The Healthy Start Program, created in 1991, is a federal initiative aimed at improving pregnancy outcomes for women and children.  Over the past 30 years, the program has grown from a small demonstration project to a national program serving 101 grantees in 34 states, the District of Columbia, and Puerto Rico.  Administered by the Division of Healthy Start and Perinatal Services (DHSPS) within the Maternal and Child Health Bureau (MCHB) at the Health Resources and Services Administration (HRSA), the program was transformed in 2014 to emphasize standardized approaches to improving maternal health outcomes and reducing disparities in perinatal outcomes in the United States. In particular, the newly-focused Healthy Start program applies evidence-based practices, community collaboration, organizational performance monitoring, and quality improvement to service delivery for high-risk pregnant women, infants, and children up to the age of 18 months.


Contact Information

In order to better serve the needs of all grantees, we encourage you to fully participate in all webinars that are offered related to data collection and reporting, and to review the FAQs and other pertinent documents shared directly via email and posted at the Healthy Start EPIC website.  We also ask that you share this information, as appropriate, with all staff involved in any element of data reporting. If your question is still not answered, please send an email to the appropriate point of contact below, as well as copy your Project Officer.

  • Healthy Start data collection and client-level/aggregate-level reporting questions:  Contact the Healthy Start Data Mailbox at [email protected]


Reporting Monthly Aggregate-level Data

The Healthy Start Aggregate Data Reporting Template allows HRSA to collect aggregate-level information and report on key data components from all Healthy Start programs. Download and complete the template on a monthly basis. Refer to the corresponding Healthy Start Aggregate Template User Guide and Data Dictionary for instructions on how to complete the template, due dates, and where to send your data.


Reporting Monthly Client-level Data to the HSMED2

Beginning November 19th, 2020, Healthy Start program grantees will resume submitting client-level data as required by their grant awards. Client-level information is collected using the three Healthy Start Data Collection Forms and must be submitted monthly through the Healthy Start Monitoring and Evaluation Data System (HSMED2). The HSMED2 is now integrated with HRSA’s Electronic Handbooks (EHBs), and will be accessible using EHBs login information when the system goes live in November.

To successfully submit monthly client-level information, each grantee must create and upload Extensible Markup Language (XML) or Comma Separated Values (CSV) files containing client-level data collected during the month prior to reporting. The structure, sequence, values, and format of the data elements in the client-level data files must conform to the definitions specified in the XML/CSV reference materials. Once the client-level data files are uploaded, each grantee will use the HSMED2’s validation tool to ensure the uploaded files conform to the data schema and business rules outlined in the XML/CSV reference materials before finalizing their submission.

*Note: No CSV-to-XML conversion is required to submit client-level data; the HSMED2 will accept both XML and CSV data files.

XML-CSV Schema & Data Dictionary (2020) and XML-CSV Templates (2020) are zip files that contain the HSMED2 Healthy Start client-level data XML/CSV schema and related files. You will need to “unzip” the files using these instructions for Windows/PC or Mac.

HSMED2 Implementation Guides for each data collection form are linked below. General instructions for generating compliant files are included in the Background Form Implementation Guide.

Instruction and Background Form Implementation Guide (2020)

Prenatal Form Implementation Guide (2020)

Parent/Child Form Implementation Guide (2020)