Table of Contents
Healthy Start | |||||||||||
Form Overview | |||||||||||
On the Healthy Start forms, the grantee must provide details on participants who received interpersonal violence screening and referrals, prenatal care, perinatal/postpartum care, well-woman visits/preventive health visits, and depression screening and referrals. These forms also collect data on infants placed to sleep following safe sleep guidelines, infants ever breastfed or breastfed at 6 months of age, child participants receiving well-child visits, participants with health insurance coverage, prenatal tobacco and e-cigarette use, low birthweight infants, infants born preterm, and infant deaths to enrolled HS participants to calculate infant mortality rate. NOTE: If HS 04 form was selected in V2-2022 OMB package, then Healthy Start form will be selected by default in V3-2023 OMB package but will not have data pre-populated. The existing HS forms of DGIS system HS 01, HS 02, HS 03, HS 05, HS 06, HS 07, HS 08 and HS 09 will be deleted. The form will display under Healthy Start Forms section on the left menu when the grantee start/edit a DGIS performance report. | |||||||||||
Applicable Report Types | |||||||||||
The report types are as follows:
| |||||||||||
Pre-population | |||||||||||
The following data will pre-populate from one report to the next report:
| |||||||||||
Form Sections | |||||||||||
The Healthy Start form has the Annual Performance Objectives section and the following two tabs that collect data for various measures:
| |||||||||||
Section I. Annual Performance Objectives | |||||||||||
NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
Healthy Start Benchmarks (HS 4, 10-18) Tab | |||||||||||
In this tab, the grantee may expand the accordion to edit the forms HS 4, 10 -18. All measures under this tab will be collapsed and grantee can expand the accordion to view or enter the details. | |||||||||||
HS 04 - Interpersonal Violence Screening and Referral | |||||||||||
HS 04 measure calculates the percentage of HS women participants who received interpersonal violence screening and referral. | |||||||||||
HS 04 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Interpersonal Violence - Screening and Referral | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. | |||||||||||
HS women participants screened for IPV using a standardized screening tool | |||||||||||
In this section, the grantee answers the following questions: The Numerator (Number of HS women participants who received interpersonal violence screening using a standardized screening tool during the reporting period.)
NOTE: This numerator value must be greater than or equal to the Denominator (Number of HS women participants who screened positive for IPV during the reporting period.) Denominator (Total number of HS women participants in the reporting period.)
The Denominator must be greater than or equal to Numerator. | |||||||||||
HS women participants who screened positive for IPV who received a referral for services | |||||||||||
In this section, the grantee answers the following questions: Numerator (Number of HS women participants who screened positive for IPV during the reporting period and received a subsequent referral for follow-up services.)
The Denominator (Number of HS women participants who screened positive for IPV during the reporting period.)
The Denominator must be greater than or equal to Numerator.
The Denominator for referral (2nd sub-measure) should be less than or equal to the numerator for screening (1st sub-measure) | |||||||||||
Section III. Annual Performance Score (%) - Interpersonal Violence - Screening and Referral | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Interpersonal Violence - Screening and Referral.
This score is calculated based on information provided in Section II.
Calculation for Women screened for IPV (%) = [Number of HS women participants who received interpersonal violence screening using a standardized screening tool during the reporting period.]/[Total number of HS women participants in the reporting period.]
Calculation for Women referred for IPV (%) = [Number of HS women participants who screened positive for IPV during the reporting period and received a subsequent referral for follow-up services.]/[Number of HS women participants who screened positive for IPV during the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 10 - Prenatal Care | |||||||||||
HS 10 measure calculates the percentage of pregnant HS participants who receive prenatal care beginning in the first trimester. | |||||||||||
HS 10 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Prenatal Care | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of pregnant HS participants who began prenatal care in the first trimester of pregnancy. Refer to Detail Sheet for definition.)
