Pennsylvania’s Home Visitation Stakeholder Committee Meeting

June 4, 2013 Harrisburg, PA

Introductions

http://www.youtube.com/watch?v=urU-a_FsS5Y

• Identify issues• Pose questions• Share concerns• Request

clarification

Work Groups

1. Defining, Promoting, Sustaining Home Visiting

Chair: Cathy Palm

2. Collaborating Among Home Visiting Partners

Chair: Lee Sizemore

3. Professional Development/Competencies

Chair: Mimi Gavigan

Work Group Updates

Update on next steps

Fourth

Work Group

meetings with lunch

Third

Input from whole group

Second

Update from Work Group Chair

First

At your table . . .• Identify the top 3-5

priorities for presentations at the Pennsylvania Early Childhood Summit

• Identify possible presenters on those topics

Diving Deeper with

Colleen Masi

Centralized Intake Approach• Why they did it• How they did it• Barriers, facilitators• Advice• Discussion

Erie County MIECHV Central IntakePA MIECHV Stakeholders MeetingJune 4, 2013

Colleen Masicmasi@eriesd.org

History of Erie County’s Central IntakeLocal Stakeholder Group ConversationMultiple Evidence-Based HV models in Erie County

Healthy Families America (Countywide - 2)Nurse-Family Partnership (Countywide)Parents As Teachers (South County and Countywide)

Appropriate referrals17,000 children under age 5

Getting Started: The Process The Conversations: Why? Where? Who? What? Ad Hoc Committee of Local Stakeholder Group Selecting a Provider Developing the Contract Job descriptions, recruitment, hiring the right person Training Implementation Planning

Research!Model developersWebinarsNational organizations

FIRS

T DR

AFTS

Now What?Challenges and Next Steps

MIECHV UPDATESData & Evaluation

Michelle P. Hillmhill@pa.gov717.772.4850

21Departments of Education and Public Welfare | www.education.state.pa.us | www.dpw.state.pa.us

Home Visiting Stakeholders Meeting

6/4/2013

22

Demographic, Service Utilization & Benchmark Data

CoPAM

MIHOPE – Strong Start

MIHOPE

MIECHV Data & Evaluation

Data System• Being developed by• Final stages of design• Phase One: demographic, service

utilization, and benchmark data collection

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CoPAM Evaluation

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Mother and Infant Home VisitingProgram Evaluation (MIHOPE)

MIHOPE• Random selection• MIECHV sites• EHS, HFA, NFP & PAT• Goal: 5,100 families• Target: Pregnant

women; families with infants less than 6 months

• Study began Fall 2012

MIHOPE – Strong Start

• Random selection• MIECHV & non-MIECHV

sites• HFA & NFP• Goal: 15,000 families• Target: Pregnant

women who are enrolled in CHIP/Medicaid

• Study enrollment and data collection expected to begin Summer 2013

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Mother and Infant Home VisitingProgram Evaluation (MIHOPE)

• 6 MIECHV sites in Pennsylvania are currently participating

• Monthly meetings with MIHOPE research team (focus on recruitment issues)

As of 05/30/2013

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Target RA Goal

Eligible cases

entered into the

Web Intake System

Baselines complete

Cases that did

not consent

Cases in the field

Families left to go to reach target

320 196 136 57 3 184

MIECHV UPDATESContinuous Quality Improvement

Michelle P. Hillmhill@pa.gov717.772.4850

27Departments of Education and Public Welfare | www.education.state.pa.us | www.dpw.state.pa.us

Home Visiting Stakeholders Meeting

6/4/2013

Overview• 3 teams

• Bottom-up approach

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MIECHV State CQI Team

MIECHV Program CQI Team

MIECHV Local CQI Teams

Initial Activities• learn about CQI (including the difference between

quality assurance and quality improvement)• define the role and function of a CQI team• determine the frequency of CQI team meetings

and activities• identify the people/positions responsible for

elements of the CQI plan• provide oversight of the CQI Plan• define quality for the MIECHV program• identify goals and objectives

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Culture of Quality

30

Culture of

Quality

Attitude

Data

Transparency

Outcomes

Commitment

Model for Improvement2 parts:(1)3 fundamental questions(2)Plan-Do-Study-Act (PDSA) cycle

– Plan a change. Formulate specific aim statements, develop a detailed data collection plan, and establish project timelines.

