the road to implementation where are we?. the road to implementation march 31, 204…small groups to...
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The Road To Implementation
March 31, 204…Small Groups to address:• Communication Plan (Melissa)
– EA CSPD Vision, mission, roles/responsibilities– Internal & external communication plans
• Data Needed (Cindy)– Frequency & intensity of home visits
• Barriers (Cindy)– Historical practices of 1 visit per month
Draft Vision of Iowa’s CSPD for Early ACCESS
From Early Childhood Iowa (ECI):
Every child, beginning at birth, will be healthy and successful.
Draft Mission of Iowa’s CSPD for Early ACCESS
Adapted from ECPC:
Iowa's CSPD for Early ACCESS will be a well-communicated system of integrated professional development supports for early interventionists across disciplines who directly impact infants and toddlers with diverse abilities and their families.
Draft Roles/Responsibilities of the DMM State-Level Implementation Team
1. Increasing “buy-in” and readiness,2. Installing and sustaining the implementation
infrastructure,3. Assessing fidelity and outcomes,4. Building linkages with external systems,
Draft Roles/Responsibilities of the DMM State-Level Implementation Team
5. Problem-solving and sustainability, 6. Supporting the work of the Regional Implementation
Teams,7. Engaging the community, and 8. Actively creating hospitable environments
(scheduling, resources, PD resource allocation, etc).
Tout, K., Metz, A., & Bartley, L. (2013). Considering statewide professional development systems. In T. Halle, A. Metz, & Martinez-Beck, I. (Eds.) Applying Implementation Science in Early Childhood Programs and Systems, 269-294. Baltimore, MD: Paul H. Brookes Publishing Co., Inc.AI Hub, Module 3: Implementation Teams http://implementation.fpg.unc.edu/module-3
Early Intervention Services (EIS)AR = Autism Resources OM =Orientation& MobilityAT = Assistive Technology OT = Occupational TherapyAU = Audiology Services PT = Physical TherapyDI = Deaf/hard of hearing Instruct PY = Psychological ServicesFT = Family Training/Counseling SC = Service CoordinationHS = Health Services SI = Special InstructionIN = Sign/Cued Language SS = Speech-Language MS = Medical Eval SW = Social WorkNR = Nursing Services TR = Transportation ServicesNU= Nutrition Services VI = Vision Instruction
VS = Vision Services
Early Intervention Services Data
A look at “dosage” or quantity or amount of service.
Frequency: How often the intervention is delivered (times per week, month, year).
Intensity: The “strength” of the intervention or how many minutes of the intervention delivered within a session.
Early Intervention Services Data
Statistics used for today:
Number (N): The number of children
Mean: The average minutes of intensity or minutes intervention is delivered within a session.
Median: The middle number of minutes in the range.Ex: 3, 5, 7, 12, 13, 14, 21, 23, 23, 23, 23, 29, 39, 40, 56
Sum: Total minutes of Services
Early Intervention Services DataData are for services between 7/1/13 and 5/29/14
Limitations:
• Data for current services being received
• Verification needed
Early Intervention Services DataData are for services between 7/1/13 and 5/29/14
How many children are receiving each service?
• No Assistive Technology Devices (AT)
• No Medical Services to Determine Eligibility (MS)
• No Transportation Services (TR)
Early Intervention Services DataData are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
200
400
600
800
1,000
1,200
1,400
1,600
1,800
N-All Services
SC DI FT OT PT SI SS
Nu
mb
er
of
Ch
ildre
n
Data are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
200
400
600
800
1,000
1,200
1,400
1,600
1,800
N-SC
Nu
mb
er
of
Ch
ildre
n
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
5,517 298
527
391
538
744
1,655
473
430
461
Data are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
100
200
300
400
500
N-SS
Nu
mb
er
of
Ch
ildre
n
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
2125 112 231 186 179 373 464 109 276 195
Early Intervention Services DataData are for services between 7/1/13 and 5/29/14
How much of a service are children/families receiving?
•Frequency is reported by monthly amount
•Intensity is reported by minutes
•Data are for # minutes/month in each AEA
Early Intervention Services Minutes/MonthData are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
20,000
40,000
60,000
80,000
100,000
120,000
140,000
Sum-All Services
SC DI FT OT PT SI SS
To
tal M
inu
tes
Minutes per 6 MONTHS
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
621,325 22,890 99,660 36,940 48,105 68,830 94,580 59,200 138,700 52,420
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000Sum-SC
To
tal M
inu
tes
Minutes per MONTH
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
66,311 3,495 8,730 5,530 6,140 11,033 14,808 4,991 6,425 5,160
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
Sum-PT
To
tal M
inu
tes
Early Intervention Services Data
Statistics used for today:
Number (N): The number of children
Mean: The average minutes of intensity or minutes intervention is delivered within a session.
Median: The middle number of minutes in the range.Ex: 3, 5, 7, 12, 13, 14, 21, 23, 23, 23, 23, 29, 39, 40, 56
Sum: Total minutes of Services
Mean of Minutes of EI ServicesData are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
50
100
150
200
250
300
350Mean-All Services
SC DI FT OT PT SI SS
Min
ute
s p
er
Mo
nth
Median of Minutes of EI ServicesData are for services between 7/1/13 and 5/29/14
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
50
100
150
200
250
300
350
400
Median-All Services
SC DI FT OT PT SI SS
Min
ute
s p
er
Mo
nth
Median Minutes per 6 MONTHS
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
90 90 150 90 90 90 45 90 360 120
A=112.6 76.8 189.1 94.5 89.4 92.5 57.1 125.2 322.6 113.7
N=5517 298 527 391 538 744 1655 473 430 461
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
50
100
150
200
250
300
350
400
Median-SC
Min
ute
s p
er
Mo
nth
Minutes per MONTH
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
23 120 195 45 0 195 20 15 0 15
M=33.6 185.1 195.0 40.9 0.0 195.0 24.3 24.1 0.0 15.0
N=785 39 2 19 0 2 707 15 0 1
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
50
100
150
200
250
Median-FT
Min
ute
s p
er
Mo
nth
Minutes per MONTH
State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15
60 60 60 45 40 60 60 45 90 60
M=64.8 54.0 80.5 57.1 41.7 66.0 65.6 53.9 81.1 60.2
N=2125 112 231 186 179 373 464 109 276 195
AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150
10
20
30
40
50
60
70
80
90
100
Median-SS
Min
ute
s p
er
Mo
nth
Early Intervention Services Data
Getting Familiar With The Data 3Means and Medians of EI Services
There are 43,829.08 minutes in a month.A newborn sleeps on average of 16 hours per day and
is awake for 8 hours (480 minutes) a day OR 14,600 minutes per month.
A 1-3 year old needs 12-14 hours of sleep a day and is awake 10-12 hours (600-720 minutes) a day OR
18,250-21,900 minutes per month.