A Conceptual Framework for Implementation Quality in Home Visiting

How does the home visiting field define implementation quality and what does quality look like for different key players?

This report presents a conceptual framework for implementation quality in home visiting developed by JBA and Child Trends with support from the Health Resources and Services Administration and the Administration for Children and Families. The research team engaged regularly with home visiting experts and awardees of the federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program to create a product with practical, cross-model application.

The resulting framework is organized by broad aspects of quality labeled as “quality threads”:

• Value and respect for family context, culture, and voice
• Commitment to promoting racial equity
• Flexibility and responsiveness to emerging needs and circumstances
• Understanding of home visiting theory and content
• Strong fiscal support, compensation structures, and sustainability
• Systems that support monitoring, accountability, and CQI processes
• Qualified, stable, and supported workforce
• Adequate resources, tools, and time
• Coordination, collaboration, and relationship development

The report also connects quality threads to existing measures identified in a literature and measure review conducted earlier in the project.