HFNY MIS Performance Targets Manual - Healthy Families New York

____________________ 

Healthy Families New York/ 

Home Visiting Program 

____________________ 

Performance Targets 

December 2012 

____________________ 

School of Social Welfare 

135 Western Avenue 

Albany, NY 12222 

MIS STAFF 

John Heck (518) 442-5719 

Jay Robohn (518) 442-5424

HEALTHY FAMILIES NEW YORK/HOME VISITING PROGRAM PERFORMANCE 

TARGETS 

Health and Development Targets 

Text for Report Cases meeting target Cases not meeting 

target 

To meet the target, the target Have a tc_med and 

child(ren) must have shots recorded Less than required 

in each of the following 

shots before or on 

immunization groups on the Target first birthday 

Child Medical form by first birthday 

(NYS Health Department 

Recommended Childhood 

Vaccination Schedule): 

• 3 DTP shots 

• 2 Polio shots 

HD1. Immunizations at one 

year 

At least 90% of target 

children will be up to date on 

immunizations as of first 

birthday. 

Cohort: Target children 1 to 

1.5 years of age 

HD2. Immunizations at two 

years 


children will be up to date on 

immunizations 

as of second birthday. 

Cohort: Target children 2 

years to 2.5 years of age 

HD3. Lead Assessment 


children will be assessed for 

the risk of lead in their 

environment according to the 

NYS Health Department's 

suggested schedule. 


months and older 

To meet the target, the target 

child(ren) must have shots recorded 

in each of the following 

immunization groups on the Target 

Child Medical form by the second 

birthday (NYS Health Department 

Recommended Childhood 

Vaccination Schedule): 

• 4 DTP shots 

• 3 Polio shots 

• 1 MMR shot 

To meet the target, each target child 

must have lead assessment date 

recorded on the Target Child 

Medical form according to the 

following suggested schedule of the 

NYS Health Department and the 

age of the child: 

• Dated within 30 days (before or 

after) of due date 

Have a tc_med and 

Less than required 

shots before or on 

second birthday 

Do not have the 

appropriate lead 

assessment on the 

tc_med or assessment 

date is out of the 

window for the age of 

the tc 

Invalid cases 

Tc_med is 

missing for 

cases in cohort 

Tc_med is 

missing for 


Tc_med is 

missing 

HFNY Home Visiting Performance Targets - 2 -

HD4. Medical Provider for 

target children 


children will have a medical 

provider. 

Cohort: All Target children 

30 days or older 

HD5. Target Child Well 

Baby Medical Provider 

Visits by 15 months 

At least 98% of Target 

children will have at least 5 

well baby visits by 15 

months of age. 


months to 21 months of age 

HD6. Target Child Well 

Baby Medical Provider 

Visits by 27 months All 

Target children will have 2 

well baby visits between 15 

and 27 months of age. 


months to 33 months of age 

HD7. Age Appropriate 

Developmental level 


children will demonstrate age 

appropriate developmental 

milestones on the Ages and 

Stages Questionnaire or be 

referred for further 

evaluations/services if delays 

are detected. 


months and older 

To meet the target, the following 

needs to be true: 

• For target children less than 6 

months old as of the end date of 

the quarterly report, #15. 

Medical Provider on Target 

Child Identification and Birth 

outcomes must be checked 

'Yes', or 

• if 6 months or older, the age 

appropriate follow up form #39. 

Medical Provider must be 

checked 'Yes' 


child(ren) must have 5 visits dated 

and recorded on the Target Child 

Medical form by the 15 month 

birthday (NYS Health Department 

Recommended Schedule) 

Need to look at all visit slots 


child(ren) must have 2 visits 

recorded on the Target Child 

Medical form between 15 and 27 

month of age (NYS Health 

Department Recommended 

Schedule) 

To meet the target, 

• the age appropriate ASQ record 

must have all scores equal to or 

above cut off score or, 

• with at least one below cutoff 

score and 12. "Was target child 

referred to EIP?" marked yes, 

or 

• if the age appropriate ASQ is 

missing, then the last recorded 

ASQ must have 13. "Has target 

child started receiving 

developmental services?" 

marked yes. 