– Do (Test) the change. Carry out the data analysis plan, document any unexpected problems or challenges, track progress against timeline benchmarks.

– Study (Review) the tests. Analyze collected data, compare results to project aims, summarize and present data.

– Take Action based on what has been learned. If the change did not work, go through the cycle again with a different change. If the change was successful, use what has been learned to begin planning new improvements.

31

Using the Early Learning GPS with Families

Helping families set the right course for their young children’s success in

kindergarten and beyond

What PA families want:• Parents very interested in their child’s

development, but have difficulty in understanding what this means and finding appropriate resources.

• Parents are looking for an authority to help them figure out what information is the right information.

• Keystone STARS has helped raise the quality issue.

Early Learning GPS (Guiding Parents Smoothly)Purpose:• Create an interactive way for families to think

about what they can do to support their child's development and simple actions they can take.

• Engage them when they are most receptive, and make it easy for them to follow their own learning path.

Early Learning GPS (Guiding Parents Smoothly)Purpose:• Create an interactive way for families to think

about what they can do to support their child’s development and simple action steps they can do with additional supports.

• Engage them when they are most receptive, and make it easy for them to follow their own learning path.

What's unique?• It’s a great place for all families to start learning

how to help their baby grow. • The information is reliable. • Families go at their own pace.• No tests, no scores.• Families can provide feedback to improve the

GPS.• The GPS helps families take the next steps.

GPS - Audiences

• Anyone who cares for young children – parents, grandparents, foster parents, siblings

• Professionals who work with individuals caring for a young child

• Organizations and businesses who want to provide resources and education to families and employees with young children

How can the GPS be used?

• By an individual online• By two people face to face (with discussion

guide)• In a parent training class or lunch and learn

Using the GPS with families

• By an individual online• By two people face to face (with discussion

guide)• In a parent training class or lunch and learn

Providing info on the GPS to families• logo and web • banner to post to

your site• 2 minute introduction video for families • sample articles for parent newsletters, emails• sample facebook posts• postcards available in PDF • all resources on PA's Promise website

Using one-on-one with families• Questions help spark discussion, identify areas

where families need more information and support

• Allow parent to guide the process - choose the area they are most interested in

• GPS Personal map worksheet a great place to jot notes and review tips

Use with groups of families• Questions help spark discussion, identify areas

where families need more information and support

• Allow parent to guide the process - choose the area they are most interested in

• GPS Personal map worksheet a great place to jot notes and review tips

Questions, feedback, suggestions?

email Kelly Swanson at kelswa@berksiu.org

http://paprom.convio.net/site/PageServer?pagename=Infant_GPS_home

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https://earlychildhoodsummit.org/

RETURN OF RACE TO THE TOP: EARLY LEARNING CHALLENGE

For children ages zero to three, the President's proposal includes a new Early Head Start-Child Care partnership at the Department of Health and Human Services to improve quality, and it expands the Administration's home visiting initiative. Home visiting is showing great results.

As anyone who's ever had to care for a new baby knows, you need all the help and advice you can get. And that is often especially the case for struggling single parents, first-time parents, and teen parents.

https://www.facebook.com/photo.php?v=530226570349047&set=vb.171330336238674&type=2&theater

Building a brighter future for Pennsylvania’s children

Tom Corbett, Governor | Ronald Tomalis, Secretary of Education | Gary D. Alexander, Secretary of Public Welfare www.education.state.pa.us | www.dpw.state.pa.us

Thank you!

The PowerPoints and resources from this meeting are already posted at

http://www.fpg.unc.edu/presentations/pennsylvania-home-visitation-stakeholders-meeting-june-2013