Family Home Visiting Reporting Requirements for 2018 VERSION 2.0

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Family Home Visiting Reporting Requirements for 2018 VERSION 2.0 UPDATED 5/7/2018

Family Home Visiting Reporting Requirements for 2018 Minnesota Department of Health Family Home Visiting Section Evaluation Unit PO Box 64882, St. Paul, MN 55164-0882 651-201-4090 Health.FHVData@state.mn.us www.health.state.mn.us/fhv/ Upon request, this material will be made available in an alternative format such as large print, Braille or audio recording. Printed on recycled paper. 1

Contents FHV REPORTING REQUIREMENTS 2018 Introduction... 3 Purpose of Data Collection... 3 Who Must Report... 3 Data Practices and Informed Consent... 3 Nurse-Family Partnership Data... 4 Technical Assistance... 4 Requirements by FHV Grant Type... 5 MIECHV Grants... 5 State EBHV Grants... 6 State NFP Grants... 7 FHV TANF Grants... 7 Reporting Due Dates... 9 Additional Guidance... 10 FHV Program Types... 10 Collection of Name and Address Data Elements... 11 When to Submit a New Intake Form (Create a New FHV Set)... 12 Appendices... 13 Appendix A: Summary of Required Data Submissions by Grant... 14 Appendix B: Visit-Level Data Specifications... 15 Appendix C: MDH File Transfer Site... 17 Appendix D: NFP Supplemental Forms... 18 Appendix E: State EBHV Grant Reporting Requirements Memo... 20 Appendix F: State NFP Grant Reporting in NFP-ETO... 21 Appendix G: Frequently Asked Questions... 23 Appendix H: Version History... 27 2

Introduction Purpose of Data Collection 3 FHV REPORTING REQUIREMENTS 2018 The Minnesota Department of Health (MDH) collects data for evaluation of Minnesota Family Home Visiting (FHV) programs, and to meet federal and state reporting requirements. MDH will use FHV evaluation data for: Reporting to the MN Legislature and communicating with stakeholders about the value of FHV services; Monitoring state, regional, and county performance; Identifying gaps and needs for training and technical assistance; and Prioritization of continuous quality improvement (CQI) projects. Who Must Report MDH requires the reporting of aggregate and individual-level data on FHV clients served by the following grants: FHV Temporary Assistance for Needy Families (TANF) grants; Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grants; State-funded Nurse-Family Partnership (NFP) grants; State-funded Evidence-Based Home Visiting (EBHV) grants. Clients served wholly or in part by funds from these grants are required to be included in reporting to MDH. A summary of grant reporting requirements is provided in Appendix A: Summary of Required Data Submissions by Grant. Agencies may optionally report data to MDH on FHV clients served entirely with funding sources other than the grants listed above, if the client has given informed consent. See section below regarding informed consent processes. Data Practices and Informed Consent FHV grant agreements require FHV grantees to comply with the Minnesota Government Data Practices Act, as it applies to all data created, collected, received, stored, used, maintained, or disseminated by the grantee under the grant agreement. All FHV grantees are required by their grant agreements to have a process that asks clients for written informed consent to provide the State of Minnesota with their individual-level data, including personal identifiers, for the purpose of evaluating FHV programs. FHV grantees must inform clients that their decision to not grant consent for this data sharing will not impact the client s or the client s family s access to services. More information on informed consent is available from the Minnesota Department of Administration s Data Practices Office (https://mn.gov/admin/data-practices/data/warnings/consent/). Individual-level data should be reported to MDH according to the level of informed consent given by the client to share their data with the State of Minnesota. Details about identifying

data elements associated with each level of informed consent are provided in the section Collection of Name and Address Data Elements. Grantees must track any FHV clients that do not grant informed consent to release their individual-level data to the State of Minnesota, in order to be able to include those clients in aggregate-level reports on services provided by FHV grant programs. Nurse-Family Partnership Data Local FHV programs implementing the Nurse-Family Partnership (NFP) model and entering FHV client data into the NFP Data Collection System (DCS) must provide authorization to the NFP National Service Office (NSO) before the NSO will provide client data to MDH on behalf of the local FHV program. In addition, NFP programs should provide a list of clients who have opted out of sharing their data with MDH to the NSO each month in order to exclude those clients data from files received by MDH. MDH will accept data sent by the NSO on behalf of the local agency as fulfilling reporting duties in MDH FHV grant agreements for NFP programs. For further information on authorization or the opt-out list process, contact the NFP NSO. Technical Assistance Questions about MDH FHV data collection and submission can be directed to Health.FHVData@state.mn.us. For technical assistance with extracting data from your local data collection system for submission to MDH, or other questions related to using local data systems, please contact your data collection system vendor. Please note that the Family Home Visiting Reporting and Evaluation System (FHVRES) email address (Health.FHVRES@state.mn.us) will be discontinued in 2018. Direct requests related to FHVRES accounts to Health.FHVData@state.mn.us. 4

