Illinoiss nnuaal An
Peerforrmance Plaan Repo
ort Pe
eriod: : Repo
ort Pe
eriod:
Ju
uly 1, 9– Jun
0, 201
10 ne 30
Ju
uly 1, 2009
2009
9– June 30
0, 201
Illinoiss Departm
ment of H
Human Se
ervices Divisio
on of Com
mmunity Health &
& Preventtion Bureau of Earlyy Interven
ntion Illinois D
Departme
ent of Hu
uman Serrvices Division
n of Comm
munity Health & P
Preventio
on Bureau of Early IInterventtion ILLINOIS ANNUAL PERFORMANCE REPORT
TABLE OF CONTENTS
Indicator 1 - Early Intervention Services - Received in A Timely Manner ..................................................1
Indicator 2 - Early Intervention Services - Provided Predominately in Home or in Community Settings .11
Indicator 3 - Child Outcomes ...................................................................................................................16
Indicator 4 - Family Outcomes .................................................................................................................30
Indicator 5 - Participation in Early Intervention For Children Under The Age Of One ..............................40
Indicator 6 - Participation in Early Intervention for Children Under the Age of Three ..............................46
Indicator 7 - IFSPs Initiated within 45 Days of Referral ...........................................................................51
Indicator 8 - Transition .............................................................................................................................56
Indicator 9 - Correction of Noncompliance within One Year ....................................................................64
Indicator 10 - Signed Written Complaints Resolved within 60 Days ........................................................71
Indicator 11 - Due Process Hearings Fully Adjudicated within Applicable Timeline ................................73
Indicator 12 - Hearing Requests Resolved through Resolution Session Settlement Agreements ...........75
Indicator 13 - Mediations Resulting in Mediation Agreements .................................................................77
Indicator 14 - Timeliness and Accuracy of Illinois Data ...........................................................................79
Attachment A – Indicator C-9 Worksheet
Attachment B – Indicator 14 Rubric
Attachment C – Family Outcomes Survey
Attachment D - Table 4, Report of Dispute Resolution Under Part C IDEA
APR Template – Part C (4)
Illinois
State
Overview of the Annual Performance Report Development:
The Illinois Annual Performance Report (APR) documents performance data on State targets for
each Child and Family Connections (CFC) office and state progress or slippage toward
measurable and rigorous targets. The Illinois Early Intervention (EI) Program makes the Illinois
APR and State Performance Plan (SPP) available on its web site and through links from the
other EI web sites (the Illinois Early Intervention Training Program; Provider Connections, the
Early Intervention credentialing/enrollment office; and the Early Intervention Clearinghouse).
The APR and SPP documents are also available to the public at each of the 25 CFC offices. A
Workgroup of the Illinois Interagency Council on Early Intervention (IICEI) reviewed the APR
and met to discuss the indicators, with an emphasis on proposed target values and
improvement activities. The APR was presented to the IICEI for review and comment prior to its
submission. In addition CFC managers were given the opportunity to review the draft document
and provide input. Both CFC managers and the IICEI reviewed the changes to the SPP, which
include annual targets and improvement activities for each year through FFY2012/SFY2013
(July 1, 2012 through June 20, 2013).
The APR is part of an ongoing process of performance measurement and strategic planning for
the Illinois Early Intervention Program. For a number of years, Illinois has been reporting
performance data to key stakeholders including the IICEI, the CFC offices, and the general
public through various reporting mechanisms. The IICEI receives a data report at each of its
meetings. Reports are also provided to IICEI Workgroups. Illinois utilizes a central client
tracking system, Cornerstone. No activity can take place without a case being active in
Cornerstone. Both CFC office and Department staff can pull reports to track client data. Over
time the Cornerstone system has become antiquated and its functionality is limited.
Improvement activities are restricted to those that can be implemented within the capacities of
the current system.
Since January 2002, the program has also utilized a standardized monthly reporting system on
a series of performance measures. Since the beginning of SFY 03 (July 1, 2002), Illinois has
operated a performance contracting system for CFC offices, based on some of the more
important measures found in the monthly statistical reports. These performance measures are
also used to identify findings of noncompliance with specific indicators and as part of the
process to designate determinations. Other reports to CFC offices include caseload summary
and 45 days in intake reports and one that monitors data integrity for the service delay
database. These reports allow CFC managers to review service coordinator and child-specific
data. Monthly, statewide data on the 32 performance measures are posted on the program’s
website and include comparison data with the previous month, previous fiscal years’ averages,
and data from the same month in the two previous years.
Illinois has greatly improved its documentation of findings and correction of noncompliance. In
FFY06/SFY07, it expanded the process to utilize its data system. A system of identification and
correction of noncompliance was developed, but not fully implemented until FFY07/SFY08, due
to delays in sending notification of findings to CFC offices. Findings based on FFY06/SFY07
were sent in February 2008. Findings based on FFY07/SFY08 data were sent in December
2008. Illinois is now on track to provide timely notification and to monitor and document
correction of noncompliance. On August 27, 2009, the Bureau sent a single letter to each CFC
office that included the CFC office’s determination (in accordance with 616(a)(1)(C)(i) and
300.600(a) of IDEA 2004) and the notification of findings of noncompliance, based upon
FFY08/SFY09data. On September 10, 2010, the Bureau sent a single letter to CFC offices
with determinations and notification of findings based upon FFY09/SFY10 data. Illinois has had
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 1
APR Template – Part C (4)
Illinois
State
in place a system to document the correction of each individual case of noncompliance. It has
now added “prong 2,” ensuring that CFC offices have correctly implemented the specific
regulatory requirement, as defined in OSEP Timely Correction Memo 09-02. A new system of
notification of findings and correction of noncompliance is being implemented that will assist the
lead agency and the CFC offices in tracking performance and providing adequate notification
when a correction has taken place.
Workgroups of the IICEI have been formed to address specific indicators (Service Delay
Workgroup) and overall operation issues (Finance Workgroup). The IICEI and these
Workgroups help analyze data and suggest improvement strategies.
The Finance Workgroup keeps informed on financial issues for Early Intervention and identifies
strategies that could help impact them. Workgroup members review the status of payment
delays, budget updates, applicable legislation, and operation of the Central Billing Office,
including the implementation of a new insurance billing unit.
The Service Delay Workgroup was formed to support improvement activities for Indicator 1.
Initial discussions focused on CFC offices #1 and #3, with suggestions based on local dynamics
of that area. The Workgroup has developed recommendations that would support an integrated
services approach, which emphasizes collaboration among IFSP team members.
Representatives from professional associations were added to the Workgroup to involve them in
this dialogue. CFC offices #1 and #6 are currently piloting this option. The Workgroup has also
discussed provider recruitment strategies, including strategies for posting unmet service needs.
In addition, the Bureau has convened an Outcomes Workgroup to review strategies and
outcome data for child and family outcomes (Indicators 3 and 4) and make recommendations
regarding improvement activities, timelines and setting target values for child and family
outcomes. Membership of the advisory group include several IICEI members, including parent
representatives, CFC office managers, Early Intervention providers, including representation
across professional disciplines, and research and training staff.
House Joint Resolution (HJR) 50 created the Illinois Part C Early Intervention Taskforce in
response to an identified need for a comprehensive and thorough review of the Part C Early
Intervention Program. The intent of HJR 50 was for the EI Taskforce to make recommendations
and action plans to address issues related to workforce, financing, monitoring and evaluation,
service delivery, and transitions. HJR 50 required that the Taskforce issue a report with its
recommendations to the Governor and the General Assembly by July 1, 2010. The Taskforce
was comprised of a broad-based group of individuals, including parents of infants and toddlers
who are or have participated in the Part C EI Program; advocates who focus on early childhood
and early intervention; early intervention, educational and healthcare professionals; and state
agency personnel working in early childhood, early intervention, mental health and healthcare
programs. Each EI Taskforce recommendation has been reviewed and initial steps have been
taken for the implementation of recommendations within existing resources. The EI Taskforce
report can be found at http://www.dhs.state.il.us/page.aspx?item=50753.
During FFY08/SFY09, the Early Intervention program initiated the Program Integrity Project to
accomplish statewide program equality; fidelity to program principles and state and federal laws;
and long-term program stability. The project will result in long-term changes to the system that
will be beneficial for infants and toddlers enrolled in the Early Intervention Program and their
families, while ensuring that Illinois remains a responsible steward of the funding available for
these services.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 2
APR Template – Part C (4)
Illinois
State
•
The EI Bureau has been sharing a range of data analyses with the IICEI, its Finance and
Service Delay Workgroups, and CFC office managers. Three pilot projects are underway
to identify and test approaches to promote program integrity. The pilots involve the
collection and analysis of data. A plan of training and technical assistance is then
developed and implemented to ensure that program principles and procedures regarding
eligibility determination and service plan development are being appropriately followed.
Lessons learned through these pilots are shared with all CFC managers at monthly CFC
managers’ meetings.
•
A study has been completed and recommendations received on October 1, 2009 regarding
an optimal service coordination model for the Illinois Early Intervention Program. Existing
data were considered, six focus groups were held, time studies were completed, individual
interviews with national experts were conducted, and recommendations were made based
upon best practice research. These recommendations are currently being considered.
•
On February 15, 2010, a system ombudsman position was added to the Illinois EI Training
Program. The system ombudsman supports the Department’s Program Integrity Project to
accomplish statewide program equality, fidelity to program principles and state and federal
laws, and long-term program stability. Activities include: data analysis, coordination of
focused monitoring activities, development of strategies to promote compliance with
program principles and procedures, report writing, and development and implementation of
training strategies. The system ombudsman has supported the Program Integrity Project
pilots through data analysis; training and support plan development and implementation,
and the transfer of strategies from the pilot sites to other CFC areas. In addition, the
system ombudsman has visited CFC offices, provided resources to people in the field,
reviewed data, identifying areas for clarification or training, and researched what is going
on nationally, with the goals to improve program practices and communication between
system entities. Strategies for reaching out to other stakeholders (i.e., providers and
families) are being explored, including collecting and analyzing existing data.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 3
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Monitoring Priority: Early Intervention Services In Natural Environments
Indicator 1: Percent of infants and toddlers with IFSPs who receive the early intervention
services on their IFSPs in a timely manner.
(20 U.S.C. 1416(a)(3)(A) and 1442)
Measurement:
Percent = [(# of infants and toddlers with IFSPs who receive the early intervention services
on their IFSPs in a timely manner) divided by the (total # of infants and toddlers with
IFSPs)] times 100.
Account for untimely receipt of services.
FFY
FFY09/SFY10
Measurable and Rigorous Target
100 percent of infants and toddlers with IFSPs will receive the early intervention
services on their IFSP within 30 days.
Actual Target Data for FFY09/SFY10:
Indicator 1
[# of infants and toddlers with IFSPs who receive the early intervention services on their IFSPs in a
timely manner/(total number infants and toddlers with IFSP – IFSPs delayed for family reasons)]
X 100
FFY09/SFY10: (18,387-1,111)/18,387 x 100 = 93.96%
FFY09/SFY10 Target = 100%
The month of April data from the service delay reporting system is used for this report. A delay
is identified whenever a child waits more than 30 days to receive Early Intervention services on
his/her IFSP. Experience shows that service delay varies seasonally. It is low in the first seven
or eight months of the federal/state fiscal year then grows in sync with the annual spring jump in
the caseload. April has been selected as a representative time period, as it is in the middle of
the normal caseload rebound period. While delays are reported here with family delays
removed from the calculations, the program generally treats all delays as problems that need to
be looked into and addressed.
The table below shows performance for the state and for each of the state’s 25 CFC offices in
April 2010, followed by statewide performance. It calculates performance both including and
excluding delays for family reasons. Statewide, 93.96% of children with IFSPs were
experiencing no delays at the end April 2010, excluding family delays. Fifteen CFC offices had
95% or more of their cases with no delays with three of these CFC offices showing no delays.
Six CFC offices had between 90% and 95% of their open cases with no delays. Four CFC
offices had fewer than 90 % of their open cases with no delays.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 4
APR Template – Part C (4)
Illinois
State
Service Delays - All Cases Open in April 2010
Calculated Including & Excluding Family Delays
No Delay Excluding Family Delays: (18,387-1,111)/18,387 = 93.96%
No Delay Including Family Delays: 17,276/18,530 = 93.23%
April 2010
CFC # & Area
#1 - LOVES PARK
#2 - Lake County
#3 - FREEPORT
#4 - Kane & Kendall Counties
#5 - Du Page County
#6 - N. Suburbs
#7 - W. Suburbs
#8 - SW Chicago
#9 - Central Chicago
#10 - SE Chicago
#11 - N. Chicago
#12 - S. Suburbs
#13 - MONMOUTH
#14 - PEORIA
#15 - Joliet
#16 - DANVILLE
#17 - QUINCY
#18 - SPRINGFIELD
#19 - DECATUR
#20 - EFFINGHAM
#21 - BELLEVILLE
#22 - CENTRALIA
#23 - NORRIS CITY
#24 - CARBONDALE
#25 - McHenry County
State
Cook County
Collar Counties
Downstate
IFSPs
600
804
350
836
1,193
1,607
1,028
802
1,110
804
2,280
1,057
357
490
1,374
670
215
358
404
396
676
357
209
157
396
600
804
350
836
Family
Delays
0
23
0
4
3
3
14
9
0
13
52
5
0
0
6
1
0
0
0
0
0
0
0
0
10
0
23
0
4
8,614
4,754
5,515
8,614
112
78
5
112
Net
IFSPs
600
781
350
832
1,190
1,604
1,014
793
1,110
791
2,228
1,052
357
490
1,368
669
215
358
404
396
676
357
209
157
386
600
781
350
832
System
Delays
117
32
72
42
6
15
52
64
132
72
202
32
4
36
123
33
0
5
12
11
0
0
33
2
14
117
32
72
42
No
Delays
483
749
278
790
1,184
1,589
962
729
978
719
2,026
1,020
353
454
1,245
636
215
353
392
385
676
357
176
155
372
483
749
278
790
No
Delays
80.5%
93.2%
79.4%
94.5%
99.2%
98.9%
93.6%
90.9%
88.1%
89.4%
88.9%
96.5%
98.9%
92.7%
90.6%
94.9%
100.0%
98.6%
97.0%
97.2%
100.0%
100.0%
84.2%
98.7%
93.9%
93.23%
92.35%
94.29%
93.78%
No
System
Delays
80.5%
95.9%
79.4%
95.0%
99.5%
99.1%
94.9%
91.9%
88.1%
90.9%
90.9%
97.0%
98.9%
92.7%
91.0%
95.1%
100.0%
98.6%
97.0%
97.2%
100.0%
100.0%
84.2%
98.7%
96.4%
93.96%
93.38%
95.24%
93.80%
406
370
283
406
8,096
4,306
5,227
8,096
93.36%
93.99%
90.58%
94.78%
94.33%
95.22%
92.09%
94.86%
April 2009
State
Cook County
Collar Counties
Downstate
8,502
4,676
5,510
8,502
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress or Slippage for Indicator 1: Overall, the percentage of children who receive early
intervention services on their IFSPs in a timely manner, excluding delays for family reasons,
dropped from 94.33% in FFY08/FSY09 to 93.96% in FFY09/SFY10.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 5
APR Template – Part C (4)
Illinois
State
In FFY09/SFY10, 15 CFC offices had more than 95% of open cases with no delays, which is the
one fewer than in FFY08/SFY09. The number of CFC offices with open cases with no delays
increased from 2 to 3 over the same time periods. When looking at regions of the state, a
decrease was seen in Cook County CFC office areas (from 95.22% to 93.38%) and in
downstate CFC office areas (from 94.86% to 93.80%). An improvement was seen in the Collar
Counties CFC office areas (from 92.09% to 95.24%). Service delays continue to be a chronic
problem in northern Illinois (CFC #1 and CFC #3), although CFC #9 (central Chicago) and CFC
#23 (southern counties) are also represented in the four CFC areas with less than 90% of open
cases with no delays.
Service delays are impacted by a number of factors:
•
Payment delays;
•
Low reimbursement rates, when compared to other systems of care;
•
Lack of providers willing to provide services in natural environments;
•
Lack of coverage in sparsely populated rural areas and in urban areas with high crime
rates; and
•
Competitive environments for limited number of available providers, particularly in urban
areas where multiple job opportunities are available.
Illinois’ financial situation has resulted in delays in payments to Early Intervention service
providers. This situation worsened in FFY09/SFY10 and resulted in a more statewide problem
with recruitment and retention of active service providers in the system. Although service delay
data show a slight decrease, this does not mean that CFC offices have not had to address
increasing challenges related to provision of specific services or coverage in particular
geographic areas. It also does not reflect the increased financial burden on the EI provider
community. While new providers continue to enter the system, current providers may decide to
modify their practice to limit the number or eliminate services they provide to EI enrolled
children.
Improvement Activities Completed:
Improvement Activity
In FFY09/SFY10, expand Program Integrity
Pilot to include three additional targeted CFC
areas.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Status/Timeline/Resource
In FFY09/SFY10, two pilot projects have been
added to the initial pilot of the Program
Integrity Project to identify and test
approaches to promote program integrity. The
pilots involve the collection and analysis of
data. A plan of training and technical
assistance is then developed and
implemented to ensure that program principles
and procedures regarding eligibility
determination and service plan development
are being appropriately followed. Lessons
learned through these pilots are shared with all
CFC managers at monthly CFC managers’
meetings. Plans are underway for a fourth
pilot site.
Monitoring Priority – Page 6
APR Template – Part C (4)
Illinois
State
Effective February 15, 2010, a system
ombudsman position will be added to the Early
Intervention Training Program to support the
Program Integrity Project.
On February 15, 2010, a system ombudsman
position was added to the Early Intervention
Training Program. The system ombudsman
supports the Department’s Program Integrity
Project to accomplish statewide program
equality, fidelity to program principles and
state and federal laws, and long-term program
stability. Activities include: data analysis,
coordination of focused monitoring activities,
development of strategies to promote
compliance with program principles and
procedures, report writing, and development
and implementation of training strategies. The
system ombudsman has supported the
Program Integrity Project pilots through data
analysis; training and support plan
development and implementation, and the
transfer of strategies from the pilot sites to
other CFC areas. In addition, the system
ombudsman has visited CFC offices, provided
resources to people in the field, reviewed data,
identifying areas for clarification or training,
and researched what is going on nationally,
with the goals to improve program practices
and communication between system entities.
