Purpose: The purpose of this program is to implement voluntary, evidence-based home visiting services for pregnant people and families with young children through implementing the Healthy Families America (HFA) model, and coordinating comprehensive, high quality services to eligible families. Continuing to implement HFA in New Hampshire (NH) will provide opportunities for families, identified as belonging to priority populations to achieve improved outcomes through a relationship-based home visiting program.
Goals and Objectives
Goal 1: NH LIAs will implement the HFA home visiting model with fidelity, serving HRSA-defined priority populations.
Objective 1.1: To serve priority populations with the HFA Model, NH MIECHV will support its LIAs in demonstrating fidelity to the HFA model through promoting familiarity with Best Practice Standards (BPS) and HFA tools, with a focus on inclusivity and equity through monthly data review.
Goal 2: NH MIECHV will demonstrate improvements in federally defined benchmark measures, as required by MIECHV Demonstration of Improvement in Benchmark Areas National Threshold Values (hrsa.gov).
Objective 2.1: NH MIECHV will provide personalized support to NH LIAs, reviewing data on one or more performance measures on a monthly basis. Data analysis will focus on examining the impact of race, ethnicity and language, among other demographics, on each measure. LIA staff will be required to focus attention on improving data entry and practices negatively impacting performance. LIAs performing particularly well on specific performance measures will be spotlighted during monthly CQI meetings.
Goal 3: NH MIECHV will sustain program enrollment at or above 85% of HRSA-defined capacity.
Objective 3.1: NH MIECHV will utilize monthly capacity reports to track capacity utilization across the network, examining HRSA capacity and its intersection with weighted caseload capacity at the home visitor level, ensuring fidelity to the HFA BPS.
Goal 4: NH MIECHV will develop and maintain a suite of role-specific tools to support staff retention at the LIA level.
Objective 4.1: NH MIECHV will provide resources to LIA staff through various media to promote familiarity with community and training resources, performance measures, and one another, ensuring staff are well-connected throughout the program.
Objective 4.2: NH MIECHV program staff will participate in local and national professional development opportunities in order to effectively support and connect field staff with up-to-date resources that promote workforce retention.
Goal 5: NH MIECHV will focus efforts on improving systems building and integration across NH’s early childhood system, with a focus on participation in groups that seek to eliminate health disparities and equity gaps in NH.
Objective 5.1: NH MIECHV state team members will participate in at least one cross-system collaborative meeting each quarter with other early childhood serving professionals toward the goals of improved system-building, integration and health equity.
Methodology: NH LIAs will implement the HFA model with fidelity state-wide, to priority populations in all NH counties, based on the 2020 Needs Assessment update. Activities will support service delivery to 250 families in FY 2022; and 252 families in FY 2023.
Key Activities
In NH, families are screened for tobacco use, maternal depression, intimate partner violence, and development, and they are connected to associated community resources. Home visitors have training in SBIRT (Screening, Brief Intervention, and Referral to Services), and have knowledge of community and statewide treatment resources available for families with Substance Use Disorder. Through collaboration with statewide partners, families are connected with resources such as housing, nutrition, quality childcare, employment, and education in support of improving outcomes and building resilience.