Table 1.

Evaluation plan overview

Phase 1
Evaluation questions	Indicators	Standards	Data sources
Implementation evaluation
Has the policy been implemented as intended?	Proportion of birthing hospitals in NM that have implemented protocols for plans of safe care reporting for infants exposed to substances in-utero and their families Proportion of care coordinators that have been trained in CARA rules Proportion of primary care physicians trained in plans of safe care and portal	Annually, 100% of infants exposed to substances in-utero and their families receive a plan of safe care Annually, 100% of families have plan of safe care plan of safe care explained to them and participate in developing the plan 100% of MCO care coordinators trained in CARA rules annually By 2020, 90% of primary care physicians are trained and submitting plans of safe care in portal	CARA Database/Medicaid claims database Family follow-up survey Program reports
What are barriers and facilitators to program implementation?	Barriers and facilitators associated with program planning, referral process, linkage of care, and data sharing/interoperability Feedback on provider experiences	Description of barriers and plans to address barriers	Family follow-up survey Program reports Survey of service providers
Outcome evaluation
What benefits are infants exposed to substances in-utero and their families receiving?	Proportion of families with infants exposed to substances in-utero that are connected with a care coordinator and receive services Resources patients are referred to, follow up status, and duration of services Feedback on family experiences Patients connected with primary care physician	Annually, 90% of families with infants exposed to substances in-utero are connected with a care coordinator Annually, 90% of families with infants exposed to substances in-utero receive recommended services (include availability and reception) Description of resources patients are referred to, follow-up status, and duration of services Description of family experiences during pregnancy, and after delivery as well as perceived benefits of plan of safe care Proportion of families connected with primary care physician	CARA Database/Medicaid data Family follow-up survey FIT (Home Visiting, and Early Intervention) Children, Youth and Family Department Tracking Database/Family Infant Toddler Early Intervention Program and Children’s Medical Services databases/ CARA Database/Medicaid data tapes