Strategies for reaching out to other
stakeholders (i.e., providers and families) are
being explored, including collecting and
analyzing existing data.
In FFY09/SFY10, the program will work with
the IICEI and its Service Delay Workgroup to
finalize recommendations regarding an
Integrated Team Approach and pilot this
strategy in a target area.
In FFY09/SFY10 the Service Delay
Workgroup, presented to the IICEI
recommendations that would support an
integrated services approach, which
emphasizes collaboration among IFSP team
members. CFC offices #1 and #6 are
currently piloting this option. The Workgroup
has also discussed provider recruitment
strategies, including strategies for posting
unmet service needs.
Another improvement activity includes the following:
•
Beginning in FFY09/SFY10, CFC offices began receiving a monthly report to monitor data
integrity for the service delay database. This report provides the names of children who
have been removed from the CFC office’s service delay list, without a resolution being
documented in the CFC office’s service delay monthly report. The CFC office then
corrects these data errors.
Illinois has greatly improved its documentation of findings and correction of noncompliance. In
FFY06/SFY07, it expanded the process to utilize its data system. A system of identification and
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 7
APR Template – Part C (4)
Illinois
State
correction of noncompliance was developed, but not fully implemented until FFY07/SFY08, due
to delays in sending notification of findings to CFC offices. Findings based on FFY06/SFY07
were sent in February 2008. Findings based on FFY07/SFY08 data were sent on December
2008. Illinois is now on track to provide timely notification and to monitor and document
correction of noncompliance. On August 27, 2009, the Bureau sent a single letter to each CFC
office that included the CFC office’s determination (in accordance with 616(a)(1)(C)(i) and
300.600(a) of IDEA 2004) and the notification of findings of noncompliance, based upon
FFY08/SFY09data. On September 10, 2010, the Bureau sent a single letter to CFC offices
with determinations and notification of finding based upon FFY09/SFY10 data.
Correction of FFY 2008 Findings of Noncompliance (if State reported less than 100%
compliance):
Level of compliance (actual target data) State reported for FFY 2008 for this indicator: 94.33%
1.
Number of findings of noncompliance the State made during FFY 2008 (the
period from July 1, 2008, through June 30, 2009)
21
2.
Number of FFY 2008 findings the State verified as timely corrected (verified
as corrected within one year from the date of notification to the EIS program
of the finding)
1
3.
Number of FFY 2008 findings not verified as corrected within one year [(1)
minus (2)]
Correction of FFY 2008 Findings of Noncompliance Not Timely Corrected (corrected
more than one year from identification of the noncompliance) and/or Not Corrected:
1. Number of FFY 2008 findings not timely corrected (same as the number
from (3) above)
2.
Number of FFY 2008 findings the State has verified as corrected beyond the
one-year timeline (“subsequent correction”)
3.
Number of FFY 2008 findings not verified as corrected [(4) minus (5)]
20
20
0
20
Actions Taken if Noncompliance Not Corrected: Data are reported to each CFC office for
all children exiting Part C who did not receive timely services, based upon 12-month data.
Corrective action plans to address noncompliance policies, procedures, and practices are
required to be written and implemented for any finding of non-compliance. Service delays are
considered in setting determination scorecards if an agency fails to submit a credible corrective
action plan for addressing service delays, fails to make adequate progress, or fails to implement
major features of the plan.
Verification of Correction of FFY 2008 noncompliance or FFY 2008 findings (either timely
or subsequent): Verification of correction of noncompliance is outlined below.
Describe the specific actions that the State took to verify the correction of findings of
noncompliance identified in FFY 2008: For correction of noncompliance, this APR looks at
findings identified using FFY07/SFY08 data and adds “prong 2,” ensuring that CFC offices have
correctly implemented the specific regulatory requirement, as defined in OSEP Timely
Correction Memo 09-02. Child-specific data were accessed through the Service Delay
Reporting system, the Cornerstone system, and file reviews. In all 21 findings of
noncompliance it was determined that the CFC has corrected each individual case of
noncompliance. Noncompliance was resolved for reasons that include the following: data error,
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 8
APR Template – Part C (4)
Illinois
State
service provided, family declined service, and child no longer in the system. Illinois has
identified that a CFC office had implemented the regulatory requirement for service delays using
monthly statistical reports and documenting three consecutive months during which the CFC
office has no service delays. In FFY08/SFY09, there were 21 findings, with one finding
identified as corrected, leaving 20 findings uncorrected. In FFY09/SFY10, three new findings
were identified. A new system of notification of findings and correction of noncompliance is
being implemented that will assist the lead agency and the CFC offices in tracking performance
and providing adequate notification when a correction has taken place
No FFY06/SFY07 or FFY07/SFY08 findings remain uncorrected.
Additional Information Required by the OSEP APR Response Table for this Indicator:
Statement from the Response Table
If the State does not report 100% compliance
in the FFY2009 APR, the state must review it’s
improvement activities and revise them, if
necessary.
State’s Response
See the following new improvement activities.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
FFY
2011
(2011-2012)
2012
(2012-2013)
Measurable and Rigorous Target
100 percent of infants and toddlers with IFSPs will receive the early intervention
services on their IFSP within 30 days.
100 percent of infants and toddlers with IFSPs will receive the early intervention
services on their IFSP within 30 days.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activity
Illinois will use a full 12 months of data for
the identification of findings for Indicator 1.
Timelines & Resources
This will be implemented in FFY10/SFY11 as
part of the finding notification process and will
continue as an ongoing strategy.
Resources include the Bureaus of Early
Intervention and Performance Support Services.
The EI Monitoring Program will increase the
number of service coordinators it interviews
as part of the on-site monitoring process for
CFC offices and will enhance interview
questions to capture additional information
about the IFSP decision –making process.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
These changes will be developed and
implemented as part of the FFY10 SFY11 CFC
monitoring process.
Resources include the EI Monitoring Program
and the Bureau of Early Intervention.
Monitoring Priority – Page 9
APR Template – Part C (4)
Illinois
State
The Bureau and its contractors that provide
training, credentialing, monitoring, resource
materials and billing/claims services will
coordinate their efforts to work with
professional associations and others that
support the EI Program.
This will be an ongoing effort through
FFY12/SFY13. In FFY10/SFY11, initial work will
focus on coordinating provider recruitment and
on education and information sharing regarding
appropriate practices for services to infants and
toddlers in the EI Program. Web sites that
support the EI system will work together to
provide discipline-specific, nationally recognized
best practice documents, recruitment materials,
and information about the EI services system
directed to both potential and current EI
providers.
Resources include the Bureau of Early
Intervention and its contractors.
Expand Program Integrity Pilot to include
additional targeted CFC areas.
This will be an ongoing effort through
FFY12/SFY13, with 2 to 4 additional CFC areas
targeted each year.
Resources include the Bureau of Early
Intervention, the EI Training Program, EI System
Ombudsman, and the EI Monitoring Program.
Additional data will be provided to CFC
offices so they can monitor service delays
and address child-specific and system
issues in a timely way.
Beginning in July 2011and on an ongoing basis,
“mini APR tables” will be provided to CFC offices
on a quarterly basis, so that they can monitor
performance on Indicators 1, 7, and 8C.
Resources include the Bureaus of Early
Intervention and Performance Support Services.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 10
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / Effective Transition
Indicator 2: Percent of infants and toddlers with IFSPs who primarily receive early intervention
services in the home or community-based settings.
(20 U.S.C. 1416(a)(3)(A) and 1442)
Measurement:
Percent = [(# of infants and toddlers with IFSPs who primarily receive early intervention
services in the home or community-based settings) divided by the (total # of infants and
toddlers with IFSPs)] times 100.
FFY
FFY09/SFY10
Measurable and Rigorous Target
At least 89.5% of all children with IFSPs active on June 30, 2010 will have their
services provided predominately in the home or in community settings.
Actual Target Data for FFY09/SFY10:
Indicator 2
(# of infants and toddlers with IFSPs who primarily receive early intervention services in the home or
community-based settings/total # of infants and toddlers with IFSPs) X 100
FFY09/SFY10 Result: (16,960/18,266) X 100 = 92.9%
FFY09/SFY10 Target = 89.5%
October 31, 2009, data (92.9%) demonstrates a slight improvement in the proportion of children
with IFSP services authorized predominately in natural settings and exceeds the target for
FFY09/SFY10 of 89.5%. When a service, which is identified in a child’s IFSP, is authorized in
the Cornerstone system, a place of service code is designated. When the provider submits a
claim for that service, the Early Intervention Central Billing Office (EI CBO) ensures that the
place of service code matches the authorization for that service. On a monthly basis, the EI
CBO generates a report on services provided predominately in the home or in community
settings, which reflects the settings for services that have been processed for payment. The
child’s IFSP must include a justification when services are authorized in a non-natural setting,
along with a plan to transition to a natural setting, when available.
Predominate Setting History
Oct 2007
Typically Developing
4.60%
Home
84.90%
Provider Location/Other
10.50%
% Natural Setting
89.50%
Client Count
17,486
Centers & Provider Locations
1,841
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Oct 2008
4.2%
88.1%
7.8%
92.2%
18,535
1,439
Oct 2009
5.0%
87.9%
7.1%
92.9%
18,266
1,306
Monitoring Priority – Page 11
APR Template – Part C (4)
Illinois
State
Cases in Predominately in Natural Settings By CFC & Geographic Regions
October 2008
CFC # & Area
Home
#1 - ROCKFORD
82.0%
Day Care/
Comm.
5.4%
October 2009
Natural
Settings
87.4%
Home
79.1%
Day Care/
Comm.
9.39%
Natural
Settings
88.5%
#2 - Lake County
89.4%
2.0%
91.4%
92.6%
1.91%
94.6%
#3 - FREEPORT
70.9%
7.7%
78.5%
68.9%
10.70%
79.6%
#4 - Kane & Kendall Counties
91.3%
2.5%
93.8%
93.9%
3.05%
96.9%
#5 - Du Page County
94.1%
4.0%
98.0%
97.0%
1.27%
98.3%
#6 - N. Suburbs
86.3%
5.7%
92.0%
86.4%
7.86%
94.3%
#7 - W. Suburbs
89.6%
2.4%
91.9%
90.7%
3.28%
94.0%
#8 - SW Chicago
95.3%
2.2%
97.5%
96.5%
1.38%
97.9%
#9 - Central Chicago
88.9%
3.9%
92.8%
92.0%
3.71%
95.7%
#10 - SE Chicago
89.9%
0.6%
90.5%
92.1%
0.49%
92.6%
#11 - N. Chicago
86.1%
1.9%
88.0%
87.7%
2.21%
89.9%
#12 - S. Suburbs
97.5%
1.4%
98.9%
98.6%
1.08%
99.7%
#13 - MONMOUTH
86.7%
7.4%
94.1%
82.6%
10.92%
93.5%
#14 - PEORIA
33.1%
9.6%
42.7%
25.5%
6.62%
32.2%
#15 - Joliet
89.3%
4.8%
94.1%
88.0%
5.33%
93.4%
#16 - DANVILLE
74.1%
18.5%
92.6%
74.5%
17.60%
92.1%
#17 - QUINCY
85.1%
6.3%
91.4%
82.0%
10.36%
92.3%
#18 - SPRINGFIELD
56.9%
34.0%
90.8%
56.7%
33.52%
90.3%
#19 - DECATUR
87.4%
10.2%
97.6%
87.8%
9.51%
97.3%
#20 - EFFINGHAM
98.7%
1.3%
100.0%
98.5%
0.88%
99.4%
#21 - BELLEVILLE
96.5%
0.8%
97.4%
99.2%
0.33%
99.5%
#22 - CENTRALIA
98.8%
0.0%
98.8%
97.9%
0.88%
98.8%
#23 - NORRIS CITY
100.0%
0.0%
100.0%
100.0%
0.00%
100.0%
#24 - CARBONDALE
93.2%
6.2%
99.4%
92.9%
6.55%
99.4%
#25 - McHenry County
92.4%
4.5%
96.9%
92.6%
3.24%
95.9%
State
88.1%
4.2%
92.2%
88.0%
4.89%
92.9%
Cook County
89.6%
2.8%
92.4%
90.9%
3.21%
94.1%
Collar Counties
91.2%
3.7%
94.9%
92.7%
3.08%
95.7%
Downstate
80.3%
8.3%
88.6%
79.3%
9.14%
88.4%
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10):
Progress or Slippage for Indicator 2: Statewide, the proportion of children served
predominately in natural settings increased from 92.2% at the end of October 2008 to 92.9% at
the end of October 2009. Both Cook County and its collar counties demonstrated an increase in
the proportion of children served predominately in natural settings, with 10 out of the 12 CFC
offices in these areas showing increases. On the other hand, downstate CFC offices showed a
slight decrease (88.6% to 88.4%) when compared to October 2008 data. The data for CFC #14
(Peoria), a CFC office which has faced the greatest challenges to providing services
predominately in natural settings, contributes the most to this region’s lower number. Among
the downstate CFC offices, only two other CFC offices have a proportion of children serviced
predominately in natural settings that falls below 90% (CFC offices #1 and #3), both of which
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 12
APR Template – Part C (4)
Illinois
State
showed improvement from the previous year. Overall CFC offices’ performance remained fairly
constant, with 14 CFC offices making improvements, 7 CFC offices showing modest decreases,
one office (CFC #14) with a large decrease, and three offices remaining unchanged.
Situations that impact service delays, including payment delays, also impact the availability of
services in natural settings. See Indicator 1 for more details.
Illinois has greatly improved its documentation of findings and correction of noncompliance. In
FFY06/SFY07, it expanded the process to utilize its data system. A system of identification and
correction of noncompliance was developed, but not fully implemented until FFY07/SFY08, due
to delays in sending notification of findings to CFC offices. Findings based on FFY06/SFY07
were sent in February 2008. Findings based on FFY07/SFY08 data were sent on December
2008. Illinois is now on track to provide timely notification and to monitor and document
correction of noncompliance. On August 27, 2009, the Bureau sent a single letter to each CFC
office that included the CFC office’s determination (in accordance with 616(a)(1)(C)(i) and
300.600(a) of IDEA 2004) and the notification of findings of noncompliance, based upon
FFY08/SFY09data. On September 10, 2010, the Bureau sent a single letter to CFC offices
with determinations and notification of finding based upon FFY09/SFY10 data.
For correction of noncompliance, this APR looks at findings occurred in FFY08/SFY09. For
Indicator 2, Illinois uses its data system and a formal system of notification, as described in
Indicator 9, to identify findings and document correction of noncompliance. In SFY08/FFY09, 5
findings of noncompliance were identified for Indicator 2, with all findings of noncompliance
corrected within one year. In FFY09/SFY10, 2 new findings were identified. A new system of
notification of findings and correction of noncompliance is being implemented that will assist the
lead agency and the CFC offices in tracking performance and providing adequate notification
when a correction has taken place.
Improvement Activities Completed
No new improvement activities were identified in the FFY08/SFY09 APR. Previous
improvement activities, such as monthly predominate setting reporting to CFC offices,
performance contracting, and identification of findings and development of corrective action
plans continue.
Improvement Activities Completed:
Improvement Activity
Illinois has made continued improvements to
the proportion of children served
predominately in natural settings, with the
impact of service delays being the greatest
challenge to future progress. The IICEI
Service Delay Workgroup is currently
considering recommendations for strategies to
address these issues. (See Indicator 1.)
Status/Timeline/Resource
In FFY09/SFY10 the Service Delay
Workgroup, presented to the IICEI
recommendations that would support an
integrated services approach, which
emphasizes collaboration among IFSP team
members. CFC offices #1 and #6 are
currently piloting this option. The Workgroup
has also discussed provider recruitment
strategies, including strategies for posting
unmet service needs.
Other improvement activities include the following:
•
In order to ensure that all providers are addressing the Principles of Early Intervention and
other important policies, rules, regulations and guidelines, effective September 1, 2009, all
providers were required to use the guidelines and “Developmental Justification of Need to
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 13
APR Template – Part C (4)
Illinois
State
change Frequency, Intensity or Location” worksheet found in the EI Service Descriptions,
Billing Codes and Rates manual. Providers who wish to request an increase or decrease
in the frequency or intensity of an authorization or a change in location to an existing
authorization submit a written “Developmental Justification of Need to Change Frequency,
Intensity or Location” worksheet to the individual child’s service coordinator. Upon receipt
of a justification that contains all required information found in the worksheet, the service
coordinator will convene an IFSP review meeting. These guidelines reiterated the federal
requirement that EI services must be provided in a natural environment, unless a written
justification exists for providing these services in other settings. If a recommendation is
made to change the location to a non-natural environment and the IFSP team agrees with
the recommendation, the Natural Environment Worksheet must be completed at the IFSP
meeting. A May 21, 2010 memo further clarified the need to complete both the
“Developmental Justification of Need to Change Frequency, Intensity or Location” and the
Natural Environment Worksheet, under these circumstances.
•
In the systems overview training, which is required to be completed before a credential is
awarded, personal safety and self awareness are discussed as part of the first activity in
the face-to-face training session. It is also discussed as part of the online service
coordinator training. Many optional training opportunities have been offered around the
topic of "Providing Services in Natural Environments" by the EI Training Program, as well
as by individual CFC offices. In each of these training sessions, "providing services in high
risk areas" was discussed. In addition, both state and national resources focused on
providing services in natural settings can be accessed on the EI Training Program web
site under the “Natural Environments" tab on the resources page.
•
The Program Integrity Project, discussed in the Overview of the Annual Performance
Report Development section of Indicator 1, includes a pilot project at CFC #14 (Peoria), a
CFC office which has faced the greatest challenges to providing services predominately in
natural settings. The pilot project offered additional information based on intensive file
reviews. This data supports training and technical assistance strategies to address this
problem. Strategies for recruitment have also being implemented. Specific steps taken by
CFC #14 during FFY09/SFY10 include the following:
¾
¾
¾
¾
¾
held discussions at all LIC, provider meetings and staff meetings;
increased provider recruitment efforts to seek out more independent providers who
typically provide services in natural settings;
held a training session on May 20, 2010 for service coordinators and EI providers
outlining the Principles of EI, including delivery of services in natural settings;
held meetings with agencies to encourage delivery of service in natural settings; and
offered monetary incentives in calendar year 2009 from the grant administrator to
one large agency to offset expenses connected with switching some services to
natural settings.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11): The State Performance Plan (SPP) has been revised to
specify, for each indicator, annual targets and improvement activities for each year through
FFY2012 (July1, 2012 through June 30, 2013).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 14
APR Template – Part C (4)
Illinois
State
FFY
Measurable and Rigorous Target
2011
(2011-2012)
At least 90% of all children with IFSPs active on June 30, 2012 will have
their services provided predominately in the home or in community
settings.
