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Home Visiting Stakeholders Meeting. MIECHV UPDATES Data & Evaluation. Michelle P. Hill mhill@pa.gov 717.772.4850. 2/20/2013. Departments of Education and Public Welfare | www.education.state.pa.us | www.dpw.state.pa.us. 4 separate (but connected) pieces. Baseline Data. Year One

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miechv updates data evaluation

Home Visiting Stakeholders Meeting

MIECHV UPDATESData & Evaluation

Michelle P. Hill

mhill@pa.gov

717.772.4850

2/20/2013

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

baseline data
Baseline Data
  • Year One
    • Formula Year One
    • Families enrolled 7/1/2011 – 6/30/2012
  • Submitted to HRSA on February 4, 2013
490 families served
490 Families Served

124 Pregnant Women

349 Female Caregivers

17 Male Caregivers

490 Parents

232 Girls

271 Boys

7 Unknown

510 Children

+

+

benchmark area 1 maternal and newborn health
Benchmark Area 1: Maternal and Newborn Health

Construct 1.1: Prenatal Care

Percentage of pregnant women who are

receiving 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)

benchmark area 1 maternal and newborn health1
Benchmark Area 1: Maternal and Newborn Health

Construct 1.2: Prenatal use of

alcohol, tobacco, or illicit drugs

Percentage of pregnant women

who smoked in the 3rd trimester

29%

Goal: DECREASE

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

benchmark area 1 maternal and newborn health2
Benchmark Area 1: Maternal and Newborn Health

Construct 1.3: Preconception care

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

83%

Goal: INCREASE

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

benchmark area 1 maternal and newborn health3
Benchmark Area 1: Maternal and Newborn Health

Construct 1.4: Inter-birth intervals

Percent of postpartum women

who use birth control

81%

Goal: INCREASE

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

benchmark area 1 maternal and newborn health4
Benchmark Area 1: Maternal and Newborn Health

Construct 1.5: Screening for

maternal depressive symptoms

Percent of mothers who were

screened for maternal depression

84%

Goal: INCREASE or MAINTAIN

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

benchmark area 1 maternal and newborn health5
Benchmark Area 1: Maternal and Newborn Health

Construct 1.6: Breastfeeding

Percentage of postpartum women who

breast-fed for at least the first six months

9%

Goal: INCREASE

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

benchmark area 1 maternal and newborn health6
Benchmark Area 1: Maternal and Newborn Health

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

Baseline Period: 07/01/2012-06/30/2013 (Comparison Period: 07/01/2013-06/30/2014)

benchmark area 1 maternal and newborn health7
Benchmark Area 1: Maternal and Newborn Health

Construct 1.8: Maternal and child

health insurance status

Percentage of mothers and children

who currently have health insurance

96%

Goal: INCREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

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

Percentage of children who

visited the emergency department

19%

Goal: DECREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits1
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

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

Percentage of mothers who

visited the emergency department

19%

Goal: DECREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits2
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

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

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits3
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

Construct 2.4: Incidence of child

injuries requiring medical treatment

Percentage of children who had an injury

that required medical treatment

10%

Goal: DECREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits4
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

Construct 2.5: Reported suspected maltreatment for children in the program

Percentage of children with a

case of suspected maltreatment

2%

Goal: DECREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits5
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

Construct 2.6: Reported substantiated maltreatment for children in the program

Percentage of children with a case

of substantiated maltreatment

0%

Goal: DECREASE

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

benchmark area 2 child injuries child abuse neglect or maltreatment emergency department visits6
Benchmark Area 2: Child Injuries, Child Abuse, Neglect, or Maltreatment; Emergency Department Visits

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

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

benchmark area 3 school readiness and achievement
Benchmark Area 3: School Readiness and Achievement

Construct 3.1: Parent support for

children’s learning and development

Percentage of mothers who report an

Increase in involvement (as related to their

children’s learning and development)

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement1
Benchmark Area 3: School Readiness and Achievement

Construct 3.2: Parent knowledge of

child development and of their

child’s developmental progress

Percentage of mothers who report an increase

in knowledge of their child’s development

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement2
Benchmark Area 3: School Readiness and Achievement

Construct 3.3: Parenting behaviors

and parent-child relationship

Percentage of mothers who report a positive

change in their relationship with their child

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement3
Benchmark Area 3: School Readiness and Achievement

Construct 3.4: Parent emotional

well-being or parenting stress

Percentage of mothers who were

screened for maternal depression

78%

Goal: INCREASE or MAINTAIN

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

benchmark area 3 school readiness and achievement4
Benchmark Area 3: School Readiness and Achievement

