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WELCOME AND HOUSEKEEPING
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Downstate IL: 217-332-6338
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INTRO TO:MIECHV BENCHMARKS AND DATA ENTRYMARCH 7, 2016
2
AGENDA
MIECHV Data & Expectations
Processing a New Referral
Demographic Data Entry
Creating a PVR
Benchmarks & Data Entry
Visit Tracker Tips and Tricks
Next Steps
3
MIECHV DATA
MIECHV Data
The OECD reports MIECHV data to HRSA on an annual basis. The Federal Fiscal Year is October 1 to September 30.
All of the data collected for HRSA is obtained from Visit Tracker.
Expectations
Home Visitors:
Enter all data from previous month by 5th of the next month
Administrators:
Run Forms 1 and 2 monthly and review in supervision
Review monthly data report cards and address outstanding issues
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MIECHV DATA COLLECTION FORM
Captures required demographic and service delivery (benchmark) information
Include in every family file (chart)
Complete at opening and quarterly
Enter data into Visit Tracker
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DEMOGRAPHICS
Ethnicity
Race
Primary Language
Marital Status
Maternal, Child and Family Health Insurance Status
Household Income and Benefits
Guardian Education Level
Guardian Employment
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PRIORITY POPULATIONS
Low income
Pregnant not yet age 21
User of tobacco products in home
Parent or any child with low student achievement
Any child in home with dev delays or disabilities
Family with current or former military members
History of child abuse/neglect or with child welfare services
History of substance abuse or need for treatment
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PROCESSING A NEW REFERRAL
Guardian Home Screen
Enroll Date: follow program model*Child’s enroll date should be same as guardian enroll date*
Local ID: enter the participant’s RIN number
Current Status: Active
Site/Fund Code: MIECHV2-D89
Update Guardian Data
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ADDING CHILD/REN
Click on Children – add Child *Add all known information except SS#, DD question, First Steps Enrolled?*
Enroll Date: same as mom’s enroll dateMIECHV Target Child: prenatal child;only 1, unless twins/triplets!
If prenatal:Due Date/DOB: due dateFirst name: BabyLast name: Mom’s last nameSex: P if unknown
Click on add Child 9
CHILD SCREEN
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Once the child is born, update the birth date here.
Do not ever change the due date!
Enter RIN number in State ID field
CHILD HEALTH INFO
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Don’t change due date!! (one exception: if due date is changed by doctor)
Add health insurance info.
*Child health insurance is a benchmark. Please update quarterly.*
PRIORITY POPULATIONS
Some auto-populateLow income: based on income entry
Pregnant not yet 21: based on DOB and child due date
Tobacco User: based on substance abuse survey
Rest are check boxes
Update at enrollment and quarterly
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GUARDIAN DEMOGRAPHIC INFO
Enter:• Case Level• Race & Ethnicity• Sex• DOB• Marital Status
Update Demographics
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EMPLOYMENT
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Enter average hours per week worked by primary parent/guardian. We use this to calculate full or part time work.
EDUCATION
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If primary parent is not in school:• Enter highest degree obtained and leave #hrs/wk blank.
If primary parent is in in school:• Enter degree currently enrolled in and add average #hrs/wk.
INCOME
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• Enter average monthly income for mother, father (if residing in the home), and child/ren.• Number in house is number of people dependent on this income.• Estimate dollar amount of non-cash benefits.
Example: a pregnant teen who is not working and receives no benefits would have $0 average monthly income and 1 person in the house. Once she gives birth, update # in house to 2.
*Family income is also a benchmark. Please update quarterly.*
GUARDIAN & FAMILY INSURANCE INFO
17*Guardian and family insurance are also benchmarks. Please update quarterly.*
CREATING A PVR
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Click here to enter info into PVR
EXITING A PARTICIPANT
Change Status to Exited
Enter Exit Date
Choose Completed Program or Stopped services before completion
Choose Exit Reason
Update Guardian Data
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BENCHMARK AREAS
Improved maternal and newborn health
Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits
Improvement in school readiness and achievement
Reduction in crime or domestic violence
Improvements in family economic self-sufficiency
Improvements in the coordination and referrals for other community resources and supports
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PRENATAL CARE
Rationale: Women who do not receive prenatal care are 3-4 times more likely to die of pregnancy complications and babies are 6 times more likely to die within the 1st year of life.
American Congress of Obstetricians and Gynecologists (ACOG) recommends a schedule and number of visits for pregnant women.
Goal: MIECHV participants will attend ACOG-recommended visits between enrollment and delivery
Data collection: At each home visit, ask about dates of prenatal visits since last home visit.
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PRENATAL CARE
Enter on CHILD Health Info Screen under Child Medical Visits
Date: Date of visit
Type: Physician
Reason: Prenatal Care
OR Enter on PVR
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PRENATAL USE OF ALCOHOL, TOBACCO OR ILLEGAL DRUGS
Rationale: Alcohol, tobacco and drug use during pregnancy increase risks for mother (placenta previa, placental abruption) and baby (still birth, prematurity, low birth weight, SIDS).
