Implementing Healthy Families America (HFA)® Meets HHS Criteria

Implementation last updated: 2020

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Estimated costs of implementation

Average cost per family

According to the HFA National Office, the average cost of HFA per family per year is $4,300 to $5,900 (2019 dollars), depending on the number of families served. This estimate includes costs related to the personnel, nonpersonnel, model fidelity (including training), data system, and evaluation and measurement tools. Sample budgets are available from the HFA National Office to assist sites in planning.

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Labor costs

All labor costs—including program management, supervisory, and direct services staff—vary across states and regions. The sample budgets available from the HFA National Office include information about labor costs.

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Purchase of model or operating license

Affiliated sites are responsible for an initial application fee of $500 plus an annual start-up fee of $5,000 per year (in 2020) until the site is accredited, at which time the annual fee decreases and is modified based on site size. Sites pay an accreditation application fee of $250 the year they schedule an accreditation site visit. During the accreditation process, HFA sites are responsible for site visit costs, including the travel costs associated with the site visit team of two external, trained peer reviewers for a three-day visit ($2,700 in 2020). The small proportion of very large sites require a longer visit with more peer reviewers, resulting in a proportionally larger fixed cost.

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Cost of materials and forms

The Healthy Families America Site Development Guide (rev. 2014), and the Affiliation Application are free and available from the HFA National Office to local communities interested in implementing the HFA model. Sample forms used for implementation are available through HFA core training. The HFA Best Practice Standards (rev. 2018) are available to all affiliated sites and multisite systems.

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Cost of training and technical assistance

The costs associated with bringing national trainers to a local site for the core trainings is $700 per participant (2020 dollars), which includes participants’ materials and the time and travel costs of the trainers. The maximum number of participants allowed in a home visitor training group is 16; the maximum number for a family resource staff training group is 12.

On-site technical assistance is also available per site request at a rate of $1,250 per day plus travel expenses.

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Infrastructure costs

The HFA National Office recognizes the importance of state- or system-level infrastructure including data management, quality assurance, training and technical assistance, and evaluation. The HFA National Office provides infrastructure recommendations but does not specify infrastructure requirements. The local or state entities determine such recommendations and corresponding costs, and they can vary accordingly.

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Recruitment and retention costs

The sample budgets available from the HFA National Office include information about the costs of recruiting families.

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Implementation notes

The information contained on this page was last updated in April 2020. Recommended further reading lists the sources for this information. In addition, the HFA National Office reviewed the information contained in this profile for accuracy on February 13, 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

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