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This page was updated on March 27, 2025.


General Information

The mission of the Maternal Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA) is to provide national leadership and to work in partnership with states, communities, public-private partners, and families to strengthen the maternal and child health (MCH) infrastructure, to assure the availability and use of medical homes, and build knowledge and human resources to assure continued improvement in the health, safety, and well-being of the MCH population.

The Bureau currently administers a web-based electronic information system for Healthy Start grant recipients – the Healthy Start Monitoring and Evaluation Data (HSMED) System. HSMED supports 101 Healthy Start grantee organizations across the United States. The Healthy Start Monitoring and Evaluation Data System (HSMED) Reports Dashboard aggregates data from the HSMED and resides within HRSA’s Electronic Handbooks (EHBs).

The purpose of the Healthy Start Monitoring and Evaluation Data System (HSMED) Reports Dashboard is to assist grantees in monitoring the number of participants they serve, progress toward program performance measures, the completeness of data collection with each participant, and the linkages between primary participants and children enrolled in Healthy Start.

The Healthy Start Monitoring and Evaluation Data System (HSMED) Reports Dashboard information is distributed across the following dashboards:

  • Performance Measures (PM)
  • Participants Screened
  • CM/CC Data Collection Detail
  • Participant Linkages

The dashboards include near real-time data (with a 24-hour delay). Data in the dashboard is intended for grantee use only. If you have questions regarding the dashboards, please contact HealthyStartData@hrsa.gov.

Note: The Recipient filter on these dashboards provides the option to filter for “All”. For dashboard users associated to just one grantee organization in EHBs, selecting “All” will display the dashboards for the same organization they’re associated to. For dashboard users associated to multiple organizations (such as Healthy Start system vendors), selecting “All” will display the aggregated counts and data for all the organizations that the grantee is associated to. Please note, the intent of these dashboards is to view data for individual recipients, and not the aggregated totals for multiple organizations. Permission to view a grantee’s dashboard data is granted by the grantee’s Project Director as identified in the latest Notice of Award.

Dashboard Key Features

The key features for these dashboards are:

  1. Aggregated participant counts and demographic information
  2. Performance Measures/Benchmarks calculations
  3. Tools for monitoring participant data collection and reporting
  4. Reports are generated using near-real time data with a one-day lag

On this page

Performance Measures (PM) Overview

The Healthy Start program has established benchmarks and goals for performance.

The purpose of the Performance Measures dashboard is to present an overview of grantee’s 14 Performance Measures, and the Healthy Start benchmarks for each, to inform data quality assurance and overall program improvement efforts. Summary cards with details on how each Performance Measure is calculated and the counts are also provided.

All performance measure calculations include only “active” participants in the reporting year.

In the case of women participants, a participant is considered as active based on the Primary Participant Enrollment Date in the reporting year (calendar year) Or Other Update Date in the reporting year (calendar year) on any form.

In the case of child participants, a participant is considered as active based on the Child Enrollment Date in the reporting year (calendar year) Or Other Update Date in the reporting year (calendar year) in the parent child form.

The dashboard includes Recipient filter and multi-select filters for Reporting Year and Reporting Month served.


Screenshot of Performance Measures Table

Performance Measures (PM) Summary Cards

Dashboard line chart and summary cards indicate the numerator, denominator, and percentage calculations for each Performance Measure.

The line chart and summary card information is dependent on the selected Performance Measure filter. They will identify the values used to determine Performance Measure numerator value, denominator value, and percentage value.

The drop-down menu in the ‘Performance Measure’ filter can be used to select individual Performance Measures and see the counts for each measure in the line chart and summary cards.

Screenshot of Performance measures summary card

In this case the summary cards identify the number of women with health insurance (numerator), the number of women overall in the program (denominator), and the resulting percentage of those values.

