Redesigning the Maternal, Infant and Early Childhood Home Visiting Program Performance Measurement System

Labiner-Wolfe, Judith; Vladutiu, Catherine J.; Peplinski, Kyle; Cano, Carlos; Willis, David W.

doi:10.1007/s10995-018-2486-1

Cited by 4 publications

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is not practical at a population level. This is in contrast to previous child health indicator frameworks which used a wider range of data collected specifically to evaluate the programme and are thus able to capture some of these 'softer' measures [25]. As part of a national health service, resources are limited, and focus therefore is, understandably, directed towards provision of care, rather than data collection per se.…”

Section: Discussionmentioning

confidence: 93%

Development of an outcome indicator framework for a universal health visiting programme using routinely collected data

Horne,

Marryat,

Corby

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Universal health visiting has been a cornerstone of preventative healthcare for children in the United Kingdom (UK) for over 100 years. In 2016, Scotland introduced a new Universal Health Visiting Pathway (UHVP), involving a greater number of contacts with a particular emphasis on the first year, visits within the home setting, and rigorous developmental assessment conducted by a qualified Health Visitor. To evaluate the UHVP, an outcome indicator framework was developed using routine administrative data. This paper sets out the development of these indicators. Methods A logic model was produced with stakeholders to define the group of outcomes, before further refining and aligning of the measures through discussions with stakeholders and inspection of data. Power calculations were carried out and initial data described for the chosen indicators. Results Eighteen indicators were selected across eight outcome areas: parental smoking, breastfeeding, immunisations, dental health, developmental concerns, obesity, accidents and injuries, and child protection interventions. Data quality was mixed. Coverage of reviews was high; over 90% of children received key reviews. Individual item completion was more variable: 92.2% had breastfeeding data at 6–8 weeks, whilst 63.2% had BMI recorded at 27–30 months. Prevalence also varied greatly, from 1.3% of children’s names being on the Child Protection register for over six months by age three, to 93.6% having received all immunisations by age two. Conclusions Home visiting services play a key role in ensuring children and families have the right support to enable the best start in life. As these programmes evolve, it is crucial to understand whether changes lead to improvements in child outcomes. This paper describes a set of indicators using routinely-collected data, lessening additional burden on participants, and reducing response bias which may be apparent in other forms of evaluation. Further research is needed to explore the transferability of this indicator framework to other settings.

show abstract

Section: Discussionmentioning

confidence: 93%

Development of an outcome indicator framework for a universal health visiting programme using routinely collected data

Horne,

Marryat,

Corby

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Service Coordination to Address Maternal Mental Health, Partner Violence, and Substance Use: Findings from a National Survey of Home Visiting Programs

et al. 2021

View full text Add to dashboard Cite

The Role of State Context in Promoting Service Coordination in Maternal, Infant, and Early Childhood Home Visiting Programs

West

Duggan

Gruss

et al. 2020

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Context: The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program provides funding to states to promote health and development of at-risk expectant families and families with young children. MIECHV programs are required to coordinate services within a larger system of care; yet, little is known about state-level factors that support coordination. Objective: This study examined state-level supports and barriers for coordination of home visiting with other entities within the early childhood system of care. Methods: A Web-based survey was distributed in 2016 via e-mail to MIECHV administrators in all 50 states, 5 US territories, and the District of Columbia. The survey elicited information on 5 domains shown by theory and prior research to support coordination: MIECHV leadership, state leadership, shared goals across sectors, data systems, and finance. Respondents also rated their perceptions of state-level coordination. Results: Forty-two (75%) of the MIECHV administrators participated in the survey. States and territories varied widely within and across the 5 domains of support for coordination. MIECHV leadership was an area of relative strength, whereas data systems and finance showed the most room for improvement. State leadership and shared goals were associated with stronger perceptions of state-level coordination. Conclusions: The findings indicate opportunities for shared learning among states to enhance coordination infrastructure. Such efforts should include multiple stakeholder perspectives and consideration of local and organizational contexts. This work could be facilitated using the service coordination toolkit developed as part of this project.

show abstract

Redesigning the Maternal, Infant and Early Childhood Home Visiting Program Performance Measurement System

Cited by 4 publications

References 1 publication

Development of an outcome indicator framework for a universal health visiting programme using routinely collected data

Development of an outcome indicator framework for a universal health visiting programme using routinely collected data

Service Coordination to Address Maternal Mental Health, Partner Violence, and Substance Use: Findings from a National Survey of Home Visiting Programs

The Role of State Context in Promoting Service Coordination in Maternal, Infant, and Early Childhood Home Visiting Programs

Contact Info

Product

Resources

About