2012
(2012-2013)
At least 90% of all children with IFSPs active on June 30, 2013 will have
their services provided predominately in the home or in community
settings.
Proposed target values for FFY2011 and FFY2012 reflect a maintenance level when compared
to the FFY2010 target value of 90%. Based upon recent years’ data, it appears that the
program may have reached a plateau in the proportion of children served predominately in
natural settings. In addition, the proportion of children served predominately in natural settings
may be negatively impacted by circumstances that impact service delays. (See Indicator 1.)
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activity
As part of the CFC 14 pilot project, develop
and implement a training plan targeting
strategies to increase the proportion of
children served predominately in natural
settings. Other strategies for FFY10/SFY11
include the following: hold provider recruitment
fair, distribute recruitment letters to area
licensed professionals; and continue
discussions with CFC office staff, EI providers
and parents. Strategies will be shared with
other CFC offices.
Timelines & Resources
The pilot project training and technical
assistance plan will be completed and
implementation initiated by June 30, 2011.
Other listed strategies will be completed by
June 30, 2011. Through June 30, 2013,
ongoing strategies will be shared with CFC
offices through updates at monthly managers’
meetings and through additional pilot projects,
when applicable.
Continue to track CFC office performance on
services provided predominately in the home
or in community settings, but discontinue the
practice of issuing findings based strictly upon
data.
Effective with the issuing if findings in the first
quarter of FFY11/SFY12.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Resources include the Bureau of Early
Intervention, the EI Training Program, EI
System Ombudsman, and the EI Monitoring
Program.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Monitoring Priority – Page 15
APR Template – Part C (4)
Illinois
State
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Early Intervention Services in Natural Environments
Indicator 3: Percent of infants and toddlers with IFSPs who demonstrate improved:
A: Positive social-emotional skills (including social relationships);
B: Acquisition and use of knowledge and skills (including early language/communication); and
C: Use of appropriate behaviors to meet their needs.
(20 U.S.C. 1416(a)(3)(A) and 1442)
Measurement:
Outcomes:
A. Positive social-emotional skills (including social relationships);
B. Acquisition and use of knowledge and skills (including early
language/communication); and
C. Use of appropriate behaviors to meet their needs.
Progress categories for A, B and C:
a. Percent of infants and toddlers who did not improve functioning = [(# of infants and
toddlers who did not improve functioning) divided by (# of infants and toddlers with
IFSPs assessed)] times 100.
b. Percent of infants and toddlers who improved functioning but not sufficient to move
nearer to functioning comparable to same-aged peers = [(# of infants and toddlers
who improved functioning but not sufficient to move nearer to functioning comparable
to same-aged peers) divided by (# of infants and toddlers with IFSPs assessed)]
times 100.
c.
Percent of infants and toddlers who improved functioning to a level nearer to sameaged peers but did not reach it = [(# of infants and toddlers who improved functioning
to a level nearer to same-aged peers but did not reach it) divided by (# of infants and
toddlers with IFSPs assessed)] times 100.
d. Percent of infants and toddlers who improved functioning to reach a level comparable
to same-aged peers = [(# of infants and toddlers who improved functioning to reach a
level comparable to same-aged peers) divided by (# of infants and toddlers with
IFSPs assessed)] times 100.
e. Percent of infants and toddlers who maintained functioning at a level comparable to
same-aged peers = [(# of infants and toddlers who maintained functioning at a level
comparable to same-aged peers) divided by (# of infants and toddlers with IFSPs
assessed)] times 100.
Summary Statement for Each of the Three Child Outcomes:
Summary Statement 1: Of those infants and toddlers who entered or exited early
intervention below age expectations in each Outcome, the percent who substantially
increased their rate of growth by the time they turn 3 years of age or exited the program.
Measurement for Summary Statement 1: Percent = #of infants and toddlers reported in
progress category (c) plus # of infants and toddlers reported in category (d) divided by [# of
infants and toddlers reported in progress category (a) plus # of infants and toddlers
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 16
APR Template – Part C (4)
Illinois
State
reported in progress category (b) plus # of infants and toddlers reported in progress
category (c) plus # of infants and toddlers reported in progress category (d) times 100.
Summary Statement 2: The percent of infants and toddlers who were functioning within
age expectations in each Outcome by the time they turn 3 years of age or exited the
program.
Measurement for Statement 2: Percent = # of infants and toddlers reported in progress
category (d) plus [# of infants and toddlers reported in progress category (e) divided by the
total # of infants and toddlers reported in progress categories (a) + (b) + (c) + (e)] times
100.
FFY
FFY09/SFY10
Measurable and Rigorous Target
Positive Relationships Summary Statement 1: 64.5%
Positive Relationships Summary Statement 2: 64.5%
Acquire Knowledge & Skills Summary Statement 1: 78.5%
Acquire Knowledge & Skills Summary Statement 2: 52.5%
Able to Meet Needs Summary Statement 1: 75.5%
Able to Meet Needs Summary Statement 2: 57.0%
Actual Data FFY09/SFY10:
Summary Statements
Baseline
2008
Targets
FFY 2009
Actual
FFY 2009
Outcome A: Positive social-emotional skills (including social relationships)
1.
Of those children who entered or exited the program
below age expectations in Outcome A, the percent
who substantially increased their rate of growth by
the time they exited the program [(c+d)/(a+b+c+d)] x
100 = (2,952/4,503) x 100= 65.6%
64.1%
64.5%
65.6%
2.
The percent of children who were functioning within
age expectations in Outcome A by the time they
exited the program [(d+e)/(a+b+c+d+e)] x 100 =
(4,593/7,254) x 100 = 63.3
64.2%
64.5%
63.3%
Outcome B: Acquisition and use of knowledge and skills (including early
language/communication and early literacy)
1.
Of those children who entered or exited the program
below age expectations in Outcome B, the percent
who substantially increased their rate of growth by
the time they exited the program [(c+d)/(a+b+c+d)] x
100 =(5,089/6,613) x 100 = 77.0%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
78.0%
78.5%
77.0%
Monitoring Priority – Page 17
APR Template – Part C (4)
Illinois
State
2.
The percent of children who were functioning within
age expectations in Outcome B by the time they
exited the program
[(d+e)/(a+b+c+d+e)] x 100 = (3,599/7,251) x 100 =
49.6%
52.4%
52.5%
49.6%
Outcome C: Use of appropriate behaviors to meet their needs
1.
Of those children who entered or exited the program
below age expectations in Outcome C, the percent
who substantially increased their rate of growth by
the time they exited the program [(c+d)/(a+b+c+d)] x
100 = (4,616/6,117) x 100 = 75.5%
75.3%
75.5%
75.5%
2.
The percent of children who were functioning within
age expectations in Outcome C by the time they
exited the program [(d+e)/(a+b+c+d+e)] x 100 =
(4,059/7,248) x 100 = 56.0%
56.8%
57.0%
56.0%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 18
APR Template – Part C (4)
Illinois
State
SUMMARY STATEMENT SCORED BY CFC
Outcome 1
Outcome 2
CFC
City
Summary
Statement 1
1
Loves Park
68.2%
2
Waukegan
62.6%
3
Freeport
58.5%
4
Geneva
52.1%
5
Lisle
6
Arlington Heights
7
8
Summary
Statement 2
67.9%
Summary
Statement 1
Outcome 3
Summary
Statement 2
Summary
Statement 1
80.5%
Summary
Statement 2
81.0%
48.7%
65.1%
67.1%
76.9%
54.5%
78.6%
58.7%
66.7%
72.1%
59.0%
70.2%
62.8%
71.7%
71.4%
54.6%
67.7%
63.3%
57.6%
72.9%
79.9%
52.5%
73.3%
64.2%
67.8%
72.7%
83.9%
48.1%
80.5%
55.8%
Hillside
68.2%
59.7%
86.4%
47.2%
81.8%
52.5%
Chicago - Hoyne
63.3%
56.3%
75.8%
46.3%
74.8%
48.1%
9
Chicago - Harrison
67.0%
57.3%
76.4%
41.6%
77.0%
52.2%
10
Chicago - East 61st St
62.0%
40.0%
68.5%
28.1%
68.3%
27.4%
11
Chicago - George St
74.3%
63.4%
79.1%
53.2%
76.4%
56.6%
12
Tinley Park
67.5%
72.5%
75.8%
57.3%
72.9%
59.7%
13
Monmouth
52.6%
67.7%
66.7%
54.8%
64.3%
63.1%
14
Peoria
53.4%
73.2%
67.9%
61.0%
62.0%
71.0%
15
Joliet
54.3%
63.7%
71.6%
52.2%
72.5%
63.2%
16
Danville
66.9%
60.2%
78.3%
49.9%
78.6%
52.8%
17
Quincy
69.7%
45.3%
77.4%
23.3%
79.1%
27.0%
18
Springfield
55.9%
49.4%
58.7%
19.5%
63.5%
33.8%
19
Decatur
83.5%
45.2%
80.5%
42.3%
81.3%
41.3%
20
Effingham
52.3%
56.6%
68.3%
47.3%
70.5%
50.7%
21
Belleville
67.1%
52.7%
82.2%
46.0%
84.1%
44.0%
22
Centralia
77.5%
47.8%
85.5%
43.3%
82.3%
46.8%
23
Norris City
69.5%
44.0%
83.2%
41.0%
73.3%
49.0%
24
Carbondale
63.6%
46.4%
82.4%
36.2%
77.0%
42.0%
25
Crystal Lake
47.6%
76.0%
67.1%
58.9%
68.3%
68.6%
STATE SUMMARY STATEMENT
65.6%
63.3%
77.0%
49.6%
75.5%
56.0%
Summary Statement 1 = Of those children who entered the program below age expectations in [outcome],
the percent that substantially increased their rate of growth in [outcome] by the time they exited.
Summary Statement 2 = Percent of children who were functioning within age expectations in [outcome],
by the time they exited.
Collar Counties
City of Chicago
Suburban Cook County
Balance of State
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 19
APR Template – Part C (4)
Illinois
State
Progress Data for Part C Children FFY 2009
A. Positive social-emotional skills (including social
relationships):
Number of
children
a. Percent of children who did not improve
functioning
% of
children
81
1.12%
b. Percent of children who improved functioning but
not sufficient to move nearer to functioning
comparable to same-aged peers
1,470
20.26%
c. Percent of children who improved functioning to a
level nearer to same-aged peers but did not reach
1,110
15.30%
d. Percent of children who improved functioning to
reach a level comparable to same-aged peers
1,842
25.39%
e. Percent of children who maintained
functioning at a level comparable to sameaged peers
2,751
37.92%
N = 7,254
100%
Total
B. Acquisition and use of knowledge and skills
(including early language/communication):
Number of
children
a. Percent of children who did not improve
functioning
% of
children
59
.81%
b. Percent of children who improved functioning but
not sufficient to move nearer to functioning
comparable to same-aged peers
1,465
21.20%
c. Percent of children who improved functioning to a
level nearer to same-aged peers but did not reach
2,128
29.35%
d. Percent of children who improved functioning to
reach a level comparable to same-aged peers
2,961
40.84%
638
8.80%
N = 7,251
100%
e. Percent of children who maintained
functioning at a level comparable to sameaged peers
Total
C. Use of appropriate behaviors to meet their needs:
a. Percent of children who did not improve
functioning
Number of
children
% of
children
58
.80%
b. Percent of children who improved functioning but
not sufficient to move nearer to functioning
comparable to same-aged peers
1,443
19.91%
c. Percent of children who improved functioning to a
1,688
23.29%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 20
APR Template – Part C (4)
Illinois
State
level nearer to same-aged peers but did not reach
d. Percent of children who improved functioning to
reach a level comparable to same-aged peers
2,928
40.40%
e. Percent of children who maintained
functioning at a level comparable to sameaged peers
1,131
15.60%
N = 7,248
100%
Total
Positive Relationships
Year
FFY08/SFY09
Total
4,910
A
Year
FFY08/SFY09
Total
4,909
A
FFY09/SFY10
7,251
Year
FFY08/SFY09
Total
4,901
FFY09/SFY10
7,248
FFY09/SFY10
B
C
D
E
7
1,052
698
1,192
1,961
0.14% 21.43% 14.22% 24.28% 39.94%
7,254
81
1,470
1,110
1,842
2,751
1.12% 20.26% 15.30% 25.39% 37.92%
Acquire Knowledge & Skills
B
33
947
0.67% 19.29%
59
1,465
0.81% 21.20%
Meet Needs
A
34
0.69%
58
0.80%
B
982
20.04%
1,443
19.91%
C
D
1,383
2,096
28.17% 42.70%
2,128
2,961
29.35% 40.84%
E
450
9.17%
638
8.80%
C
D
E
1,100
1,990
795
22.44% 40.60% 16.22%
1,688
2,928
1,131
23.29% 40.40% 15.60%
The following two tables represent the distribution of Child Outcomes matched entry-exit pairs
compared by fiscal year. This data illustrates the improvement in compliance with program
rules by fiscal year.
FFY09/SFY10
State Total
Collar
Cook
Chicago
Downstate
Eligible State %
13,959 100.00%
25.61%
3,575
2,694
19.30%
3,614
25.89%
4,076
29.20%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Matched Pairs State % Compliance
8,358 100.00%
59.88%
28.32%
66.21%
2,367
1,310
15.67%
58.25%
1,924
23.02%
35.83%
2,757
32.99%
67.64%
Monitoring Priority – Page 21
APR Template – Part C (4)
Illinois
State
FFY08/SFY09
Eligible
State %
State Total
Collar
Cook
Chicago
Downstate
14,116
3,616
2,872
2,759
4,914
100.00%
25.62%
20.03%
19.55%
34.81%
Matched
Pairs
5,924
1,954
1,114
584
2,272
State %
Compliance
100.00%
32.98%
18.80%
9.86%
38.35%
42.00%
54.00%
39.40%
21.20%
46.20%
Discussion of Improvement Activities and Explanation or Progress or Slippage that
occurred during FFY09/SFY09:
Progress or Slippage for Indicator 3: In terms of progress or slippage, there are two areas
of focus: (1) quality of data, and (2) quality of services. Illinois’ data quality has improved
over the last fiscal year as demonstrated by the significant increase in the number of
matched entry-exit pairs. This is also evident to the EI Program based on feedback from
CFC offices and providers regarding increased use of the decision tree and increased
overall understanding of the Child Outcome measurement process, including use of the
Child Outcome Summary Form (COS Form).
Illinois continues to work to understand the relationship between the Child Outcomes ratings
and the quality of EI services and supports being provided. FFY09/SFY10 Progress Data
for Part C Children reveals an almost across the board decrease in the percent of children
either reaching a level of development comparable to same-aged peers or maintaining
functioning at a level comparable to same-aged peers (progress categories D and E).
Summary Statement data, which focuses on children who have made significant progress
and/or have exited the program functioning at a level comparable to same-aged peers
experienced a similar lag in progress or slippage – failing to meet a majority of the rigorous
targets set for FFY09. The EI program, in collaboration with the IICEI, the Outcomes
Workgroup and other key stakeholders has considered this lag in progress or slippage and
an explanation follows:
•
Current data is more fully reflective of our EI population. With this being the first year
in which the state is reporting a full cadre of EI participants, the data pool is reflective
of children who entered the program at or near birth and participated in the program
until age 3. Children who meet these criteria are typically children with medical
diagnoses which make them eligible for services early in life or are children with such
significant developmental concerns that those concerns are identified very early in the
child’s life. By comparison, due to reporting requirements, earlier reported data would
have only captured children who entered the program later in life (i.e. 18 – 24 months)
and exited at or near age 3 or children who entered and exited the program early in
life. Given that the earlier reported data did not include children who entered the
program at or near birth and participated in the program until age 3, it is reasonable to
assume that progress would decline from the earlier reporting period to this reporting
period as children with more significant developmental concerns are added to the data
pool.
•
Accuracy and compliance have improved. While the natural response to improved
accuracy and compliance may be an expectation to see higher numbers, in this case,
the opposite may very well be true. Nationally, state Part C programs using the ECO
Child Outcome Summary Form have reported concerns with early intervention service
coordinators and/or providers rating children higher than they should be. This was a
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 22
APR Template – Part C (4)
Illinois
State
concern in Illinois as well. However, as training has become more prolific and focused
and with more widespread use of the decision tree, early intervention service
coordinators and providers in Illinois report a better understanding of the rating
process and a feeling that ratings are more accurate now than they may have been
early in the COS Form implementation process. This means that while early
intervention service coordinators and providers may have rated children slightly higher
than they should have at entry, exit scores are less likely to have received that artificial
bump and therefore progress does not appear to be as great as it may otherwise have
been. However, over time, entry scores will reflect the same level of accuracy as
current exit scores and the playing field will level.
Improvement Activities Completed:
Improvement Activity
Status/Timeline/Resource
Continued training on the importance of
completing the Child Outcomes Summary
Form as a normal part of the IFSP and exit
process.
In FFY09, training focused on not only the
importance of completing the Child
Outcomes Summary Form, but also
addressing barriers to completing Child
Outcomes and improving the quality of Child
Outcomes data.
Reassessment by the EI Bureau and the EI
Monitoring agency of the uniformity of the
administration of the summary form by the
end of FFY 08/SFY 09
This activity has been completed. A
conclusion was reached that additional
training was required to assure more uniform
use of the COS Form.
Semi-annual evaluation to assure there are
no patterns in the instances where
assessments are not being completed at
entry and at exit as required.
An initial evaluation was completed and data
was reviewed with CFCs in SFY10. CFCs
conducted local data analyses and
developed local improvement strategies.
Early analysis by CFCs resulted in
improvements in data collection at both the
local and state level.
During FFY 07/SFY 08 the EI program
increased training that emphasized the
importance of completing child outcomes
assessments at every IFSP meeting and the
particular importance at the initial IFSP and
at exit.
