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Discretionary Grant Information System

Abstracts Details

Affordable Care Act - Maternal, Infant and Early Childhood Home Visiting Program - Fiscal Year 2012

MCHB Program Maternal, Infant, and Early Childhood Home Visiting (MIECHV) competitive grant
Program Description View
Grant Number D89MC23154 
Type of Service(s) Enabling Services, Infrastructure Building Services 
Project Period 9/30/2011 to 9/30/2016 
Project Director Annette Jacobi 
Address 1000 N.E. 10th Street, 1000 N.E. 10th Street 
Phone Not Available  
Fax Not Available  
Website Not Available  
Project Service Focus  
Project Scope  
Grantee Organization Type  
Project Infrastructure Focus  
Products and Publications Prods/pubs
Budget Data MCHB Award Amount FY 2012: $9,430,000
Matching/Other Funds FY 2012: $0

Project Abstracts by Application Year: 2011 | 2012 | Project Period Final - 2012

Problem The purpose of the MIECHV Grant is to strengthen the system of early childhood home visiting services to improve outcomes for at-risk families who reside in communities that were identified in a statewide needs assessment. Counties identified were Comanche, Muskogee, Oklahoma, and Tulsa Counties. 
Goals and Objectives Goal 1: Develop a sustainable, MIECHV home visitation program infrastructure of selected, multiple models matching consumer needs to program model goals.
  • Objective 1: Utilizing the completed Needs Assessment, choose evidence-based home visitation models for implementation in Oklahoma’s at-risk communities. This objective was completed during Year 1. Models chosen include Nurse-Family Partnership, Healthy Families America, and Parents as Teachers.
  • Objective 2: Develop home visitation coalitions in each at-risk community to assist with coordinating home visitation services and to assure families are connected with the appropriate home visiting program. This objective was initiated during Year 1 and will continue throughout the duration of the project.
  • Objective 3: Establish a central intake system in each at-risk community so that potential participants and other community service organizations can easily connect with home visitation programs. This objective was developed during Year 1 with improvements made as needed throughout the duration of the project.
Goal 2: Scale-up State evidence-based home visitation program activities by adding home visitors, maintaining fidelity to model protocols, and provide higher quality and more stable home visitation service.
  • Objective 1: Hire qualified home visitors. This objective was initiated during Year 1 for those implementing the Nurse-Family Partnership Model. It will be initiated during Year 2, after the bid process has been completed, for those implementing Healthy Families America and Parents as Teachers.
  • Objective 2: Provide model specific training and technical assistance to home visitors as well as trainings on specific topics. Training that will be required for all home visitors, regardless of model, is in the planning phase during Year 1 with implementation beginning in Year 2.
  • Objective 3: Conduct routine site visits, record audits and shadow visits to assure delivery of high quality services and implementation of best practice standards. Routine monitoring will be conducted annually as each model is implemented.
Goal 3: Improve outcomes in required MIECHV Grant benchmark and their corresponding constructs.
  • Objective 1: Develop or purchase a data collection system that will support the program evaluation needs of all implemented models. The procurement process for purchasing an appropriate data collection system was initiated during Year 1.
  • Objective 2: Develop and or select data collection tools that can be incorporated in the practice and evaluation of all implemented program models. Development and selection of data collection tools for evaluation will be completed during Year 1.
  • Objective 3: Routinely analyze and report data findings related to the MIECHV Grant benchmarks/constructs as required by the MIECVH Grant. Data reporting and analysis will begin as home visiting models are implemented.
Goal 4: Develop or enhance implementation of existing statewide and county level collaborations and partnerships to effectively implement and sustain MIECHV Program.
  • Objective 1: Establish a home visitation coalition in each at-risk community for better coordination of services, ease in making referrals and increased sharing of information. This objective was initiated during Year 1.