NOTE: The number of pregnant participants is unduplicated. Pregnant HS participants should be counted only once during a calendar year unless they have experienced more than one pregnancy in that calendar year. (If pregnant participant is counted more than once in the numerator, they should be counted more than once in the denominator.) Denominator (Total number of HS women participants in the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Prenatal Care | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Prenatal Care.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of pregnant HS participants who began prenatal care in the first trimester of pregnancy. Refer to Detail Sheet for definition.]/[Total number of HS women participants in the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 11 - Perinatal/Postpartum Care | |||||||||||
HS 11 measure calculates the percentage of pregnant/newly postpartum HS participants with a postpartum visit within 12 weeks of delivery. | |||||||||||
HS 11 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Perinatal/Postpartum Care | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (The number of pregnant/newly postpartum HS participants, who had enrolled prenatally or within 30 days after delivery, and received a comprehensive postpartum visit within 12 weeks after delivery. Refer to Detail Sheet for definition.)
NOTE: The number of pregnant/newly postpartum participants with a postpartum visit within 12 weeks of delivery is unduplicated. Pregnant/newly postpartum HS participants should be counted only once during a calendar year unless they have experienced more than one pregnancy in that calendar year. (If pregnant/newly postpartum participant is counted more than once in the numerator, they should be counted more than once in the denominator.) Denominator (The number of HS participants who enrolled prenatally or within 30 days after delivery. Refer to Detail Sheet for definition.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Perinatal/Postpartum Care | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Perinatal/Postpartum Care.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [The number of pregnant/newly postpartum HS participants, who had enrolled prenatally or within 30 days after delivery, and received a comprehensive postpartum visit within 12 weeks after delivery.]/[The number of HS participants who enrolled prenatally or within 30 days after delivery.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 12 - Well Woman Visit/Preventive Health | |||||||||||
HS 12 measure calculates the percentage of HS women participants with a well-woman/preventive visit in the past year. | |||||||||||
HS 12 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Well Woman Visit/Preventive Health | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of HS women participants within the reporting period who received a well-woman or preventive visit (including prenatal or postpartum visit) in the past 12 months prior to last assessment.)
Denominator (Total number of HS women participants during the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Well Woman Visit/Preventive Health | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Well Woman Visit/Preventive Health.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of HS women participants within the reporting period who received a well-woman or preventive visit (including prenatal or postpartum visit) in the past 12 months prior to last assessment.]/[Total number of HS women participants during the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 13 - Depression Screening and Referral | |||||||||||
HS 13 measure calculates the percentage of HS women participants who receive depression screening and referral. | |||||||||||
HS 13 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Depression Screening and Referral | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. | |||||||||||
Women screened for depression using a validated tool | |||||||||||
In this section, the grantee answers the following questions: Numerator (Number of HS women participants who were screened for depression with a validated tool during the reporting period.)
NOTE: This numerator value must be greater than or equal to the Denominator (Number of HS women participants who screened positive for depression during the reporting period.) Denominator (Number of HS women participants in the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Women who screened positive for depression who receive a referral for services | |||||||||||
In this section, the grantee answers the following questions: Numerator (Number of women participants who screened positive for depression during the reporting period and received a subsequent referral for follow-up services.)
Denominator (Number of HS women participants who screened positive for depression during the reporting period.)
Denominator must be greater than or equal to Numerator. NOTE: This denominator value must be less than or equal to the Numerator (Number of HS women participants who were screened for depression with a validated tool during the reporting period.) and following validation will display on the integer box: The denominator for referral (2nd sub-measure) should be less than or equal to the numerator for screening (1st sub-measure). | |||||||||||
Section III. Annual Performance Score - Depression Screening and Referral | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Well Woman Visit/Preventive Health.
This score is calculated based on information provided in Section II.
Calculation for Women screened for IPV (%) = [Number of HS women participants who were screened for depression with a validated tool during the reporting period.]/[Number of HS women participants in the reporting period.]
Calculation for Women referred for IPV (%) = [Number of women participants who screened positive for depression during the reporting period and received a subsequent referral for follow-up services.]/[Number of HS women participants who screened positive for depression during the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 14 - Safe Sleep | |||||||||||
HS 14 measure calculates the percentage of HS infants placed to sleep following safe sleep practice. | |||||||||||
HS 14 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Safe Sleep | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of HS infant participants aged <12 months whose parent/caregiver reports that they are always or most often placed to sleep following all three AAP recommended safe sleep practices.)
