We asked a couple of our members to respond to the following question:
What strategies are you using to address the measurement requirements of the federal home visiting program in your state?
Owner, Take It For Granted LLC, Retired Title V Director, and AMCHP member
Illinois is using multiple data collection methods for the constructs and benchmarks. Many maternal and newborn health items will be collected by self-report and replaced later with data extracted from vital records. Child maltreatment data will come from our child welfare agency. We are planning to use an external contractor to administer several questionnaires for child development and school readiness measures. The data for family economic self-sufficiency will be collected by self report. Indicators such as well child care, depression screening and developmental screening are consistent with established Medicaid HEDIS measures to enable comparison with other Medicaid-eligible children. Domestic violence and service coordination data will be collected by home visitors. Benchmark data and measures of model fidelity will be used for CQI and reported to MCHB.
Illinois has a data-sharing agreement between the Title V agency, the vital records registrar and Illinois’ Medicaid and SCHIP agency which allows great information exchange among the three agencies. The Title V program worked with Illinois’ child welfare agency to establish HealthWorks of Illinois, a partnership allowing the Title V program access to Medicaid eligibility and claims data about children in protective custody. A minor barrier is the need for a new interagency agreement to give the Title V program access to information about unsubstantiated maltreatment and founded maltreatment not in HealthWorks. A major barrier for all states is the negotiation of data exchange agreements between model developers and Title V programs to keep from driving local home visiting programs crazy with duplicate data entry.
Debbie Richardson, Ph.D.
Manager, Home Visiting Program, Bureau of Family Health, Kansas Department of Health & Environment
In Kansas, we are focusing on community systems of existing Early Head Start, Healthy Families America, and Parents as Teachers programs. We will also incorporate a promising approach model. For the required benchmarks and constructs, our goal was to select common indicators and measures all programs will use without creating undue burden on any model or local program staff. We reviewed indicators, data and measures each program currently utilizes (i.e., a crosswalk). The programs use similar indicators or measures for a few constructs, yet for many they do not collect similar data or have not addressed at all. Ultimately, each program will have to incorporate some new measurement tools along with others they already use. Additionally, we will develop a comprehensive data management system. This will be accomplished using the Research Electronic Data Capture (REDCap) to create one database that integrates and stores linked client-level data across the program models’ existing databases and other state databases. The database will allow us to collect, monitor, analyze, store and report on the required benchmarks and constructs as well as for Continuous Quality Improvement. We are excited about this opportunity to collect a similar set of data across all the program models.