Construct 3.5: Child communication,

language and emergent literacy

Percentage of children with age appropriate

development in communication

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement5
Benchmark Area 3: School Readiness and Achievement

Construct 3.6: Child general cognitive skills

Percentage of children with age appropriate

development in general cognitive skills

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement6
Benchmark Area 3: School Readiness and Achievement

Construct 3.7: Child’s positive approaches

to learning including attention

Percentage of children with age appropriate

development in positive approaches to learning

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement7
Benchmark Area 3: School Readiness and Achievement

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

Percentage of children with age appropriate development in social behavior, emotion regulation, and emotional well-being

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 3 school readiness and achievement8
Benchmark Area 3: School Readiness and Achievement

Construct 3.9: Child’s physical

health and development

Percentage of children with age appropriate

development in physical development

*

Goal: INCREASE

* Comparison data point is 18 Months Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 4 domestic violence
Benchmark Area 4: Domestic Violence

Construct 4.1: Screening

for domestic violence

Percentage of mothers who were

screened for domestic violence

97%

Goal: INCREASE or MAINTAIN

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

benchmark area 4 domestic violence1
Benchmark Area 4: Domestic Violence

Construct 4.2: Of families identified for the presence of domestic violence, number of referrals made to domestic violence services

Percentage of mothers who screened

positive for domestic violence who were

referred to domestic violence services

58%

Goal: INCREASE or MAINTAIN

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

benchmark area 4 domestic violence2
Benchmark Area 4: Domestic Violence

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

42%

Goal: INCREASE or MAINTAIN

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

benchmark area 5 family economic self sufficiency
Benchmark Area 5: Family Economic Self-Sufficiency

Construct 5.1: Household

Income 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 so

unable to determine who is included in the baseline group yet

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

benchmark area 5 family economic self sufficiency1
Benchmark Area 5: Family Economic Self-Sufficiency

Construct 5.2: Employment of participating adults

Total number of hours worked (paid and

unpaid devoted to the care of an

infant) per month by each mother

*

Goal: INCREASE or MAINTAIN

* Comparison data point is 1 Year Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 5 family economic self sufficiency2
Benchmark Area 5: Family Economic Self-Sufficiency

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

Percentage of household members

who currently have health insurance

*

Goal: INCREASE

* Comparison data point is 1 Year Post Enrollment so

unable to determine who is included in the baseline group yet

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

benchmark area 6 coordination and referrals for other community resources and supports
Benchmark Area 6: Coordination and Referrals for Other Community Resources and Supports

Construct 6.1: Number of families

identified for necessary services

Percentage of families identified

for needed services

52%

Goal: INCREASE or MAINTAIN

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

benchmark area 6 coordination and referrals for other community resources and supports1
Benchmark Area 6: Coordination and Referrals for Other Community Resources and Supports

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

89%

Goal: INCREASE or MAINTAIN

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

benchmark area 6 coordination and referrals for other community resources and supports2
Benchmark Area 6: Coordination and Referrals for Other Community Resources and Supports

Construct 6.3: Number of completed referrals

Percentage of families who were

referred to additional community

resources who received services

79%

Goal: INCREASE or MAINTAIN

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

benchmark area 6 coordination and referrals for other community resources and supports3
Benchmark Area 6: Coordination and Referrals for Other Community Resources and Supports

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

74

Goal: INCREASE or MAINTAIN

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

benchmark area 6 coordination and referrals for other community resources and supports4
Benchmark Area 6: Coordination and Referrals for Other Community Resources and Supports

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

249

Goal: INCREASE or MAINTAIN

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

next steps
Next Steps
  • Analyze data by sites, model
  • Continuous Quality Improvement (CQI)
state evaluation policylab
State Evaluation (PolicyLab)
  • Currently in the process of collecting data from MIECHV sites and acquiring access to state-level administrative data
  • Goals:
    • Understand the effect of the PA MIECHV expansion of NFP, EHS, PAT, & HFA on maternal and child community health outcomes
    • Analyze program effects for priority families (dual-language and children with disabilities)
    • Investigate geographic disparities of program utilization
    • Explore the influence of site context and professional development activities on program performance
m other and i nfant ho me visiting p rogram e valuation mihope
Motherand Infant HomeVisitingProgram 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
m other and i nfant ho me visiting p rogram e valuation mihope1
Motherand Infant HomeVisitingProgram 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

slide48

Motherand Infant HomeVisiting Program Evaluation (MIHOPE) – 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