• If 6-8 months, look for 6m, but if 

missing, look for 4m, (check out 

of window, too) and if 18-20, 

look for 18, but if missing, look 

for 16m (checkout of window 

too) 

Appropriate form is 

there and valid and 

item is marked ‘no’ or 

is blank 

Case has a tc_med 

and there are less than 

5 visits dated on or 

before the 15 month 

birthday 

Case has a tc_med 

and there are less than 

2 visits dated after the 

15 month birthday up 

to the 27 month 

birthday 

Below cutoff score on 

one measure and the 

#12 item is blank or 

no 

Intake or 

appropriate 

follow-up is 

missing or out of 

window 

Tc_med is 

missing 

Tc_med is 

missing 

Missing or out 

of window asq 


HD8. Medical Provider for 

Primary Care Taker 1 

90% of Primary Care Takers 

will have a medical provider. 

Cohort: All Primary 

caretakers enrolled over 30 

days from the end date of the 

report 

HD9. Postpartum visit 

within 8 weeks of TC Birth 

At least 90% of PC1s who 

are mothers of the target 

child will have a postpartum 

OB/GYN visit between 6 and 

8 weeks after TC DOB 

where family planning is 

discussed. 

To meet the target, the following 

needs to be true: 

• For target children less than 6 

months old as of the end date of 

the quarterly report, look at 

intake, #19 or 

• if 6 months or older, the age 

appropriate follow up form 39. 

PC1 Medical Provider must be 

checked 'Yes' 

If the appropriate follow-up is valid 

and the pc1 is not Living in the 

Household, the case will not be 

counted in the cohort. 

To meet the target, mother of target 

child will have an OB-GYN visit 

recorded on PC1 medical form 

between the TC DOB + 42 days and 

the TC DOB + 56 days and 

Have appropriate 

intake or follow-up 

and item is marked 

‘No” or is blank 

Not meeting the 

target means the 

mother of target child 

does not have an OB- 

GYN visit recorded 

on PC1 medical form 

between the TC DOB 

+ 42 days and the TC 

DOB + 56 days 

Missing 

appropriate form 

or out of 

window 

PC1 medical is 

missing for 


Cohort: Target children 3 to 

5 months of age during the 

quarter and enrollment is 

prenatal or TC is less than 6 

weeks old at enrollment 


PCI1. Primary Care 

Taker 1 breast feeding 

30% of PC1s will breast 

feed their target children 

for at least 3 months from 

the birth of the child 

Cohort: Families with 

target children 6 to 15 

months 

Parent Child Interaction Targets 

Text for Report Cases meeting target Cases not meeting target Invalid cases 

Look in all follow-up #38 is blank or less than 3 No follow-up forms 

forms for question 38. to 

be greater than 2 and case 

meets target 

PCI2. Valid PSI 

assessments 

Programs will complete 

75% valid intake/birth PSI 

assessments 

Cohort: All families with 

an Intake/Birth PSI due in 

the Time Period 

PCI3. Reducing Parental 

Stress in highly stressed 

families by the target 

child’s six month 

birthday. 

60% of Primary Caretaker 

1’s with a total score above 

the 85 th percentile on the 

initial Parental Stress Index 

(PSI) will score below the 

85 th percentile for total 

score on the six month 

follow-up PSI. 

Cohort: PC1s with a total 

score above the 85 th 

percentile on the initial 

Parental Stress Index and a 

Target Child six months up 

to one year old. 

PCI4. Reducing Parental 

Stress in highly stressed 

families by the target 

child’s first birthday. 


1’s with a total score above 

the 85 th percentile on initial 

Parental Stress Index (PSI) 

will score below the 85 th 

percentile for total score on 

the one year follow-up PSI. 

For cohort, find a valid, 

in-the-window 

intake/birth PSI 

assessment 

Time period is defined as 

the first two months of the 

quarter and the last month 

of the previous quarter. 

