Infant & Toddler Connection of Virginia

Results of FFY 2007Monitoring Indicators

For The Annual Performance Report &

State Performance Plan

2

Monitoring Indicator #1

Percent of infants & toddlers with IFSP’s who receive the early intervention services on their IFSP’s in a timely manner.Until June 30, 2008, timely initiation of services was defined as “within 21 calendar days from the date the IFSP is signed by the parent”Effective July 1, 2008, Virginia changed the definition of timely initiation of services to “within 30 calendar days from the date the IFSP is signed by the parent”

3

Indicator 1: Timely Initiation of Services

72

8189

100 100 100

0

20

40

60

80

100

120

November 1 2005 - June 30 2006 April 1 2007 - June 30 2007 April 1 2008 - June 30 2008

Monitoring Time Periods

Perc

enta

ge State Results

State Target

4

Indicator 1: Timely Initiation of Services by Service

86%

90%

93%

82%

84%

86%

88%

90%

92%

94%

November 1 2005 - June 302006

April 1 2007 - June 30 2007 April 1, 2008 - June 30, 2008

Monitoring Time Period

Perc

enta

ge State Results

5

6

Monitoring Indicator #2

Percent of infants & toddlers with IFSP’s who primarily receive early intervention services in the home or community settings.

(Primary Service Setting)

7

Indicator 2: Primary Service Setting

99

99.40

99

98.425 98.425 98.425

97.8

98

98.2

98.4

98.6

98.8

99

99.2

99.4

99.6

December 1 2005 December 1 2006 December 1 2007

Monitoring Date

Per

cent

age

State Results

State Target

8

Monitoring Indicator #3

Percent of infants and toddlers with IFSP’s who demonstrate improved:

Positive social-emotional skills (including social relationships);Acquisition and use of knowledge and skills (including early language/communication; andUse of appropriate behaviors to meet their needs.

9

Monitoring Indicator #4

Percent of families participating in Part C who report that early intervention services have helped the family:

Know their rights;Effectively communicate their children’s needs; andHelp their children develop and learn.

10

Indicator 4: Family OutcomesFamilies Participating in Part C Who Report That Early Intervention Services

Have Helped The Family:

67.20%

65.80% 66.10% 66.20%

64.70%

61.90% 62.30% 62.20%

77.50% 77.60% 77.50%78%

60.00%

65.00%

70.00%

75.00%

80.00%

2007 StateResults

2007 StateTarget

2008 StateResults

2008 StateTarget

A. Know Their Rights

B. Effectively CommunicateTheir Children's Needs

C. Help Their ChildrenDevelop and Learn

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Monitoring Indicator #5

% of infants & toddlers birth to 1 with IFSP’s compared to other States with similar eligibility definitions.

12

Indicator 5: Child Find 0-1

0.51 0.53

0.70

0.620.65

0.7

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

December 1 2005 December 1 2006 December 1 2007

Monitoring Time Frame

Perc

enta

ge State Results

State Target

13

Year to Year Comparison of Targets Achieved for Indicator 5: 0-1

0.58

0.58

0.51

0.53

0.7

0 0.2 0.4 0.6 0.8

1-Dec-03

1-Dec-04

1-Dec-05

December 12006

December 12007

Mo

nit

ori

ng

Tim

e P

erio

d

Percentage

Target Achieved

14

Monitoring Indicator #6

% of infants & toddlers birth to 3 with IFSP’s compared to other States with similar eligibility definitions.

15

Child Find 0-3

1.72 1.781.921.9

2.052.20

0

0.5

1

1.5

2

2.5

December 1 2005 December 1 2006 December 1 2007

Monitoring Date

Per

ecen

tage State Results

State Target

16

Comparison of Annual Results for Indicator 6: Child Find 0-3

2.19

1.71

1.4

1.4

1.79

1.72

1.78

1.92

0 0.5 1 1.5 2 2.5

December 1 2000

December 1 2001

December 1 2002

December 1, 2003

December 1, 2004

December 1, 2004

December 1 2006

December 1 2007

Per

cen

tag

e

Monitoring Date

ResultsAchieved

17

Monitoring Indicator #7

% of eligible infants & toddlers with IFSP’s for whom an evaluation & assessment & an initial IFSP meeting were conducted within Part C’s 45-day timeline.