Training was conducted in FFY07/SFY08
and continued in FFY08/SFY09 and
FFY09/SFY10. As discussed earlier, training
focused on the importance of completing the
COS Form, addressing barriers to completing
the Child Outcomes measurement process
and improving the quality of Child Outcomes
data. It is believed that continued training –
inclusive of the changes to training that have
been incorporated since FFY07/SFY08 –
have improved both the quality and the
reliability of the child outcome measurement
data, as demonstrated by increased rates of
matched pair data from CFCs and anecdotal
reports by CFC staff and providers involved
in the measurement process.
To improve uniformity of administration,
having one of the two lowest percentage of
This activity is ongoing.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 23
APR Template – Part C (4)
Illinois
State
compliance child outcomes entry-exit pairs
was made a negative factor in the CFC
determination scorecard, if the percentage is
below 50% of the state average effective
with CY 2007 and each year thereafter.
During FFY07/SFY08 the EI program
emphasized the importance of correctly
filling in the child outcome ratings at each
IFSP, with particular emphasis on indicating
progress was made.
This activity is ongoing.
During FFY07/SFY08 and FFY08/SFY09 the This activity is ongoing.
EI program reviewed the rates of
compliance with rules regarding child
outcomes measurement with CFCs, the
IICEI and other interested parties and
developed strategies to assure uniformity of
administration.
During FFY07/SFY08 and FFY08/SFY09 the This activity is ongoing.
EI program reviewed the aggregate results
from child outcomes measurement and
discussed what the results say about the
program and made initial plans for activities
to improve results.
During FFY08/SFY09 and FFY09/SFY10 the
EI program worked with stakeholders,
including the IICEI and CFCs to develop
goals to improve child outcomes.
This activity is in progress. The Outcomes
Workgroup has begun the process of
analyzing available Child Outcomes data.
Early discussions have focused on assuring
reliability and validity of the data. To this
end, Illinois is participating in the ENHANCE
Project, which is working in multiple states to
determine the reliability and validity of the
child outcomes measurement process using
the ECO COS Form. Additionally, Illinois has
created a System Ombudsman position,
whose role it is to improve compliance with
program rules and principles and, in turn,
facilitate better outcomes for children.
During FFY08/SFY09 and FFY09/SFY10 the The Child and Family Outcomes Workgroup
was convened, met and continues to meet to
EI program worked with contractors and
assist the State in developing strategies for
stakeholders to educate the public on the
early results on child outcome measurement disseminating information regarding the Child
and Family Outcomes measurement
and why it is important, with the help of the
processes, improving those processes,
Outcomes Workgroup, which will meet at
assuring reliability and validity of outcomes
least quarterly starting in December, 2009.
data and improving performance.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 24
APR Template – Part C (4)
Illinois
State
By the end of FFY10/SFY11 the EI program
will implement specific goals to improve
child outcomes.
The EI program is working with the IICEI, the
Outcomes Workgroup, and the ENHANCE
Project on this activity.
The System Ombudsman position will begin
work with the field in February 2010 on
improving compliance with program rules
and principles. Better compliance with
principles will result in better outcomes for
children.
The System Ombudsman position has been
filled and the System Ombudsman is actively
working toward this effort.
By June 30, 2010, the IICEI will create a
workgroup to study issues that prevent good
outcomes for Hispanic children and families.
This group will issue an initial report no later
than December 31, 2010.
Due to a number of emergent priorities in the
State, including the work of the Early
Intervention Taskforce, it was determined
that this improvement activity would need to
be delayed. Further, it is felt that additional
information about outcomes for Hispanic
children must be obtained before this activity
can be fully implemented. The EI program
continues to believe this to be an important
activity. A new timeline has been set and the
improvement activity has been reworded as
follows: By December 31, 2011, the IICEI
will create a workgroup to investigate the
correlation, if any, between poor family
outcomes reported in a prior year by
Spanish-speaking families and the child
outcome ratings for children in Spanishspeaking households. This group will issue
an initial report no later than June 30, 2012.
Special training will be undertaken with
CFCs and providers in Chicago to improve
the amount of useable data, to be
completed no later than June 30, 2010.
This activity has been completed.
The following are other improvement activities that occurred in FFY09/SFY10:
•
The data logic for pulling matched pairs data to measure child outcomes was reviewed
and revised to address identified problems. Data had been lost if exit data were
entered within 120 days of the child’s third birthday, but not within 120 days of the case
closure date. Another problem arose when the final IFSP and the termination dates
were the same day. Both of these issues have been corrected, allowing additional
matched pairs to be included in child outcome data. An issue with the use of an old
termination code has also been addressed, with the old code for “moved out of state”
being replaced with the correct, current code.
•
An edit was made to the Cornerstone system to allow CFC offices to add child
outcome data to the system up to 90 days so that missing data can be entered or
corrections made by the CFC office.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 25
APR Template – Part C (4)
Illinois
State
•
In April 2010, the CFC #2 manager volunteered to conduct a file review on the files of
children with “unmatched pairs” for child outcome data in her CFC. At a CFC May
2010 managers meeting, the CFC manager presented her analysis of the review. Her
presentation was followed by a facilitated discussion among the CFC managers about
issues and strategies to improve compliance.
•
On June 17, 2010, a meeting of CFC managers from the Chicago area CFC offices
(referenced in an improvement activity, above,) was held to further discuss strategies
for improving compliance with completing and entering the child outcome data. These
CFC offices represent the area of the state with the lowest percentage of children
whose electronic files contain matched child outcome pairs.
Revisions, with Justification, to Proposed Targets / Improvement Activities /
Timelines / Resources for FFY10/SFY11: The State Performance Plan (SPP) has been
revised to specify, for each indicator, annual targets and improvement activities for each
year through FFY2012 (July1, 2012 through June 30, 2013). A revision to the targets for
FFY10/SFY11 is also proposed.
Illinois proposes to replace its FFY08/SFY09 baseline data with the FFY09/SFY10 data as it
is more fully reflective of Illinois’ EI population for the following reasons:
•
There was a 41 percent increase from FFY08/SFY09 to FFY09/SFY10 in the number
of matched pairs data available for analysis.
•
Increased use of the decision tree and participation in training sessions have
increased the understanding of the child outcome measurement process, resulting in
data that more accurately reflects child performance.
•
With an additional year of data collection, a full cadre of EI participants is reflected in
the data, including children with more significant developmental concerns.
FFY
2010
(2010 – 2011)
Measurable and Rigorous Target
Summary Statement 1: Of those infants and toddlers who entered or
exited early intervention below age expectations in each Outcome, the
percent who substantially increased their rate of growth by the time they
turn 3 years of age or exited the program.
Outcomes:
A. 65.6% for positive social-emotional skills (including social
relationships);
B. 77.0% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 74.5% for use of appropriate behaviors to meet their needs.
Summary Statement 2: The percent of infants and toddlers who were
functioning within age expectations in each Outcome by the time they turn
3 years of age or exited the program.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 26
APR Template – Part C (4)
Illinois
State
2011
(2011 – 2012)
2012
(2012 – 2013)
Outcomes:
A. 63.3% for positive social-emotional skills (including social
relationships);
B. 48.0% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 55.0% for use of appropriate behaviors to meet their needs.
Summary Statement 1: Of those infants and toddlers who entered or
exited early intervention below age expectations in each Outcome, the
percent who substantially increased their rate of growth by the time they
turn 3 years of age or exited the program.
Outcomes:
A. 66.0% for positive social-emotional skills (including social
relationships);
B. 77.5% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 75.0% for use of appropriate behaviors to meet their needs.
Summary Statement 2: The percent of infants and toddlers who were
functioning within age expectations in each Outcome by the time they turn
3 years of age or exited the program.
Outcomes:
A. 63.3% for positive social-emotional skills (including social
relationships);
B. 49.0% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 55.5% for use of appropriate behaviors to meet their needs.
Summary Statement 1: Of those infants and toddlers who entered or
exited early intervention below age expectations in each Outcome, the
percent who substantially increased their rate of growth by the time they
turn 3 years of age or exited the program.
Outcomes:
A. 66.5% for positive social-emotional skills (including social
relationships);
B. 78.0% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 75.5% for use of appropriate behaviors to meet their needs.
Summary Statement 2: The percent of infants and toddlers who were
functioning within age expectations in each Outcome by the time they turn
3 years of age or exited the program.
Outcomes:
A. 63.3% for positive social-emotional skills (including social
relationships);
B. 49.6% for acquisition and use of knowledge and skills (including early
language/communication); and
C. 56.0% for use of appropriate behaviors to meet their needs.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 27
APR Template – Part C (4)
Illinois
State
With input from the Outcomes Workgroup, the proposed performance targets for FFY10,
FFY11 and FFY12 have been set using the new baseline data. The targets indicate an
increase in two summary statements, while the remaining targets decrease and then
improve to target value levels. Based on the information shared under the Progress or
Slippage for Indicator 3 discussed earlier, the EI Program is not confident that improvement
in terms of increases in stated percentages should be expected.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activities
Timelines & Resources
The EI program will add two Child Outcomes
measurement modules to the Systems
Overview training which is currently required
of all new service providers. This
improvement activity will target both the
quality of Illinois’ Child Outcomes data as
well as the quality of services designed to
improve children’s outcomes.
This activity will be completed no later than
February 1, 2011.
Utilizing a multifaceted approach to training
and support related to the Child Outcomes
measurement process, the EI program will
develop an online training module in order to
improve access to information about the
Child Outcomes measurement process.
Additionally, the EI program will offer posttraining team discussions, mentoring and
support to better ensure generalization of
skills and consistency of practice. This
improvement activity will target both the
quality of Illinois’ Child Outcomes data as
well as the quality of services designed to
improve children’s outcomes.
This activity will be completed no later than
February 1, 2011.
The EI program will offer post-training team
discussions, mentoring and support to better
ensure generalization of skills and
consistency of practice. This improvement
activity will target both the quality of Illinois’
Child Outcomes data as well as the quality of
services designed to improve children’s
outcomes.
This activity will begin no later than February
1, 2011 and will continue through June 30,
2013.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Resources include, but are not limited to the
Early Intervention Training Program.
Resources include, but are not limited to the
Early Intervention Training Program.
Resources include, but are not limited to the
Early Intervention Training Program.
Monitoring Priority – Page 28
APR Template – Part C (4)
Illinois
State
The EI program will begin analyzing Child
Outcome data by race/ethnicity and
comparing this data to Family Outcome data.
This improvement activity will primarily target
the quality of services designed to improve
children’s outcomes.
This activity will be completed no later than
June 30, 2011.
The IICEI will create a workgroup to
investigate the correlation, if any, between
poor family outcomes reported in a prior year
by Spanish-speaking families and the child
outcome ratings for children in Spanishspeaking households. The focus of the
Workgroup will be expanded to include
African American families.
This Workgroup will be created by December,
31, 2011 and will issue a report no later than
June 30, 2012.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Resources include, but are not limited to the
workgroup convened to address issues
related to the Hispanic and African American
communities in Illinois and the EI Data
Manager.
Resources include the IICEI, the EI Training
Program, and the Bureau of Early
Intervention.
Monitoring Priority – Page 29
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Early Intervention Services In Natural Environments
Indicator 4: Percent of families participating in Part C who report that early intervention
services have helped the family:
A.
Know their rights;
B.
Effectively communicate their children's needs; and
C. Help their children develop and learn.
(20 USC 1416(a)(3)(A) and 1442)
Measurement:
A. Percent = [(# of respondent families participating in Part C who report that early
intervention services have helped the family know their rights) divided by the (# of
respondent families participating in Part C)] times 100.
B. Percent = [(# of respondent families participating in Part C who report that early
intervention services have helped the family effectively communicate their children's
needs) divided by the (# of respondent families participating in Part C)] times 100.
C. Percent = [(# of respondent families participating in Part C who report that early
intervention services have helped the family help their children develop and learn)
divided by the (# of respondent families participating in Part C)] times 100.
FFY
FFY09/SFY10
Measurable and Rigorous Target
73.5% of respondent families participating in Part C will report that early intervention
services have helped the family know their rights
85% of respondent families participating in Part C will report that early intervention
services have helped the family effectively communicate their children's needs
89% of respondent families participating in Part C will report that early intervention
services have helped the family help their children develop and learn
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 30
APR Template – Part C (4)
Illinois
State
Actual Target Data for FFY09/SFY10:
Weighted Survey Results:
To what extent has early intervention
helped your family know and
understand your rights?
To what extent has early intervention
helped your family effectively
communicate your child's needs?
To what extent has early intervention
helped your family be able to help
your child develop and learn?
Percent 4 or
Higher
78.58%
FFY09/SFY10
Target
73.5%
[(665.75/777.50) x 100]
85.63%
85%
[(644.45/773.84) x 100]
83.28%
89%
Formula: [(Responses 4
or Higher/Returns) x 100]
[(609.48/775.60) x 100]
Illinois utilized the revised version of the Family Outcomes Survey (FOS-R) for the first time this
year to collect the data for this indicator. A copy of the FOS-R can be found as Attachment C.
The FOS-R uses a 5-point rating scale, versus a 7-point scale used in previous versions, to
assess the helpfulness of early intervention. The scale includes the following responses: 1 =
Not at all helpful, 2 = A little helpful, 3 = Somewhat helpful, 4 = Very helpful, and 5 = Extremely
helpful. Also new with the FOS-R are 17 new helpfulness indicators, including five for “know
their rights,” six for “effectively communicate their children’s needs,” and six for “help their
children develop and learn.” These additional indicators have been added with the belief that
the data collected would be more informative and valid than data collected from the previous
version of the FOS.
Since the FOS-R contains more than one item for each of the OSEP helpfulness indicators, a
mean score has been calculated for each indicator. Survey results have been weighted to
correct for geographic disparities in returns, resulting in minor for all three measures.
For the second consecutive year Illinois used an all mail survey, with the result of a more
representative sample overall. Families were selected in the same way as they have been in
the past, based upon a representative sample of children having a six-month review or annual
IFSP coming due during a given span of time. The net return rate of about 21% was lower than
the 24% from the past year. It is generally agreed that the all mail approach is best for Illinois,
but the program will work with the Outcomes Workgroup on ways to improve race, ethnic and
geographical representativeness and return rates.
Illinois has determined that its data for Indicator 4 are valid and reliable for the following
reasons:
•
The Cornerstone system identifies children who are scheduled for a 6-month and annual
review for survey distribution and links demographic information for those families to
survey results for further analysis.
•
The survey system allows families to respond anonymously.
•
Distribution to families via mail has eliminated intended/unintended influence that service
coordinators or EI providers might have on responses.
•
Returned surveys are scanned to ensure accurate reporting of results, with written
comments entered manually.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 31
APR Template – Part C (4)
Illinois
State
•
Surveys are distributed, received, scanned, and analyzed by the EI Training Program, with
statewide and CFC-specific data reported.
•
The Outcomes Work Group reviews data and helps plan improvement activities.
•
The Early Childhood Outcomes (ECO) Center has determined that the FOS-R exhibits
excellent psychometric properties. Illinois will provide its data to the ECO Center for
further analysis.
To what extent has early intervention helped your family know and understand your rights?
Chicago
Suburban
Cook
Collar
Counties
Downstate
Illinois
Total
Raw Totals
Distributed
Mean Returns/Responses
Mean Return Rate/Responses
Mean Responses 4 or Higher
% 4 or Higher
Mean Average Response
Statewide Return %
1,012
172.2
17.02%
119.8
69.57%
3.87
22.20%
742
143
19.27%
112.6
78.74%
4.08
18.44%
846
212.4
25.11%
175.6
82.67%
4.25
27.39%
1,110
248
22.34%
207.4
83.63%
4.27
31.97%
3,710
775.6
20.91%
615.4
79.35%
4.12
100%
Totals Adjusted for Geography
Avg. IFSP in Period
5,078
3,695
4,592
5,228
18,592
Caseload %
27.31%
19.87%
24.70%
28.12%
100%
Adjusted Returns
211.82
154.11
191.57
218.10
775.6
Adjusted Responses 4 or
Higher
147.36
121.35
158.37
182.40
609.48
% 4 or Higher
69.57%
78.74%
82.67%
83.63%
78.58%
Average Response
3.87
4.08
4.25
4.27
4.12
To what extent has early intervention helped your family effectively communicate your
child's needs?
Chicago
Suburban
Cook
Collar
Counties
Downstate
Illinois
Total
Raw Totals
Distributed
Mean Returns/Responses
Mean Return Rate/Responses
Mean Responses 4 or Higher
% 4 or Higher
Average Response
Statewide Return %
1,012
172.5
17.05%
138.8
80.46%
4.11
22.19%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
742
143.5
19.34%
118.67
82.69%
4.25
18.45%
846
213
25.18%
187.67
88.11%
4.39
27.40%
1,110
248.5
22.39%
225
90.54%
4.47
31.96%
3,710
777.5
20.96%
670.14
86.19%
4.35
100%
Monitoring Priority – Page 32
APR Template – Part C (4)
Illinois
State
Totals Adjusted for Geography
Avg. IFSP in Period
5,078
3,695
4,592
5,228
18,592
Caseload %
27.31%
19.87%
24.70%
28.12%
100%
Adjusted Returns
212.33
154.49
192.04
218.63
777.5
Responses 4 or Higher
170.84
127.75
169.21
197.95
665.75
% 4 or Higher
80.46%
82.69%
88.11%
90.54%
85.63%
Average Response
4.11
4.25
4.39
4.47
4.35
To what extent has early intervention helped your family? Be able to help your child
develop and learn?