Note: The Summary cards will display blank or '-' (i.e., no information) to indicate that no participants met the inclusion criteria for that given Performance Measure, and ‘0’ when the metric calculation returns zero to the corresponding filter(s) applied.

Performance Measures (PM) Table

Performance Measures Table:

This table provides an overview of all the Performance Measure percentage values for the selected recipient and dates, and the Healthy Start desired benchmarks for each Performance Measure.

The table also provides the percentage values of the participant responses that are ‘Don’t know’, ‘Declined’, and ‘Missing’. These columns help to identify areas where data collection or entry issues may affect the overall outcome of a performance measure.

Data can be downloaded by clicking on each performance measure in the table.

Screenshot of Performance measures table

Participants Screened Overview

Participants Screened Dashboard provides summary information on the number of participants screened, filtered by grant recipient and participant type (Case Management/Care Coordination or Group-Based Health Education). If “Group-Based” is selected in the participant type filter, “# of Children Screened” will not display values as children are not considered Group-Based Health Education participants. This page has a header section composed of defined summary data displayed in 4 text areas and a body with 3 additional visualizations.

Participants Screened Dashboard Summary Cards

The summary cards highlight the number of Pregnant Women Screened, Non-Pregnant Women Screened, Children<18 months Screened and Fathers/Partners Screened.

Screenshot of Participants screened by dashboards card

  • # of Pregnant Women Screened:  Women that were pregnant for screened period.
  • # of Non-Pregnant Women Screened:  Women that were non-pregnant for screened period.
  • # of Children (<18 Months) Screened: Children that were under 18 months for screened period.
  • # of Fathers/Partners Screened: Fathers/Partners for Screened period.

Participants Screened Dashboard Charts

Chart 1: # of Participants Screened by Recipient

The # of Participants Screened by Recipient chart provides an overview of total number of participants screened by grant recipient for a selected screened period. Screened period is broken out into screened months.

Screenshot of Chart 1 Participants screened by recipient

Chart 2: # of Participants Screened by Race

The # of Women Screened by Race donut chart provides an overview of total number of women (pregnant and non-pregnant) screened categorized by race for a selected screened period.

Similarly, the # of Children Screened by Race chart provides insights into the racial distribution of children screened within the selected screened period.

Screenshot of Chart 2 participants screened by race

Chart 3: # of Participants Screened by Ethnicity

The # of Women Screened by Ethnicity donut chart provides an overview of total number of women (pregnant and non-pregnant) screened categorized by ethnicity for a selected screened period.

Similarly, the # of Children Screened by ethnicity chart illustrates the ethnic breakdown of children screened within the selected screened period.

Chart 3 Particpants Screened by ethnicity

CM/CC Data Collection Detail Overview

The CM/CC Data Collection Detail dashboard provides information on the implementation of the Healthy Start Data Collection forms for Case Management/Care Coordination participants. It provides details on data collection status by participant, such as when the initial version of a form was completed, the number of form updates made, and the general status of the participant within the Healthy Start Program at the time of screening/re-screening. For additional details, click '?' icon.

The dashboard has filters for the Month and Year of Enrollment Date.

Participant Status:

  • Active Status: Active participants are those with a completion or update date within the selected date range. This ensures that participants who are currently engaged are accurately reflected in the data.
  • Exited Status: Exited participants are those who have an exit date. If they are re-enrolled at any point, they will be considered active again.
  • Lost to Follow Up: Participants who have no exit date and no completion or update date within 12 months are considered lost to follow up. This helps in identifying participants who are no longer engaged without formally exiting the program.

'Archived' in the participant status column indicates that the record is archived because a form update occurred containing more recent data for the participant. ‘N/A’ indicates that the Participant Status cannot be defined as there have been no dates entered for the participant. "Archived" and "Latest" statuses may both appear for the same form in the updated form table. This indicates the form was updated without changes to the update type or date, causing both statuses to be recorded.

The tables below will display blank (i.e., no information) if there is no data applicable to the corresponding filter(s) applied.