5 FHV REPORTING REQUIREMENTS 2018 Requirements by FHV Grant Type MIECHV Grants MIECHV grantees began collecting data according to new requirements beginning October 1, 2016. The new requirements were implemented to collect data needed for new MIECHV performance measures as created by the federal Health Resources and Services Administration (HRSA). Individual-Level Data for MIECHV Clients Forms Data MIECHV grantees should collect individual-level data for MIECHV clients (except those served by the NFP model) using the MIECHV Evaluation Forms Packet (http://www.health.state.mn.us/divs/cfh/program/fhv/content/document/pdf/miechvevalfor ms.pdf). This data can be collected using the MIECHV Forms Application provided by MDH, or in forms available in the PH-Doc system. Visit-Level Data MIECHV grantees should submit visit-level data files that include the date of each home visit provided to MIECHV clients. See Appendix B: Visit-Level Data Specifications, for more details. All individual-level data files (Forms Data and Visit-Level Data) should be securely submitted to MDH via the MDH File Transfer Site. See Appendix C: MDH File Transfer Site, for information on how to access this site. Do not submit this data to the Family Home Visiting Reporting and Evaluation System (FHVRES). Individual-Level Data for NFP MIECHV Clients Individual-level data for MIECHV clients served by the NFP model should be reported in the NFP DCS provided by the NFP NSO. MIECHV grantees must provide authorization to the NFP NSO to send client data to MDH on behalf of the grantee. See Appendix D: NFP Supplemental Forms, for additional requirements. Aggregate Data for MIECHV Clients Quarterly Data Collection Forms MDH will continue to require MIECHV grantees to submit the Quarterly Data Collection Form. This form is due on the 20 th day of the month following the end of each calendar quarter. Aggregate data reported on this form includes the grantee s Program Capacity, Family Engagement, Staff Recruitment and Retention, and the number of households with no individual-level data reported to MDH (families who opted-out of sharing data with MDH). Child Maltreatment Measure Data MDH will collect data for the MIECHV Child Maltreatment measure annually. This data will consist of the aggregate number of children served by MIECHV who were involved with

investigated (screened-in) child maltreatment cases. This reporting will be due in early October 2018, for children enrolled in MIECHV during the Federal Fiscal Year October 1, 2017 through September 30, 2018. Data for Non-MIECHV Clients MIECHV grantees have the option to collect and submit data to MDH for their non-miechv FHV clients according to the MIECHV requirements, rather than submitting data for these clients to FHVRES. State EBHV Grants Requirements for Phase 1 and Phase 2 State EBHV grantees are similar to those for MIECHV grantees. Please refer to Appendix E: State EBHV Grant Reporting Requirements Memo, for more information on how to flag clients served by this grant in reporting systems. Individual-Level Data for State EBHV Grant Clients Forms Data State EBHV grantees should collect individual-level data for State EBHV clients (except those served by NFP) using the MIECHV Evaluation Forms Packet (http://www.health.state.mn.us/divs/cfh/program/fhv/content/document/pdf/miechvevalfor ms.pdf). This data can be collected using the MIECHV Forms Application provided by MDH, or in forms available in the PH-Doc system. Visit-Level Data State EBHV grantees should submit visit-level data files that include the date of each home visit provided to State EBHV clients. See Appendix B: Visit-Level Data Specifications, for more details. All individual-level data files (Forms Data and Visit-Level Data) should be securely submitted to MDH via the MDH File Transfer Site. See Appendix C: MDH File Transfer Site, for information on how to access this site. Do not submit this data to the Family Home Visiting Reporting and Evaluation System (FHVRES). Individual-Level Data for NFP State EBHV Grant Clients Individual-level data for State EBHV Grant clients served by the NFP model should be reported in the NFP DCS provided by the NFP NSO. State EBHV grantees must provide authorization to the NFP NSO to send client data to MDH on behalf of the grantee. See Appendix D: NFP Supplemental Forms, for additional requirements. Aggregate Data for State EBHV Grant Clients MDH will require State EBHV grantees to complete the Quarterly Data Collection Form. This form will be due on the 20 th day of the month following the end of each calendar quarter. 6

