Performance Measurement in Tribal Home Visiting: Challenges and Opportunities




Julie R. Morales, Cathy Ferron, Corrie Whitmore, Nancy Reifel, Erin Geary, Cyndi Anderson, and Judy Mcdaniel

Brief Type

Journal Publication


  • Other Models


Over the last several decades, performance measurement has become an increasingly prevalent requirement among human services agencies for demonstrating program progress and achieving outcomes. In the Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV), performance measurement was one of the central components of the Administration for Children and Families’ cooperative agreements to tribes, urban Indian organizations, and tribal organizations. Since the inception of the Tribal MIECHV Program in 2010, the benchmark requirement was intended to be a mechanism to systematically monitor program progress and performance toward improving the quality of home-visiting programs that serve vulnerable American Indian or Alaska Native families. In this article, we examine performance measurement in the context of Tribal MIECHV, providing an overview of performance measurement, the Tribal MIECHV requirement, and how grantees experienced the requirement; we describe the existing literature on performance measurement challenges and benefits, and the specific challenges and advantages experienced by tribal grantees; and provide recommendations for performance measurement in tribal home-visiting contexts based on grantees’ own experiences. This article contributes to the literature by examining performance measurement challenges and opportunities in the context of tribal communities, and provides recommendations that may inform future policy on performance measurement design and implementation in tribal communities. (author abstract)

Data Collection Methods

  • Interviews



For More Information

Morales, J. R., Ferron, C., Whitmore, C., Reifel, N., Geary, E., Anderson, C., & Mcdaniel, J. (2018). Performance measurement in tribal home visiting: Challenges and opportunities. Infant Mental Health Journal, 39(3), 312-325. doi: 10.1002/imhj.21703
Author Contact Information:
Julie R. Morales


  • Participant Characteristics
  • Program Enhancements, Innovations, and Promising Approaches
  • Program Quality, Continuous Quality Improvement, and Fidelity