+ District of Columbia Department of Health Home Visitation Program

+ Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Funding from the U.S. Department of Health and Human Services, Health Resources and Services Administration Authorized by the Patient Protection and Affordable Care Act of

+ Federal HV Program Goals  Strengthen and improve the programs and activities carried out under Title V  Improve coordination of services for at- risk communities; and  Identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities. 3

+ Benchmark Areas 1. Maternal and Newborn health 2. Child injuries, abuse, neglect, or maltreatment, and reduction of emergency department visits; 3. School Readiness and Achievement 4. Crime or Domestic Violence; 5. Family Economic Self-Sufficiency; and 6. Coordination and referrals for other community resources and supports. Quantifiable, measurable improvements for the populations participating in the program. 4

+ DC HV Programs Formula Grant Formula Grant Competitive “Development” Grant Competitive “Development” Grant The Framework is a key strategy supporting the efforts of the Home Visitation Program and the vision for the District is: “All children and families will have access to a continuum of comprehensive, high-quality early childhood programs and services that promote child well-being and school readiness and ensure that all children are healthy, ready to learn and have safe passage through the early years”. 5

+ DC’s One City System for Early Success: Home Visitation SECDCC DC HV Council Resources, experiences, and relationships that strengthen families. DC Home Visitation Program DOH Comprehensive HV services to families. Community Providers GUCCHD Evaluating evidence- based home visitation program and determine impact on program participants. Collaboration of multiple DC agencies and community partners. Families with children are screened to determine appropriate supports and engagement, including home visiting. Families are linked to opportunities and resources that strengthen their role as parents. Professionals working with young children have the knowledge, skills, and supports to work effectively with and on behalf of children and families. Communities are safe places where resources are available to help children and families thrive. CFSA HCF DMH DDOE TANF OSSE UDC HVTI GUCCHD ECCS Project LAUNCH MIECHV HFA Mary Center Family Place 6

+ District of Columbia “MIECHV Funding" Competitive Two Year Funding Formula FY 2014 $1 Million HRSA's algorithm determines funding amount Benchmark Data$2.25 Million Only 6 out of the 12 states were awarded Rigorous Evaluation 7

+ Home Visiting Formula Grant Improving health and development outcomes for at-risk children through evidence-based home visiting programs. Parents As Teachers (PAT) At-risk communities: Programs: Wards 5, 7, and 8 Home Instructions for Parents of Preschool Youngster (HIPPY) Mary’s Center = PAT Family Place = HIPPY Contractors: Birth OutcomeWard 5Ward 7Ward 8 Low birth weight infants (<2,500 grams) 10.8%13.8%14.2% Infant mortality (Rate per 1,000 live births) Births to mothers years 16.6%19.0%20.6% Births to unmarried women 71.1%85.9%88.9% Wards with the Poorest Health Indicators : 8

+ Special Features Real time data can be collected during home visits; reduces paper-based forms. Evidence- based models Data Benchmark Data Demographic Information Reports for model developers Continuous Quality Improvement Performance Management DOH owns the data and has access to the system and the data at any time. Home Visitation Data Collection and Reporting System  Reports can be generated off of any variable in the system.  The system can be interfaced with other data systems for data transmission.  Can accommodate multiply programs and vendors.  Data system's capacity to report similar data and indicators from multiple funding streams. 9

+ Home Visiting Development Grant Improving health and development outcomes for at-risk children through evidence-based home visiting programs. Healthy Family America (HFA) At-risk communities: Programs: All Wards Low-income eligible families Eligible families who are pregnant who have not attained age 21 Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services Eligible families with children with developmental delays or disabilities. High Risk Priority Population: 10

+ Implementation and Impact Evaluation National Evaluation Rigorous Evaluation Universal Screening Tool Centralized call center/number Referrals to Early Childhood Services Central Intake System Home Visitor Core Competencies Core Competency Trainings Home Visitor Certificate Program Professional Training Institute Special Aspect11s of Project 11

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