Welcome to the Home Visiting Community of Practice Call

January 7, 2015 10:00 AM

Please Use *6 to Mute Your Phone!

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Agenda

Welcome and Introductions

Review of Key Terms and Concepts

State Policy and Program Updates

Federal Policy and Program Updates

Upcoming Engagement Opportunities

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What is Early Childhood Home Visiting?

Michigan’s early childhood home visiting programs provide voluntary, prevention-focused family support services in the homes of pregnant women and families with children aged 0-5.

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How Does Early Childhood Home Visiting Work?

Michigan’s early childhood home visiting programs connect trained professionals with vulnerable and at-risk mothers and families to nurture, support, coach, educate and offer encouragement with the goal that all children grow and develop in a safe and stimulating environment.

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What Does the Michigan Home Visiting Initiative Do?

The Michigan Early Childhood Home Visiting Initiative is: Creating a Vision--by engaging partners in a collaborative process to plan and

implement policies, procedures, standards, measures and funding mechanisms that support common goals;

Strengthening the Home Visiting Infrastructure--by improving the quality of the system and supporting the use of evidence-based model programs;

Promoting Positive Outcomes--by measuring and reporting progress toward improving child health and safety, supporting healthy development, reducing family violence, improving maternal child health, and encouraging economic self-sufficiency.

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State Policy Updates

Partners for Success Update

Michigan Partners for Success webpage: http://www.michigan.gov/micontractconnect/0,4541,7-225--317965--,00.html

Link to RFP https://www.buy4michigan.com/bso/external/bidDetail.sdo?docId=007114B000293

0&external=true&parentUrl=bid

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PA 291 of 2012 Report Release!

PA 291 of 2012: What is it?

Legislatively required report on performance of HV programs in Michigan

Second annual report transmitted to legislature in December 2014

Report period covers 10/1/2013-10/1/14

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Report Highlights

Documents state of Michigan Home Visiting Programs…we are strong!

Describes funding streams and program administration of state and federal HV programs

Describes Michigan HV Indicator work and presents data snapshot on 6 indicators

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Michigan Indicator Data

Result of year-long process 10 initial indicators selected measuring

process and outcomes of HV; 6 reported in 2014

Data reported, as possible, for all HV programs in Michigan

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What We Learned

Data collection and reporting windows don’t always match legislative timeframes

MIHP and MIECHV programs measure data differently making apples-apples comparisons difficult

Results based accountability is not apples-apples comparison

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Michigan Indicator Data

Indicator Definition Reported %

Prenatal Care % of women receiving adequate prenatal care 66.9%

Preterm Birth % of women enrolled in HV who delivered before 37 weeks

13%

Breastfeeding % of mothers BF at program exit (MIHP) % of mothers who initiated BF during program (MIECHV)

26.1% (MIHP) 76.7% (MIECHV)

Maternal Tobacco Use % of mothers reporting smoking % of mothers reporting tobacco use

23.6% (MIHP) 13% (MIECHV)

Maternal Depression % of women receiving depression screening 98.5%

Child Development Screen % of children referred for services based on ASQ

4%

Well Child Visits % of children who received last well child visit Coming in 2015!

Maternal Insurance % of women who had insurance at 6 months post-enrollment

Coming in 2015!

Child Maltreatment % of children in families with substantiated maltreatment

Coming in 2015!

Maternal Education % of women who have achieved HS completion ofrequivalent

Coming in 2015!

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Demographics

Number of 2014 Enrollees

50,637 Number of Pregnant Women

25,615 Number of Children

25,136

Age of Adult Enrollees 8-12 12-14 15-19

20-29 30-39 40-44 45-49 50+ Unknown

Suppressed .2% 15.7% 62.24% 18.7% 1.4% .1% 0 1.5%

Race Native American/ Alaskan Native

Black/African American

Pacific Islander/ Native Hawaiian

Asian White/ Caucasian

Multi-Racial

Arab/ Chaldean

Unknown

1.1% 42.1% .1% 1.7% 44.9% 4.6% 3.6% 1.9% Ethnicity

Hispanic Not Hispanic Unknown Unknown 8.3% 91.3% .4% 115

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Rural Expansion Grants 16

• All 3 regions have completed the Exploration and Planning Phase

• Data and needs analysis led each to determine that the Healthy Families America (HFA) is best fit for their regions’ needs

• Luce-Mackinac-Alger-Schoolcraft District Health Department will oversee work in Region I

• Health Department of Northwest Michigan will oversee work in Regions II and III

• Budgets are submitted and both entities are preparing to hire staff

Federal Policy and Program

Updates 3

DGIS Data Submission

Required annual report on HV programs funded through MIECHV

3 years of data now available

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DGIS Data- What We Know

Overall, Michigan exceeded federal MIECHV expectations by improving performance in over half of the benchmarks established for the program.

Michigan showed improvement in school readiness and achievement, increasing referrals for development concerns in children and assuring high levels of support for caregivers

Michigan maintained high screening rates for domestic violence and made progress in providing referrals for domestic violence services.

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DGIS Data- What We Know

Families served by MIECHV showed improvement in family economic self-sufficiency, with an increase in household income and benefits, as well as an increase in hours spent in paid employment.

Coordination and referrals for other community resources and supports improved as well, with increased identification and referral for community service needs.

Michigan will continue to work toward improvement in the area of child injuries, child abuse, neglect, or maltreatment, particularly through reducing emergency department utilization and preventing child maltreatment.

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Upcoming Engagement

Opportunities 3

Events, Webinars and Training

2015 MHVI Stakeholder Community of Practice Calls March 4 @ 10:00 a.m. June 10 @ 10:00 a.m.

3rd Annual HV Conference! August 6-7, 2015! Renaissance Center/ Detroit Marriott. Details coming soon!

MIECHV Grantee Domestic Violence Training with Futures Without Violence! April 7-8, 2015, Henry Center, Lansing, Michigan. Details Coming Soon!

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Home Visiting Contact Information

http://www.michigan.gov/homevisiting/ Nancy Peeler – peelern@michigan.gov