- Program Brief: Maternal, Infant, and Early Childhood Home Visiting Program (PDF - 302 KB)
- Home Visiting Program State Fact Sheets
- Early Childhood Comprehensive Systems
- Tribal Home Visiting Program (PDF - 492 KB)
- Discretionary Grant Information System (DGIS)
- Demonstrating Improvement in the Maternal, Infant, and Early Childhood Home Visiting Program: A Report to Congress (PDF - 1 MB)
- Developing Data Exchange Standards for MIECHV Home Visiting Programs (PDF - 194 KB)
- Home Visiting Applied Research Collaborative (HARC) Overview (PDF - 221 KB)
- Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) 2.0 Overview (PDF - 339 KB)
- MIECHV Program Learning Agenda Overview (PDF - 363 KB)
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 - 129 KB)
Resource Documents (for FY 2021 and earlier)
- Form 1 - Demographic Performance Measures (PDF - 351 KB) (Includes demographic, service utilization, and select clinical indicators)
- Form 2 - Benchmark Performance Measures (PDF - 502 KB) (Includes performance indicators and systems outcome measures)
- Form 1 Toolkit - Demographic, Service Utilization, and Select Clinical Indicators (PDF - 741 KB)
- Form 2 Toolkit - Performance Indicators and Systems Outcomes (PDF - 1 MB)
- FAQs: Demographic, Service Utilization, and Select Clinical Indicators and Performance Indicators and Systems Outcomes (PDF - 1 MB)
- Guidance on Identifying Missing Data (PDF - 327 KB)
- Home Visiting Model Developer Performance Measurement Crosswalk (PDF - 2 MB)
- Grantee Performance Measurement Data Collection and Analysis Plan Template (PDF - 193 KB)
Resource Documents (updates effective starting FY 2022)
In July 2021, HRSA received approval for updates to MIECHV Program annual performance reporting forms. Note that these changes are effective beginning with the Fiscal Year 2022 reporting period (October 1, 2021 -September 30, 2022). Additional technical assistance resources, including a webinar recording, summary of changes, and list of validated screening tools, are available on the MIECHV Awardee Learning Library (MALL) or by contacting your TARC TA Specialist.
- Updated Form 1 - Demographic Performance Measures (PDF - 381 KB) (Includes demographic, service utilization, and select clinical indicators) *
- Updated Form 2 - Benchmark Performance Measures (PDF - 337 KB) (Includes performance indicators and systems outcome measures) *
- Strategies for Improving Data Quality and Addressing Missing Data (February 14, 2019) Transcript (PDF - 131 KB)
- Performance Measurement Updates for MIECHV Awardees Transcript (PDF - 148 KB) (August 11, 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 - 83 KB) - Note that the due date for this form has been revised to 45 days after the end of the data collection period. Key terms and definitions have been updated to clarify instructions on Table A.2 Place-Based Services.
- Form 4 - Quarterly Performance Reporting Frequently Asked Questions
MIECHV American Rescue Plan Act Reporting
MIECHV American Rescue Plan Act (ARP) awardees must submit quarterly and annual reports which serve to assist HRSA in monitoring grants and providing oversight.
Quarterly progress and performance reporting submissions will be narrative reports, unique to the ARP grant (X11) that include descriptions of the scope of activities across the seven categories of allowable uses of funds, including updates on progress in achieving project goals and objectives.
Data across all active Formula grants (X10) and ARP grants (X11) must be consolidated into one Annual Performance Report submission, due in October of each year. Families served using ARP funds must be included in your Annual Performance Report (Forms 1 and 2), which includes demographic, service utilization, and select clinical indicators and performance indicators and systems outcome measures.
Specific reporting requirements, including deadlines and instructions for submitting reports, are specified in the instructions document.
- MIECHV ARP Reporting Instructions
- MIECHV ARP Reporting FAQs
- MIECHV ARP Quarterly Progress Report Template (DOCX - 50 KB)
- Annual Reporting Forms (consolidated with MIECHV Formula Annual Report (X10)) - see Forms 1 and 2 under Annual Performance Reporting Resource Documents.
Home Visiting Budget Assistance Tool (HV-BAT)
Beginning in the FY 2021 project period, MIECHV awardees are required to collect and submit data using the Home Visiting Budget Assistance Tool (HV-BAT) once every three years. The HV-BAT is a tool for MIECHV awardees and local implementing agencies (LIAs) to collect and report comprehensive home visiting program costs incurred by LIAs during a 12-month period. HV-BAT data can help MIECHV awardees and LIAs:
- Monitor sub-recipient program operations
- Develop budgets and forecast the financial impact of expanding services
- Conduct economic evaluations
- Inform alternative funding strategies
- HV-BAT User Guide Overview (PDF - 121 KB)
- HV-BAT User Guide Volume I (PDF - 581 KB) (Includes instructions for MIECHV Awardees)
- HV-BAT User Guide Volume II (PDF - 1 MB) (Includes instructions for LIAs)
Additional HV-BAT technical assistance resources are available for MIECHV awardees by contacting their MIECHV Technical Assistance Resource Center (TARC) TA Specialist team.
- HV-BAT Tool (XLSX - 155 KB)*
Continuous Quality Improvement
- FY 2020 CQI Plan Updates and Building Capacity for CQI Coaching and LIA Support Webinar (January 21, 2020) Transcript (PDF - 159 KB)
- FY 2019 Continuous Quality Improvement Plan Updates Webinar - (December 2018)
Demonstration of Improvement
- National Threshold Values: FY 2020 Demonstration of Improvement (PDF - 231 KB)
- Tip Sheet: Preparing for the FY 2020 Demonstration of Improvement (PDF - 159 KB)
- Demonstrating Improvement in Benchmark Areas Webinar
- Demonstrating Improvement in Benchmark Areas Webinar Transcript (PDF - 190 KB)
- MIECHV Program Guidance on Meeting Requirements to Demonstrate Improvement in Benchmark Areas (PDF - 373 KB)
- MIECHV Program Guidance on Meeting Requirements to Demonstrate Improvement in Benchmark Areas Frequently Asked Questions (FAQs) (PDF - 270 KB)
- Synthesis of Stakeholder Feedback Regarding MIECHV Statutory Changes for the Assessment of Awardee Improvement in Benchmark Areas (PDF - 226 KB)
Data Exchange Standards
- Coordinating Data Sharing Across Agencies (PDF - 271 KB)
- Now What? Steps for Using Interoperable Home Visiting Data (PDF - 347 KB)
- Communicating Effectively with Families about Data Sharing (PDF - 321 KB)
- Implementing Data Exchange Standards: A Toolkit for MIECHV Awardees (PDF - 585 KB)
- Developing Data Exchange Standards for MIECHV Home Visiting Programs (PDF - 194 KB)
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.
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
*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email Elizabeth Firsten or call (215) 861-4368.