Chicago
Suburban
Cook
Collar
Counties
Downstate
Illinois
Total
Raw Totals
Distributed
Mean Returns/Responses
Mean Return Rate/Responses
Mean Responses 4 or Higher
% 4 or Higher
Average Response
Statewide Return %
1,012
172.5
17.05%
141
81.74%
4.16
22.54%
Chicago
742
143.17
19.29%
115.17
80.44%
4.13
19.81%
Suburban
Cook
846
211.5
25.00%
178.17
84.24%
4.13
25.28%
Collar
Counties
1,110
246.67
22.22%
212
85.94%
4.45
32.37%
Downstate
3,710
773.84
20.86%
646.34
83.52%
4.27
100%
Illinois
Total
Totals Adjusted for Geography
Avg. IFSP in Period
5,078
3,695
4,592
5,228
18,592
27.31%
19.87%
24.70%
28.12%
100%
Adjusted Returns
211.33
153.76
191.14
217.60
773.84
Responses 4 or Higher
172.74
123.68
161.02
187.01
644.45
81.74%
80.44%
84.24%
85.94%
83.28%
4.16
4.13
4.13
4.45
4.27
Caseload %
% 4 or Higher
Average Response
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 33
APR Template – Part C (4)
Illinois
State
FFY 09/SFY 10 Family Outcome Survey Results
Return Rates & Unweighted Results by CFC
CFC # & Area
#1 - Rockford
#2 - Lake County
#3 - Freeport
#4 - Kane-Kendall Counties
#5 - Du Page County
#6 - N. Suburbs
#7 - W. Suburbs
#8 - SW Chicago
#9 - Central Chicago
#10 - SE Chicago
#11 - N. Chicago
#12 - S. Suburbs
#13 - Monmouth
#14 - Peoria
#15 - Joliet
#16 - Danville
#17 - Quincy
#18 - Springfield
#19 - Decatur
#20 - Effingham
#21 - Belleville
#22 - Centralia
#23 - Norris City
#24 - Carbondale
#25 - McHenry County
Cook County
Collar Counties
Downstate
STATEWIDE
Surveys Returns
105
158
72
130
230
397
161
130
165
136
581
184
110
146
248
162
40
45
81
95
101
76
38
39
80
1,754
846
1,110
3,710
25
32
16
37
61
93
24
26
17
13
117
28
22
36
63
40
9
15
24
19
25
20
4
5
22
318
215
260
793
Return
Rate
23.81%
20.25%
22.22%
28.46%
26.52%
23.43%
14.91%
20.00%
10.30%
9.56%
20.14%
15.22%
20.00%
24.66%
25.40%
24.69%
22.50%
31.11%
29.63%
20.00%
24.75%
26.32%
10.53%
12.82%
27.50%
18.13%
25.41%
23.42%
21.37%
Communicate
Help Child Develop
Know Rights
Child Needs
& Learn
Scores
Mean
Scores
Mean
Scores
Mean
4 or >
Score
4 or >
Score
4 or >
Score
86.2%
4.43
89.6%
4.47
75.6%
4.26
87.7%
4.35
91.4%
4.45
92.5%
4.52
74.4%
4.06
83.0%
4.36
77.5%
4.20
81.9%
4.05
86.4%
4.21
84.1%
4.24
87.2%
4.41
92.2%
4.47
89.3%
4.36
79.9%
4.07
86.0%
4.33
83.3%
4.17
80.0%
4.11
75.0%
3.94
74.3%
4.00
82.7%
4.17
94.0%
4.67
94.5%
4.32
63.5%
3.52
75.5%
3.56
76.4%
3.75
55.9%
3.25
57.8%
3.51
69.2%
3.68
69.3%
3.91
80.8%
4.20
80.7%
4.18
73.1%
3.93
77.9%
4.19
75.9%
4.12
71.0%
3.91
82.2%
4.49
84.2%
4.30
86.6%
4.29
92.3%
4.44
86.5%
4.30
74.3%
4.04
82.9%
4.26
73.6%
4.04
85.9%
4.41
88.8%
4.48
85.4%
4.40
86.6%
4.36 100.0%
4.74
96.3%
4.72
90.0%
4.26
91.7%
4.26
89.8%
4.29
85.6%
4.43
94.2%
4.71
83.3%
4.34
73.6%
4.16
94.2%
4.52
90.3%
4.53
90.4%
4.35
96.4%
4.57
95.5%
4.44
74.7%
4.06
85.1%
4.36
82.6%
4.32
95.0%
4.55 100.0%
4.67 100.0%
4.67
100.0%
4.63 100.0%
4.60 100.0%
4.60
89.6%
4.63
89.4%
4.62
88.6%
4.61
73.73%
3.97 81.48%
4.17 81.15%
4.15
82.67%
4.25 88.11%
4.39 84.24%
4.13
83.63%
4.27 90.54%
4.47 85.94%
4.45
79.4%
4.12
86.2%
4.35
83.5%
4.27
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress or Slippage for Indicator 4:
•
In FFY09/SFY10, the percentage of families that indicated a positive response for knowing
and understanding their rights was 78.58%, which exceeds the target of 73.5% and
demonstrates an increase from FFY08/SFY09 data (71.85%).
•
In FFY09/SFY10, the percentage of families that indicate a positive response for families
being able to communicate child needs was 85.63%, which exceeds the target of 85% and
demonstrates an increase from FFY08/SFY09 data (83.81%).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 34
APR Template – Part C (4)
Illinois
State
•
In FFY09/SFY10, the percentage of families for being able to help their child develop and
learn was 83.28%, which fell short of the target of 89% and demonstrates a decrease from
FFY08/SFY09 data (88.27%).
Implementation of the new FOS-R did “raise the benchmark” on what constituted a positive
response from families. In past years, responses on the helpfulness scale of “good” and
“excellent” (5, 6 or 7 on a 7 point scale) were considered positive responses. This year,
responses of “very helpful” and “extremely helpful” (4 or 5 on a 5 point scale) were considered
positive responses, with a response of “somewhat helpful” not considered a positive response.
The change in the scale and the addition of the helpfulness indicators may have directly
contributed to both progress in two measures and slippage in the third. This version of the
survey provides more informative data that will help guide providers to make program
improvements that will directly impact these indicators for families. The data will also help the
state identify training and technical assistance needs and will support policy review and
revisions, as needed.
Downstate again had the highest scores on knowing rights and communicating your child’s
needs. Statewide a big jump was seen in both measures, with the exception of Chicago, which
saw about a 1% decrease in both areas. The Collar Counties had the highest scores for helping
their children develop and learn, but, overall, these scores dropped statewide. Scores for
respondents from Suburban Cook County and the Collar Counties had the biggest jump of
16.44% and 12.8% in the area of knowing rights from the previous year.
When comparing the distribution of surveys by race/ethnicity to the data for the children enrolled
in the program, there was good representation for Whites (54% of surveys/53% of children
enrolled), Blacks (14% of surveys/15% of children enrolled), and Hispanics (27% of
surveys/27% of children enrolled). Concerns continue about the responses of Hispanics and
Blacks. This year the return rates for both Spanish and English speaking Hispanic families were
14.72% and 13.59% respectively and return rate for Black families was 10.87%, all significantly
less than the 25.11% return rate for White families.
Local/CFC level data continue to illuminate the differential return rate problem. Weighting the
four large regions helps adjust for this, but there are also disparities within those larger regions.
For instance, CFC offices 9 and 10, which serve Chicago, had the lowest rating scores and the
lowest return rate. CFC offices 9 and 10 are in an economically poor area. At the other end of
that spectrum, CFC offices 4 and 5, Kane, Kendall, and Du Page counties, represents more
middle class and wealthier areas and they had the state’s highest return rate. Responses from
these CFC areas were slightly higher than the state average. Their responses did not differ as
much as those for the collar counties as a whole but their results do pull up the averages
somewhat.
Unlike previous years, Spanish language survey results came in much higher than the average,
both in average scores and in the percentage responding with scores of 4 or higher. Spanish
speaking families responded with a 4 or higher at a rate of 94.6% for helpfulness in knowing
their rights, 90.95% for helpfulness in communicating their child’s needs and 93.56% for helping
their child develop and learn.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 35
APR Template – Part C (4)
Illinois
State
As was the case last year, the program focused on taking steps that would improve outcomes
for families. However, there were several changes in the program environment that help explain
the decline in the area of helping your child develop and learn:
•
Service delays, discussed in Indicator 1, may foster a sense of dissatisfaction with the
program in families who are waiting to receive services for their child.
•
Provider payment delays may contribute to unease for families.
•
As noted before, the change in the scale and the addition of the helpfulness indicators in
the survey directly contributed to both progress in two areas and slippage in one area. It is
believed that these results are more informative and valid than in years past.
Improvement Activities Completed:
Improvement Activity
The System Ombudsman will work to
enhance high-level conformity with the spirit
of Early Intervention rules, laws and
philosophy. The System Ombudsman also
will observe and make recommendations on
local practice as it relates to the three family
outcomes.
Status/Timeline/Resource
On February 15, 2010, a system ombudsman
position was added to the Illinois EI Training
Program. The ombudsman has visited each of
the CFCs to assess areas of strengths and
concerns and is work to provide plans for
training and technical assistance opportunities
to address identified challenges. Other Program
Integrity Project strategies have been piloted,
with some system impact realized.
The IICEI will create a workgroup to study
issues related to Hispanics. This workgroup
will recommend program changes that will
have a positive impact on the way Hispanics
experience the program and thus their
outcomes.
This activity was not completed due to additional
Workgroups that were formed around a special
Early Intervention Legislative Taskforce. An
IICEI Workgroup to study issues related to
Hispanics will be created by December, 31,
2011 and will issue a report no later than June
30, 2012.
The program will do whatever it can to limit
provider payment delays. Effective January
1, 2010 the state has included EI payments
under its state Prompt Payment Act, which
says the state must make an additional
payment if bills are not paid within 60 days.
This situation was monitored daily by Bureau
staff and every effort was made to utilize all
available funds, including state general revenue,
federal Part C, Medicaid reimbursement, and
family fee funds. Payments were made as
funds became available.
The ECO/Illinois/Texas survey tool is being
revised to make it appear shorter and less
intimidating to families. It is anticipated this
will improve the response rate.
A revised version of the Family Outcomes
Survey was used to collected data from Illinois
families.
Illinois chose to use this new survey format in
order to better measure family outcomes and
determine the helpfulness of early intervention
programs. The revised version contains more
detailed information to guide program
improvement activities and uses a modified
survey format.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 36
APR Template – Part C (4)
Illinois
State
The Outcomes Workgroup will recommend
steps to be taken that will help increase
survey return rates and help make returns
more representative of the caseload for
FFY09/ SFY10 and following years.
The Outcomes Workgroup discussed child and
family outcomes data and made
recommendations for improvement activities.
In addition, as part of minority outreach strategies, the Early Intervention Clearinghouse began
developing bilingual information for families and will develop and maintain translated program
documents for use by CFC offices.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013). A revision to the targets for FFY10/SFY11 is also
proposed.
FFY
2010
(2011-2012)
Measurable and Rigorous Target
78% of respondent families participating in Part C will report that early
intervention services have helped the family know their rights
85.8% of respondent families participating in Part C will report that early
intervention services have helped the family effectively communicate their
children's needs
85.0% of respondent families participating in Part C will report that early
intervention services have helped the family help their children develop
and learn
2011
(2011-2012)
78.5% of respondent families participating in Part C will report that early
intervention services have helped the family know their rights
86.2% of respondent families participating in Part C will report that early
intervention services have helped the family effectively communicate their
children's needs
87.0% of respondent families participating in Part C will report that early
intervention services have helped the family help their children develop
and learn
2012
(2012-2013)
79% of respondent families participating in Part C will report that early
intervention services have helped the family know their rights
86.5% of respondent families participating in Part C will report that early
intervention services have helped the family effectively communicate their
children's needs
90.2% of respondent families participating in Part C will report that early
intervention services have helped the family help their children develop
and learn
Illinois’ baseline data (from FFY05/SFY06) included the weighted values of 76.8% of respondent
families reported that early intervention services have helped the family know their rights; 86.5%
of respondent families reported that early intervention services have helped the family
effectively communicate their children's needs; and 90.2% of respondent families reported that
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 37
APR Template – Part C (4)
Illinois
State
early intervention services have helped the family help their children develop and learn. The
proposed target values maintain the baseline target for two indicators (effectively communicate
your child’s needs and able to help your child develop and learn) in FFY2012/SFY2013, as the
baseline values are well over current performance. Interim years demonstrate a gradual
increase to baseline values. Improvement over baseline for the third indicator (know and
understand your rights) has been demonstrated and should continue as improvement activities
are implemented. Survey data are still stabilizing as strategies to increase both the number of
surveys distributed and return rates will have an impact on the ability of the data to be
representative across CFC office areas and populations served.
Revisions to proposed targets and improvement activities were discussed with the Outcomes
Workgroup. The Workgroup includes parent representatives from the IICEI, CFC office
managers, Early Intervention providers, and research and training staff. The improvement
activities described in the SPP are ongoing efforts. The following are new improvement
activities to be implemented through FFY12/SFY13.
New Improvement Activity
The Outcomes Workgroup will develop a
guidance document to help CFCs report the
local results of the FOS to the community.
Based on what is learned from the survey data
statewide and locally, providers and programs
will have an opportunity to reflect on the data
and may choose to make changes or
adjustments in their practice with families to
see an improvement in family outcomes and/or
individual indicators.
Timelines & Resources
This will be completed in FFY10/SFY11.
The Illinois EI Training Program will imbed
training on the FOS indicators in both their
online training modules and as a part of faceto face training opportunities for providers.
The intent of this training will be to highlight
the importance of what is asked of families as
a part of the FOS, and to highlight how data
from the FOS can help states see how their
families are doing, identify any areas in need
of improvement, and then, after program
adjustments, assess the impact of those
changes—with the goal of moving to ever
higher percentages of families reporting
outcomes attained.
This will be completed in FFY10/SFY11 and
will continue as an ongoing activity.
The IICEI will create a Workgroup to study
issues related to Hispanics. This Workgroup
will recommend program changes that will
have a positive impact on the way Hispanics
experience the program and thus their
outcomes. The focus of this group will be
expanded to include African American
families.
This Workgroup will be created by December,
31, 2011 and will issue a report no later than
June 30, 2012.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Resources include the Outcomes Workgroup,
the EI Training Program and the Bureau of
Early Intervention.
Resources include EI Training Program and
the Bureau of Early Intervention.
Resources include the IICEI, the EI Training
Program, and the Bureau of Early Intervention.
Monitoring Priority – Page 38
APR Template – Part C (4)
Illinois
State
Illinois will discontinue the use of mailing to a
sampling of families participating in the
program. All families enrolled in the program
during a designated month will be sent a
Family Outcomes Survey.
This will be initiated in FFY10/SFY11 and will
continue as an ongoing activity.
An online survey will be developed as an
option for families to complete the Family
Outcomes Survey. The online option will be
available in both English and Spanish. The
online option will not replace the paper version
of the FOS. It is the hope that by offering an
online option for FOS completion Illinois will
see an increase in the overall return rate.
This will be completed in FFY10/SFY11 and
will remain as an ongoing activity.
To increase the return rate for African
American and Hispanic families surveyed
statewide and for all families’ surveyed living in
the City of Chicago, targeted phone calls will
be made to families who have not returned a
completed survey two weeks following the
distribution of the surveys. Phone calls will be
made by the EI Training Program staff and will
be done for both English and Spanish
speaking families. Families will be given the
option to complete the survey over the phone
at the time of the phone call.
This will be completed in FFY10/SFY11 and
will remain as an ongoing activity.
The Illinois EI Training Program will develop a
specific online training module for providers
focused on cultural competency with the goal
of increasing the percentage of African
American and Hispanic Families reporting
outcomes attained.
This will be completed in FFY11/SFY12.
The EI Clearinghouse will develop materials
for distribution to families and update
information on its website to help ensure that
families are well informed or their rights.
This work will begin in FFY10/SFY11 and will
continue as on ongoing activity.
Graduate student research on issues that may
impact family outcomes will be approved and
the resulting information considered for future
improvement activities.
This work will begin in FFY10/SFY11 and will
continue as on ongoing activity.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Resources include the EI Training Program
and the Bureau of Early Intervention.
Resources include the EI Training Program
and the Bureau of Early Intervention.
Resources include the EI Training Program.
Resources include the EI Training Program
and the Bureau of Early Intervention.
Resources include the EI Clearinghouse, the
EI Training Program, CFC offices and the
Bureau of Early Intervention.
Resources include the Bureau of Early
Intervention and Illinois graduate programs
who contact the program for support and
approval of research topics.
Monitoring Priority – Page 39
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / Child Find
Indicator 5: Percent of infants and toddlers birth to 1 with IFSPs compared to national data.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement:
Percent = [(# of infants and toddlers birth to 1 with IFSPs) divided by the (population of
infants and toddlers birth to 1)] times 100 compared to national data.
FFY
FFY09/SFY10
Measurable and Rigorous Target
The percentage of all children in Illinois under age 1 served through an IFSP will
be at least 1.33%, approximately 2,420 children.
Actual Target Data for FFY09/SFY10:
Indicator 5
Percent = [(# of infants and toddlers birth to 1 with IFSPs) divided by the (population of infants and
toddlers birth to 1)] times 100
FFY09/SFY10 Result: Based on October 31, 2009 data (1,950/18,133) X 100= 1.08%
Illinois ranks 22th out of all states and D.C.
Based on October 31, 2009 data, Illinois reported 1,950 children under 1 had active IFSPs,
equal to a 1.08% participation rate. That is lower than the 1.13% for October 31, 2008, and falls
short of the FFY09/SF10 target of 1.33%. Illinois does perform above the national percentage
of 1.03%. Illinois has fallen from a ranking of 19 in FFY08/SFY09 to 22 among the 50 states
and D.C.
The following chart provides statewide, regional, and CFC office participation rate histories. The
participation rates are based upon June 30, 2010 data, with the census estimates used for the
population of infants and toddlers birth to 1. For previous years, the participation rates were
calculated using birth data rather than census estimates. Birth data for Illinois infants that are
born in bordering states are no longer available to the program.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 40
APR Template – Part C (4)
Illinois
State
Participation Rate Under 1 History by CFC & Region
End of:
CFC # & Area
SFY04
SFY05
SFY06
FY09
6 Year
SFY07
SFY08
SFY09
SFY10
Rank
Change
Change
#1 - ROCKFORD
1.44%
1.15%
1.28%
1.46%
1.22%
1.25%
0.98%
16
-21.96%
-32.25%
#2 - Lake County
0.66%
0.86%
1.00%
0.91%
0.75%
0.88%
0.61%
25
-30.45%
-7.26%
#3 - FREEPORT
1.25%
1.59%
1.10%
1.50%
1.25%
1.68%
0.93%
18
-44.62%
-25.57%
#4 - Kane & Kendall Co.
