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Tribal Continuous Quality Improvement Collaboratives

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Tribal Continuous Quality Improvement Collaboratives
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2026-09-02
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Family Engagement Collaborative - Family of Measures Reporting Guidance

Your team is responsible for submitting this worksheet, updated and saved with the data outlined below, 10 business days p
monthly updates can be added to the worksheet on the second tab of this workbook. Please update per the directions below
March, you will submit data for the month of February. Your team should note that the third tab has pre-programmed run c
planning. The fourth tab includes four self-reflection questions that ACF would like grantees to respond to each m
Measure

1

Associated Driver

Construct being
measured

SMART Aim

Improved home
visitor-family
relationships

Operational Definition

Numerator

Denominator

2

PD1: HV program has competent and
skilled workforce to develop goaldirected relationships with families

Staff training

Count

Numerator

3

4

5

PD1: HV program has competent and
skilled workforce to develop goaldirected relationships with families

Reflective
supervision

PD2: HV program’s processes for initial
contact with families foster and support
Program capacity
goal-directed relationships between the
home visitors and families

PD4. The HV program and HVs are
Families receiving
responsive and continually build goal- services/ completing
directed relationships with families
program

Denominator

Numerator

Denominator

Numerator

Denominator

Numerator
6

PD5. HV program has data tracking to
assess family engagement, relationship Program retention
building, and goal setting
Denominator

Numerator
7

N/A (Balancing Measure)

HV dosage
Denominator

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Through this information collection,
ACF is gathering information to inform program support and technical assistance for grantees
participating in the Tribal Continuous Quality Improvement Collaboratives. Public reporting
burden for this collection of information is estimated to average 20 hours per grantee,
including the time for reviewing instructions, gathering and maintaining the data needed, and
reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information subject to the requirements of the Paperwork Reduction Act of 1995, unless it
displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration
date is 7/31/2022. If you have any comments on this collection of information, please contact
Julie Morales; [email protected]

Measures Reporting Guidance

he data outlined below, 10 business days prior to the monthly Action Period call for the Family Engagement Collaborative (second Thursda
ook. Please update per the directions below, including data collected between the first and last days of the prior month. For example, on t
hat the third tab has pre-programmed run charts to automatically display the data that you enter into the second tab. Please use these for
F would like grantees to respond to each month. Your monthly updated worksheet should be sent via email to your TEI Liaison with a copy
Operational Definition

# of individual family Working Alliance Inventory
(WAI) scores that increased from T1 to T2, T2 to T3,
or T1 to T3
# of families for which a WAI was completed at two
time points
# of trainings/professional development
opportunities on core competencies (including
relationship-based competencies) home visitors
attended during the last three months
# of individual and/or group reflective supervision
sessions received by home visitors during the
reporting month

# of individual and/or group reflective supervision
sessions that home visitors should have received
during the reporting month

Caseload during the reporting month (# of new
households enrolled + # of continuing households)
Maximum service capacity during the reporting
month
# of families who continue to receive services or have
completed the program during the reporting month
# of families enrolled in the home visiting program
during the reporting month

# of families whose 1st home visit was 90-120 days
ago and are still enrolled in the THV program

# of families whose 1st home visit was 90-120 days
ago

# of families who received the recommended number
of home visits during the reporting month, according
to model developer fidelity requirements
# of families enrolled in the home visiting program
during the reporting month

Site: [enter grantee team name]

monthly Action Period call for the Family Engagement Collaborative (second Thursday of each month). Your
data collected between the first and last days of the prior month. For example, on the second Thursday of
tomatically display the data that you enter into the second tab. Please use these for your review and team
monthly updated worksheet should be sent via email to your TEI Liaison with a copy to your FPO.
Guidance
Report the number of families that had increased scores on the Working Alliance Inventory (WAI)
from T1 to T2, T2 to T3, or T1 to T3. NOTE: This data will only be reported once during the
Collaborative. Teams are expected to collect and track this data at three timepoints in January,
May and October 2020, but only report it once in November 2020 (the monthly report directly
following the last data collection timepoint).
Report the number of families who completed a WAI at a minumum of two time points (could be
T1 and T2, T2 and T3, or T1 and T3).
This measure is a count. Report the total number of trainings/professional development
opportunities on core competencies (including relationship-based competencies) your home
visitors attended by the last day of the quarter for which you are reporting. For example, in
March, please report trainings attended during December, January, and February.
Report the number of individual and/or group reflective supervision sessions received by home
visitors by the last day of the month for which you are reporting.
Report the number of individual and/or group reflective supervision sessions home visitors should
have received by the last day of the month for which you are reporting. Please use the definition
of "Number of reflective supervision sessions home visitors should receive" in Core Measure 3 of
your Performance Measurement Plan to determine how many individual/group reflective
supervision sessions home visitors should receive during a typical month.
Report the number of families that are currently enrolled in your home visiting program as of the
end of the month for which you are reporting.
Report the maximum number of households your home visiting program is funded to serve. This
number should remain the same from month to month.
Report the number of families who continued to receive services or completed the program by
the last day of the month for which you are reporting.
Report the number of families enrolled in the home visiting program by the last day of the month
for which you are reporting.

