november 10, 2010, 4:00 pm est
DESCRIPTION
Early Intervention Services in Natural Environments Indicators C-1, C-2 and C-7 Analysis and Summary Report of All States’ 2008-2009 Annual Performance Reports Joicey Hurth Lynda Pletcher and Betsy Ayankoya, (NECTAC). November 10, 2010, 4:00 PM EST. Webinar Focus. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/1.jpg)
Early Intervention Services in Natural Environments
Indicators C-1, C-2 and C-7
Analysis and Summary Report of All States’ 2008-2009
Annual Performance Reports
Joicey HurthLynda Pletcher
and Betsy Ayankoya, (NECTAC)
November 10, 2010, 4:00 PM EST
![Page 2: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/2.jpg)
Webinar Focus• National Trend Data for C-1, C-2
and C-7
• Continuing Challenges
• Improvement activities that are contributing to improved performance
• Implications for
– State administrators
– Personnel Preparation
– Local administrators and providers
![Page 3: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/3.jpg)
The analysis of data across Indicators C-1, C-2, and C-7 provides a national perspective on the extent to which early intervention services are:
• provided within timelines
• in natural environments.
![Page 4: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/4.jpg)
• Performance does not provide measures of the quality of services, but the extent to which these requirements of IDEA are being met.
• These analyses yield data on performance that is necessary but not sufficient to ensure quality
![Page 5: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/5.jpg)
NationalTrendData
![Page 6: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/6.jpg)
![Page 7: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/7.jpg)
![Page 8: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/8.jpg)
![Page 9: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/9.jpg)
![Page 10: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/10.jpg)
![Page 11: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/11.jpg)
![Page 12: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/12.jpg)
![Page 13: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/13.jpg)
![Page 14: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/14.jpg)
Challenges to Meeting Timelines
and Providing Services
in Natural Environments
![Page 15: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/15.jpg)
Personnel Shortages• Shortages of therapists
• Difficulties in recruitment due to a discrepancy in pay
• Many specialists do not have a pediatric background and are unfamiliar with the evidence base in early intervention.
• Shortages in developmental specialists
• Other personnel issues include: too few evaluators, finding interpreters, losing private providers due to decreased rates or slowdowns in billing and reimbursement, and staff turnover.
![Page 16: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/16.jpg)
Fiscal Barriers• Severe fiscal crisis impacting the States mandatory budget
cuts, state hiring freezes, furloughs or reduced hours
• Costs related to travel time and expense were barriers to providing services in natural environments.
• Inability to negotiate Medicaid reimbursements for children served outside of medical settings.
![Page 17: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/17.jpg)
Challenges in the IFSP Process
• Scheduling delays
• Communication challenges
• Coordination with other agencies
• Requirements for prior authorizations for services
![Page 18: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/18.jpg)
Challenges in Service Delivery
• Multiple providers acting separately
• Inadequate or no funding for “team-time”, the IFSP Meeting and training (especially private providers)
![Page 19: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/19.jpg)
Comprehensive and Targeted Improvement
Activities
![Page 20: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/20.jpg)
Continuous Monitoring and Review of Data
• Continuous focus on local performance on the timeline indicators (C-1 and C-7)
• Regular performance reports (quarterly, monthly or even weekly)
• Develop capacity at the regional or local level to regularly monitor their own performance
• Ongoing public reports
• Tied fiscal rewards and sanctions to timelines.
• Used monitoring information to target T&TA to specific programs and root causes
![Page 21: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/21.jpg)
Increase Personnel Capacity• Comprehensive multifaceted activities
• Secured additional funding and used ARRA funds for personnel
• Hire state staff cover areas with chronic shortages
• Use retired personnel or school or clinic-based personnel on off hours
• Special rates for therapist
• Increase travel allowances
![Page 22: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/22.jpg)
Redesigning Models of Service Deliveryto Improve Effectiveness and Efficiency
• 14 states reported working on changes to service delivery system
• Shift away discipline- specific multidisciplinary approaches to a more integrated approach
• Primary provider approach to extend the reach of scarce personnel
• Pilots, T&TA and a focus on evidence-based practice
![Page 23: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/23.jpg)
• Distance service delivery
• Improve efficiencies: screening, streamlining evaluation /assessment, revising IFSP forms and guidance
• Streamlining prior authorization and provider enrollment
Redesigning Models of Service Deliveryto Improve Effectiveness and Efficiency
![Page 24: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/24.jpg)
Implications for Policy Makers• Build capacity for continuous monitoring and reporting to
assure that causes of delays are identified and corrected quickly
• Improvement activities -data-based, comprehensive and long term to address the personnel shortages
• Monitor on quality measures as well as compliance and performance
• Investment in quality practice
![Page 25: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/25.jpg)
Implications for Personnel Preparation
• Lack of knowledge and experience with Infants and Toddlers
• Some states require inservice orientation training to become a qualified provider
• Preservice programs need to include competencies for infant and toddler services and share the professional association’s position statements on natural environments and inclusive settings
• http://www.nectac.org/topics/natenv/natenv_position.asp
(link available on webinar series page)
![Page 26: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/26.jpg)
Implications for Administrators and Providers
• Embrace the mission: Promote young children’s successful participation in family and community activities through supporting families’ and caregivers’ capacity to promote their children’s learning and development
• Include quality measures about effectiveness of services & the quality of IFSPs in on-going monitoring activities
• Use data for program improvement
![Page 27: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/27.jpg)
Full Reports Available On-linePart C
State Performance PlanAnnual Performance
Report2009 Indicator Analysis
FFY 2008-2009
http://leadershipmega-conf-reg.tadnet.org/ uploads/file_assets/attachments/460/original_Analysis_of_Part_C_Indicators_ FINAL080910.pdf?1283446411
(link available on webinar series page)
![Page 28: November 10, 2010, 4:00 PM EST](https://reader035.vdocument.in/reader035/viewer/2022062322/56814f98550346895dbd5535/html5/thumbnails/28.jpg)
Early Intervention Services in Natural Environments
Indicators C-1, C-2 and C-7
Thank you for participating.
Presentations from this series and their related resources are made available on the NECTAC website at:
http://www.nectac.org/~calls/2010/partcapr/partcapr.asp