Goal: MIECHV participants who are identified as using alcohol, tobacco or illegal drugs will reduce use between enrollment and delivery
Data Collection: Visit Tracker Substance Abuse Survey and 4Ps Plus
Alcohol, tobacco, and drug screening for pregnant women
Twice, between enrollment and 6 weeks postpartum
For everyone, update quarterly
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PRENATAL USE OF ALCOHOL, TOBACCO OR ILLEGAL DRUGS
Enter on Guardian Health Info Screen under Substance Abuse Survey
OR Enter on PVR24
POSTPARTUM USE OF CONTRACEPTION
Rationale: Up to 44% of women have an unintended pregnancy within the first year postpartum.
Goal: MIECHV participants will initiate birth control by 8 weeks postpartum
Data Collection: Make birth control plan with mother prenatally. Ask mother about birth control use at home visits between delivery and 8 weeks postpartum.
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POSTPARTUM USE OF CONTRACEPTION
Enter on Guardian Health Screen under Contraception Use Survey
OR Enter on PVR
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INTERPARTUM INTERVAL
Rationale: Pregnancy within 18 months of giving birth is associated with an increased risk of low birth weight, small for gestational size, and preterm birth.
Goal: MIECHV participants will receive information about ideal birth spacing (at least 18 months) by 6 weeks postpartum.
Data Collection: Provide information about the benefits of birth spacing to women by 6 weeks postpartum
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INTERPARTUM INTERVAL
Enter on PVR.
For PAT programs, enter under Family Well-Being Section:• Click “I” for information next to • Inter-birth Intervals
For HFI programs, enter midway through PVR:• Check appropriate box
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INFO FOR PREVENTION OF CHILD INJURIES
Rationale: Unintentional injuries are the leading causes of morbidity and mortality among children in the U.S.
Goal: MIECHV participants will receive information about child injury prevention by 3 months post-enrollment.
Data Collection: Discuss child injury prevention (household safety, safe sleeping, carseat use) with the guardian by 3 months post-enrollment.
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INFO FOR PREVENTION OF CHILD INJURIES
Enter on PVR.
For PAT programs, enter under Family Well-Being Section:• Click “I” for information next to • Inter-birth Intervals
For HFI programs, enter midway through PVR:• Check appropriate box
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BREASTFEEDING
Rationale: Breastfeeding offers many benefits to babies and mothers.
Goal: MIECHV children enrolled prenatally will breastfeed (any amount) for at least 6 months.
Data Collection: Collect information about breastfeeding (never, ongoing, or weaned) at every home visit until child is weaned or reaches 6 months, whichever comes first.
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BREASTFEEDING
Enter on Child Health Info Screen under Breastfeeding Survey
OR Enter on PVR
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WELL CHILD VISITS
Rationale: Well child visits have been shown to significantly increase the number of immunized children and decrease outpatient and emergency department sick visits.
Goal: MIECHV children enrolled prenatally will attend at least 5 well child visits by 15 months of age.
Data Collection: Collect information about medical visits at each home visit.
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WELL CHILD VISITS
Enter on Child Health Info Screen under Child Medical Visits
OR Enter on PVR
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CHILD AND GUARDIAN ER VISITS
Rationale: Decreased unnecessary ER visits may indicate better access to primary health care services.
Goal: Decrease the number of children and guardians who visit the ER for any type of care
Data Collection: Collect information about medical visits at each home visit.
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CHILD ER VISITS
Enter on Child Health Info Screen under Child Medical Visits
OR Enter on PVR
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GUARDIAN ERVISITS
Enter on Guardian Health Info Screen under Guardian Medical Visits
OR Enter on PVR
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INCIDENCE OF CHILD INJURIES REQUIRING MEDICAL ATTENTION
Rationale: Preventable childhood injuries are a major case of death and disability for young children.
Goal: Decrease the number of children with injuries requiring medical treatment
Data Collection: Collect information about medical visits at each home visit.
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INCIDENCE OF CHILD INJURIES REQUIRING MEDICAL ATTENTION
Enter on Child Health Info Screen under Child Medical Visits
OR Enter on PVR
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SCREENING AND REFERRAL FOR MATERNAL DEPRESSION
Rationale: Maternal depression is associated with negative parenting practices, disengagement from the child, and development of psychopathology in the child.
Goal: MIECHV participants will be screened for maternal depression at least once between third trimester and two months postpartum
Data Collection: Edinburgh Postnatal Depression Scale
Depression screening for pregnant and postpartum women
At least once, between third trimester and two months postpartum
Make a referral to mental health services for participants who score higher than 12 on the Edinburgh.
Two related benchmarks measure whether participants with positive screens receive referrals and whether they complete those referrals.
