HRSA requires Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees to collect certain data and report on their program’s performance through annual and quarterly performance reporting, to develop and implement plans for continuous quality improvement (CQI), and to meet certain statutory requirements related to demonstrating improvement in at least four of six benchmark areas and implementing data exchange standards for improved interoperability. MIECHV also promotes rigorous evaluation at the national and local levels and supports research infrastructure in the field.
Annual Performance Reporting
HRSA requires MIECHV Program grantees to collect and report data on their program’s performance for demographic, service utilizations, select clinical indicators of program participants and related to six statutorily defined benchmark areas. The MIECHV performance measurement system includes a total of 19 measures across the six benchmark areas:
- Improvements in maternal, newborn, and child health;
- Prevention of child injuries, child abuse, neglect, or maltreatment and reductions of emergency room visits;
- Improvements in school readiness and child academic achievement;
- Reductions in crime or domestic violence;
- Improvements in family economic self-sufficiency; and
- Improvements in the coordination and referrals for other community resources and supports.
Summary of MIECHV Program Performance Measures (PDF - 233 KB)
Forms
- Form 1 - Demographic Performance Measures (PDF - 344 KB) (Includes demographic, service utilization, and select clinical indicators)
- Form 2 - Benchmark Performance Measures (PDF - 490 KB) (Includes performance indicators and systems outcome measures)
Resource Documents
- Form 1 Toolkit - Demographic, Service Utilization, and Select Clinical Indicators (PDF - 724 KB)
- Form 2 Toolkit - Performance Indicators and Systems Outcomes (PDF - 1060 KB)
- FAQs: Demographic, Service Utilization, and Select Clinical Indicators and Performance Indicators and Systems Outcomes (PDF - 997 KB)
- FY 2019 Performance Measurement Reporting Updates (PDF - 167 KB)
- FY 2018 Performance Measurement Reporting Updates (PDF - 466 KB)
- Guidance on Identifying Missing Data (PDF - 320 KB)
- Home Visiting Model Developer Performance Measurement Crosswalk
- Grantee Performance Measurement Data Collection and Analysis Plan Template (PDF - 188 KB)
Training Videos
- MIECHV Quarterly and Annual Reports Help Video
Discretionary Grants Information System (DGIS) Report Submission for MIECHV Awardees (December 3, 2018) Transcript (PDF - 49 KB)
Webinars
- Strategies for Improving Data Quality and Addressing Missing Data
(February 14, 2019) Transcript (PDF - 128 KB) - Performance Measurement Updates for MIECHV Awardees Transcript (August 11, 2018) Transcript (PDF - 145 KB)
- FY 2017 Annual Performance Data Overview Webinar (March 6, 2018)
Quarterly Performance Reporting
Maternal, Infant, and Early Childhood Home Visiting grantees must submit quarterly performance reports which serve to assist HRSA in monitoring grants and providing oversight.
The forms include a select number of service utilization and staffing measures, which have the potential to change frequently. HRSA requires additional benchmark performance data from grantees that have not demonstrated improvement in four of the six benchmark areas and are currently on an Outcome Improvement Plan.
- Form 4 – Quarterly Data Collection (PDF - 243 KB)- This form was revised for data collection beginning in FY 2019 Quarter 3 (April - June 2019). Note that the due date for this form has been revised to 30 days after the end of the data collection period, but is being temporarily extended to 45 days until further notice.
- Form 4 - Quarterly Performance Reporting Frequently Asked Questions
Continuous Quality Improvement
- FY 2020 CQI Plan Updates and Building Capacity for CQI Coaching and LIA Support Webinar (January 21, 2020) Transcript (PDF - 147 KB)
- FY 2019 Continuous Quality Improvement Plan Updates Webinar - (December 2018)
Demonstration of Improvement
- National Threshold Values: FY 2020 Demonstration of Improvement (PDF - 226 KB)
- Tip Sheet: Preparing for the FY 2020 Demonstration of Improvement (PDF - 155 KB)
- Demonstrating Improvement in Benchmark Areas Webinar
- Demonstrating Improvement in Benchmark Areas Webinar Transcript (PDF - 168 KB)
- MIECHV Program Guidance on Meeting Requirements to Demonstrate Improvement in Benchmark Areas (PDF 484 KB)
- MIECHV Program Guidance on Meeting Requirements to Demonstrate Improvement in Benchmark Areas Frequently Asked Questions (FAQs) (PDF 361 KB)
- Synthesis of Stakeholder Feedback Regarding MIECHV Statutory Changes for the Assessment of Awardee Improvement in Benchmark Areas (PDF - 220 KB)
Data Exchange Standards
Research and Evaluation
From its inception, the MIECHV Program has adopted a learning agenda approach that focuses research and evaluation efforts on improving program effectiveness and building the knowledge base. In addition to the program monitoring and improvement efforts related to performance measurement and CQI, MIECHV promotes rigorous evaluation at the national and local levels and supports research infrastructure in the field.
State-Led Evaluation
HRSA supports awardees in conducting rigorous evaluations of their programs to build the evidence of effectiveness on promising approach home visiting models, examine the replication of evidence-based home visiting models across new settings and contexts, answer questions of local salience, and use empirical information to improve service delivery. State-Led Evaluations
Mother and Infant Home Visiting Program Evaluation (MIHOPE)
ACF, in collaboration with HRSA, is overseeing a large-scale, random assignment evaluation of the effectiveness of the MIECHV Program. The Maternal, Infant, and Early Childhood Home Visiting Evaluation (MIHOPE)
Maternal, Infant and Early Childhood Home Visiting Program Home Visiting Research and Development Platform
On May 28, 2017, HRSA awarded $1.3 million to Johns Hopkins University to support a cooperative agreement for the Home Visiting Research and Development (R&D) Platform.
This funding aims to support one transdisciplinary research network for scientific collaboration and infrastructure building for innovative home visiting research. The research network will produce meaningful impacts that will significantly extend the evidence-base of home visiting.
The Maternal, Infant, and Early Childhood Home Visiting Program responds to the diverse needs of children and families in at-risk communities and must carry out a continuous program of research and evaluation activities to increase knowledge about the implementation and effectiveness of home visiting programs.
The goal of the Home Visiting R&D Platform is to plan for, develop, and sustain a R&D network of early childhood development and learning researchers and practitioners who will frame, implement, and report on innovative, transdisciplinary research related to precision interventions to improve meaningful outcomes for at-risk families and communities.
Home Visiting Applied Research Collaborative
The Home Visiting Applied Research Collaborative (HARC) is a network of early childhood researchers and practitioners who frame, implement, and report on innovative, transdisciplinary research related to precision home visiting interventions to improve meaningful outcomes for at-risk families and communities. Home Visiting Applied Research Collaborative
