Maryland Home Visiting Data and Evaluation

 
Statewide Data Collection on Standardized Home Visiting Measures
 
The Maryland Home Visiting Accountability Act of 2012  mandates that all home visiting programs funded through state general funds report on standard measures in five domains of maternal and child well-being: Child Health, Maternal Mental Health, Typical Child Development, Children’s Special Needs and Family Relationships. While each evidence-based home visiting program collects data specific to its funder or program model requirements, the mandated measures allow Maryland to assess the impact of statewide home visiting efforts across models.  Data collected is summarized in a report to the Governor and the General Assembly’s Joint Commission on Children, Youth and Families every two years.
 
The initial statewide data collection effort compiled and analyzed data for the period of July 1, 2014 - June 30, 2015. Click here to access the FY 15 report.
 
The second statewide collection effort compiled and analyzed data for the period of July 1, 2016- June 30, 2017.  Click here to access the FY 17 report.
 
The third statewide collection effort compiled and analyzed data for the period of July 1, 2018 - June 30, 2019. Click here to access the FY19 report

The fourth statewide collection effort compiled and analyzed data for the period of July 1, 2020 - June 30, 2021. Click here to access the FY21 report.
 
Custom Data: Maxwell
 
Maryland MIECHV’s data system, Maxwell was designed according to the specifications of Home Visitors, Supervisors, Program Managers and State Administrators to meet reporting and programmatic needs regardless of role in MIECHV.  This was accomplished through focus groups and interviews of staff during the development of the data system. Maxwell is intuitive and was intentionally developed to improve programmatic oversight at all levels. Prompts keep home visitors on schedule for their families; validated tools automatically calculate when assessments are completed; and missing data can be monitored more effectively as a granular analysis can uncover which construct questions are missing for a particular home visitor. Prior to Maxwell, program data managers could only see if entire assessments were missing, not a specific construct question.
 
The continued development of Maxwell is led by a workgroup of end users and Maryland MIECHV staff that work together to advise on system advancements and on submitted troubleshooting requests from a workflow and presentation perspective. 
 
Maryland Home Visiting Evaluation
 
As part of the MIECHV program expansion through the Affordable Care Act, funding is allocated for research and evaluation. States are required to carry out research activities to increase knowledge about the implementation and effectiveness of home visiting programs. Although Maryland has no current expansion funding, and evaluation is not a requirement of formula grants, MD continues to research the projects conducted.
 
The current MIECHV contract is with researchers at the University of Maryland, School of Medicine and Johns Hopkins University to continue and evaluation of two on-going projects. These researchers have national recognition and decades of experience in designing and testing strategies to advance the field of home visiting.
 
Current evaluation activities include: 
 
Project 1: Improving home visiting services for parents with learning difficulties - The purpose of this evaluation is to build on prior evaluation findings to improve services and promote positive outcomes for families enrolled in home visiting in which the primary caregiver has a developmental or intellectual disability or other learning difference.
The MD MIECHV evaluators at the Johns Hopkins Bloomberg School of Public Health and the University of Maryland School of Medicine have developed a toolkit for home visiting staff that describes the potential benefits of home visiting for caregivers with learning differences, presents a conceptual model for supporting and strengthening home visiting services for caregivers with learning differences, and summarizes resources for models, programs, and home visiting staff to support caregivers with learning differences. Please find the toolkit here.
 
Project 2: Strengthen Coordination Between Home Visiting and Health Care through Health Information Exchange (HIE) - The purpose of this evaluation is to build on prior evaluation findings to improve services and promote positive outcomes for families enrolled in home visiting by strengthening coordination between home visiting and health care. 
 
 
 

 
For more information about home visiting in Maryland or the MIECHV grant, please email us at: md.homevisiting@maryland.gov.
 
Updated October 2020