Denominator (Total number of HS infant participants aged <12 months.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Safe Sleep | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Safe Sleep.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of HS infant participants aged <12 months whose parent/caregiver reports that they are always or most often placed to sleep following all three AAP recommended safe sleep practices.]/[Total number of HS infant participants aged <12 months.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 15 - Breastfeeding - Ever Breastfed and at 6 Months | |||||||||||
HS 15 measure calculates the percentage of HS infant participants who were ever breastfed or fed pumped breast milk, and/or were fed breast milk at 6 months of age. | |||||||||||
HS 15 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Breastfeeding - Ever Breastfed and at 6 Months | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. | |||||||||||
HS infant participants ever breastfed or fed pumped breast milk | |||||||||||
In this section, the grantee answers the following questions: Numerator (Total number of HS infant participants aged <12 months who were ever breastfed or fed pumped breast milk, and whose parent was enrolled prenatally.)
Denominator (Total number of HS infant participants aged <12 months whose parent was enrolled prenatally.)
Denominator must be greater than or equal to Numerator. | |||||||||||
HS infant participants breastfed or fed pumped breast milk at 6 months | |||||||||||
In this section, the grantee answers the following questions: Numerator (Total number of HS infant participants ages 6 through 11 months who were breastfed or were fed pumped breast milk in any amount at 6 months of age, and whose parent was enrolled prenatally.)
Denominator (Total number of HS infant participants ages 6 through 11 months whose parent was enrolled prenatally.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Breastfeeding - Ever Breastfed and at 6 Months | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Breastfeeding - Ever Breastfed and at 6 Months.
This score is calculated based on information provided in Section II.
Calculation for Ever Breastfed (%) = [Total number of HS infant participants aged <12 months who were ever breastfed or fed pumped breast milk, and whose parent was enrolled prenatally.]/[Total number of HS infant participants aged <12 months whose parent was enrolled prenatally.]
Calculation for Breastfed At 6 Months (%) = [Total number of HS infant participants ages 6 through 11 months who were breastfed or were fed pumped breast milk in any amount at 6 months of age, and whose parent was enrolled prenatally.]/[Total number of HS infant participants ages 6 through 11 months whose parent was enrolled prenatally.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 16 - Well Child Visit | |||||||||||
HS 16 measure calculates the percentage of HS child participants who received recommended well-child visits. | |||||||||||
HS 16 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Well Child Visit | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of HS child participants whose parent/caregiver reports that they received the last recommended well-child visit based on the AAP schedule well-child visit as of the last assessment within the reporting period.)
Denominator (Total number of HS child participants in the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Well Child Visit | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet – Well Child Visit.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of HS child participants whose parent/caregiver reports that they received the last recommended well-child visit based on the AAP schedule well-child visit as of the last assessment within the reporting period.]/[Total number of HS child participants in the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 17 - Health Insurance Coverage | |||||||||||
HS 17 measure calculates the percentage of HS women and child participants who had health insurance as of the last assessment during the reporting period. | |||||||||||
HS 17 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Health Insurance Coverage | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. | |||||||||||
HS women participants with health insurance | |||||||||||
In this section, the grantee answers the following questions: Numerator (Number of HS women participants with health insurance as of the last assessment during the reporting period.)
Denominator (Total number of HS women participants during the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
HS child participants with health insurance | |||||||||||
In this section, the grantee answers the following questions: Numerator (Number of HS child participants with health insurance as of the last assessment during the reporting period.)
Denominator (Total number of HS child participants during the reporting period.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Health Insurance Coverage | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Health Insurance Coverage.
This score is calculated based on information provided in Section II.
Calculation for Insured Women (%) = [Number of HS women participants with health insurance as of the last assessment during the reporting period.]/[Total number of HS women participants during the reporting period.]
Calculation for Insured Children (%) = [Number of HS child participants with health insurance as of the last assessment during the reporting period.]/[ Total number of HS child participants during the reporting period.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 18 - Prenatal Tobacco and eCigarette Use | |||||||||||
HS 18 measure calculates the percentage of prenatal HS participants who abstain from smoking cigarettes, or using any tobacco products, in their third trimester. | |||||||||||
HS 18 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Prenatal Tobacco and eCigarette Use | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of prenatal HS participants who abstained from using any tobacco products during their third trimester (i.e., last 3 months of pregnancy).)
