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MIECHV UPDATES Data & Evaluation

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

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  1. 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

  2. 4 separate (but connected) pieces

  3. Baseline Data • Year One • Formula Year One • Families enrolled 7/1/2011 – 6/30/2012 • Submitted to HRSA on February 4, 2013

  4. 490 Families Served 124 Pregnant Women 349 Female Caregivers 17 Male Caregivers 490 Parents 232 Girls 271 Boys 7 Unknown 510 Children + +

  5. 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)

  6. 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)

  7. 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)

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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)

  13. 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)

  14. 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)

  15. 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)

  16. 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)

  17. 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)

  18. 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)

  19. 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)

  20. 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)

  21. 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)

  22. 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)

  23. 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)

  24. 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)

  25. 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)

  26. 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)

  27. 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)

  28. 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)

  29. 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)

  30. 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)

  31. 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)

  32. 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)

  33. 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)

  34. 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)

  35. 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)

  36. 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)

  37. 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)

  38. 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)

  39. 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)

  40. Next Steps • Analyze data by sites, model • Continuous Quality Improvement (CQI)

  41. 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

  42. 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

  43. 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

  44. 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

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