Data for Non-State EBHV Grant Clients Similar to MIECHV grantees, State EBHV grantees have the option to collect and submit data to MDH for their non-state EBHV FHV clients according to the State EBHV requirements, rather than submitting data for these clients to FHVRES. State NFP Grants Individual-Level data for State NFP Grant Clients Individual-level data for all clients served by state-funded NFP grants should be reported to the NFP DCS provided by the NFP NSO. State NFP grantees must provide authorization to the NFP NSO to send client data to MDH on behalf of the grantee. See Appendix D: NFP Supplemental Forms, for additional requirements. See Appendix F: State NFP Grant Reporting in NFP-ETO, for instructions on how to indicate that a client is being served by the State NFP Grant in the NFP DCS. Aggregate Data for State NFP Grant Clients State NFP grantees must also complete the Quarterly Data Collection Form. This form is due on the 20 th day of the month following the end of each calendar quarter. FHV TANF Grants FHV TANF grantees who do not fall into the previous grantee categories will continue to report data by the same methods used in 2017. Individual-Level data for FHV TANF Grant Clients FHV TANF grantees should continue to use the FHV Evaluation Data Collection Forms (FHV Evaluation Data Collection Forms Standard Packet January 2015 Update Version 3.0) for reporting on FHV clients, excluding NFP clients. Data should be collected in local data systems (PH-Doc, Nightingale Notes, or Metro Alliance for Healthy Families database), and submitted to FHVRES. FHVRES access can be requested by sending an email to Health.FHVdata@state.mn.us. Local FHV programs using CareFacts can continue to submit their data to MDH through the MDH File Transfer Site. See Appendix C: MDH File Transfer Site, for instructions. Local FHV programs using other data collection systems that are not certified to submit data to FHVRES should request the FHV Evaluation Electronic Data Collection Forms application that was made available by MDH in October 2015. For more information, contact Health.FHVdata@state.mn.us. Individual-Level Data for NFP FHV TANF Grant Clients Data for all clients served by the NFP model should be reported to the NFP-ETO system. Beginning with Quarter 4 2016 data, MN NFP Supplemental Forms must be completed in the NFP-ETO system. See Appendix D: NFP Supplemental Forms, for additional details. 7

TANF Statistical Report The TANF Statistical Report in the Local Public Health Planning and Performance Measurement Reporting System (LPH PPMRS) will be transitioning to the REDCap platform in 2018. This report will be bundled with the Title V Block Grant data collection forms. The questions on the TANF Statistical Report will be the same as those in previous reporting years. Reporting for Calendar Year 2017 (January 1, 2017 through December 31, 2017) will be due on March 31, 2018. 8

Reporting Due Dates Table 1 shows the due dates for all individual-level FHV data submissions. The due date for each data submission is the 10 th day of the month following the end of each calendar quarter, or the next business day if the 10 th day of the month falls on a weekend. This schedule is subject to change; changes will be communicated by the MDH Family Home Visiting Program via Tuesday Topics, the FHVRES user list, and other distribution lists. Grantees that are not able to submit data by the due date should contact MDH at Health.FHVdata@state.mn.us to request an extension. Submissions sent after the due date without an extension will be counted as late. Table 1. 2018 Reporting schedule for FHV individual-level data file submissions. Quarter End of Quarter Data submission deadline Quarter 1 March 31, 2018 April 10, 2018 Quarter 2 June 30, 2018 July 10, 2018 Quarter 3 September 30, 2018 October 10, 2018 Quarter 4 December 31, 2018 January 10, 2019 Table 2 shows the reporting schedule for Quarterly Data Collection Forms for MIECHV, State NFP Grants, and State EBHV Grants. These forms are due on the 20 th day of the month following the end of each calendar quarter, or the next business day if the 20 th day of the month falls on a weekend. Table 2. 2018 Reporting schedule for Quarterly Data Collection Forms. Quarter End of Quarter Data submission deadline Quarter 1 March 31, 2018 April 20, 2018 Quarter 2 June 30, 2018 July 20, 2018 Quarter 3 September 30, 2018 October 22, 2018 Quarter 4 December 31, 2018 January 21, 2019 9