Screenshot of CM CC Data Collection Detail Dashboard

Data Collection Detail Tables

Initial Form Table: This table shows each participant, form type, their enrollment date and when they initially completed the form. The table calculates the status of the participant within the Healthy Start program based on the most recent information as determined by date. Finally, the table also gives the form status whether the record is archived or latest based on a form update containing more recent data for the participant

Screenshot of Initial Form Table

Updated Form Table: This table shows each participant, form type, their enrollment date, the type of update they made to the form and the date they updated the form. The participants who exit from healthy start program will have exit date. The table also captures participant status and form status.

Screenshot of Updated form table

Participant Linkages Overview

The Participant Linkages dashboard displays the linkages between primary participants, and between primary participants and any enrolled children. Users can filter by category to view participants with linkages to other participants, participants with linkages to children and other participants. 

The purpose of this dashboard is to provide grantees the ability to view all PPUID and ECUID linkages, from parent to parent and parent to child, allowing grantees to identify all linkages and verify their accuracy.

The Enrolled Child ID indicates linkage to the Primary Participant ID only, not to the Linked Primary Participant ID. If a Linked Primary Participant ID is blank, this indicates that the Primary Participant ID does not have any linkages to other participants. If an Enrolled Child ID is blank, this indicates that the Primary Participant ID does not have any linkages to children.

The table below will display blank (i.e., no information) if there is no data applicable to the corresponding filter(s) applied.

The table will show all PPUIDs that are linked to each other as well as all ECUIDs that they are linked to.


Screenshot of the Participant Linkages Dashboard

Participant Linkages Table

This table shows the participants, linked participants, and the enrolled children – all identified by PPUID and ECUID. This table also shows the Participant Types for the primary and linked participants.

Screenshot of Participant Linkage Table

Accessing the Dashboard in the EHBs

1

Login to the EHBs (https://grants.hrsa.gov) as a Grantee using Login.gov and two-factor authentication.

For information about logging into the EHBs and Login.gov, refer to the EHBs Login Process help page.

You will land on the EHBs Home page.

Screenshot of EHBs home page

2Click Dashboards on the Top Menu. You will land on the Dashboards list page, listing all the available dashboards for your role. Select Healthy Start Monitoring and Evaluation Data System (HSMED) Reports Dashboard from the list -side menu.

Screenshot of the HSMED Report Dashboard Option

3Click on the View Dashboard link.

Screenshot of the HSMED Report Dashboard View Dashboard Option

Downloading as Data, Crosstab, and PDF

1.Download as “Data” format – CM/CC Data Collection Detail Tab.
By default, the “Data” and “Crosstab” options will not be activated.


Screenshot of the Dashboard Download Options
2.To download the tabular format, click on the table graph on the dashboard. In this example, Form Update Date was selected. The “Data” and” Crosstab” options are now activated.

Screenshot of Background Form with cell selected

Screenshot of Download options

3.

Similarly, if “Data” from the download options is selected, the data view is displayed and can be downloaded as a text file.

Screenshot of the View Data page showing Excel option

4.

The downloaded excel file will show data as:

Screenshot of Report Excel file

5.

Download “Crosstab” – CM/CC Data Collection Detail Tab.

If a cell is selected as in step #2, and then unselected, the highlighted color will disappear. Click on the download link and the options show as:

Screenshot of the Download Crosstab option

6.Click on “Crosstab” and the data will be downloaded as an Excel file and shown as:


7.

Downloading a Dashboard as a PDF -CM/CC Data Collection Detail Tab.

To download a dashboard as a PDF, click on the download link and select “PDF” as shown.

Screenshot of Download PDF option

8.

After clicking "PDF" the download PDF window will be displayed. Select "This View" and click on "Create PDF."



Screenshot of the Create PDF window

9.A PDF will be generated and downloaded.

Screenshot of Generated and Downloaded PDF