I. Project Abstract Project Title: Hawaii Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Home Visiting Formula Grant Project FY 2023 Applicant Name: Hawaii State Department of Health (DOH) Address: 1250 Punchbowl Street, Honolulu, Hawaii 96813-2416 Project Director Name: Matthew J. Shim, Ph.D., M.P.H., Chief, Family Health Services Division Contact Phone Numbers: 808-586-4122 E-Mail Address: matthew.shim@doh.hawaii.gov Annotation: The Hawaii MIECHV Formula Grant Project FY 2023 maintains collaboration of comprehensive Early Identification (EID) programs. The result is a network of partnerships with birthing hospitals, physicians, a Special Supplemental Nutrition Program, Community Health Centers, and prenatal clinics that offer voluntary home visiting services to pregnant women or caregivers of children birth to kindergarten entry. These services improve outcomes and reduce health disparities for families living in communities at greatest risk. Problem: Per the 2020 MIECHV Needs Assessment, families residing in Hawaii face unequal birth, health, and development outcomes based on the community in which they live. Purpose: The Formula Grant Project FY 2023 will provide comprehensive EID and evidence-based home visiting services to families residing in one of the designated priority at-risk geographic areas to improve outcomes for at-risk children. Goals and Objectives: The Grantee will achieve four (4) goals: 1) Increase program success in reaching, engaging, and retaining high-risk families. 2) Increase program success in recruiting and retaining high-quality home visitors. 3) strengthen home visiting effectiveness in the coordination of referrals. 4) Promote the sustainability of our program of home visiting through the enhancement of continuous quality improvement (CQI). The Grantee will meet these goals by pursuing the following objectives: 1) Maintain 85% capacity utilization throughout the period of performance. 2) Utilize the results of the training needs assessment to prioritize and implement professional development opportunities for home visitors and supervisors. 3) Strengthen home visiting effectiveness in the coordination of referrals by increasing the number of clear points of contact for recommended mental health services during the period of performance. Special care must be made to offer clear points of contact for culturally diverse and appropriate services within t he community. 4) Ensure that the program is sustainable and continuously improving, so that it can have a positive impact on outcomes and reduce health and developmental disparities in the community. We will continue to hold quarterly meetings with Local Implementing Agencies (LIAs) throughout the period of performance to (1) share advancements in the field of CQI; (2) ensure consistency of CQI efforts across LIAs; and (3) to provide continued technical assistance (TA) in integrating health equity issues into CQI efforts throughout the period of performance. Methodology: The MIECHV EID program screens and refers families who reside in the priority at-risk communities described in the statewide required under subsection 511(b)(1)(A). The EID programs approach prenatal women and parents of newborns who reside in the designated priority at-risk geographic area to screen for the Your Ohana Network program eligibility. Key activities include partnerships with Title IV-E, Title V, and Core State Violence and Injury Prevention Program (SVIPP) grantees to improve integration with early childhood systems. Models: HFA, HIPPY, and PAT. Communities Served: Downtown – Kalihi, Hilo – Puna, Koloa, Lana?i, Moloka?i, North and South Kona, Wahiawa, Wai‘anae, and Wailuku. Proposed Caseload Slots: 495(FY24), 656 (FY25). Current Caseload Slots: 588.