Additional Guidance FHV Program Types Table 3 provides definitions for the home visiting program type categories collected by MDH. Required data collection forms and questions differ by FHV program type specifically, not all forms and questions are required to be completed for clients enrolled in short-term/limited FHV. For more information on required forms and questions, please see the Family Home Visiting Forms Guidance 2015 document (for the FHV Evaluation Standard Forms Packet), and the MIECHV Forms Guidance document (for the MIECHV Evaluation Forms Packet). Table 3. Family Home Visiting Program Type Category Definitions. Program Type Short-term/limited FHV Other Ongoing FHV Specific EBHV Model Definition Includes FHV services for assessment purposes, achieving short-term goals, or another limited purpose. An example of this type of program is a home visiting program designed to provide short-term home visiting to postpartum mothers. This category may also be used when reporting FHV services to caregivers whose children are in out-of-home placement. Includes FHV services that are comprehensive in scope and intended to achieve long-term outcomes, but are not provided using one of the EBHV models listed. For clients enrolled in a specific EBHV model (such as Early Head Start, Family Connects, Family Spirit, Healthy Families America, Nurse-Family Partnership, or Parents As Teachers), indicate the specific model when reporting program type. Data systems are in the process of being updated to include additional EBHV models. If your data system does not list the specific EBHV model being used for a client, report the FHV Program Type as Other Ongoing FHV until the name of the specific model is available in your data system. 10

Collection of Name and Address Data Elements Local FHV programs should submit identifying data elements in individual-level data for FHV clients according to the level of informed consent given by the client. Clients may opt out of sharing some or all of their FHV data with the State of Minnesota. LPH data systems that are certified to submit data to FHVRES allow local FHV programs to indicate the level of informed consent given by each client, and submit identifying data elements to FHVRES accordingly. Similarly, the MIECHV Forms Application distributed by MDH is designed to export data to files for submission to MDH with or without direct identifiers, as well as exclude data for clients who opt out of data sharing from export files. For NFP programs, all direct identifiers are encrypted in files received by MDH from the NFP- ETO data system. Table 4 lists identifying data elements (as determined using HIPAA standards) that should be submitted according to the level of consent given by the client for data sharing with MDH. Table 4. Identifying data elements by level of client informed consent. Field Name Full Consent Remove Direct Identifiers No Consent Caregiver First Name Include Exclude Caregiver Last Name Include Exclude Caregiver Maiden Name Include (Optional) Exclude Child First Name Include Exclude Child Last Name Include Exclude Site Include Include City Include (Optional) Exclude Zip Code Include Include Address Include (Optional) Exclude Caregiver ID Include Include Caregiver ID2 Include (Optional) Include (Optional) Child ID Include Include Child ID2 Include (Optional) Include (Optional) Caregiver Date of Birth Include Include Child Date of Birth Include Include Date of Visit 1 Include Include Local health departments should be able to report the number of caregivers that refuse to consent to sharing data with MDH 1 Includes any visit dates, including Date of First Visit, any other Date of Visit, and Date of Closure, if applicable. 11

When to Submit a New Intake Form (Create a New FHV Set) Individual-level FHV data are submitted as sets. A set is defined as the record of visit data for a client or caregiver-child dyad continuously enrolled in a particular FHV model from intake through closure. New Caregiver and Child Intake forms are required for the following situations: Caregiver-Child dyad changes home visiting program or model type; Caregiver-Child dyad moves to another LPH department s jurisdiction (i.e. changes Site); Caregiver changes for a child; Caregiver-Child dyad restarts an FHV program for which they have already had a closure form completed. 12

Appendices FHV REPORTING REQUIREMENTS 2018 Appendix A: Summary of Required Data Submissions by Grant Appendix B: Visit-Level Data Specifications Appendix C: MDH File Transfer Site Appendix D: NFP Supplemental Forms Appendix E: State EBHV Grant Reporting Requirements Memo Appendix F: State NFP Grant Reporting in NFP-ETO Appendix G: Frequently Asked Questions Appendix H: Version History 13