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SCREENING FOR MATERNAL DEPRESSION
Enter on Guardian Assessments Page
Click on EPDS
Enter Date, Score and Save
Scores of 13+ require a referral
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REFERRAL FOR MATERNAL DEPRESSION
Enter on Guardian Resource Connect screen
Connection Type: must beMental Health Services, Medical Home, or Medical Services
Family Received Services: Click Yes, No, Unknown to indicate whether guardian completed the referral (received or attempted to receive services)
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SCREENING AND REFERRAL FOR DOMESTIC VIOLENCE
Rationale: Children in homes where domestic violence is present are more likely to be abused and/or neglected.
Goal: MIECHV participants will be screened for domestic violence within 45 days of enrollment.
Data Collection: Futures Without Violence Relationship Assessment Tool
Domestic Violence screening
Within 45 days of enrollment and then quarterly
Make a referral to domestic violence services for participants who score higher than 20 on the Futures.
Two related benchmarks measure whether participants with positive screens receive referrals and whether they complete those referrals.
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SCREENING FOR DOMESTIC VIOLENCE
Enter on Guardian Assessments Page
Click on Futures
Enter Date, Score and Save
Scores of 21+ require a referral
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REFERRAL FOR DOMESTIC VIOLENCE
Enter on Guardian Resource Connection screen
Connection Type: must beDomestic Violence Services
Family Received Services: Click Yes, No, Unknown to indicate whether guardian completed the referral (received or attempted to receive services)
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SAFETY PLAN COMPLETION
Rationale: A domestic violence safety plan consists of a list of strategies, resources, and tips to keep family members safe in the instance of future violence or threats of violence.
Goal: MIECHV participants who are experiencing domestic violence will complete a domestic violence safety plan at a subsequent visits after a positive screening.
Data Collection: Work with a guardian to complete a safety plan at the next visit following a positive DV screening.
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SAFETY PLAN COMPLETION
Enter on Guardian Goals/Plans screen
Goal Area: must beDomestic Violence Safety Plan
Status: Click Completed and add End Date when Safety Plan is completed
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ASQ-3 AND ASQ-SE
Rationale: Developmental screenings provide an opportunity to identify and address developmental delays.
Goal: MIECHV children will be screened with the ASQ-3 and ASQ-SE between 10 and 14 months of age
Data Collection: Screen children at 6 and 12 months of age. To meet the benchmark, one screening must occur between 10 and 14 months of age.
Make a referral to an appropriate community resource for children who receive “concerning” scores in any domain.
Two related benchmarks measure whether children with concerning scores receive referrals and whether they complete those referrals.
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ASQ-3 AND ASQ-SE
Enter on Child Screenings Page
Click on New Screening
Enter Date.
Indicate the screen is complete.
Choose screening type and result.
Enter scores.
Check box for any concerns/delays.* *These require a referral.
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REFERRAL FOR CONCERNS ON ASQ-3 AND ASQ-SE
Scroll to the bottom of the ASQ screening page and enter referral information
Was a connection made? Click yes.
Enter referral information.
Was service received? Click Yes or No
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EDUCATION GOAL COMPLETION
Rationale: Low educational status is a significant barrier for many MIECHV families.
Goal: MIECHV participants who set education related goals will achieve those goals
Data Collection: Parents are asked to identify goals, including education related goals, and work toward those goals. Goals should be Specific, Measurable, Achievable, Realistic, and Time-bound.
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EDUCATION GOAL COMPLETION
Enter on Guardian Goals/Plans screen
Goal Area: must be Education
Status: Click Completed and add End Date when goal is completed
52
HOUSEHOLD INCOME AND BENEFITS
Rationale: Household income influences access to health care, food, and other necessary services.
Goal: Increase number of families whose household income and benefits increase between enrollment and one year post-enrollment
Data Collection: Update family income and benefits quarterly.
Data entry information is provided on slide 16.
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MOTHER AND CHILD INSURANCE COVERAGE
Rationale: Maternal and child health are impacted by access to healthcare and preventative services.
Goal: Increase number of mothers and children who have health insurance at 12 months post-enrollment
Data Collection: Update child and guardian insurance status quarterly.
Data entry information is provided on slides 11 and 17.
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INSURANCE STATUS FOR ALL FAMILY MEMBERS
Rationale: Family health is impacted by access to healthcare and preventative health services.
Goal: Increase number of families with all household members who have health insurance at 12 months post-enrollment
Data Collection: Update family insurance status quarterly.
Data entry information is provided on slide17.
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VISIT TRACKER TIPS & TRICKS
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This number is the Visit Tracker ID number of the child. You can delete it and enter another child’s ID number to go directly to that person.
You can do the same for guardians.
NEXT STEPS
For Home Visitors & Supervisors
Watch Visit Tracker Video!
http://data-keeper.com/training/
Visit Tracker Web Overview/Demo (13 minutes)
For Supervisors/Admins
Set up preferences (see preferences handout)!
Create an additional admin account for OECD
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QUESTIONS?
Lesley Schwartz, Manager of MIECHV Program Evaluation
Governor’s Office of Early Childhood Development (OECD)
312-814-4841
Stacey McKeever, Continuous Quality Improvement Specialist
Center for Prevention Research and Development (CPRD)
217-300-1848
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