Target will be met if the 

total score on the six 

month PSI is 85. 

Case is invalid if 

missing, out of the 

window or invalid 

because of too many 

blank items 

6 month PSI is out of 

window, missing or 

invalid due to blank 

items 

One year PSI is out of 



items 


Cohort: PC1s with a total 

score above the 85 th 

percentile on the initial 


Target Child one to 1.5 

year old. 

PCI5. Reducing Parental- 

Child Dysfunctional 

Interaction Stress (PCDI) 

in highly stressed families 

by the target child’s six 

month birthday. 


1’s with a PCDI score 

above the 85 th percentile on 

the initial Parental Stress 

Index (PSI) will score 

below the 85 th percentile on 

the PCDI score on the six 

month follow-up PSI. 

Cohort: Cohort: Cohort: 

PC1s with a PCDI score 



Index and a Target Child 

six months up to one year . 

PCI6. Reducing Parental- 

Child Dysfunctional 

Interaction Stress (PCDI) 

in highly stressed families 

by the target child’s first 

birthday. 


1’s with a PCDI score 



Index (PSI) will score 

below the 85 th percentile on 

the PCDI score on the one 

year follow-up PSI. 

Cohort: Cohort: PC1s with 

a PCDI score above the 

85 th percentile on the initial 


Target Child one to 1.5 

year old. 

Target will be met if the 

PCDI score on the six 

month PSI is 25. 

6 month PSI is out of 



items 

One year PSI is out of 



items 


MLC1. Employment, 

Education and Training at 

target child's first Birthday 

50% of families will be 

enrolled in an education 

program, job training or job 

placement program or will 

obtain employment by the 

target child's first birthday. 

Cohort: Families with target 

children 12 to 18 months 

HFNY Home Visiting Performance Targets - 7 - 

or 

Maternal Life Course Targets 

Text for Report Cases meeting target Cases not meeting target Invalid cases 

On the one year follow-up, On the one year follow-up, The one year followup 

if #8 Did participant hold a 

is missing or out 

if #8 Did participant hold a job… job… for both pc1 and pc2 is of the window 

for pc1 or pc2 is ‘Yes’ 

‘No’ or blank 

MLC2. Employment, 

Education and Training at 

target child's second 

birthday 

75% of families will be 

enrolled in an education 

program, job training or job 

placement program or will be 

employed by the target child's 

second birthday. 

Cohort: Families with target 

children 24 to 30 months old 

MLC3. TANF on first 

birthday 

At least 35% of families who 

were on TANF at intake will 

no longer be on TANF on the 

target child's first birthday. 

Cohort: Families who were 

receiving TANF at intake with 

target child 1 to 2 years old 

MLC4. TANF on second 

birthday 

At least 50% of families who 

were on TANF at intake will 

no longer be on TANF on the 

target child's second birthday. 

Cohort: Families who were 

#11. Has participant been involved 

in an educational or employment 

and training…for pc1 or pc2 is 

‘Yes’ 


and both the pc1 and pc2 are not 

Living in the Household, the case 

will not be counted in the cohort. 

On the two year follow-up, 

if #8 Did participant hold a job… 

for pc1 or pc2 is ‘Yes’ 

or 

#11. Has participant been involved 

in an educational or employment 

and training…for pc1 or pc2 is 

‘Yes’ 


and both the pc1 and pc2 are not 

Living in the Household, the case 

will not be counted in the cohort. 

The target is met if families who 

receive TANF/AFDC at intake 

have a response on the 1 year 

follow-up with, 

#30. Is family 

receiving...benefits..." marked "2. 

No.", or 

#31. "TANF" is marked with either 

2. Received since last follow-up, 

but not currently receiving, or 3. 

No receipt since last follow-up. 

The target is met if families who 

receive TANF/AFDC at intake 

have a response on the 2 year 



receiving...benefits..." marked "2. 