Denominator (Total number of prenatal HS participants who were enrolled at least 90 days before delivery.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Prenatal Tobacco and eCigarette Use | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Prenatal Tobacco and eCigarette Use.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of prenatal HS participants who abstained from using any tobacco products during their third trimester (i.e., last 3 months of pregnancy)]/[Total number of prenatal HS participants who were enrolled at least 90 days before delivery.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
Comments | |||||||||||
In this section, the grantee can enter additional information (not to exceed 5,000 characters). The Comments field accepts text, numbers, and special characters. The grantee must click on Save or Save and Continue buttons before navigating away from this tab or form to ensure all data entered is saved successfully. If the grantee navigates to the next tab without clicking on Save, data will not be lost, and the grantee can perform the save action in next tab. If the grantee navigates to a different form without clicking on Save, data entered in the tab will be lost.
| |||||||||||
Healthy Start Outcomes (HS 19 -21) | |||||||||||
In this tab, the grantee may expand the accordion to edit the forms HS 19 - 21. All measures under this tab will be collapsed and grantee can expand the accordion to view or enter the details. | |||||||||||
HS 19 - Low Birthweight | |||||||||||
HS 19 measure calculates the percentage of low birthweight infants among all singleton live births to Healthy Start participants. | |||||||||||
HS 19 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Low Birthweight | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of singleton live births with birth weight less than 2,500 grams in the calendar year among HS participants.)
Denominator (Total number of singleton live births in the calendar year among HS participants.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Low Birthweight | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Low Birthweight.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of singleton live births with birth weight less than 2,500 grams in the calendar year among HS participants.]/[Total number of singleton live births in the calendar year among HS participants.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 20 - Preterm Birth | |||||||||||
HS 20 measure calculates the percentage of infants born preterm (delivery prior to 37 completed weeks of gestation) among all singleton live births to Healthy Start participants. | |||||||||||
HS 20 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Preterm Birth | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of singleton infants born preterm (delivery prior to 37 completed weeks of gestation) in the calendar year among HS participants.)
Denominator (Total number of singleton live births in the calendar year among HS participants.)
Denominator must be greater than or equal to Numerator. | |||||||||||
Section III. Annual Performance Score - Preterm Birth | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Preterm Birth.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of singleton infants born preterm (delivery prior to 37 completed weeks of gestation) in the calendar year among HS participants.]/[ Total number of singleton live births in the calendar year among HS participants.] NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
HS 21 - Infant Mortality | |||||||||||
HS 21 measure calculates the infant mortality rate (per 1,000 live births) of enrolled HS infants. | |||||||||||
HS 21 - Detail Sheet | |||||||||||
In this section, the grantee may expand the accordion menu to view the following details:
| |||||||||||
Section II. Data Collection for Detail Sheet - Infant Mortality | |||||||||||
In this section, the grantee must provide data for the current budget period for NCCPRs and PPERs. Numerator (Number of deaths of enrolled HS infants (from birth through 364 days of age) to HS participants in the calendar year.)
Denominator (Total number of live births in the calendar year among HS participants.)
Denominator must be greater than or equal to Numerator.
| |||||||||||
Section III. Annual Performance Score - Infant Mortality | |||||||||||
This section will be automatically populated based on the information provided in Section II. Data Collection for Detail Sheet - Infant Mortality.
This score is calculated based on information provided in Section II.
Calculation for Score (%) = [Number of deaths of enrolled HS infants (from birth through 364 days of age) to HS participants in the calendar year.]/[ Total number of live births in the calendar year among HS participants.]
NOTE: Click Save to ensure the information is not lost due to inactivity on the form. | |||||||||||
Comments | |||||||||||
In this section, the grantee can enter additional information (not to exceed 5,000 characters). The Comments field accepts text, numbers, and special characters.
The grantee must click on Save or Save and Continue buttons before navigating away from this tab or form to ensure all data entered is saved successfully. If the grantee navigates to the previous tab without clicking on Save, data will not be lost, and the grantee can perform the save action in previous tab. If the grantee navigates to a different form without clicking on Save, data entered in the tab will be lost.
The Go to Previous Page button will navigate to the previous form without saving any previously unsaved information. | |||||||||||
Form-Level Rules and Validations | |||||||||||
|