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Implementing Nurse Family Partnership (NFP)®

Meets DHHS criteria for an evidenced based model

Estimated Costs of Implementation

Last Updated

June 2011


Average Cost per Family

NFP NSO estimates that the average cost of NFP per family per year is $4,100 [2011 dollars]. This estimate includes costs for program materials, training, salaries for nursing staff, and access to the centralized electronic data collection and reporting system. The primary factors affecting the range in costs are nurses’ salaries, which vary by geographic region and setting, and indirect costs incurred by individual agencies.


Labor Costs

Labor costs associated with NFP staff requirements are included in the cost per family estimation.


Purchase of Model or Operating License

Agencies under contract to implement NFP are granted a non-exclusive, limited right and license to use NFP proprietary property as long as agencies implement NFP as designed and in fidelity with the NFP model.


Materials and Forms

Agencies under contract with NFP pay separate fees for data-related materials and forms only if custom reports are requested. Data collection forms are included in the ETO and other necessary equipment and materials are detailed in the NFP Sample Implementing Agency Budget and Narrative provided to states and communities to guide budget planning; see “Infrastructure” for estimated costs.


Training and Technical Assistance

Assistance, training and technical support costs are included in annual fees paid by agencies to NFP NSO. Total annual costs for an eight-nurse home visitor agency in year 1 are approximately $102,000 and ongoing annual costs are approximately $14,900 [2011 dollars] (subject to change). Year 1 fees include the following [in 2011 dollars]:

  • Start-up support. Effective for agencies beginning implementation before June 30, 2012, start-up support costs are approximately $19,108.
  • Initiation and annual supervisor education. Initial education fees in year 1 are approximately $4,452 per nurse home visitor and $5,165 per nurse supervisor. This includes introductory education sessions at NFP, NCAST, “Partners in Parenting Education” (PIPE), and travel to NFP education. There are no tuition or registration fees to attend the annual supervisor training session in Denver, though the cost to agencies includes travel, meals, and hotel.
  • Program implementation support. Program support fees in year 1 are approximately $8,981; annually thereafter, this fee is approximately $6,842.
  • Nurse consultation support. Nurse consultation fees in year 1 are approximately $14,163; annually thereafter, this cost is approximately $8,093.



There is a one-time set-up fee of $3,275 for ETO. Agencies may choose whether they would like to receive monthly, quarterly, or annual ETO transmissions for $623, $230, or $64 per year, respectively [2011 dollars] (subject to change).


Recruitment and Retention

The estimated costs for client recruitment vary by community.



The information contained on this page was last updated in June 2011. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Nurse Family Partnership National Service Office on June 17, 2011. HomVEE reserves the right to edit the profile for clarity and consistency.