Promoting and protecting the health and safety of all Idahoans

The Department of Health and Human Services launched the Home Visiting Evidence of Effectiveness (HomVEE) to conduct a thorough and clear review of home visiting models to ensure effectiveness. MIECHV-funded programs may choose from a variety of service delivery models; the Idaho MIECHV Program chose Parents as Teachers and Nurse-Family Partnership.

 

In addition to collecting data on the six benchmark domains that were defined by HRSA, the Idaho MIECHV Program routinely conducts program evaluation activities to measure home visiting performance and impact. Since 2011, the Idaho MIECHV Program has partnered with Boise State University’s Center for Health Policy for program evaluation. On-going evaluation activities inform continuous improvement of program design and operations.

Evaluation Goals

• Goal 1: Illuminate factors associated with participant outcomes, including content (activities completed), home visit completion rate (completed, cancelled, and attempted visits), and dosage (number of home visits and length of participation).

• Goal 2: Provide information on participants’ characteristics and variation across home visiting models.

• Goal 3: Provide information on home visitor caseloads and percentage of capacity.

• Goal 4: Provide snapshot of Idaho MIECHV utilizing data collected from participants who exited the program.

• Goal 5: Examine the relationship between the home visitor and program participant according to the perspectives from program participants and home visitors and observations by supervisors.

• Goal 6: Determine program satisfaction, as measured by the Family Support Program Outcome Survey, completed by program participants at exit or one year of program participation.

 

The Idaho MIECHV Program has established a subrecipient monitoring plan in accordance with the Idaho Department of Health and Welfare’s subrecipient monitoring policies as well as the U.S. Department of Health and Human Services Grant expectations for MIECHV-funded programs. Key elements of this plan include: monitoring of program management, participation in program evaluation, fiscal oversight, and annual site visits. Subrecipient monitoring helps the Idaho MIECHV Program ensure that funded home visiting programs routinely meet performance expectations, maintain caseloads, and are good stewards of federal dollars.

The national legislation that established the Federal MIECHV Program requires that MIECHV-funded programs demonstrate measurable improvement in at least four of the following six benchmark domains:

• Improvement in maternal and newborn health

• Reduction in child injuries, abuse, and neglect

• Improved school readiness and achievement

• Reduction in crime or domestic violence

• Improved family economic self-sufficiency

• Improved coordination and referral for other community resources and supports

In 2017, states served over 156,000 parents and provided more than 942,000 home visits across 888 U.S. counties. Nationally, the number of children and parents served by MIECHV Programs has increased nearly five-fold since 2012, and the number of home visits provided has increased more than five-fold, with more than 3.3 million home visits provided over the past five years.

In Idaho in 2017, MIECHV-funded home visitors served over 900 parents including 210 pregnant women and over 700 children, providing more than 6,400 home visits.

 

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