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District of Columbia Department of

Health

Home Home Visitation Visitation ProgramProgram

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Maternal, Infant, and Early Childhood Home

Visiting Program(MIECHV)

Funding from the U.S. Department of Health and Human Services, Health Resources and Services Administration

Authorized by the Patient Protection and Affordable Care Act of 2010

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Federal HV Program Goals

Strengthen and improve the programs and activities carried out under Title V

Improve coordination of services for at-risk communities; and

Identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities.

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Benchmark Areas

1. Maternal and Newborn health

2. Child injuries, abuse, neglect, or maltreatment, and reduction of emergency department visits;

3. School Readiness and Achievement

4. Crime or Domestic Violence;

5. Family Economic Self-Sufficiency; and

6. Coordination and referrals for other community resources and supports.  

Quantifiable, measurable improvements for the populations participating in the program.

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DC HV Programs

Formula Grant

Competitive“Development”

Grant

The Framework is a key strategy supporting the efforts of the Home Visitation Program and the vision for the District is:

“All children and families will have access to a continuum of comprehensive, high-quality early childhood programs and services that promote child well-being and school readiness and ensure that all children are healthy, ready to learn and

have safe passage through the early years”. 5

+ DC’s One City System for Early Success: Home Visitation

SECDCC DC HV Council

Resources, experiences, and

relationships that strengthen

families.

DC Home Visitation Program

DOH

Comprehensive HV services to

families.

Community Providers

GUCCHD

Evaluating evidence-based home visitation

program and determine impact on

program participants.

Collaboration of multiple DC agencies and community partners.

Families with children are screened to determine

appropriate supports and engagement, including home

visiting.

Families are linked to opportunities and

resources that strengthen their role as parents.

Professionals working with young children have the

knowledge, skills, and supports to work effectively with and on behalf of children and families.

Communities are safe places where resources are available to help children

and families thrive.

CFSA

HCF

DMH

DDOETANF

OSSE

UDC

HVTI

GUCCHD

ECCS

Project LAUNCH

MIECHV

HFA

Mary Center

Family Place 6

+ District of Columbia “MIECHV Funding"

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+Home Visiting Formula Grant

Improving health and development outcomes for at-risk children through evidence-based

home visiting programs.

Parents As Teachers(PAT)

At-risk communities:

Programs:

Wards 5, 7, and 8

Home Instructions for Parents of Preschool Youngster (HIPPY)Mary’s Center = PATFamily Place = HIPPY

Contractors:

Birth Outcome Ward 5

Ward 7 Ward 8

Low birth weight infants (<2,500 grams)

10.8% 13.8% 14.2%

Infant mortality (Rate per 1,000 live births)

16.3 16.6 19.2

Births to mothers 15-19 years

16.6% 19.0% 20.6%

Births to unmarried women

71.1% 85.9% 88.9%

Wards with the Poorest Health Indicators :

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Special Features

Real time data can be collected

during home visits; reduces paper-based forms.

Reports for model

developers

Continuous Quality

Improvement

Performance

Management

DOH owns the data and has access to the

system and the data at any

time.

Home Visitation Data Collection and Reporting

System

Reports can be generated off of any variable in the system.

The system can be interfaced with other data systems for data transmission.

Can accommodate multiply programs and vendors.

Data system's capacity to report similar data and indicators from multiple funding streams. 9

+Home Visiting Development Grant

Improving health and development outcomes for at-risk children through evidence-based

home visiting programs.Healthy Family America(HFA)

At-risk communities:

Programs:

All Wards

• Low-income eligible families

• Eligible families who are pregnant who have not attained age 21

• Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services

• Eligible families with children with developmental delays or disabilities.

High Risk Priority Population:

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Special Aspect11s of Project

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