Appendix A: Summary of Required Data Submissions by Grant FHV Grant Type Individual-Level Forms Data Visit-Level Data Aggregate Data MIECHV Grants Due Quarterly use MIECHV Evaluation Forms Packet in MIECHV Forms App or PH-Doc; submit via MDH File Transfer Site *See footnote for NFP clients Due Quarterly include all home visit dates for all clients; submit via MDH File Transfer Site *See footnote for NFP clients Due Quarterly use Quarterly Data Collection Form; submit to Health.FHVData@state.mn.us Due Annually Annual Child Maltreatment Measure data State EBHV Grants Due Quarterly use MIECHV Evaluation Forms Packet in MIECHV Forms App or PH-Doc; submit via MDH File Transfer Site *See footnote for NFP clients Due Quarterly include all home visit dates for all clients; submit via MDH File Transfer Site *See footnote for NFP clients Due Quarterly use Quarterly Data Collection Form; submit to Health.FHVData@state.mn.us State NFP Grants Due Quarterly report in NFP-ETO *See footnote for NFP clients Due Quarterly included in NFP-ETO reporting (Home Visit Encounter Form) *See footnote for NFP clients Due Quarterly use Quarterly Data Collection Form; submit to Health.FHVData@state.mn.us FHV TANF Grants Due Quarterly report to FHVRES system *See footnote for NFP clients Not currently required; include counts of home visits to-date on each child age interval form Not currently required *Individual-level and visit-level data for NFP clients, regardless of FHV Grant type, is reported to the NFP-ETO system or to NFP s successor data system. MN Supplemental Forms should be completed for all NFP clients. 14

Appendix B: Visit-Level Data Specifications MIECHV and Phase 1 EBHV grantees are required to use the reports built into PH-Doc, Nightingale Notes, or the MAHF data system to submit a visit-level data file to MDH each quarter. This file should contain the date of every home visit provided to MIECHV and State EBHV clients, including visits to prenatal clients, and visits to families with children. Below is the list of data elements that should be included in the visit-level data file. If you have questions about how to generate the visit-level data file, contact your local data system vendor. Data Element Number Field Name Description 1 Site 2 Model 3 Dfirstvisit 4 SysCode Values same as used for FHVRES reporting. This is the local health department serving the client. Values same as used for FHVRES reporting. Home visiting model of the program serving the client (e.g. HFA, NFP, other ongoing, other short-term/limited) Values same as used for FHVRES reporting. Date of the client s first home visit. Values same as used for FHVRES reporting. System Code identifying data system (PHD, NGN, MAF, etc.) that data originates from. 5 CaregiverID Values same as used for FHVRES reporting. 6 ChildID Values same as used for FHVRES reporting. 7 HomeVisitDate Required for all home visits. Date of home visit 8 BehavConc 9 EDInjuryChild 10 EDInjDate1 Only required for visits to families with children. Response to Behavioral Concerns question: Was the caregiver asked if they have any concerns regarding the child s development, behavior, or learning? Only required for visits to families with children. Response to ER Visits Question 1: Has the child been taken to the emergency room (ER) for an injury since the last home visit? Only required for visits to families with children. Response to ER Visits Question 2: If yes, report the approximate date of each ER visit (up to 3): (omit value if none to report) 15

Data Element Number Field Name Description 11 EDInjDate2 12 EDInjDate3 13 EDInjMore Only required for visits to families with children. Additional ER Visit date (omit value if none to report) Only required for visits to families with children. Additional ER Visit date (omit value if none to report) Only required for visits to families with children. Response to ER Visits Question 3: Please check box if there were more than three ER visits reported: 16

Appendix C: MDH File Transfer Site The MDH File Transfer Site is used to securely send data to the Minnesota Department of Health. In order to use the MDH File Transfer Site, you must have a Login account with a username and password. If you need an account, or if you forget your password send an e-mail to Health.FHVdata@state.mn.us. Instructions: 1. Login to the site: MDH File Transfer (https://mdhfiletransfer.web.health.state.mn.us/) 2. If you are logging in for the first time or had your password reset, you will have the option to change the password by clicking the Change Password button at the top right corner. 3. The Home page is where users will upload their file. To be able to send, the user must enter in a valid MDH recipient s email, upload the file, add a comment and click on Submit. Files can only be sent to MDH staff. Users should communicate with the MDH staff to know who and what email address to send their files to. 4. Use the browse button to select the file that you wish to send to the e-mail address listed under Recipient Email Address. You may only send one file at a time. If you wish to send multiple files, you can either repeat these instructions for each file, or place all the files that you wish to send into a compressed file (.zip or.rar) and send that compressed file. 5. (Optional) You can add a message to the recipient through the comments box if you like. 6. Once the user submits the file transfer, the recipient will receive an email informing them that a file has been submitted. 17

