Maternal, Infant and Early Childhood Homevisiting Grant Program - Nevada provides support for the following evidence-based programs to provide home visiting to families in under resourced counties; Early Head Start in Washoe and Clark counties; Home Instruction for Parents of Preschool Youngsters in Clark, Nye, and Washoe counties; Nurse Family Partnership in Clark County; and Parents as Teachers in Lyon, Storey, Carson, and Mineral counties. The total capacity of these programs is 267 families statewide, and families are being served currently. The number of families proposed to be served in Fiscal Year (FY)2022 is 273. Problem Families living in these high need areas have limited access to services, experience higher levels of substance use, domestic violence, and other adverse experiences. First, NHV will continue to support enrolled families using evidenced-based home visiting. Second, NHV will continue to support the existing referral systems to link families to necessary services. Third, NHV will collect and analyze data identifying barriers to services to address any disparities in health equity. Finally, NHV will continue to improve the quality of home visiting services statewide by providing necessary training and technical assistance, and by identifying and addressing areas for quality improvement through the NHV Continuous Quality Improvement (CQI) Plan. Purpose The purpose of NHV is to enrich the lives of enrolled families and improve academic, health, and family outcomes. Home visiting has the opportunity to change the life course for children and adults by providing education, service referral, timely health information, and literacy support. Goals and Objectives • Continue to build a statewide infrastructure to increase support for home visitors and agencies administering home visiting services. • To ensure the provision of high-quality home visiting services to eligible families, NHV will provide further education to implementing agencies. • NHV will continue to make progress in coordination and referrals of underserved families to community resources. NHV will improve coordination and referrals to community resources. • NHV will incorporate Continuous Quality Improvement (CQI) principles in the administration of the state level home visiting program. • NHV will assist implementing agencies in achieving improvement in the Maternal Infant Early Childhood Home Visiting (MIECHV) benchmark areas through process improvement. • NHV will collect and analyze demographic data (ethnicity, race, gender identity, marital status, geography, income, and insurance coverage) from families served to identify and mitigate disparities in health equity. Methodology Models utilized in Nevada include Nurse Family Partnership (NFP), Early Head Start Home Based Option (EHS), Home Instruction for Parents of Preschool Youngsters (HIPPY), and Parents as Teachers (PAT). Nevada Home Visiting’s Local Implementing Agencies (LIAs) serve families in the following communities with identified risk-factors: Carson City, Douglas, Washoe, Lyon, Storey, Mineral, Nye, and Clark counties. Currently the caseload for NHV is 267 families. The proposed caseload of family slots for FY 2022 is 273 family slots. Linkage and referral activities include providing an online resource referral system, supporting agencies’ primary contact with key support service providers, development of Memoranda of Understanding, and providing quality programming to support family engagement in school-readiness activities.