WI HV DAISEY Data Collection Requirements
Overview • This webinar will provide you with information on 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 Target Population Data Collection Schedule Performance Form Measure Measure 6 Tobacco & All primary Complet e at t ime of enrollment . If Plan of Act ion is indicat ed, complet ed Plan of Act ion Substance Use caregivers enrolled in wit hin 90 days of enrollment. Assessment HV
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 offered, 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 other 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 of 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
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