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Tribal Home Visiting Continuous Quality Improvement Collaboratives
ICR 202606-0970-001 · OMB 0970-0531 · Object 169427801.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Tribal Home Visiting Continuous Quality Improvement Collaboratives |
| Author | Erica Roberts |
| Last Modified By | Writer |
| File Modified | 2026-04-24 |
| File Created | 2026-06-04 |
| Conversion State | complete |
Extracted Text
CQIC Family of Measures Quarterly Reporting Template Tribal Home Visiting Resource Institute for Excellence [Please note this form will be entered into Qualtrics for data entry.] Introduction Each of the measures below are related to the overarching goal and/or primary drivers for this CQIC. Your data will be combined with other grant recipients’ data to provide a holistic picture of progress in family engagement across participating programs. Thank you for your time! Please reach out to your THRIVE Data TA Specialist if you have any questions about the measures. Also, please refer to the FAQ document for definitions and questions that have been addressed. One person from each grant recipient team should submit the data for their program (i.e., only one entry per program). This data collection is for quarter [insert quarter] of the CQIC, which reflects [date to date]. Data Entry Measure 1: Service Uptake Numerator: Number of families who receive an “initial contact” by program staff and who complete their first home visit during the reporting quarter Denominator: Number of families who receive an “initial contact” by program staff during the reporting quarter Measure 2: Program Capacity Number of new households enrolled during the reporting quarter + the number of continuing households Maximum service capacity during the reporting quarter Measure 3: Referral Pathways Number of families referred to the program during the reporting quarter who received initial contact from the program Number of families referred to the program during the reporting quarter Measure 4: Program Attrition Number of households who exited before completing the program during the reporting quarter Number of households enrolled in the program during the reporting quarter