Maternal, Infant and Early Childhood Homevisiting Grant Program - Rhode Island Department of Health 3 Capitol Hill, Room 302 Providence, RI 02908 Sara Remington 401-222-5946 (p) 401-222-1442 (f) www.health.ri.gov $8,445,341 Purpose: To support a coordinated, high-quality set of voluntary family visiting services to eligible RI families in high-need and surrounding communities. Programs will work to engage and retain families in these home visiting programs: Healthy Families America (HFA), Nurse-Family Partnership (NFP) or Parents as Teachers (PAT). RI will use data and family feedback to demonstrate outcomes, improve performance and help mitigate social determinants of health Goals and Objectives: Goal 1: During the grant period, the Family Visiting Program (FVP) will implement three high quality, evidence-based family visiting programs in high need communities. Objective 1: The FVP will update the state team’s plan and tools for sub-monitoring and oversight of Local Implementing Agencies (LIAs) and implement a new site visit schedule. Objective 2: The FVP will implement a new invoicing process with LIAs that accounts for Medicaid reimbursement. The FVP will monitor LIA's Medicaid billing. Objective 3: The FV Strategic Plan will be updated and the governance structure assessed for efficacy and alignment with other early childhood systems of care. Goal 2: Start a family visiting workforce plan that results in increased staff retention, job satisfaction and better family engagement during the grant period. Objective 1: The FVP will assess family visitor and supervisor wages, make plans to survey the workforce and seek to understand why family visitors leave their positions. Objective 2: The FVP will continue to enhance and implement an infrastructure that supports the family visiting workforce in addressing families’ social determinants of health and that supports reflective practice/consultation and mental health consultation. Goal 3: Use current MIECHV Demonstration of Improvement data to select CQI initiatives and enhance professional development offerings. Objective 1: The FVP will implement a CQI plan that addresses areas for improvement at the family, LIA, model and/or state team levels. Objective 2: Offer and sustain a planned set of professional development offerings, including a new hire family visiting orientation that is adaptable to and responds to the needs of the family visiting workforce and performance data. Goal 4: Plan and implement a health equity workgroup for the family visiting workforce to address family and systems level health equity issues. Objective 1: Finalize plans for a quarterly meeting with family visiting providers to address health equity issues their families are experiencing. Objective 2: Obtain feedback from the family visiting Parent/Caregiver Advisory Council on successes and areas for improvement when trying to access specific services or systems or care and raise these issues within RIDOH or external systems. Methodology: The FVP will implement HFA, NFP and PAT in the Central Falls, Cranston, Lincoln, Newport, North Providence, Pawtucket, Providence, Warwick, West Warwick, Woonsocket and Washington County, communities in the 2020 Needs Assessment. The FVP will support 915 HFA slots, 100 NFP slots and 494 PAT slots. As of June 21, 2023, 894 families are in MIECHV programs. The FVP will work with LIAs, programs within RIDOH, and other systems like the Early Childhood Comprehensive Systems Grant. The FVP will support a Workforce Council that addresses the needs of family visitors. The members of the Parent/Caregiver Advisory Council will provide guidance on how family visiting may improve services. The FVP works closely with programs to ensure that family visitors can link families to necessary services. The FVP partners with WIC, Oral Health, Title X and Injury Prevention and RI’s Early Intervention program.