0.76%
1.19%
1.01%
1.20%
0.97%
1.02%
0.63%
24
-38.61%
-17.61%
#5 - Du Page County
0.94%
0.97%
0.92%
0.99%
0.95%
0.96%
0.96%
17
0.30%
2.43%
#6 - N. Suburbs
0.93%
1.10%
1.28%
1.38%
1.43%
1.31%
1.37%
5
4.91%
47.77%
#7 - W. Suburbs
0.88%
0.93%
1.10%
1.25%
1.30%
1.30%
1.16%
11
-10.47%
32.26%
#8 - SW Chicago
1.33%
1.60%
1.40%
1.44%
1.42%
1.44%
1.38%
4
-4.47%
3.43%
#9 - Central Chicago
1.28%
1.20%
1.53%
2.05%
1.68%
1.60%
1.58%
3
-1.25%
23.43%
#10 - SE Chicago
1.54%
1.68%
1.67%
1.90%
1.42%
1.45%
1.20%
10
-17.23%
-22.07%
#11 - N. Chicago
0.95%
1.00%
1.20%
1.33%
1.21%
1.20%
1.36%
6
13.61%
43.51%
#12 - S. Suburbs
1.37%
1.60%
1.45%
1.30%
1.22%
1.21%
1.01%
14
-16.22%
-26.00%
#13 - MONMOUTH
0.63%
1.38%
1.01%
1.24%
1.16%
1.06%
1.01%
15
-5.15%
59.59%
#14 - PEORIA
0.63%
0.74%
0.98%
0.94%
1.13%
0.83%
0.72%
23
-12.66%
15.06%
#15 - Joliet
1.15%
1.26%
1.01%
0.96%
1.13%
1.04%
0.80%
22
-23.49%
-30.81%
#16 - DANVILLE
0.69%
0.83%
0.95%
1.28%
1.31%
1.21%
1.24%
8
2.34%
79.46%
#17 - QUINCY
0.85%
1.28%
1.29%
1.84%
1.84%
1.94%
0.91%
19
-52.92%
7.46%
#18 - SPRINGFIELD
1.45%
1.22%
1.39%
1.49%
1.30%
1.13%
1.13%
12
-0.35%
-22.35%
#19 - DECATUR
0.94%
1.41%
1.29%
1.60%
1.51%
1.92%
1.24%
9
-35.63%
31.48%
#20 - EFFINGHAM
1.29%
2.13%
1.61%
1.99%
1.99%
2.07%
1.85%
2
-10.45%
43.69%
#21 - BELLEVILLE
0.86%
1.03%
0.94%
0.78%
0.97%
1.31%
0.80%
21
-38.95%
-7.01%
#22 - CENTRALIA
1.53%
1.61%
1.39%
1.60%
1.56%
1.28%
1.31%
7
2.38%
-14.35%
#23 - NORRIS CITY
2.88%
3.35%
4.27%
2.65%
2.75%
4.51%
2.29%
1
-49.19%
-20.43%
#24 - CARBONDALE
0.63%
1.14%
1.33%
1.28%
1.11%
1.25%
1.07%
13
-14.48%
69.67%
#25 - McHenry County
1.36%
1.02%
0.94%
0.99%
1.28%
1.13%
0.90%
20
-20.57%
-34.00%
Statewide
1.06%
1.21%
1.20%
1.30%
1.25%
1.21%
1.08%
-9.92%
2.83%
Cook (6-12)
Collar Counties
(2,4,5,15,25)
1.14%
1.25%
1.35%
1.48%
1.36%
1.31%
1.31%
0.00%
14.91%
0.97%
1.09%
1.05%
1.07%
1.11%
1.07%
0.77%
-28.04%
-20.62%
Downstate (Others)
1.03%
1.26%
1.12%
1.24%
1.22%
1.19%
1.00%
-15.97%
-2.91%
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress/Slippage for Indicator 5: The October 31, 2009 under 1 participation rate of 1.08% is
lower than the October 31, 2008 participation rate of 1.13%, and falls short of the FFY09/SF10
target of 1.33%. Illinois has fallen from a ranking of 19 in FFY08/SFY09 to 22 among the 50
states and D.C. Illinois performed above the national percentage of 1.03%. In addition, 13
CFC offices have participation rates above the national percentage. Five CFC offices have
increased under 1 participation rates from the previous year.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 41
APR Template – Part C (4)
Illinois
State
In the six years between the end of FFY03/SFY04 and the end of FFY09/SFY10, the under 1
participation rate increased statewide and for 13 CFC offices. The Cook County CFC offices, as
a group, achieved an increase. Regional data for Collar County CFC offices and the remaining
CFC offices outside of Cook County show a downward trend.
Data provided in Indicator 6 demonstrate a decrease in under 3 participation rate (from 3.43%
on October 31, 2008 to 3.38 on October 31, 2009). It is not clear why Illinois has experienced a
proportionally larger decline in its under 1 participation rate. The following rationales identify
several important factors.
•
Of the 10 CFC offices with the greatest drop in under 1 participation rates, all but one
office borders on another state. For these CFC offices, the change in the use of census
estimates for the population of infants and toddlers birth to 1, rather than birth data, may
have contributed to these decreases.
•
System stresses aggravated by the State’s fiscal situation and the resulting delays in
payments to providers may have diverted CFC office from efforts to target the under 1
population.
•
Economic stressors on families may result in fewer families accessing program services.
•
During FFY08/SFY09, the Early Intervention program initiated the Program Integrity
Project to accomplish statewide program equality; fidelity to program principles and state
and federal laws; and long-term program stability. As a result of the Program Integrity
Project, the program anticipated a reduced growth rate or a decline in overall enrollment in
the program in FFY09/SFY10. Initial efforts focused on eligibility determination to make
sure that process was being conducted according to policy and procedure, so that
appropriate determinations will be made.
CFC managers provided their perspective on why under 1 participation rates have fallen or
remained stable. They described insurance/HMO influences on physicians’ decisions to retain
child in system services, rather than referring them to the EI Program, until insurance benefits
have been exhausted. In addition, acting as good stewards of program funds, CFC offices
evaluate premature infants for EI eligibility, but do not keep the case open if the infant does not
need services at the time and the family chooses not to remain in the program. These families
are periodically contacted regarding participation.
Improvement Activities Completed:
Improvement Activity
The improvement activities described above
are ongoing efforts.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Status/Timeline/Resource
The Early Intervention Program coordinated
efforts with the Illinois Department of Public
Health to ensure that all infants who are
registered in the Illinois Adverse Pregnancy
Outcomes Reporting System (APORS) have
been referred to Early Intervention. Referral
information is being sent to the Bureau of
Early Intervention and is then forwarded to the
appropriate CFC office. The CFC office
contacts the family if the infant is not already
enrolled in the program. The Bureau
continues to work with APORS to help ensure
that evaluations are completed and service
plans are in place for eligible children.
Monitoring Priority – Page 42
APR Template – Part C (4)
Illinois
State
Participate in advisory groups and pilot
activities to promote the referral of infants to
the Early Intervention Program, such as the
Assuring Better Child Health and Development
(ABCD) III project, the EI/Medical Home
project, and the development of an early
childhood community referral pilot system in
select communities.
In its first year, the ABCD III, Illinois Healthy
Beginnings II (IHB2) project focused on:
facilitating stakeholder input, surveying the 25
CFC offices about their current technical and
staffing capacity to participate as a pilot
project; reviewing draft materials for use in the
pilot projects, including a universal referral and
follow-up form and IFSP summary form; and
reviewing barriers, policy and protocol for
stakeholders.
Bureau of Early Intervention staff, in response
to an invitation from the IL Department of
Healthcare and Family Services (HFS),
participate on Workgroups of the Children’s
Health Insurance Program Reauthorization Act
(CHIPRA) child Health Quality Demonstration
Grant. One goal of the grant project is to
improve perinatal and early childhood health
outcomes, including assuring that existing
systems, such as Early Intervention, are linked
to the medical home and developing a
mechanism to link the NICU to the medical
home and to EI to promote better care and
coordination and earlier entry into EI.
Another improvement activity includes the following:
•
In addition to the projects identified above, EI has participated in the Enhancing
Developmentally Oriented Primary Care (EDOPC) initiative. This collaborative project
began in 2005 with the goals to improve delivery and financing of preventive health and
developmental services for children birth to three and build on existing programs to
develop a range of strategies for primary care settings. The initiative has provided training
and implemented strategies to promote developmental screening and referral to EI,
including facilitating communication between primary care providers and EI.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY09/SFY10:
The State Performance Plan (SPP) has been revised to specify, for each indicator, annual
targets and improvement activities for each year through FFY2012 (July1, 2012 through June
30, 2013).
FFY
2010
(2010-2011)
2011
(2011-2012)
2012
(2012-2013)
Measurable and Rigorous Target
On October 31, 2010, the percentage of all children in Illinois under age 1
served through an IFSP will be at least 1.08%.
On October 31, 2011, the percentage of all children in Illinois under age 1
served through an IFSP will be at least 1.08%.
On October 31, 2012, the percentage of all children in Illinois under age 1
served through an IFSP will be at least 1.08%.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 43
APR Template – Part C (4)
Illinois
State
The proposed performance targets for FFY10, FFY11 and FFY12 have been set at the
FFY09/SFY10 performance level due to the factors facing the EI Program, as discussed above.
With several of these factors out of the control of the program, Illinois is not confident that
improvement in terms of increases in stated percentages should be expected.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activity
The APORS referral process will be reviewed
to ensure that it has been successfully
implemented.
Timelines & Resources
By December 2010, the CFC offices will be
surveyed to determine if the process is being
implemented appropriately and is responsive
to the needs of CFC offices and families
identified through the APORS. Information
from the survey will be discussed with CFC
offices.
Resources include APORS, the Bureau of
Early Intervention, and the CFC offices.
Continue participation in ABCD III, IHB2
project, including CFC office participation in
pilot project activities and data sharing
between the HFS and the IL Department of
Humans Services/EI.
Selection of pilot sites will be completed by
January 2011. Pilot activities and the
development and implementation of data
sharing activities will be an ongoing activity.
Resources include HFS and its IHB2 Project
Management Committee and subcommittees,
Bureau of Early Intervention, and CFC offices.
Continued participation in CHIPRA Child
Health Quality Demonstration Grant.
Bureau staff will continue participation in
Workgroups and assist in the development
and implementation of strategies throughout
the grant period (i.e., 2015).
Resources include HFS and its CHIPRA Child
Health Quality Demonstration Grant
Workgroups, Bureau of Early Intervention, and
CFC offices.
Continue participation in EDOPC.
Bureau and EI Training Program staff will
continue participation in the EDOPC advisory
group and CFC offices will participate in pilot
project activities.
Resources include the Advocate Health Care
Steps Program, Illinois Chapter, American
Academy of Pediatrics, Bureau of Early
Intervention, EI Training Program, and CFC
offices.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 44
APR Template – Part C (4)
Illinois
State
Utilize Program Integrity pilot project efforts to
identify barriers to participation of infants in the
program and develop strategies that can be
shared with other CFC offices.
A CFC office with low under 1 participation
rate will be chosen as a pilot project in
FFY10/SFY11. Identification of barriers,
implementation of strategies, and sharing
strategies with other CFC offices will be an
ongoing effort.
Resources include the Bureau of Early
Intervention, the EI Training Program, EI
System Ombudsman, and the EI Monitoring
Program.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 45
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / Child Find
Indicator 6: Percent of infants and toddlers birth to 3 with IFSPs compared to national data.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement:
Percent = [(# of infants and toddlers birth to 3 with IFSPs) divided by the (population of
infants and toddlers birth to 3)] times 100 compared to national data.
FFY
FFY09/SFY10
Measurable and Rigorous Target
The percentage of children in Illinois under age 3 served through an IFSP will be at
least 3.37%, approximately 18, 020 children.
Actual Target Data for FFY09/SFY10:
Indicator 6
Percent = [(# of infants and toddlers birth to 3 with IFSPs) divided by the (population of infants and
toddlers birth to 3)] times 100 compared to national data.
FFY09/SFY10 Result (based on October 31, 2009 data): (18,266/540,688) X 100= 3.38%
Illinois is ranked 15th among all states and D.C
Based on October 31, 2009 data, Illinois reported 18,266 children under 3 had active IFSPs,
equal to a 3.38% participation rate. That is lower than the October 31, 2008 participation rate of
3.43%, but exceeds the FFY09/SFY10 target value of 3.37%. Illinois is ranked 15th among all
states and D.C., down from 13th in the previous year.
The following chart provides statewide, regional, and CFC office participation rate histories. The
participation rates are based upon June 30, 2010 data, with the census estimates used for the
population of infants and toddlers birth to 3. For previous years, the participation rates were
calculated using birth data rather than census estimates. Birth data for Illinois infants that are
born in bordering states are no longer available to the program.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 46
APR Template – Part C (4)
Illinois
State
Participation Rate History by CFC & Region
CFC # & Area
#1 - LOVES PARK
End of
FY09
6 Year
SFY04
SFY05
SFY06
SFY07
SFY08
SFY09
SFY10
Rank
Change
Change
3.38%
3.43%
3.26%
3.33%
3.76%
3.60%
3.46%
17
-4.01%
2.24%
#2 - Lake County
2.61%
2.75%
2.72%
2.57%
2.85%
2.69%
2.81%
25
4.53%
7.74%
#3 - FREEPORT
3.34%
3.76%
3.49%
3.80%
3.45%
3.78%
3.50%
15
-7.30%
4.92%
#4 - Kane & Kendall Counties
2.77%
3.06%
2.86%
3.03%
3.07%
3.03%
2.92%
23
-3.78%
5.25%
#5 - Du Page County
2.73%
2.92%
3.11%
3.24%
3.16%
3.35%
3.54%
13
5.59%
29.57%
#6 - N. Suburbs
2.60%
2.90%
3.25%
3.62%
4.01%
3.90%
4.07%
6
4.47%
56.71%
#7 - W. Suburbs
2.87%
3.09%
3.43%
3.66%
3.84%
3.87%
4.25%
3
9.74%
47.97%
#8 - SW Chicago
2.86%
3.13%
3.20%
3.27%
3.43%
3.55%
3.77%
11
6.20%
31.82%
#9 - Central Chicago
2.71%
2.73%
3.11%
3.71%
3.65%
3.97%
3.86%
8
-2.80%
42.39%
#10 - SE Chicago
2.75%
2.99%
3.15%
3.22%
3.03%
3.24%
3.18%
21
-1.99%
15.48%
#11 - N. Chicago
3.28%
2.49%
2.75%
2.98%
3.31%
3.75%
3.80%
10
1.20%
15.70%
#12 - S. Suburbs
3.23%
3.37%
3.19%
3.33%
3.40%
3.35%
3.62%
12
8.04%
12.06%
#13 - MONMOUTH
2.33%
2.71%
3.11%
3.48%
3.26%
3.20%
3.17%
22
-1.05%
35.90%
#14 - PEORIA
2.40%
2.76%
2.90%
3.30%
3.55%
3.39%
3.37%
19
-0.64%
40.35%
#15 - Joliet
3.07%
3.37%
3.36%
3.25%
3.53%
3.66%
3.48%
16
-4.91%
13.37%
#16 - DANVILLE
2.41%
2.79%
2.91%
2.95%
3.42%
3.44%
3.53%
14
2.53%
46.35%
#17 - QUINCY
2.63%
2.66%
2.81%
3.75%
3.55%
3.85%
3.83%
9
-0.51%
45.65%
#18 - SPRINGFIELD
3.24%
3.46%
3.49%
3.54%
3.78%
4.08%
4.14%
5
1.57%
27.91%
#19 - DECATUR
3.02%
3.06%
3.32%
3.70%
3.32%
3.95%
4.05%
7
2.43%
33.97%
#20 - EFFINGHAM
4.02%
4.35%
4.47%
4.67%
4.51%
4.42%
4.35%
2
-1.63%
8.15%
#21 - BELLEVILLE
2.26%
2.48%
2.55%
2.57%
2.74%
3.09%
2.85%
24
-7.84%
26.01%
#22 - CENTRALIA
3.90%
4.36%
4.20%
4.46%
4.42%
4.31%
4.21%
4
-2.40%
7.86%
#23 - NORRIS CITY
6.44%
7.82%
6.91%
6.98%
7.95%
8.52%
7.63%
1
-10.44%
18.49%
#24 - CARBONDALE
2.30%
3.03%
3.04%
2.80%
3.04%
3.46%
3.39%
18
-1.90%
47.58%
#25 - McHenry County
3.67%
3.45%
3.17%
3.12%
3.61%
3.33%
3.29%
20
-1.20%
-10.35%
Statewide
2.84%
3.07%
3.13%
3.30%
3.45%
3.56%
3.59%
0.80%
26.35%
Cook (6-12)
2.68%
2.89%
3.10%
3.35%
3.52%
3.66%
3.81%
4.07%
42.12%
Collar Counties (2,4,5,15,25)
2.87%
3.06%
3.05%
3.05%
3.21%
3.21%
3.23%
0.63%
12.55%
Downstate (Others)
3.06%
3.38%
3.26%
3.46%
3.58%
4.08%
3.62%
-11.31%
18.26%
Note: Rates inflated about 1.25% due to inclusion of children over 36 months but less than 37 months,
waiting for transition process to be finalized.
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress/Slippage for Indicator 6: The October 31, 2009 under 3 participation rate of 3.38%
is lower than the October 31, 2008 participation rate of 3.43%, and exceeds the FFY09/SF10
target of 3.37%. Illinois has fallen from a ranking of 13 in FFY08/SFY09 to 15 among the 50
states and D.C. Illinois performed above the national percentage of 2.67%. In addition, all 25
CFC offices have participation rates above the national percentage.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 47
APR Template – Part C (4)
Illinois
State
Ten CFC offices have increased under 3 participation rates from the previous year. The
participation rates in Cook County and collar county CFC offices have increased. Regional
data for the remaining CFC offices show a downward trend. Since FFY03/SFY04, 24 of the
CFC offices have increased participation rates.
Data provided in Indicator 6 demonstrate a decrease and indicate an overall leveling off of the
under 3 participation rate. As stated in Indicator 5, the following rationales identify several
important factors.
•
System stresses aggravated by the State’s fiscal situation and the resulting delays in
payments to providers may have diverted CFC office from efforts to increase participation
rates.
•
Economic stressors on families may result in fewer families accessing program services.
•
During FFY08/SFY09, the Early Intervention program initiated the Program Integrity
Project to accomplish statewide program equality; fidelity to program principles and state
and federal laws; and long-term program stability. As a result of the Program Integrity
Project, the program anticipated a reduced growth rate or a decline in overall enrollment in
the program in FFY09/SFY10. Initial efforts focused on eligibility determination to make
sure that process was being conducted according to policy and procedure, so that
appropriate determinations will be made.
