In 2010, the federal Affordable Care Act initiated the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. This program provides federal funding to states so they can provide home visiting programs built on evidence-based models. MIECHV grants support programs that serve vulnerable pregnant mothers and parents and promote the physical and mental health development of infants and children.
If you’re being funded by a MIECHV grant, ensuring your program outcomes reflect those benchmarks is critical to success. Here are four tips for making sure your program is hitting these vital benchmarks.
MIECHV emphasizes and supports evidence-based family support programs and requires states to spend the bulk of funds on national program models that have already demonstrated their effectiveness against rigorous criteria. Each national program model aims to serve at-risk families, such as those with low incomes. However, each focuses on different types of risk. For example, Nurse-Family Partnership targets first-time mothers, Healthy Families America focuses on families at risk of child maltreatment or with behavioral health issues, and Early Head Start seeks to serve a broad group of low-income families.
Selecting a model should begin with a clear understanding of the priorities of the individual communities where it will be implemented. Spend time researching various program models under consideration, exploring the program’s history and the evidence of effectiveness.
Identify program models that prioritize the same outcomes and risks that you’ve identified as important to the families the program will serve. This ensures a strong foundation for success and ensures that your evaluation and data collection will align with MIECHV requirements and the existing program research for your model.
The MIECHV funding requirements have given grantees discretion to define improvement in each benchmark area in terms that are meaningful for their individual programs. This allows agencies to measure and report outcomes to reflect individual contexts and different stages of implementation.
Invest time in this process, and take advantage of the support and technical assistance provided by MIECHV. For instance, the Design Options for Home Visiting Evaluation (DOHVE) project provides an opportunity to understand and strengthen evidence-based home visiting services through rigorous evaluation, performance monitoring and data-driven decision-making.
Using appropriate indicators and measurement tools is necessary to accurately and consistently collect evidence of successful program results. In addition, the findings resulting from these indicators will inform subsequent action to continuously improve your program.
As you walk through this process, remember that it is important to identify what is being measured and define how it will be measured. Some metrics may require a specific measurement tool. For example, screening program participants for signs of depression might require a measurement tool like the Beck Inventory or the Edinburgh Scale. Make sure your data collection plan includes the people responsible for collecting the data, the collection frequency, data sources and the method to be utilized.
Ideally, grantees should explore user-friendly systems that can handle the capacity required, allow for measurement of the given constructs and other important measures related to the benchmark areas and be accessible to all who will be using it.
Even if your agency or program has already implemented software systems, it’s vital to take the time to evaluate its capacity to capture the necessary indicators and outcomes. Social Solutions makes software that allows programs to seamlessly integrate case and program management with data collection, analysis and reporting.
When it comes to technology systems, seamless simplicity is about more than just having a user-friendly system. The better integrated your data collection system is with front-line operations, the more reliable it will be in capturing necessary measurements and providing accessible analysis and reporting. At the end of the day, that accessibility will allow for ongoing evaluation and improvement throughout the course of the program, not just during “grant report season.”
While the program activities are at the heart of your efforts, think of your implementation system as the link between intended and actual service delivery.
Demonstrating improvement for each of the MIECHV benchmarks is a vital funding requirement for home visiting programs. But, more importantly, these benchmarks are based on extensive, evidence-based approaches to improving the physical and mental health development of infants and children.
|_biz_flagsA||1 year||A Cloudflare cookie set to record users’ settings as well as for authentication and analytics.|
|_biz_pendingA||1 year||A Cloudflare cookie set to record users’ settings as well as for authentication and analytics.|
|_biz_sid||30 minutes||This cookie is set by Bizible, to store the user's session id.|
|ARRAffinity||session||ARRAffinity cookie is set by Azure app service, and allows the service to choose the right instance established by a user to deliver subsequent requests made by that user.|
|ARRAffinitySameSite||session||This cookie is set by Windows Azure cloud, and is used for load balancing to make sure the visitor page requests are routed to the same server in any browsing session.|
|BIGipServerab09web-nginx-app_https||session||This cookie is associated with a computer network load balancer by the website host to ensure requests are routed to the correct endpoint and required sessions are managed.|
|cookielawinfo-checbox-analytics||11 months||This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".|
|cookielawinfo-checbox-functional||11 months||The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".|
|cookielawinfo-checbox-others||11 months||This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.|
|cookielawinfo-checkbox-advertisement||1 year||Set by the GDPR Cookie Consent plugin, this cookie is used to record the user consent for the cookies in the "Advertisement" category .|
|cookielawinfo-checkbox-necessary||11 months||This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".|
|cookielawinfo-checkbox-performance||11 months||This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".|
|CookieLawInfoConsent||1 year||Records the default button state of the corresponding category & the status of CCPA. It works only in coordination with the primary cookie.|
|__atuvc||1 year 1 month||AddThis sets this cookie to ensure that the updated count is seen when one shares a page and returns to it, before the share count cache is updated.|