Of those reported in the denominator, report the number of families who are still enrolled in the
THV program by the last day of the month for which you are reporting.
Report the number of families whose first home visit was anywhere between 90-120 days prior to
the last day of the month for which you are reporting. For example, in April, the month you're
reporting on is March, so you will report the number of families whose 1st home visit was 90-120
days before March 31st (likely in December or January).
Report the number of families who received the recommended number of home visits by the last
day of the month for which you are reporting. Please use the definition "Number of home visits
families should receive" in Core Measure 1 of your Performance Measurement Plan to determine
how many home visits families should receive during a typical month.
Report the number of families enrolled in the home visiting program by the last day of the month
for which you are reporting.

Family Engagement Colla
Measure

Construct Being
Measured

1

Improved home
visitor-family
relationships

2

Staff training

3

Reflective
supervision

4

5

6

7

Numerator/Denominator
# of families with increased score on WAI

Mar-20

# of families with WAI completed at two time points
% Relationships Showing Improvement
# of trainings/professional development opportunities
attended
# of Trainings/Professional Development Opportunities
Attended
# of individual and/or group reflective supervision sessions
received
# of individual and/or group reflective supervision sessions
that should be received
% Reflective Supervisions Received

#DIV/0!

# of households currently enrolled
Program capacity Maximum service capacity
% Program Capacity Filled

#DIV/0!

Families receiving
services/
completing
program

# of families who continue to receive services or have
completed the program
# of families enrolled in the home visiting program

% Families Receiving or Completing Services
# of families still enrolled after 90-120 days
Program retention # of families whose 1st home visit was 90-120 days ago
% Program Retention
# of families who receive the recommended number of
home visits
HV dosage
# of families enrolled in the home visiting program
% Families Receiving Recommended Home Visits

#DIV/0!

#DIV/0!

#DIV/0!

amily Engagement Collaborative - Family of Measures Data
Apr-20

May-20

Jun-20

Jul-20

Aug-20

Sep-20

Oct-20

Nov-20

Dec-20

#DIV/0!

0

0

0

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

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#DIV/0!

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#DIV/0!

#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

#DIV/0!

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#DIV/0!

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#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

Jan-21

Feb-21

Mar-21

Apr-21

May-21

0

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

0

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

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#DIV/0!

Instructions: The following data charts can be used by your team to share with staff, leadership, families, and other imp
pasted into other documents or presentations. Simply click on the chart, copy, and paste into your document or presenta
team. The charts with data that are reported less frequently are located at th

Measure #3: % Individual/Group Reflective
Supervisions Received by Home Visitors

Measu
100%

100%

90%

90%

80%

80%

70%

70%

60%

60%

50%

50%

40%

40%

30%

30%
20%

20%

10%

10%

0%

0%

0
0
0
0
20
20 t-20
20
20
21
21 r-21 r-21
21
20
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r-2 ay-2
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D
N
M
M
M
M

0
0
0
20
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nar
p
Ju
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Measure #5: % Families Who Continue to Receive
Services or Complete the Program

Measure #6: %
90-120 Days

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

0
0
0
20
20 t-20
20
20
21
21 r-21 r-21
21
20 l-20
-2
-2
-2
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F
A
A
D
N
M
M
M
M

Measure #7: % Families Receiving the
Recommended Number of Home Visits
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

0
0
0
20
-2
-2
-2
lnar
ay
pr
Ju
u
J
A
M
M

80%
70%
60%
50%
40%
30%
20%
10%
0%

0
0
0
20
20 t-20
20
20
21
21 r-21 r-21
21
20 l-20
-2
-2
-2
gcyvpnbnu
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S
F
A
A
D
N
M
M
M
M

Meas
Developm
V

Measure #1 (SMART Aim): % Home Visitor-Family
Relationships Showing Improvement
100%
90%
80%

1

70%
60%
50%
40%

1

30%
20%
10%
0%

0
0
0
0
1
0
20
20 t-20
20
21
21 r-21 r-21
20
-2
-2
-2
-2
-2
-2
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c
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A
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D
N
M
M
M
M

0

0
0
0
0
20
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ership, families, and other important stakeholders. Charts can be edited, copied, and
to your document or presentation. Edits can be made to the charts as needed by your
ess frequently are located at the bottom.

Measure #4: % Program Capacity Filled
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

0
0
0
0
20
20 t-20
20
20
21
21 r-21 r-21
21
20
-2
l-2
r-2 ay-2
gcyvpnbnu
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a
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p
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a
e
e
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J
J
O
A
S
F
A
A
D
N
M
M
M
M

Measure #6: % Families Whose 1st Home Visit was
90-120 Days Ago and are Still Enrolled in the
Program
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

0
0
0
0
20
20 t-20
20
20
21
21 r-21 r-21
21
20
-2
-2
-2
-2
gcyvpnbnul
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J
J
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A
S
F
A
A
D
N
M
M
M
M

Measure #2: # of Trainings/Professional
Development Opportunities Attended by Home
Visitors on Core Competencies
1

1

0

0
0
0
1
1
0
0
20
20
20
20
21
21 r-21
20
-2
l-2
t-2
r-2 ay-2
r-2 ay-2
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c
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N
M
M
M
M

Instructions: Please update your responses to the following questions every month based on your team's experience cond
PDSAs. This information will be used to help identify areas for targeted TA and potential conte
Self-Reflection Questions
1. What successes emerged from your team’s Collaborative work this month?

2.

What challenge(s) emerged from your team’s Collaborative work this month?

3.

How did you address this/these challenge(s)?

4.

What TA supports would be helpful?

ur team's experience conducting continuous quality improvement through rapid-cycle
ed TA and potential content for future Action Period Calls.