Improvement Activities Completed: Previous improvement activities, such as monthly
reporting to CFC offices, performance contracting, and identification of findings and
development of corrective action plans continue. In addition, the bulk of funding to CFC offices
for service coordination is distributed based on average caseloads over a recent period.
Improvement Activity
The Program Integrity Project efforts initiated
in FFY08/SFY09 and described above
(Indictor 1) will continue.
Status/Timeline/Resource
Three pilot projects are underway to identify
and test approaches to promote program
integrity. The pilots involve the collection and
analysis of data. A plan of training and
technical assistance is then developed and
implemented to ensure that program principles
and procedures regarding eligibility
determination and service plan development
are being appropriately followed. Lessons
learned through these pilots are shared with all
CFC managers at monthly CFC managers’
meetings.
Participation in advisory groups and pilot
activities, described in Indicator 5.
See Indicator 5 regarding status of participation
in ABCD III, IHB2 and CHIPRA Child Health
Quality Demonstration Grant projects.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY09/SFY10:
The State Performance Plan (SPP) has been revised to specify, for each indicator, annual
targets and improvement activities for each year through FFY2012 (July1, 2012 through June
30, 2013).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 48
APR Template – Part C (4)
Illinois
State
FFY
Measurable and Rigorous Target
2010
(2010-2011)
2011
(2011-2012)
2012
(2012-2013)
On October 31, 2010, the percentage of all children in Illinois under age 3
served through an IFSP will be at least 3.37%.
On October 31, 2011, the percentage of all children in Illinois under age 3
served through an IFSP will be at least 3.37%.
On October 31, 2012, the percentage of all children in Illinois under age 3
served through an IFSP will be at least 3.37%.
The proposed performance targets for FFY10, FFY11 and FFY12 maintain the FFY2009 target
value of 3.37%, due to the factors facing the EI Program, as discussed above. With several of
these factors out of the control of the program, Illinois is not confident that improvement in terms
of increases in stated percentages should be expected.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activity
Continue participation in ABCD III, IHB2
project, including CFC office participation in
pilot project activities and data sharing
between the HFS and the IL Department of
Humans Services/EI.
Timelines & Resources
Selection of pilot sites will be completed by
January 2011. Pilot activities and the
development and implementation of data
sharing activities will be an ongoing activity.
Resources include HFS and its IHB2 Project
Management Committee and subcommittees,
Bureau of Early Intervention, and CFC offices.
Continued participation in CHIPRA Child
Health Quality Demonstration Grant.
Bureau staff will continue participation in
Workgroups and assist in the development
and implementation of strategies throughout
the grant period (i.e., 2015).
Resources include HFS and its CHIPRA Child
Health Quality Demonstration Grant
Workgroups, Bureau of Early Intervention, and
CFC offices.
Continue participation in EDOPC.
Bureau and EI Training Program staff will
continue participation in the EDOPC advisory
group and CFC offices will participate in pilot
project activities.
Resources include the Advocate Health Care
Steps Program, Illinois Chapter, American
Academy of Pediatrics, Bureau of Early
Intervention, EI Training Program, and CFC
offices.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 49
APR Template – Part C (4)
Illinois
State
In order to bring the state into full compliance
with CAPTA, the Department of Children and
Family Services (DCFS) will implement a
process to screen children that reside in intact
families and refer to EI, when appropriate.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
DSCF staff hiring will be completed in
FFY10/SFY11 and screening of children that
reside in intact families will begin. CFC office
staff will receive training as the screening
process is rolled out statewide. This screening
will be an ongoing strategy.
Resources include DCFS and Bureau of Early
Intervention staff, CFC offices and the Early
Intervention Training Program.
Monitoring Priority – Page 50
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / Child Find
Indicator 7: Percent of eligible infants and toddlers with IFSPs for whom an evaluation and
assessment and an initial IFSP meeting were conducted within Part C’s 45-day timeline.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement:
Percent = [(# of infants and toddlers with IFSPs for whom an evaluation and assessment
and an initial IFSP meeting was conducted within Part C’s 45-day timeline) divided by the
(# of infants and toddlers with IFSPs evaluated and assessed for whom an initial IFSP
meeting was required to be conducted)] times 100.
Account for untimely evaluations, assessments, and initial IFSP meeting, including the
reasons for delays.
FFY
FFY09/SFY10
Measurable and Rigorous Target
100% of new IFSPs will be initiated within 45 days of referral.
Actual Target Data for FFY09/SFY10:
Indicator 7: [IFSP initiated within 45 days of referral /(Total IFSPs – Cases delayed for family
reasons)] X 100
FFY09/SFY10 Result: [(16,736+142)/16,970] X100 = 99.46%
FY08/SFY09 Target = 100%
Illinois utilized its Cornerstone system to measure the time in intake for every child referred to
Early Intervention during the time period July 1, 2009 through June 30, 2010. In response to
Indicator 7, data exclude cases delayed for family reasons. The last column in the following
chart provides statewide and CFC-specific data for Indicator 7.
CFC offices assign a reason (i.e., CFC, family or provider) when a case takes more than 45
days. These data are provided in the following chart, along with a calculation for IFSPs initiated
within 45 days (in “On Time column) that includes cases delayed for family reasons. The EI
Program includes IFSPs that have been delayed for family reasons when reporting performance
data to CFC offices, as delays for any reason can be detrimental to children.
Seven of the 25 CFC offices demonstrate 100% compliance with the 45-day requirement. All
three geographic groupings of the state (i.e., Cook County Collar County and Downstate) have
a minimum of 99% compliance, with only four CFC offices falling below 99.0%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 51
APR Template – Part C (4)
Illinois
State
FFY 09/SFY 10 IFSPs Initiated* Within 45-Days Reasons for Delay
CFC # & Area
Total *
Not
Delayed
CFC
Delay
Family
Delay
Provider
Delay
On Time
On Time
Less Family
Delay
#1 – LOVES PARK
568
564
2
2
-
99.30%
99.65%
#2 - Lake County
754
752
1
1
-
99.73%
99.87%
#3 - FREEPORT
294
283
2
7
2
96.26%
98.64%
#4 - Kane & Kendall Counties
859
811
10
27
11
94.41%
97.56%
#5 - Du Page County
1,115
1,107
3
3
1
99.28%
99.55%
#6 - N. Suburbs
1,457
1,451
1
3
-
99.59%
99.79%
#7 - W. Suburbs
912
907
-
3
-
99.45%
99.78%
#8 - SW Chicago
676
675
-
-
-
99.85%
99.85%
#9 - Central Chicago
916
911
1
3
1
99.45%
99.78%
#10 - SE Chicago
625
625
-
-
-
100.00%
100.00%
#11 - N. Chicago
1,990
1,963
-
21
4
98.64%
99.70%
#12 - S. Suburbs
962
962
-
-
-
100.00%
100.00%
#13 - MONMOUTH
335
333
-
1
-
99.40%
99.70%
#14 - PEORIA
547
522
1
21
3
95.43%
99.27%
1,358
1,352
2
2
1
99.56%
99.71%
#15 - Joliet
#16 - DANVILLE
652
626
4
12
9
96.01%
97.85%
#17 - QUINCY
233
233
-
-
-
100.00%
100.00%
#18 - SPRINGFIELD
320
314
2
4
-
98.13%
99.38%
#19 - DECATUR
358
357
-
-
-
99.72%
99.72%
#20 - EFFINGHAM
348
347
-
1
-
99.71%
100.00%
#21 - BELLEVILLE
624
580
14
27
2
92.95%
97.28%
#22 - CENTRALIA
313
310
-
3
-
99.04%
100.00%
#23 - NORRIS CITY
189
189
-
-
-
100.00%
100.00%
#24 - CARBONDALE
158
158
-
-
-
100.00%
100.00%
#25 - McHenry County
407
404
1
1
1
99.26%
99.51%
98.62%
99.46%
Statewide
16,970
16,736
44
142
35
% of Total
100.0%
98.62%
0.26%
0.84%
0.21%
Cook County (6-12)
7,538
7,494
2
30
5
99.42%
99.81%
Collar (2, 4, 5, 15, 25)
4,493
4,426
17
34
14
98.51%
99.27%
Downstate (All Others)
4,939
4,816
25
78
16
97.51%
99.09%
* Table does not include re-enrollments. Except for average days to initial IFSP, all other tables include
reenrollments. Most reenrollments take only a few days and almost never more than 45-days.
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress or Slippage for Indicator 7: In FFY09/SFY10, the proportion of cases with IFSPs
initiated within 45 days (99.46%) decreased slightly from the FFY08/SFY09 target data
(99.49%). Regional data shows little change between the two years. In both FFY08/SFY09 and
FFY09/SFY10, four CFC offices fell below 99%, with three of showing some improvement from
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 52
APR Template – Part C (4)
Illinois
State
the previous year. Major challenges in these areas of the state include EI provider availability
and rapid growth in caseloads creating staff vacancy problems for CFC offices.
Improvement Activities Completed
No new improvement activities were identified in the FFY08/SFY09 APR. Previous
improvement activities continue, such as monthly statistical reporting to CFC offices, additional
reporting of children that will exceed 45 days in intake by the end of the month, performance
contracting, identification of findings and development of corrective action plans, and use of
data in the determination score process.
Illinois has greatly improved its documentation of findings and correction of noncompliance. In
FFY06/SFY07, it expanded the process to utilize its data system. A system of identification and
correction of noncompliance was developed, but not fully implemented until FFY07/SFY08, due
to delays in sending notification of findings to CFC offices. Findings based on FFY06/SFY07
were sent in February 2008. Findings based on FFY07/SFY08 data were sent on December
2008. Illinois is now on track to provide timely notification and to monitor and document
correction of noncompliance. On August 27, 2009, the Bureau sent a single letter to each CFC
office that included the CFC office’s determination (in accordance with 616(a)(1)(C)(i) and
300.600(a) of IDEA 2004) and the notification of findings of noncompliance, based upon
FFY08/SFY09data. On September 10, 2010, the Bureau sent a single letter to CFC offices
with determinations and notification of finding based upon FFY09/SFY10 data.
Correction of FFY 2008 Findings of Noncompliance (if State reported less than 100%
compliance):
Level of compliance (actual target data) State reported for FFY 2008 for this indicator: 99.49%
1. Number of findings of noncompliance the State made during FFY 2008 (the
17
period from July 1, 2008, through June 30, 2009)
2.
Number of FFY 2008 findings the State verified as timely corrected (corrected
within one year from the date of notification to the EIS program of the finding)
3.
Number of FFY 2008 findings not verified as corrected within one year [(1)
minus (2)]
14
3
Correction of FFY 2008 Findings of Noncompliance Not Timely Corrected (corrected
more than one year from identification of the noncompliance) and/or Not Corrected:
4.
Number of FFY 2008 findings not timely corrected (same as the number from
(3) above)
3
5.
Number of FFY 2008 findings the State has verified as corrected beyond the
one-year timeline (“subsequent correction”)
0
6.
Number of FFY 2008 findings not verified as corrected [(4) minus (5)]
3
Actions Taken if Noncompliance Not Corrected: Corrective action plans to address
noncompliance policies, procedures, and practices are required to be written and implemented
for any finding of non-compliance. Compliance is considered in setting determination
scorecards if an agency fails to submit a credible corrective action plan, fails to make adequate
progress, or fails to implement major features of the plans. Determination scores are negatively
impacted if the CFC office receives a penalty adjustment for the number of cases in intake over
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 53
APR Template – Part C (4)
Illinois
State
45 days or is ranked in the bottom five CFC offices for all 10 measures that carry incentive
funding, including the proportion of IFSPs completed within 45 days and the lowest average
number of days between referral and initial IFSP.
Verification of Correction of FFY 2008 noncompliance or FFY 2008 findings (either timely
or subsequent): Verification of correction of noncompliance is outlined below.
Describe the specific actions that the State took to verify the correction of findings of
noncompliance identified in FFY 2008: For correction of noncompliance, this APR looks at
findings identified using FFY07/SFY08 data and adds “prong 2,” ensuring that CFC offices have
correctly implemented the specific regulatory requirement, as defined in OSEP Timely
Correction Memo 09-02. Child-specific data were accessed through the Cornerstone system
and data reports, including those that identify children that exceed 45-day and 75-day time lines.
In all findings of noncompliance it was determined that the CFC has corrected each individual
case of noncompliance. Illinois has identified that a CFC office had implemented the regulatory
requirement for service delays using monthly statistical reports and documenting three
consecutive months during which the CFC office has no service delays. In FFY08/SFY09, there
were 17 findings, with 14 findings identified as corrected, leaving 3 findings uncorrected. In
FFY09/SFY10, 12 new findings were identified. A new system of notification of findings and
correction of noncompliance is being implemented that will assist the lead agency and the CFC
offices in tracking performance and providing adequate notification when a correction has taken
place.
No FFY06/SFY07 or FFY07/SFY08 findings remain uncorrected.
Additional Information Required by the OSEP APR Response Table for this Indicator:
Statement from the Response Table
If the State does not report 100% compliance
in the FFY2009 APR, the state must review is
improvement activities and revise them, if
necessary.
State’s Response
See the following new improvement activities.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY09/SFY10: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
FFY
2011
(2011-2012)
2012
(2012-2013)
Measurable and Rigorous Target
100% of new IFSPs will be initiated within 45 days of referral.
100% of new IFSPs will be initiated within 45 days of referral.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 54
APR Template – Part C (4)
Illinois
State
New Improvement Activity
Policies and procedures will be reviewed and
revised, as needed, to ensure that the integrity
of the referral, intake, evaluation/assessment
and IFSP processes are maintained.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Timelines & Resources
This is an ongoing process through June 30,
2013.
Resources include the Bureau of Early
Intervention and EI Monitoring Program
Monitoring Priority – Page 55
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY09/SFY10
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / Effective Transition
Indicator 8: Percent of all children exiting Part C who received timely transition planning to
support the child’s transition to preschool and other appropriate community services by their
third birthday including:
A. IFSPs with transition steps and services;
B. Notification to LEA, if child potentially eligible for Part B; and
C. Transition conference, if child potentially eligible for Part B.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement:
A. Percent = [(# of children exiting Part C who have an IFSP with transition steps and
services) divided by the (# of children exiting Part C)] times 100.
B. Percent = [(# of children exiting Part C and potentially eligible for Part B where
notification to the LEA occurred) divided by the (# of children exiting Part C who were
potentially eligible for Part B)] times 100.
C. Percent = [(# of children exiting Part C and potentially eligible for Part B where the
transition conference occurred) divided by the (# of children exiting Part C who were
potentially eligible for Part B)] times 100.
FFY
FFY09/SFY10
Measurable and Rigorous Target
A.
B.
C.
100 percent of children exiting Part C who have an IFSP will have transition
steps and services.
The LEAs will have been notified of 100 percent of the children exiting Part C
that are potentially eligibility for Part B.
A transition conference will be held for 100 percent of the children who leave
the Part C program at age 3 and whose families have consented to participate
in a meeting.
Actual Target Data for FFY09/SFY10):
Indicator 8A: Transition Steps and Services
(Number of files with transition steps in IFSP/Total number of files reviewed) X 100
FFY09/SFY10 Result: (784/798)X 100 = 98.2%
FFY09/SFY10 Target = 100%
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 56
APR Template – Part C (4)
Illinois
State
Indicator 8B: Referrals Made to LEA = 100% Compliance through data sharing agreement
(Referrals/Potentially eligible) X 100
FFY09/SFY10 Result: (11,491/11,491) X 100 = 100%
FFY09/SFY10 Target = 100%
Indicator 8C: Transition Meetings Held = (Transition meetings/ Potentially eligible excluding family
delay) X 100
FFY09/SFY10 Result: (10,692/10,761) x 100 = 99.4%
FFY09/SFY10 Target = 100%
Terminations
Past 30 Mon
State
Totals
13,616
Not SE
Eligible
2,125
Potentially
Eligible
11,491
Transition
Meetings
% With
Meetings
10,692
93.0%
Adj.
Pot. Elig. Ex. Meetings
Family Delay Documented
10,761
99.4%
8A - IFSPs with transition steps and services:
File reviews completed as part of CFC office onsite monitoring visits indicate that 98.2% [(798
files review -14 files with findings)/798] x 100 of the randomly selected files demonstrated IFSPs
with transition steps and services. As part of a contractual agreement with the lead agency, the
Illinois EI Monitoring Program conducts annual on-site monitoring visits to the 25 CFC offices.
The number of files to be reviewed in a CFC office is based upon the number of active cases,
varying from 20 files in a CFC office with a caseload of less than 200 to 56 files for a caseload
between 1,800 and 2,000.
The number of files is divided by the number of service coordinators and then files are randomly
selected to be representative of each service coordinator’s caseload. There are several
elements of the CFC monitoring file review tool that relate to documentation of the transition
process. In FFY09/SFY10, the Illinois EI Monitoring Program reviewed a total of 798 files.
Findings were identified in 14 of those files based on the following transition elements. A file
with noncompliance was found in the review of CFC offices #9, #11, #12, #15, #17, and #20.
Transition elements from the CFC monitoring file review tool that reflect compliance with
Indicator 8(a) include the following:
•
There is evidence that six months prior to the child’s third birthday communication began
with the family about transition.
•
With informed parental consent, service coordinator notified the child’s local educational
agency that the child will shortly reach the age of eligibility for preschool services under
Part B.
•
Early Intervention to Early Childhood Tracking Form was completed (PA34).
•
Transition Efforts are documented in case notes (CMO4).
8B - Referrals made to Local Education Agency (LEA)
Illinois utilized the data sharing agreement with Part B/Illinois State Board of Education (ISBE)
to assure that every child who reached 27 months of age or who started EI services after that
age were made known to the LEA.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 57
APR Template – Part C (4)
Illinois
State
8C - Transition meetings held
Data from the Cornerstone system for the time period July 1, 2009 – June 30, 2010 are used to
document transition meetings. Cases with exceptional family circumstances that have been
excluded from this calculation total 730. The last column of the following chart provides
statewide and CFC-specific data on compliance with indicator 8C. All areas of the state
performed well, with full compliance (100%) in 13 of the 25 CFC offices.
FFY 08/SFY 09 Transition Meetings Held by Area
Documented with Cornerstone Data System
CFC
#1 - Loves Park
#2 - Lake Co.
