Benchmark: Improved Maternal and Newborn Health

1. Benchmark: Improved Maternal and Newborn Health • FamilyWise Current Data Points: Construct: Week prenatal care began , Life Skills Progression scale – LSP Health and Medical Care Prenatal care at Intake MOB use of tobacco during pregnancy  Smoke free environment (ongoing)   Maternal smoking (ongoing) LSP Mental Health and Substance Abuse Use of primary care prior to conception Annual pelvic and breast exams prior to conception Subsequent pregnancies while in program Prenatal care Parental use of alcohol, tobacco, or illicit drugs Preconception care Inter-birth intervals

2. Benchmark: Improved Maternal and Newborn HealthContinued • FamilyWise Current Data Points: Construct: EPDS, prenatal (if prenatal), 6 weeks, 6 months required. May do additional if indicated Referrals for high risk and follow-up to referrals LSPMental Health and Substance Abuse Breastfeeding at intervals and type (exclusive or with supplement) LSP – Infant Development Each WC visit and the schedule used by primary care physician LSP – Health and Medical Care Has medical provider, has medical insurance (type), use of Medicaid, all agencies can be recorded LSP – Basic Essentials Birth weight, gestational age, complication during pregnancy, complications during delivery, for MOB, for TGT Screening for maternal depressive symptoms Breastfeeding Well-child visits Maternal and child health insurance status (may also be used for family economic self-sufficiency) Other

3. Benchmark: Improvements in School Readiness and Achievement • Data collected by FamilyWise: Construct: Home Observation Measurement of the Environment - HOME scale (Observation), Healthy Families Parenting Inventory-HFPI scale (self-report), North Carolina Family Assessment-NCFAS scale (observation), preschool enrollment (self-report)  KIDI (Knowledge of Infant Development Inventory) Ages and Stages Questionnaire (self report can use with observational evidence, ask the parents to ‘show me’ how the child does on each skill) and LSP- Infant/Toddler Development Ages and Stages Questionnaire Ages and Stages Questionnaire – Social Emotional, LSP – Infant/Toddler Development Parent support for children's learning and development (e.g., having appropriate toys available, talking and reading with their child) Parent knowledge of child development and of their child's developmental progress Child’s communication, language and emergent literacy Child’s general cognitive skills Child’s positive approaches to learning including attention

4. Benchmark: Improvements in School Readiness and AchievementContinued • Data collected by FamilyWise: Construct: Ages and Stages Questionnaire Social-Emotional Ages and Stages Questionnaire HOME scale, NCFAS scale, HFPI scale, Observation and movement on LEVEL system, Could ask about use of physical discipline (and observation of such), LSP – Relationships with Child HFPI, Edinburgh Perinatal Depression Screen – EPDS, Difficult Life Circumstances –DLC(total) Child’s social behavior, emotion regulation, and emotional well-being Child’s physical health and development Parenting behaviors and parent-child relationship (e.g., discipline strategies, play interactions) Parent emotional well-being or parenting stress (Note: some of these data may also be captured for maternal health under that benchmark area)

5. Benchmark: Child Injuries, Child Abuse, Neglect, or Maltreatment and Reduction of Emergency Department Visits • Data collected by FamilyWise: Construct: Incident Report collected on paper now, will be in the database as of July 1 Intervention topics includes; car seat, fire, shaken baby, safe sleep. Recorded in Area of Focus (could also use Other Materials area) Incident Report collected on paper now, will be in the database as of July 1 Incident Report collected on paper now, will be in the database as of July 1. Could export names for local or statewide match Dependent on State’s match protocol Visits for children to the emergency department (ED) from all causes Information provided or training of participants on prevention of child injuries including topics such as safe sleeping, shaken baby syndrome, car seat safety, poisonings, fire safety (including scalds), water safety (i.e. drowning), and playground safety Incidence of child injuries requiring medical treatment Reported suspected maltreatment for children in the program (allegations that were screened in but not necessarily substantiated) Reported substantiated maltreatment (substantiated/indicated/alternative response victim) for children in the program First-time victims of maltreatment for children in the program

6. Benchmark: Coordination and Referrals for Other Community Resources and Support • Data collected by FamilyWise: Construct: Each referral recorded with need, agency and follow up Each referral recorded with need, agency and follow up Not collected in database Referral System includes to which agency family is referred. Report counts unique agencies and number of referrals in total. Referral system, information includes follow up and outcome of referral. Number of families identified for necessary services Number of families that required services and received a referral to available community resources MOU’s: Number of Memoranda of Understanding or other formal agreements with other social services agencies in the community Information sharing: Number of agencies with which the home visiting provider has a clear point of contact in the collaboration community agency that includes regular sharing of information between agencies Number of completed referrals (i.e., home visiting provider is able to track individual family referrals and assess their completing (e.g., by obtaining a report of the service provided)

7. Benchmark: Family Economic Self-Sufficiency • Data Collected by FamilyWise: Construct: Poverty level and income collected and updated as it changes Agencies with which the client is involved LSP – Basic Essentials Employment Status updated as necessary Educational attainment, updated as necessary Educational status (in school, etc.) updated as necessary LSP - Education MOB health insurance type to be added July 1, target child health insurance type to be added July 1 Household income and benefits Employment or Education of adult members of the household Health insurance status

8. Benchmark: Crime or Domestic Violence* • Data Collected by FamilyWise: Construct: Will start IPV screen on July 1 Referrals with follow-up recorded Will initiate July 1 with IPV screen * States are not required to report on both domains, but must report on at least one. FamilyWise has focused on increasing measurement of Domestic Violence. Crime: Arrests Crime: Convictions Domestic Violence: Screening for domestic violence Domestic Violence: Of families identified for the presence of domestic violence, referrals for relevant services Domestic Violence: Of families identified for the presence of domestic violence, families for which a safety plan was completed