WI HV DAISEY Data Collection Requirements Overview This webinar - - PowerPoint PPT Presentation

WI HV DAISEY Data Collection Requirements

Overview

• This webinar will provide you with information
• n Wisconsin’s Family Foundations Home

Visiting (FFHV) data collection requirements

• Requirements take effect October 1, 2016, and

apply to all programs receiving FFHV funds

• All required data will be collected in DAIS

EY

Data Collection Table

• All FFHV data collection requirements are

listed in the WI HV DAIS EY data collection table http:/ / wihv.daiseysolutions.org

Data Collection Table

Family Activity Form Target Population Data Collection Schedule Performance Measure Tobacco & Substance Use Assessment All primary caregivers enrolled in HV Complet e at t ime of enrollment . If Plan of Act ion is indicat ed, complet ed Plan of Act ion wit hin 90 days of enrollment.

Measure 6

Caregiver Profile

• Who: All primary caregivers referred to HV

, all primary and additional caregivers enrolled in HV

• When: Create profile at time of referral; update with

additional information at time of enrollment; document discharge, enrollment of subsequent pregnancies, and re-enrollment

• What: Basic information about client (e.g., name,

DOB) and key enrollment and discharge information

Family Engagement Form

• Who: All primary caregivers referred to HV
• When: Create at time of referral and update as you

work to engage the family

• What: Key information about your program’s work

with families referred to services (e.g., referral date and source, date of first contact, date services

• ffered, Program Refusal S

urvey for families that decline services)

Child Profile

• Who: All children enrolled in HV
• When: Create profile at time of birth/ enrollment;

document discharge and re-enrollment

• What: Basic information about client (e.g., name,

DOB) and key enrollment and discharge information

Caregiver Demographic Form

• Who: All primary and additional caregivers enrolled in

HV

• When: Complete at time of enrollment, at 6 months

post-enrollment, and annually at anniversary of caregiver’s enrollment

• What: Demographic Information that may change year

to year (e.g., income, employment, education, housing status, risk factor/ priority population documentation, health insurance status)

Tobacco & S ubstance Use Assessment

• Who: All primary caregivers enrolled in HV
• When: Complete at time of enrollment; if indicated,

complete Plan of Action within 90 days of enrollment

• What: Assess tobacco use among caregivers and others

in the household or caring for the child; document referral for services and other follow-up support

Expected Frequency Form

• Who: All primary caregivers enrolled in HV
• When: Complete at time of enrollment and whenever

there is a change in the family’s expected visit frequency

• What: Document number of face-to-face visits per

month that family is expected to receive according to model guidelines

Home Visit Form

• Who: All primary caregivers enrolled in HV
• When: Complete after every completed home visit
• What: Date of completed visits; parents’ concerns re:

their child’s behavior, learning, or development; completion of required Reproductive Life Planning (due in prenatal period or first 4 months of enrollment) and S haken Baby Education (due in first year of enrollment)

Abuse Assessment S creen

• Who: Female caregivers enrolled in HV
• When: Complete within 90 days of enrollment; if

indicated, complete Plan of Action within 60 days of assessment

• What: Validated screening for intimate partner

violence; document caregiver responses to screening questions, referral for services, safety planning, and

• ther follow-up support

Childhood Experiences S urvey

• Who: All primary caregivers enrolled in HV
• When: Complete within 90 days of enrollment
• What: S

creening for Adverse Childhood Experiences (ACEs); document caregiver responses to screening questions

Perceived S tress S cale

• Who: All primary caregivers enrolled in HV
• When: Complete within 90 days of enrollment
• What: Validated screening to assess caregiver’s

experience of stress; document caregiver responses to screening questions

Edinburgh Postnatal Depression S cale

• Who: All primary caregivers enrolled in HV
• When: Complete within 90 days of delivery (caregivers

enrolled prenatally); complete within 90 days of enrollment (caregivers enrolled postpartum)

• What: Validated screening for postnatal depression;

document caregiver responses to screening questions, referral for services, safety planning, and other follow-up support

Postpartum Medical Visit Form

• Who: Female caregivers enrolled prenatally or within

30 days of delivery

• When: Complete at 8 weeks postpartum
• What: Document caregiver receipt of postpartum visit

with her medical provider, date of visit

Child Insurance and Routine Care

• Who: All children enrolled in HV
• When: Complete at time of child’s enrollment in HV

and annually at anniversary of child’s enrollment

• What: Information about child’s health insurance

coverage and usual site for medical and dental care

Child Health & Wellness Form

• Who: All children enrolled in HV
• When: Complete at child age 1 month, 3 months, 6

months, 12 months, 18 months, 24 months, 30 months, 36 months, 48 months, and 60 months; complete in last quarter of federal fiscal year (July-S eptember) if not already scheduled

• What: Information about child’s birth, sleep

environment, breastfeeding, well child health exams, ER visits, and early literacy activit ies

AS Q-3

• Who: All children enrolled in HV
• When: Complete at least one by age 6 months;

complete at age 9 months, 18 months, and 24 months; after age 24 months, complete according to your program’s schedule; if indicated, complete Plan of Action within 60 days of assessment

• What: AS

Q-3 domain scores; document referral for services and other follow-up support

AS Q:S E-2

• Who: All children enrolled in HV
• When: Complete at least one by age 6 months;

complete at age 12 months, 18 months, and 24 months; after age 24 months, complete according to your program’s schedule; if indicated, complete Plan

• f Action within 60 days of assessment
• What: AS

Q:S E-2 score; document referral for services and other follow-up support

Parent-Child Interaction Assessment

• Who: All children enrolled in HV
• When: Complete at least once by age 6 months, again

by age 12 months, and at least annually thereafter

• What: Date of screening and type of validated tool

used

Where can I learn more?

• DAIS

EY sandbox (access after Basic Navigation training)

• DAIS

EY form training videos

• DAIS

EY data dictionary http:/ / wihv.daiseysolut ions.org