TEI works with Tribal Home Visiting Program grantees to help them develop plans to measure the performance of their programs. This document summarizes 25 grantee plans (for grantees funded between 2010 and 2016) to measure improvements in 6 benchmark areas:

1. Maternal, newborn, and child health
2. Child injuries; child abuse, neglect, or maltreatment; and emergency department visits
3. School readiness and achievement
4. Crime or domestic violence
5. Family economic self-sufficiency
6. Coordination and referrals for other community resources and supports

Each area looks at specific concepts. For example, what percentage of recommended prenatal care visits did mothers receive? How many children visited the emergency department? What percentage of parents were screened for depression? What was participants’ health insurance status?

The summary reviews the types of measures the grantees selected and the data sources, populations, tools or indicators, and time periods for data collection. It also describes the types of comparisons used to demonstrate improvement, direction of improvement needed to determine success, units of analysis, and types of scoring.

Grantees funded between 2010 and 2016 had the flexibility to develop performance measures that were meaningful to them and met their needs. This flexibility was a plus for the programs and communities, but the variety of measures presented some challenges. It was time consuming and stressful picking the best measure. It was also difficult to combine and compare results across grantees. The summary identifies common themes and similarities among grantees’ performance measures that made it easier to draw broad conclusions. For example, most grantees chose to measure duration of breastfeeding, making it possible to compare their results.