18

Indicator #7: 45-Day Timeline

98

96

98

100 100 100

949596979899

100101

April 1 2006 - June 302006

April 1 2007 - June 302007

April 1 2008 - June 302008

Year

Perc

enta

ge

State Results State Target

19

Mitigating Circumstances For Not Meeting 45-day Timeline

12%

84%

4%0%

50%

38%

12%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Chi

ld/F

amily

Ill

Fam

ilyS

ched

ulin

gP

refe

renc

e

Tem

pora

rily

Lost

Con

tact

Sev

ere

Wea

ther

/Nat

ural

Dis

aste

r

Pro

vide

rU

nava

ilabi

lity

Fost

er/S

urro

gate

Par

ent I

ssue O

ther

Mitigating Circumstances

Per

cent

age

2008

20

Monitoring Indicator #8

% of all children exiting Part C who received timely transition planning to support the child’s transition to preschool & other appropriate community services by their 3rd birthday including:

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Monitoring Indicator #8 (cont.)

(a) IFSPs’ with transition steps & services;(b) Notification to the Local Education Agency (LEA), if child is potentially eligible for Part B;(c)Transition conference, if child potentially eligible for Part B.

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Indicator 8A: Transition Steps and Services

86

96

99100 100 100

75

80

85

90

95

100

105

1/1/06 - 9/30/06 4/1/07 - 9/30/07 4/1/08 - 9/30/08

Monitoring Period

Per

cent

age

State Results

State Target

23

Indicator 8: Transition B. Notification to the Local Education Authority

89

93

100100 100 100

828486889092949698

100102

1/1/06 - 9/30/06 4/1/07-9/30/07 4/1/08 - 9/30/08

Monitoring Period

Perc

enta

ge State Results

State Target

24

Indicator 8: Transition C. Transition Conference

87

9596

100 100 100

80

85

90

95

100

105

1/1/06-9/30/06 4/1/07 - 9/30/07 4/1/08 - 9/30/08

Monitoring Period

Per

cent

age

State Results State Target

25

Justifications Why Transition Conference Did Not Occur in Timely Manner: 2008

5%

66%

29%

37%

21%

42%

0%

10%

20%

30%

40%

50%

60%

70%C

hild

/Fam

ilyIll

Fam

ilySc

hedu

ling

Pref

eren

ce

Late

Ref

erra

lTo

Par

t C

LEA

Sche

dulin

gD

iffic

ultie

s

SC/P

art C

Rep

Sche

dulin

gD

iffic

ultie

s

No

Rea

son

Doc

umen

ted

Justifications

Perc

enta

ge

Justification

26

State Reported Data: Indicator 14 Timely and Accurate Data

83

87

100

100

100

100

0 20 40 60 80 100 120

7/1/06 -6/30/06

7/1/06 -6/30/07

7/1/07 -6/60/08

Yea

r

Percentage

State Target

State Results

Proposed Changes in State Targets

28

Indicator 2: Percent of infants and toddlers with IFSPs who primarily receive early intervention services in the home or programs for typically developing children

Performance to Date: 99% in FFY 2005, FFY 2006, FFY 2007 Proposed Changes to State Targets: Indicator 2 Primary Service Setting

98.425 98.425 98.425

98 98 98

97.7

97.8

97.9

98

98.1

98.2

98.3

98.4

98.5

FFY 08 FFY 09 FFY 2010

Year

Perc

en

tag

e

Targets Identif ied in SPP

Proposed New Targets

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Indicator 6: Percent of infants and toddlers, birth to three, served in Part C

Performance to Date: 1.79%, 1.72%, 1.78%, 1.92% (in FFY 2004 to FFY 2007, respectively)

Proposed Changes to State Targets: Indicator 6 Child Find 0-3

2.452.7

3

2.12.3

2.6

0

0.5

1

1.5

2

2.5

3

3.5

FFY 08 FFY 09 FFY 2010

Year

Percen

tag

e

Targets Identified in SPP

Proposed New Targets

Improvement Activities

31

Indicator 1: Percent of infants and toddlers with IFSPs who receive the early intervention services on their IFSPs in a timely manner

Performance to Date: 72%, 72%, 81%, 89% (FFY 2004 to FFY 2007, respectively)

Required Target: 100%

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Improvement ActivitiesTA and follow-up to local corrective action plans Explore, implement new strategies for recruiting and retaining personnelImplement revised family cost share practicesAdd data elements to ITOTS Collaborate with DMAS to move reimbursement for Part C under EPSDT Finalize the Part C Practice ManualImplement Virginia’s Part C Service Pathway statewide

Address evidence-based practice related to service delivery in new training requirements associated with the EI certification processImplement Part C practitioner database Finalize and implement the revised allocation methodology for disseminating federal and State Part C funds to local systemsInclude Virginia’s definition of “timely” in State Part C regulationsRevise the State Interagency Agreement for Part C

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Questions?