No.", or 

#31. "TANF" is marked with either 

and 

#11. Has participant been 

involved in an educational or 

employment and 

training…for both pc1 and 

pc2 is ‘No’ or blank 

On the two year follow-up, 

if #8 Did participant hold a 

job… for both pc1 and pc2 is 

‘No’ or blank 

and 

#11. Has participant been 

involved in an educational or 

employment and 

training…for both pc1 and 

pc2 is ‘No’ or blank 

The target is not met if 

families who receive 

TANF/AFDC at intake have 

a response on the 1 year 



receiving...benefits..." 

marked "2. yes.", and 

#31. "TANF" is marked with 

1. Currently receiving or #31 

is blank 

The target is not met if 

families who receive 

TANF/AFDC at intake have 

a response on the 2 year 



receiving...benefits..." 

marked "2. yes.", and 

The two year followup 

is missing or out 

of the window 

Intake is missing or 

one year follow-up is 

missing or out of the 

window 


two year follow-up is 


window

eceiving TANF at intake with 

target child 2 to 3 years old 

MLC5. Education of 

Participants under 21 at 

Target Child’s 6 months 

birthday 

At least 85% of PC1’s under 

21 at intake and without a high 

school degree or GED will be 

enrolled in a degree bearing 

program or receive a high 

school degree or GED 

certificate by the Target 

Child’s 6 month birthday. 

Cohort: Target Children 6 to 

12 months old and PC1 under 

21 years old at Intake without 

a High School Degree or GED 

MLC6. Education of 

Participants under 21 at 

intake at Target Child’s first 

birthday 

At least 90% of PC1’s under 

21 at intake and without a high 

school degree or GED will be 

enrolled in a degree bearing 

program or receive a high 

school degree or GED 

certificate by the Target 

Child’s first birthday. 

Cohort: Target Children 12 to 

18 months old and PC1 under 

21 years old at Intake without 

a High School Degree or GED 

MLC7. Referrals for Needed 

Services 

If DV, Substance Abuse, or 

Mental Health is identified as a 

current issue on the Kempe 

Assessment of an enrolled 

participant, a referral will be 

made for the Primary Caretaker 

1 within 6 months of enrollment 

75% of the time. 

Cohort: Participants enrolled 

from 6 months to one year 

2. Received since last follow-up, 

but not currently receiving, or 3. 

No receipt since last follow-up. 

Target is met if on the 6 month 

follow-up, for PC1, #10 Highest 

grade… is greater than 2, 

Or 

For pc1, #11. Has participant been 

involved in an educational… is 

marked ‘Yes’ AND the program 

type for the program is 1, 2, 3, or 6 





Target is met if on the 1 year 

follow-up, for PC1, #10 Highest 

grade… is greater than 2, 

Or 

For pc1, #11. Has participant been 

involved in an educational… is 

marked ‘Yes’ AND the program 

type for the program is 1, 2, 3, or 6 





If issue on Kempe is 41g (DV), then 

service code 47 must be found in 

serv_ref table dated before intake 

date+6 months, and 

If issue on Kempe is 41a or 41b 

(SA), then service code 48 must be 

found in serv_ref table dated before 

intake date+6 months, and 

If issue on Kempe is 41d or 41e 

(MH), then service code 45 or 46 

must be found in serv_ref table dated 

(ref_date) before intake date+6 

months 

#31. "TANF" is marked with 

1. Currently receiving or #31 

is blank 

Target is not meet if on the 6 

month follow-up, for PC1, 

#10 Highest Grade is < 3 , 

And 

For pc1, #11. Has participant 

been involved in an 

educational… is marked ‘No’ 

Target is not meet if on the 1 

year follow-up, for PC1, #10 

Highest Grade is < 3 , 

And 

For pc1, #11. Has participant 

been involved in an 

educational… is marked ‘No’ 

If any of the DV, SA or MH 

issues identified on the Kempe 

do not have the corresponding 

referral, target is not met 


6 month Follow-up 

is missing or out of 

the window 


1 year Follow-up is 


window 

Nothing is invalid

HFNY MIS Performance Targets Manual - Healthy Families New York

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