1. Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program
Benjamin Hazelton, Home Visiting Policy & Systems Coordinator
Public Health Division
Maternal & Child Health

2. Multiple Grant Applications – One Project – Two Core Components
Expanding Evidence-Based Home Visiting Services
Early Head Start (EHS)
Healthy Families America (HFA)
Nurse-Family Partnership (NFP)
Developing the Infrastructure to Support Sustainability
Coordinated Service Entry and Integration within a Comprehensive Early Childhood System
Continuous Quality Improvement
Workforce Development
Evidence-base is determined at the federal level by the Home Visiting Evidence od Effectiveness (HomVEE), a partnership between ACF and HRSA
There is an allowance for up to 25% of the funding to be dedicated to a promising practice; however, would have also required an evaluation beyond those required for the Competitive applications.
These three models selected because of their “footprint” in Oregon – even NFP had an established bas in the state – and an appetite for expansion.
Developed common entry tool to be used in assisting families to find their fit – and to connect them with other formal and informal services and supports.
Recognizing that home visiting is one service strategy among the early childhood disciplines – with health and early care and education.
Promoting a common set of metrics among home visiting – and connecting it to the comprehensive early childhood system – then supporting efforts through a culture of Continuous Quality Improvement (CQI). CQI is different from Quality Assurance (QA) that would be used to assure model fidelity and is focused on supporting programs to do their best work with families.
Standardizing workforce through shared common competencies that are cross-walked with other early childhood disciplines and integrated within an early childhood training and education system.
Emerging from the workforce development is the Infant Mental Health Endorsement (IMH-E®)
Whereas the EBHV is limited to the three models identified and the 13 at-risk communities, the system development work can and is available statewide to the extent that the the MIECHV program has the resources.
Maternal & Child Health

3. The Foundation for New Formula
Funding Opportunity
Services
Program Capacity
System Development
Formula
2010
EHS 34
Framework for “no wrong door”
Tool for coordinating referral
HFA 56
Development
2011
NFP
207
Community development
Project provided TA
Data system development
Workforce development
Expansion
2013
151
Integration with early learning and health system transformation
Strengthening workforce development to include shared core knowledge standards
Family leadership and engagement in program operations and governance
Robust implementation of Continuous Quality Improvement
150

5. Current Status In Oregon
Enrollment Capacity of 805 families – distributed across 13 at-risk communities
New Needs Assessment
Changes to national benchmark measures – and Continuous Quality Improvement (CQI)
Community tailored entry procedures
Common Core Competencies
Infant Mental Health Endorsement (IMH-E®)
185 families in EHS, 263 families in HFA and 357 families in NFP. Recent contracting reduced the HFA enrollment by 41 families – at the LIA request. Was helpful in funding the remaining caseload because of negotiated increases in funding at the state level.
Clatsop, Jackson, Jefferson, Klamath, Lane, Lincoln, Malheur, Marion, Morrow, Multnomah, Tillamook, Umatilla and Yamhill.
Guidance for the new Needs Assessment is anticipated in fall of 2017 and will be concluded in spring of 2018.
The six benchmarks (maternal and child health, child injuries, maltreatment and neglect, school readiness, family self-sufficiency, crime or domestic violence, and coordination of services) are written into the authorizing legislation. The measures are at the discretion of HRSA – recently reduced from 36 measures to 19. Focused on sentinel measures that are associated with overarching progress.
Common CQI activity beginning October first – Developmental Referral Completion. Chosen because of the connections to the comprehensive system.
Examples of common entry include two communities you will hear from today.
Common Competencies were released last fall. They have been used to review position descriptions, etc at the local level. Working over the next federal fiscal year and grant period to utilize the competencies to inform training – beginning with the Cultural and Linguistic competence of the programs.
Seven endorsee’s this fall. Another 30 are in the process for subsequent endorsement. Those seeking endorsement reflect the diversity of the population, geography and early childhood workforce of the state. Has been a fantastic opportunity to partner with the Ford Family Foundation.
Maternal & Child Health

6. Workforce Development
Alignment with the existing early childhood education field
Develop core competencies for Oregon’s Home Visiting programs
Develop a comprehensive
training plan
Establish Infant Mental
Health Endorsement
Maternal & Child Health

7. Continuous Quality Improvement
Process and data improvements
A resource, not just a grant requirement
Inclusive of programs outside grant funding
Maternal & Child Health

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Questions