Appendix D: NFP Supplemental Forms All NFP clients must have a MN Primary Caregiver Intake Form and MN Child Intake Form (once the child is born) created in NFP-ETO. MDH will no longer accept data extracted from the old NFP Supplemental PDF or HTML forms. Note that only certain sections of the Caregiver and Child Intake forms are required. ETO Assessment Name NFP Supplemental Form Name Requirements MN Primary Caregiver Intake MN Child Intake MN 6 Months Infant MN 12 Month Infant MN 18 Months Toddler MN 24 Month Toddler MN Primary Caregiver Closure Primary caregiver intake Infant/Child Intake (1 st postpartum visit) 6 months infant/child (6 months postpartum follow-up) 12 months infant/child (12 months postpartum follow-up) 18 months toddler (18 months postpartum follow-up) 24 months toddler (24 months postpartum follow-up) Primary Caregiver Closure Only the following sections are required: - Assessment date - Section A (Data Entry Staff, Nurse Home Visitor, and Site) - Household Size under Family Economic Self-Sufficiency 2 Only the following sections are required: - Assessment date - Section A - Demographics No longer required No longer required No longer required No longer required No longer required 2 Pregnant clients should be counted as 2 individuals when reporting Household Size. Definition of Household: a group of related or non-related individuals who are living together as one economic unit, sharing income and consumption of goods and/or services, who stay there at least 4 nights per week on average and contribute to the support of the child or primary caregiver. Tenants/boarders shall not be counted as members of the household. 18

MN Primary Caregiver Intake Form 19

Appendix E: State EBHV Grant Reporting Requirements Memo DATE: September 28, 2017 TO: State EBHV Grantees FROM: Ginny Zawistowski, FHV Evaluation Unit Supervisor SUBJECT: Reporting requirements for Phase 1 State EBHV grants This memo provides instructions to agencies receiving grant awards in Phase 1 of the new State Evidence-Based Home Visiting (EBHV) funding, regarding data collection and reporting requirements. FORMER MIECHV GRANTEE AGENCIES Agencies receiving Phase 1 funding that were previously funded by federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grants should collect and report data on State EBHV Grant clients according to the requirements for MIECHV clients on pages 4 and 5 in the 2017 FHV Reporting Requirements (http://www.health.state.mn.us/divs/cfh/program/fhv/content/document/pdf/reportingreq2017.p df). This includes both former MIECHV clients, and newly-enrolled State EBHV Grant clients. The exception to these requirements is that MDH will NOT collect data on child maltreatment for State EBHV clients. Former MIECHV clients should continue to be flagged as MIECHV clients in individual-level data reporting systems (including PH-Doc, NFP-ETO, and the MDH MIECHV Forms Application). Agencies do not need to change how these clients are flagged as MIECHV 1 or MIECHV 2. MDH will flag former MIECHV clients as State EBHV Grant clients after data is received, until an indicator for the new grant can be created in data systems. Newly-enrolled State EBHV Grant clients should be flagged as MIECHV 2 (MIECHV Expansion) clients in individual-level data reporting, until an indicator for the new grant can be created. TRIBAL AGENCIES THAT DID NOT RECEIVE MIECHV FUNDS MDH FHV Evaluation Unit staff will work with tribal agencies receiving Phase 1 funding to evaluate technical assistance needs and develop a work plan for implementation of individual-level data collection for State EBHV Grant clients. ALL AGENCIES RECEIVING PHASE 1 FUNDING MDH will develop a quarterly data collection form similar to the existing MIECHV Quarterly Data Collection Form, to track aggregate numbers of families served by the State EBHV Grant program relative to target caseloads. Please watch for future announcements. MDH will hold webinars to review 2018 FHV Reporting Requirements in December 2017. State EBHV Grantees are expected to participate in one of the webinar sessions. Please watch for announcements of webinar dates and times in Tuesday Topics. If you have questions regarding State EBHV Grant reporting requirements, please contact the FHV Evaluation Unit at Health.FHVData@state.mn.us. 20

