North Carolina Infant Toddler Program 0 Strategies Statewide State Legislative request for funding...

North Carolina Infant Toddler Program

1

Strategies

Statewide State Legislative request for funding (for some areas of State)Revised IFSPIntensive Statewide Technical AssistanceDevelopment of Local Improvement Strategies (See handout)Development of Local QA ProcessQA Coordinator quarterly meetings


2

TABs


3

CHILD OUTCOMES

% Positive Social-Emotional Skills Data FY 2009

CDSA a b c d e Total

“A” 2% 23% 15% 28% 33% 100%

“B” 2% 15% 15% 21% 47% 100%

“C” 0% 14% 18% 35% 33% 100%

“D” 1% 8% 14% 38% 39% 100%

“E” 1% 14% 30% 40% 15% 100%

“F” 1% 45% 11% 15% 28% 100%

“G” 1% 28% 55% 15% 0% 100%

“H” 0% 30% 11% 31% 28% 100%

“I” 2% 10% 25% 38% 26% 100%

“J” 1% 13% 16% 27% 43% 100%

“K” 1% 26% 18% 31% 25% 100%

“L” 1% 9% 36% 47% 8% 100%

“M” 0% 18% 26% 32% 24% 100%

“N” 1% 27% 15% 33% 23% 100%

“O” 1% 12% 10% 27% 50% 100%

“P” 3% 21% 30% 31% 16% 100%

“Q” 0% 28% 31% 15% 26% 100%

“R” 2% 24% 19% 31% 24% 100%

NC Totals 1% 19% 21% 31% 28% 100%

NC Statewide Data: Review for Outliers

*Upon review of all outliers in each outcome area it was noticed that both CDSA “F” and CDSA “G” had consistent outliers in ALL three outcome areas.


5

CDSA “F”


6

CDSA “F” Comparison to State

Development Area a b c d e

Positive

CDSA “F” 1% 45% 11% 15% 28%

NC 1% 19% 21% 31% 28%

Acquiring

CDSA “F” 0% 42% 23% 30% 4%

NC 1% 18% 31% 41% 10%

Taking

CDSA “F” 1% 42% 11% 38% 8%

NC 1% 19% 23% 44% 14%


7

CDSA “F” comparison to State

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

CDSA "F" NC CDSA "F" NC CDSA "F" NC

Positive Acquiring Taking

a

b

c

d

e


8

CDSA “F” Drill Down

Looked at CDSA “F” county by countyEligibility Categories

a-e categories by outcome area

Actual entry and exit ratings for children


9

CDSA “F” Data Themes

Eligibility Category

Reviewed children by eligibility categoryFound low number for established conditions

Unable to conclude that high “b” percentages are in fact due to the type of children served


10



Reviewed the 8 counties in this catchment area Found one county that was significantly higher than the catchment area’s average in all three outcome areas.Exclusion of this county from the CDSA’s totals increase both SSI and SSII by 4-5%


11


Actual entry and exit ratings

At entry more children received ratings of 4 and 5 than all other ratings combined.

At exit, although making progress these children received a rating at or below the number received at entry.


12

CDSA “F” Next Steps

Discussions with management team

Look at how CDSA is coding Developmental Delay vs. Established Condition

Take a look at actual completed COSFs

Drill down further at the county level


13

CDSA “G”


14

CDSA “G” comparison to State

Development Area a b c d e

Positive

CDSA “G” 1% 28% 55% 15% 0%

NC 1% 19% 21% 31% 28%

Acquiring

CDSA “G” 1% 33% 62% 4% 0%

NC 1% 18% 31% 41% 10%

Taking

CDSA “G” 1% 29% 57% 13% 0%

NC 1% 19% 23% 44% 14%


15

CDSA “G” comparison to State

0%

10%

20%

30%

40%

50%

60%

70%

CDSA "G" NC CDSA "G" NC CDSA "G" NC

Positive Acquiring Taking

a

b

c

d

e


16

CDSA “G” Drill Down

Looked at CDSA “G” county by countyEligibility Categories


Actual ratings for children at entry


17

CDSA “G” Data Themes

Eligibility categoryReviewed children by eligibility category and concluded

80.14% of children are served under the DD category and 19.86% served under EC

Therefore, one would not expect all children to have a delay in ALL three outcome areas


18


a-e categories by outcome areas

Ratings and outcome areas looked consistent across the 10 counties.


19


Actual ratings at entry

At time of entry NO child received a rating of 6 or 7 in ANY of the outcome areas.


20

CDSA “G” Next Steps

Discussion with management team about usage of COSF

Look at some actual completed ratings

Analyze further the types of children served and begin to ask more questions such as

Higher % of children eligible for Part B when compared to the state?

Children made eligible by speech only? Clinical opinion?


21

North Carolina


22

NC next steps

Complete this type of quality check for each of the 18 CDSAs

Looking for both high and low outliers

Provide TA tailored to identified themes.CDSA specific

Regional

Statewide


23

Questions???

For additional information, refer to our website www.ncei.org

North Carolina Infant Toddler Program 0 Strategies Statewide State Legislative request for funding...

Documents

Transcript of North Carolina Infant Toddler Program 0 Strategies Statewide State Legislative request for funding...