violence who have a safety plan



Benchmark Area 5: Family Economic Self-Sufficiency

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Construct 5.1: HouseholdIncome and/or benefits

Percentage of households that increased or maintained their income and benefits

*Goal: INCREASE or MAINTAIN* Comparison data point is 1 Year Post Enrollment sounable to determine who is included in the baseline



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Construct 5.2: Employment of participating adults

Total number of hours worked (paid andunpaid devoted to the care of aninfant) per month by each mother

*Goal: INCREASE or MAINTAIN* Comparison data point is 1 Year Post Enrollment sounable to determine who is included in the baseline



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Construct 5.3: Health insurance status of participating adults and index children

Percentage of household memberswho currently have health insurance

*Goal: INCREASE

* Comparison data point is 1 Year Post Enrollment sounable to determine who is included in the baseline


Benchmark Area 6: Coordination and Referrals for Other Community

Resources and Supports

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Construct 6.1: Number of familiesidentified for necessary services

Percentage of families identifiedfor needed services





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Construct 6.2: Number of families identified

that required services and received a referral

to available community resources

Percentage of families who required services who were referred to additional

community resources





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Construct 6.3: Number of completed referrals

Percentage of families who werereferred to additional communityresources who received services





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Construct 6.4: MOUs: Number of Memoranda of Understanding or other formal agreements with other social service agencies in the community

Number of MOUs or other formal agreements with other social service

agencies in the community

74Goal: INCREASE or MAINTAINBaseline Period: 07/01/2011-06/30/2012 (Comparison Period:

07/01/2012-06/30/2013)



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Construct 6.5: Information sharing: Number of agencies with which the home visiting provider has a clear point of contact in the collaborating community agency that includes regular

sharing of information between agencies

Number of agencies with which the home visiting provider has a clear point of contact in the collaborating community

agency that includes regular sharing of information between agencies

249Goal: INCREASE or MAINTAIN


Next Steps

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• Analyze data by sites, model

• Continuous Quality Improvement (CQI)

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on



Data



Strong Start)



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• Currently in the process of collecting data from MIECHV sites and acquiring access to state-level administrative data

• Goals:o Understand the effect of the PA MIECHV expansion of

NFP, EHS, PAT, & HFA on maternal and child community health outcomes

o Analyze program effects for priority families (dual-language and children with disabilities)

o Investigate geographic disparities of program utilization

o Explore the influence of site context and professional development activities on program performance

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on



Data



Strong Start)


Mother and Infant Home VisitingProgram Evaluation (MIHOPE)

• Random assignment of families has begun in Pennsylvania – about 52 clients have been enrolled; several videos of home visits have been taken in Pennsylvania

• Other states approved by OPRE and HRSA to participate in MIHOPE: California, Georgia, Illinois, Kansas, Michigan, Nevada, Oregon, & Wisconsin

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Mother and Infant Home VisitingProgram Evaluation (MIHOPE)

• The Hope of MIHOPE• Listen to the MIHOPE federal project

officer highlight the role of MIHOPE in informing the federal and state policy discussion

http://www.mdrc.org/hope-mihope?utm_source=MIHOPE+Newsletter&utm_campaign=bf61a6cc19-MIHOPE_Newsletter_January_20131_11_2013&utm_medium=email

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Data



Strong Start)


• Currently ironing out final details with HHS

• A second ‘arm’ of the MIHOPE study• 12 MIHOPE states + 8 additional =

20 states• Random selection• NFP & HFA• Goal: 20,000 families• Study enrollment and data collection

are expected in begin Summer 2013• Connection to Strong Start / Medicaid

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Mother and Infant Home Visiting Program Evaluation (MIHOPE) –

Strong Start

miechv updates data & evaluation

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