Appendix F: State NFP Grant Reporting in NFP-ETO Summary This memo provides instructions to Nurse Family Partnership (NFP) sites who were awarded State NFP Grant funds on how to report which clients are being served by those funds in the NFP Efforts-To-Outcomes (NFP-ETO) system. Because this grant is not explicitly available as one of the options on the NFP-ETO Client Funding Source form, MDH is instructing NFP sites to use one of the other funding fields to indicate State NFP Grant clients. Actions Needed State NFP Grant awardees should review the NFP-ETO Client Funding Source form for all clients served by the State NFP Grant, and follow the instructions below to indicate this funding source. NFP sites who do not receive State NFP Grant funds should be aware of which field on the Client Funding Source form is being used to indicate this grant, so that this field is not used for other purposes. Instructions 1. Sign into ETO and click on Record/Edit Client Assessments. 2. Search for the client using the search bar, or click go and find manually. Open Assessment. 3. If the Client Funding Source form was previously filled out, from the dropdown menu select update. Skip to step 5. 4. If the Client Funding Source form was not previously filled out, select take new assessment and select Client Funding source from the dropdown menu, and complete the other items on the form as applicable. 5. Select the Other 4 checkbox for clients funded by the State NFP Grant (see image below). Note: The funding start date and end date will not appear until the Other 4 checkbox is selected. 6. Enter the client s date of enrollment under Funding Start Date. 7. Enter the client s closure date under End Date, or leave blank if the client is still open. 8. Click Submit. 21

Client Funding Option in ETO Note: The funding start date and end date will not appear until the Other 4 checkbox is selected. 22

Appendix G: Frequently Asked Questions General Questions 1) Has anything changed on the MDH individual-level FHV data collection forms since 2017? Answer: No, changes were not made to the FHV Evaluation Data Collection Forms or the MIECHV Evaluation Forms Packet in 2017. MIECHV and State EBHV grantees should continue to use the MIECHV Evaluation Forms Packet dated December 2016 until further notice. FHV TANF grantees should continue to use the FHV Evaluation Data Collection Forms dated January 2015, unless they are using the MIECHV Evaluation Forms Packet. 2) Should we anticipate changes to the MDH individual-level FHV data collection forms in 2018? UPDATED May 2018 - Answer: MDH is in the process of making minor updates to the MIECHV Forms Application in the spring of 2018, to add an indicator for the State EBHV Grant and additional home visiting model indicators. More information and updated guidance will be provided by MDH when the updated version of the application is released. 3) If a county is part of a multi-county home visiting program, and/or partnering with other sites (counties or tribal governments) in an MDH home visiting grant, should each partner send its own data reports, or should data be sent collectively within one report? Answer: For aggregate data (FHV Quarterly Data Collection Forms), MDH expects that all partners working together under an MDH FHV grant agreement will coordinate to submit one report each quarter per grant. For individual-level data (Forms Data and Visit-Level Data), grant partners may choose to either coordinate to submit their data together, or submit their data to MDH separately. For example, if not all grant partners are using the same local data system, it may not be feasible for the partners to combine their data before submission. Grant partners should keep MDH up-to-date on any changes to who will be submitting FHV data on their behalf. Please contact the FHV Evaluation Unit at Health.FHVData@state.mn.us if you have questions or want to discuss changes to data submission arrangements. Questions from MIECHV Grantees 4) What is the most recent version of the MIECHV Evaluation Forms Packet? Answer: The current version of the MIECHV Evaluation Forms Packet is dated December 2016, and is available on the MDH website. 5) We received an email reminder last year to submit data for the MIECHV Child Maltreatment measure. Will we receive a reminder this year for the next due date? Answer: Yes, MDH will send an email reminder in advance of the date that the data is due, with instructions on how the data should be reported. 6) For MIECHV grantees implementing Nurse-Family Partnership (NFP) is child maltreatment measure information available in NFP-ETO? Should NFP families be included when reporting aggregate child maltreatment data to MDH? 23