  • Objective 2: Utilize the state Home Visitation Leadership Advisory Coalition, the Interagency Child Abuse Prevention Task Force and the Early Childhood Advisory Council as partners and collaborators. This objective was initiated during the writing of the grant and will continue through the duration of the grant.
  • Objective 3: During Year 1 assure each community has a Community Connector dedicated to marketing the home visitation programs, connecting potential participants to programs and facilitating opportunities for home visitation professionals to meet together with other community service providers.
Activities/Methodology undertaken to meet project goals -Expand relationships with the Model Developers
-Develop contract for independent evaluation
-Develop contracts for “Community Connectors” who will collect and distribute referrals and organize meetings for home visitation programs and community services
-Develop contracts for Healthy Families America and Parents as Teachers programs
-Develop contracts with Oklahoma and Tulsa County Health Departments for Children First Nurses
-Develop contract for marketing home visiting programs
-Develop contract for database system
-Develop contract with Healthy Families America for affiliation
- Hire a MIECHV Grant Evaluator, Administrative Assistant, and Grant Consultant
-Complete benchmark plan
-Develop evaluation tools
-Assure that home visitors are appropriately trained
-Develop program policies and guidelines
-Develop “Oklahoma specific” educational material
-Provide technical assistance
- Analyze data and produce reports
-Conduct site visits to assure model fidelity and quality of service
-Ensure program alignment with Federal, State and Program outcomes
The Healthy People 2010 Objective(s)
Coordination Univ. of Okla., Center on Child Abuse & Neglect: EBHV Grantee; Independent Evaluation
Smart Start;Tulsa Health Dept: Community Connector Contracts
Oklahoma Health Care Authority:data sharing agreement; Memorandum of Concurrence
Dept of Education; Dept of Human Services; Community Action Project of Tulsa; Dept of Mental Health/Substance Abuse,OK Child Care; Coalition Against Domestic Violence: Partnership for School Readiness; Pediatric Medical Examiner; OU, CCAN: planning; Memorandum of Concurrence 
Evaluation Evaluation data will be collected from each home visiting program on the six benchmarks and their corresponding constructs. Process and outcomes data will be measured through interviews and observations at participant enrollment and then compared to corresponding measurement points throughout the study.
The independent evaluation will use a mixed-method (quantitative/qualitative) approach to inform and evaluate change in the overarching areas identified for improvement.
Experience to Date The proposed purpose of the Oklahoma MIECHV Competitive Grant Program was to expand and enhance the continuum of home visitation services available to pregnant women and families with infants or young children. Based on the statewide needs assessment communities identified to receive services were Oklahoma, Muskogee, Comanche and Tulsa Counties. Evidence-based home visiting models that were chosen for implementation include: Nurse-Family Partnership (NFP); Healthy Families America (HFA); and Parents as Teachers (PAT). The existing NFP program has been expanded using MIECHV funds. Plans are in process to award contracts using MIECHV dollars for new HFA and PAT programs. Additionally, contracts have been awarded for a Community Connector in each identified county. The Connectors serve as community ambassadors for home visitation that facilitate collaborative efforts among home visiting programs and other resources as well as provide referral services. Measures for the MIECHV Benchmarks and corresponding Constructs have been written and approved. As planned an external evaluation is being conducted by Oklahoma University Health Sciences Center. Currently, interviews and focus groups of home visitation staff and parents are being conducted. 
Keywords Child abuse prevention, Home Visiting for At Risk Families, Home Visiting Programs, Home visits, Prevention programs 
Annual Number of Website Hits  
Annual Number of Unique Website Visitors  
Annotation The purpose of the project is to expand and enhance evidence-based home visiting programs in the Oklahoma communities identified in the needs assessment. Home visiting models chosen to be implemented include Nurse-Family Partnership, Healthy Families America, and Parents as Teachers. To help facilitate collaboration among home visiting programs and other community resources a community “connector” will be hired who will also be responsible to assist with marketing and referrals and connecting families to the program that best meet their needs. 

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