|__atuvs||30 minutes||AddThis sets this cookie to ensure that the updated count is seen when one shares a page and returns to it, before the share count cache is updated.|
|__cf_bm||30 minutes||This cookie, set by Cloudflare, is used to support Cloudflare Bot Management.|
|_biz_nA||1 year||This cookie, set by Bizible, is a sequence number that Bizible includes for all requests, for internal diagnostics purposes.|
|_biz_uid||1 year||This cookie is set by Bizible, to store user id on the current domain.|
|bcookie||1 year||LinkedIn sets this cookie from LinkedIn share buttons and ad tags to recognize browser ID.|
|lang||session||LinkedIn sets this cookie to remember a user's language setting.|
|lidc||1 day||LinkedIn sets the lidc cookie to facilitate data center selection.|
|UserMatchHistory||1 month||LinkedIn sets this cookie for LinkedIn Ads ID syncing.|
|_gaexp||2 months 10 days 10 hours||Google Analytics installs this cookie to determine a user's inclusion in an experiment and the expiry of experiments a user has been included in.|
|_uetsid||1 day||Bing Ads sets this cookie to engage with a user that has previously visited the website.|
|_uetvid||1 year 24 days||Bing Ads sets this cookie to engage with a user that has previously visited the website.|
|SRM_B||1 year 24 days||Used by Microsoft Advertising as a unique ID for visitors.|
|_BUID||1 year||This cookie, set by Bizible, is a universal user id to identify the same user across multiple clients’ domains.|
|_ga||2 years||The _ga cookie, installed by Google Analytics, calculates visitor, session and campaign data and also keeps track of site usage for the site's analytics report. The cookie stores information anonymously and assigns a randomly generated number to recognize unique visitors.|
|_ga_33YSH1JFFW||2 years||This cookie is installed by Google Analytics.|
|_gcl_au||3 months||Provided by Google Tag Manager to experiment advertisement efficiency of websites using their services.|
|_gd_session||4 hours||This cookie is used for collecting information on users visit to the website. It collects data such as total number of visits, average time spent on the website and the pages loaded.|
|_gd_visitor||2 years||This cookie is used for collecting information on the users visit such as number of visits, average time spent on the website and the pages loaded for displaying targeted ads.|
|_gid||1 day||Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. Some of the data that are collected include the number of visitors, their source, and the pages they visit anonymously.|
|_hjAbsoluteSessionInProgress||30 minutes||Hotjar sets this cookie to detect the first pageview session of a user. This is a True/False flag set by the cookie.|
|_hjFirstSeen||30 minutes||Hotjar sets this cookie to identify a new user’s first session. It stores a true/false value, indicating whether it was the first time Hotjar saw this user.|
|_hjIncludedInPageviewSample||2 minutes||Hotjar sets this cookie to know whether a user is included in the data sampling defined by the site's pageview limit.|
|_hjIncludedInSessionSample||2 minutes||Hotjar sets this cookie to know whether a user is included in the data sampling defined by the site's daily session limit.|
|_hjTLDTest||session||To determine the most generic cookie path that has to be used instead of the page hostname, Hotjar sets the _hjTLDTest cookie to store different URL substring alternatives until it fails.|
|at-rand||never||AddThis sets this cookie to track page visits, sources of traffic and share counts.|
|CONSENT||2 years||YouTube sets this cookie via embedded youtube-videos and registers anonymous statistical data.|
|undefined||never||Wistia sets this cookie to collect data on visitor interaction with the website's video-content, to make the website's video-content more relevant for the visitor.|
|uvc||1 year 1 month||Set by addthis.com to determine the usage of addthis.com service.|
|_fbp||3 months||This cookie is set by Facebook to display advertisements when either on Facebook or on a digital platform powered by Facebook advertising, after visiting the website.|
|_mkto_trk||2 years||This cookie, provided by Marketo, has information (such as a unique user ID) that is used to track the user's site usage. The cookies set by Marketo are readable only by Marketo.|
|ANONCHK||10 minutes||The ANONCHK cookie, set by Bing, is used to store a user's session ID and also verify the clicks from ads on the Bing search engine. The cookie helps in reporting and personalization as well.|
|fr||3 months||Facebook sets this cookie to show relevant advertisements to users by tracking user behaviour across the web, on sites that have Facebook pixel or Facebook social plugin.|
|loc||1 year 1 month||AddThis sets this geolocation cookie to help understand the location of users who share the information.|
|MUID||1 year 24 days||Bing sets this cookie to recognize unique web browsers visiting Microsoft sites. This cookie is used for advertising, site analytics, and other operations.|
|test_cookie||15 minutes||The test_cookie is set by doubleclick.net and is used to determine if the user's browser supports cookies.|
|VISITOR_INFO1_LIVE||5 months 27 days||A cookie set by YouTube to measure bandwidth that determines whether the user gets the new or old player interface.|
|YSC||session||YSC cookie is set by Youtube and is used to track the views of embedded videos on Youtube pages.|
|yt-remote-connected-devices||never||YouTube sets this cookie to store the video preferences of the user using embedded YouTube video.|
|yt-remote-device-id||never||YouTube sets this cookie to store the video preferences of the user using embedded YouTube video.|
|_an_uid||7 days||No description available.|
|_clck||1 year||No description|
|_clsk||1 day||No description|
|_dc_gtm_UA-718299-1||1 minute||No description|
|_hjSession_2602456||30 minutes||No description|
|_hjSessionUser_2602456||1 year||No description|
|6suuid||2 years||No description available.|
|AnalyticsSyncHistory||1 month||No description|
|CLID||1 year||No description|
|d-a8e6||1 year||No description available.|
|dpi_test||1 day||No description|
|dpi_utmOrigVals||5 months 27 days||No description|
|intercom-id-rbb6qelf||8 months 26 days 1 hour||No description|
|intercom-session-rbb6qelf||7 days||No description|
|li_gc||5 months 27 days||No description|
|loglevel||never||No description available.|
|referrer||session||No description available.|
|s-9da4||15 minutes||No description available.|
|SM||session||No description available.|
|xtc||1 year 1 month||No description|