Answer: Nurse-Family Partnership does not collect data for the MIECHV Child Maltreatment performance measure in its data system; it is not available in NFP-ETO. MIECHV grantees will need to partner with their local child protective services agency to obtain this information if possible. When reporting the aggregate number of children served by MIECHV who had an investigated child maltreatment case, MIECHV grantees should include all children who meet that criteria regardless of the home visiting model (NFP or HFA). 7) How do you report a client that has both MIECHV and TANF funding? Answer: Question 5 (Funding Source) on the Caregiver Intake form in the MIECHV Evaluation Forms Packet allows the selection of more than one grant type, in both the MIECHV Forms Application and the PH-Doc MIECHV forms. If the client is being served by both MIECHV and FHV TANF funding, select both funding source options. 8) What should we do with former MIECHV 2 clients who are now MIECHV 1 (new formula funding) clients, since the MIECHV 2 grant flag is now being used for the Phase 1 State EBHV clients? Answer: MIECHV grantees who are using the new MIECHV formula funds that began in 2017 to serve families that were formerly served using MIECHV expansion grant ( MIECHV 2 ) funds can leave the response to the Funding Source question on the Caregiver Intake form as MIECHV Expansion it does not need to be changed to MIECHV Formula. MDH will include families flagged with either MIECHV grant when reporting on MIECHV families. Questions from Phase 1 State EBHV Grantees 9) If we have a client that was formerly served by MIECHV, but is now being served with Phase 1 EBHV, what grant should we select? We do not have a MIECHV grant any longer. UPDATED May 2018 - Answer: Clients that were formerly served by MIECHV but who are now being served by Phase 1 EBHV grant funds should continue to be flagged as MIECHV clients in individual-level data, until a State EBHV Grant flag is created on electronic data collection forms. MDH will be able to tell that former MIECHV clients are now Phase 1 State EBHV clients based on the grantee and the dates of service. MDH is in the process of updating the MIECHV Forms Application to create a flag for the State EBHV Grant. More information and updated guidance will be provided when the updated application is released. Questions from FHV TANF Grantees 10) What is changing for FHV TANF reporting this year, with the change from PPMRS to REDCap? Answer: The TANF grant and Title V Block Grant modules in PPMRS are transitioning to REDCap in 2018, for 2017 reporting. The questions on the TANF Statistical report (including the question pertaining to the number of families served by FHV TANF funds) will be the same as in previous years. Please watch the LPH Annual Reporting page on the MDH website for updates. 24

11) Question: What should we report to FHVRES in 2018? Answer: For data being submitted to FHVRES, report all the data associated with any set that was open at any point in 2017 or 2018. This could include data for visits prior to 2017. In the examples in the table below, only Client #3 is not included in 2018 data submissions, because that client was closed before January 1 st, 2017. Example Set Intake Closure Need to Include in 2018 Data Submissions? Client #1 March 1st 2016 N/A (still open) Yes Client #2 January 1st, 2015 December 31st, 2017 Yes Client #3 March 1st, 2016 October 31st, 2016 No 12) Question: How does FHVRES work to prevent the creation of duplicate records? Answer: FHVRES looks at the combination of Caregiver & Child ID (if there is a child), Site, System Code, Model, and Dfirstvisit fields, in order to match any newly imported data with preexisting data. If there are no matching sets, it creates a new set. Thus, if users change any one of these fields and resubmit the data, they have created a new combination and FHVRES will create a new set instead of updating the existing set in FHVRES. Therefore, FHVRES users should not make changes to the following six fields in FHV sets you have already submitted the set to FHVRES: CaregiverID ChildID SysCode Site Model Dfirstvisit If you need to make a correction to one of these fields, please contact the MDH Family Home Visiting Section Evaluation Unit at Health.FHVdata@state.mn.us. 13) Question: After I import data into FHVRES, I get missing data errors for Caregiver and/or Child name fields in the Import and/or Validation reports. The client has not consented to sharing that information with MDH. Answer: The missing data errors for Caregiver and Child First Name and Last Name can be ignored if the client declines to share that information with MDH. FHVRES was updated on June 24 th, 2016 so that it no longer flags Caregiver or Child Name data as missing in newly submitted sets. However, sets submitted prior to this update will still display an error when running Submission and Validation Reports. 25

15) Question: Can I submit data for clients closed before 2017? Answer: FHVRES will not reject data files that contain data for clients closed before the reporting timeframes described in the reporting schedule (see When to Submit Data ). However, FHVRES will reject data if date values (for example, the date of first visit) are in the future (ex. Date of Visit = 05/05/2525). It is not necessary to submit data for clients closed before 2017. If you have questions about correcting or changing data that was previously submitted to FHVRES, please contact the MDH Family Home Visiting Section Evaluation Unit at Health.FHVdata@state.mn.us. 26

Appendix H: Version History FHV REPORTING REQUIREMENTS 2018 Version Number Release Date Changes Made 1.0 December 12, 2017 Original Version 2.0 May 7, 2018 Updates to include all State EBHV grants (Phase 2 and Phase 2); Updated Frequently Asked Questions in Appendix G 27