#3 - Freeport
#4 - Kane-Kendall Co.
#5- Du Page County
#6 - N. Suburbs
#7 - W. Suburbs
#8 - SW Chicago
#9 - Central Chicago
#10 - SE Chicago
#11 - N. Chicago
#12 -S. Suburbs
#13 - Monmouth
#14 - Peoria
#15 - Joliet
#16 - Danville
#17 - Quincy
#18 - Springfield
#19 - Decatur
#20 - Effingham
#21 - Belleville
#22 - Centralia
#23 - Norris City
#24 - Carbondale
#25 - McHenry Co.
Statewide
Chicago
Suburban Cook
Collar Counties
Downstate
Meetings Not
Documented
Exc. Family Delay
Terminations Not Available Possibly Meetings Family System
% of Meetings
Over 30 Mon. or Eligible
Eligible
Held
Reasons Reasons
Documented
445
582
239
659
923
1,145
732
521
743
524
1,625
790
281
479
1,096
492
175
265
273
283
462
265
152
140
325
13,616
3,413
2,667
3,585
3,951
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
65
380
80
502
49
190
97
562
118
805
146
999
100
632
172
349
125
618
83
441
277 1,348
96
694
49
232
67
412
96 1,000
80
412
40
135
31
234
36
237
57
226
134
328
55
210
25
127
14
126
33
292
2,125 11,491
657 2,756
342 2,325
424 3,161
702 3,249
356
459
175
548
795
977
528
325
564
384
1,121
617
229
398
965
403
131
226
234
217
319
204
123
114
280
10,692
2,394
2,122
3,047
3,129
24
37
11
12
10
22
97
21
54
40
208
72
1
14
35
9
4
5
3
8
10
5
4
12
12
730
323
191
106
110
0
6
4
2
0
0
7
3
0
17
19
5
2
0
0
0
0
3
0
1
-1
1
0
0
0
69
39
12
8
10
100.0%
98.7%
97.8%
99.6%
100.0%
100.0%
98.7%
99.1%
100.0%
95.8%
98.3%
99.2%
99.1%
100.0%
100.0%
100.0%
100.0%
98.7%
100.0%
99.5%
100.3%
99.5%
100.0%
100.0%
100.0%
99.4%
98.4%
99.4%
99.7%
99.7%
Monitoring Priority – Page 58
APR Template – Part C (4)
Illinois
State
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
Progress/Slippage for 8A: In FFY09/SFY10, 98.2% of the files demonstrated IFSPs with
transition steps and services, down slightly from 98.9% in FFY08/SFY09. The outcomes of
transition efforts indicate that transition steps and services were completed, but not
appropriately documented. This represents a minimal decrease in the number of files with
appropriate documentation.
Correction of FFY 2008 Findings of Noncompliance for Indicator 8A (if State reported less
than 100% compliance):
Level of compliance (actual target data) State reported for FFY 2008 for Indicator 8A: 98.9%
1.
Number of findings of noncompliance the State made during FFY 2008 (the
period from July 1, 2008, through June 30, 2009)
7
2.
Number of FFY 2008 findings the State verified as timely corrected (corrected
within one year from the date of notification to the EIS program of the finding)
5
3.
Number of FFY 2008 findings not verified as corrected within one year [(1)
minus (2)]
2
Correction of FFY 2008 Findings of Noncompliance for Indicator 8A Not Timely Corrected
(corrected more than one year from identification of the noncompliance) and/or Not
Corrected:
4.
Number of FFY 2008 findings not timely corrected (same as the number from (3)
above)
2
5.
Number of FFY 2008 findings the State has verified as corrected beyond the
one-year timeline (“subsequent correction”)
0
6.
Number of FFY 2008 findings not verified as corrected [(4) minus (5)]
2
Actions Taken if Noncompliance for Indicator 8A Not Corrected: Corrective action plans to
address noncompliance policies, procedures, and practices are required to be written and
implemented for any finding of non-compliance. Compliance is considered in setting
determination scorecards if an agency fails to submit a credible corrective action plan, fails to
make adequate progress, or fails to implement major features of the plan.
Verification of Correction of FFY 2008 noncompliance for Indicator 8A or FFY 2008
findings (either timely or subsequent): Verification of correction of noncompliance is outlined
below
Describe the specific actions that the State took to verify the correction of findings of
noncompliance for Indicator 8A identified in FFY 2008: If the on-site monitoring visit file
review shows that a CFC office has one or more files that indicate noncompliance, a finding is
identified. Following the monitoring visit, the CFC office submits a corrective action plan for
approval and areas of noncompliance are reviewed at the CFC office’s next monitoring visit. In
addition, electronic files were reviewed for each child identified in the findings for Indicator 8(A)
to ensure that correction has taken place to ensure correction of each individual case of
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 59
APR Template – Part C (4)
Illinois
State
noncompliance. All the files indicated that transition steps and services had been accomplished
(i.e., the child was no longer in the program’s jurisdiction).
Seven findings were identified in FFY08/SFY09 through monitoring activities. Following the
subsequent on-site monitoring visits completed in FFY09/SFY10, data from the monitoring visits
were used to determine implementation of specific regulatory requirements. In all seven
findings of noncompliance, it was determined that the CFC has corrected each individual case
of noncompliance. Five of the findings were corrected within in one year (i.e., no files out of
compliance during subsequent monitoring visit), with two finding remaining uncorrected. These
findings represent two CFC offices in which each had one file out of compliance in the
FFY09/SFY10 review. A new system of notification of findings and correction of
noncompliance is being implemented that will assist the lead agency and the CFC offices in
tracking performance and providing adequate notification when a correction has taken place.
No FFY06/SFY07 or FFY07/SFY08 findings for Indicator 8A remain uncorrected.
Progress/Slippage for 8B: In FFY08/SFY09 APR and FFY09/SFY10, Illinois demonstrated
100% compliance with 8B. With the full implementation of the data sharing agreement between
the EI Program and the ISBE and the subsequent data sharing reports, no areas of
noncompliance have been identified and no previous findings of noncompliance remain
uncorrected.
Progress/Slippage for 8C: In FFY09/SFY10 the number of transition meeting held increased
to 99.4%, from 98.6% in the previous year. The number of CFC offices in full compliance
(100%) increased from 6 to 13. Increases were seen across CFC regions when compared to
FFY08/SFY09, including increases in Chicago (from 98.0% to 98.4%), Suburban Cook (from
99.0% to 99.4%), Collar Counties (from 98.5% to 99.7%) and Downstate (from 98.8% to
99.7%). Although significant improvements have been realized in the documentation of
transition meetings in the Cornerstone system, the program continues to emphasize the need
for appropriate and timely data entry of this measure.
Correction of FFY 2008 Findings of Noncompliance for Indicator 8C (if State reported
less than 100% compliance):
Level of compliance (actual target data) State reported for FFY 2008 for 8C: 98.6%
1. Number of findings of noncompliance the State made during FFY 2008 (the
period from July 1, 2008, through June 30, 2009)
2.
3.
Number of FFY 2008 findings the State verified as timely corrected
(corrected within one year from the date of notification to the EIS program of
the finding)
Number of FFY 2008 findings not verified as corrected within one year [(1)
minus (2)]
21
17
4
FFY 2008 Findings of Noncompliance for Indicator 8C Not Timely Corrected (corrected
more than one year from identification of the noncompliance) and/or Not Corrected:
4.
5.
6.
Number of FFY 2008 findings not timely corrected (same as the number
from (3) above)
Number of FFY 2008 findings the State has verified as corrected beyond the
one-year timeline (“subsequent correction”)
Number of FFY 2008 findings not verified as corrected [(4) minus (5)]
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
4
1
3
Monitoring Priority – Page 60
APR Template – Part C (4)
Illinois
State
Actions Taken if Noncompliance for Indicator 8C Not Corrected: Corrective action plans to
address noncompliance policies, procedures, and practices are required to be written and
implemented for any finding of non-compliance. Compliance is considered in setting
determination scorecards if an agency fails to submit a credible corrective action plan, fails to
make adequate progress, or fails to implement major features of the plan. Determination scores
are negatively impacted if the CFC office is in the bottom five in transition performance
measures (i.e., proportion of transition meeting held for children exiting the program at age 3
and eligibility determined when the child leaves the program at age 3.)
Verification of Correction of FFY 2008 noncompliance for Indicator 8C or FFY 2008
findings (either timely or subsequent): Verification of correction of noncompliance is outlined
below
Describe the specific actions that the State took to verify the correction of findings of
noncompliance for Indicator 8C identified in FFY 2008: For correction of noncompliance,
this APR looks at findings identified using FFY07/SFY08 data and adds “prong 2,” ensuring that
CFC offices have correctly implemented the specific regulatory requirement, as defined in
OSEP Timely Correction Memo 09-02. Child-specific data were accessed through the
Cornerstone system and file reviews either documenting that a transition meeting was
held/transition was appropriately completed or that the child was no longer in the jurisdiction of
the Early Intervention program. Transition information from the Illinois State Board of Education
was also reviewed to determine the child's transition outcome.
In all 21 findings of noncompliance it was determined that the CFC has corrected each
individual case of noncompliance. Illinois has identified that a CFC office had implemented the
regulatory requirement for service delays using monthly statistical reports and documenting
three consecutive months during which the CFC office has no service delays. In FFY08/SFY09,
there were 21 findings, with 17 findings identified as corrected, leaving 4 findings uncorrected
within one year. One of those findings has subsequently been corrected. In FFY09/SFY10, 14
new findings were identified. A new system of notification of findings and correction of
noncompliance is being implemented that will assist the lead agency and the CFC offices in
tracking performance and providing adequate notification when a correction has taken place.
Correction of Remaining FFY 2007 Findings of Noncompliance (if applicable):
1.
Number of remaining FFY 2007 findings of noncompliance noted in OSEP’s
June 2010, FFY 2008 APR response table for this indicator
2
2.
Number of remaining FFY 2007 findings the State has verified as corrected
2
3.
Number of remaining FFY 2007 findings the State has NOT verified as
corrected [(1) minus (2)]
0
Describe the specific actions that the State took to verify the correction of findings of
noncompliance identified in FFY 2007: The two remaining findings both involved
documentation of child-specific correction. It had not been understood that lack of jurisdiction,
alone, rather than a known outcome of special education determination could be used to
determine that a finding had been corrected. Lack of jurisdiction has been documented.
Improvement Activities Completed: Previous improvement activities continue, such as the
use of an EI to Early Childhood tracking form, data sharing with ISBE, EI monitoring, transition
training, monthly reporting to CFC offices, performance contracting, identification of findings,
and use of data in the determination score process.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 61
APR Template – Part C (4)
Illinois
State
Improvement Activity
The EI Program will continue to work closely
with ISBE to identify and address data issues
and needs and promote improved
communication and practice between CFC
offices and LEAs.
Status/Timeline/Resource
The Cornerstone data input screen for
transition data has been streamlined to
eliminate unneeded data items, support
documentation of information collected in the
Early Intervention to Early Childhood Tracking
Form, and ensure that transition data can be
easily and accurately entered into the
Cornerstone system by CFC office staff.
CFC offices 8, 9, 10 and 11 have been
meeting with administration staff from the
Chicago Public Schools to address transition
issues. In addition, the Bureau has spoken
with ISBE regarding several issues.
Additional Information Required by the OSEP APR Response Table for this Indicator (if
applicable):
Statement from the Response Table
State’s Response
If the State does not report 100% compliance
in the FFY2009 APR, the state must review its
improvement activities and revise them, if
necessary.
See the following new improvement activities.
The State must demonstrate, in the FFY 2009
APR, if the remaining two uncorrected
noncompliance findings which were identified
in FFY2007 were corrected.
These findings were corrected, as stated
above.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
FFY
2011
(2011-2012)
Measurable and Rigorous Target
A.
B.
C.
100 percent of children exiting Part C who have an IFSP will have
transition steps and services.
The LEAs will have been notified of 100 percent of the children
exiting Part C that are potentially eligibility for Part B.
A transition conference will be held for 100 percent of the children
who leave the Part C program at age 3 and whose families have
consented to participate in a meeting.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 62
APR Template – Part C (4)
Illinois
State
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
2012
(2012-2013)
A.
B.
C.
100 percent of children exiting Part C who have an IFSP will have
transition steps and services.
The LEAs will have been notified of 100 percent of the children
exiting Part C that are potentially eligibility for Part B.
A transition conference will be held for 100 percent of the children
who leave the Part C program at age 3 and whose families have
consented to participate in a meeting.
New Improvement Activity
Additional data will be provided to CFC offices
so they can monitor compliance with transition
requirements and address child-specific and
system issues in a timely way.
Timelines & Resources
Beginning in January 2011 and on an ongoing
basis, a system will be implemented that will
provide a monthly list to each CFC office of all
children that have not had transition meetings
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Beginning in July 2011and on an ongoing
basis, “mini APR tables” will be provided to
CFC offices on a quarterly basis, so that they
can monitor performance on Indicators 1, 7,
and 8C.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Continue to address CFC office, LEA, and EI
provider training and parent information needs
about the transition process.
Continue participation on the Illinois Birth-5
Transition Guidance Committee and
coordination of training efforts with Part B.
Resources include Bureau of Early
Intervention, ISBE, the Illinois Birth-5
Transition Guidance Committee, and the EI
Training Program.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 63
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY 2009
Overview of the Annual Performance Report Development:
See Indicator 1
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 9: General supervision system (including monitoring, complaints, hearings, etc.)
identifies and corrects noncompliance as soon as possible but in no case later than one year
from identification.
(20 U.S.C. 1416 (a)(3)(B) and 1442)
Measurement:
Percent of noncompliance corrected within one year of identification:
a. # of findings of noncompliance.
b. # of corrections completed as soon as possible but in no case later than one year from
identification.
Percent = [(b) divided by (a)] times 100.
States are required to use the “Indicator C 9 Worksheet” to report data for this
indicator (see Attachment A).
FFY
Measurable and Rigorous Target
FFY09/SFY10 100 percent of noncompliance will be corrected within one year of identification.
Actual Target Data for FFY 2009:
Indicator 9
(Target data for FFY 2008 – the percent shown in the last row of the Indicator C 9 Worksheet
[(column (b) sum divided by column (a)) times 100])
FFY09/SFY10: (42/71) x 100 = 59.2%
Describe the process for selecting EIS programs for Monitoring:
FFY09/SFY10 Target = 100%
This Indicator documents the correction of noncompliance within one year for findings identified
in FFY08/SFY09 (i.e., those sent to CFC offices on December 18, 2008, and then revised on
March 5, 2009) and on site monitoring visits conducted in FFY08/SFY09. There were no
complaints or hearing requests that resulted in a finding of noncompliance. Of the findings
identified in FFY08/SFY09, 59.2% were corrected within one year. The target for this indicator
is 100%. For finding identified in FFY07/SFY08, 98.2% were corrected within one year. The
two remaining uncorrected findings (under 8C) identified in FFY07/SFY08 have been corrected.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 64
APR Template – Part C (4)
Illinois
State
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that Occurred for FFY 2009:
The drop in this measure from 98.2% in FFY08/SFY09 to 59.2% can be attributed to the
addition of “prong 2” to findings identified for Indicators 1, 7 and 8, ensuring that CFC offices
have correctly implemented the specific regulatory requirement, as defined in OSEP Timely
Correction Memo 09-02. When a finding has been identified, the CFC office develops a
corrective action plan and implementation is documented. Child-specific data are accessed
through the data systems (i.e., the Service Delay Reporting and Cornerstone systems) and file
reviews to ensure that correction for that child has occurred. Prong 2 involves the
documentation that a CFC office has implemented the regulatory requirement using monthly
statistical reports that show three consecutive months during which the CFC office shows
(100%) compliance.
In FFY09/SFY10, the greatest challenge for correction of noncompliance was for Indicator 1,
service delays, in which 20 of the 21 identified findings remain uncorrected. Challenges for
timely services are discussed under Indicator 1. Several factors related to compliance with this
indicator, including provider payment delays, are not under the control of the CFC office or the
Bureau. For other indicators (7 and 8C) the issue involves documenting three consecutive
months with 100% compliance. Several CFC offices fall in and out of 100% compliance with
one or two consecutive months of compliance, but not 3 consecutive months. Non-compliance
usually involves a very small number of children, as demonstrated by CFC-specific date for
these indicators. Lack of correction of two findings for 8A involved noncompliance with1file in
each of two CFC offices with an uncorrected finding.
Improvement Activities Completed: Illinois has a process in place to document the
identification and correction of noncompliance as soon as possible but in no case later than one
year from identification, which builds on Illinois’ extensive use of its data system. The process
of notifying CFC offices of findings has been combined with the determination process, allowing
CFC offices to fully address areas of concern into a comprehensive correction action plan. As
part of efforts to address noncompliance, all new service coordinators complete on-line training
modules. The Illinois Early Intervention Training Program continues to update and modify the
modules as needed and upon the request and approval of the Department.
Improvement Activity
In the FFY09 APR (to be submitted on 2/1/11),
correction of noncompliance will also include
“prong 2,” ensuring that CFC offices have
correctly implemented the specific regulatory
requirement. The attached document provides
sample compliance documentation using
actual data for Indicators 7 and 8A.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Status/Timeline/Resource
For Indicator 1, 7 and 8C, correction within 12
months of the notification of a finding is now
identified when data demonstrate that a CFC
office has 100 percent compliance during
three consecutive months. For Indicator 8A,
correction will be documented when no files at
the subsequent annual monitoring review
indicate a finding, based upon identified
transition elements in the monitoring review
tool.
Monitoring Priority – Page 65
APR Template – Part C (4)
Illinois
State
By March 31, 2010, a quarterly data report will
be established to provide child-specific
information to CFC offices so that they can
follow-up on correction of noncompliance for
Indicators 1 and 8C.
CFC offices receive monthly reports that
identify children that remain on the service
delay list. A monthly status update is required.
In addition children that have been removed
from the list without a known resolution are
identified and CFC offices are required to
provide the required documentation. Bureau
of Performance Support Services staff are
currently modifying the monthly statistical
report to facilitate the identification of
correction of noncompliance and to provide
child-specific information regarding 8C.
Timely Correction of FFY 2008 Findings of Noncompliance (corrected within one year
from identification of the noncompliance):
1.
Number of findings of noncompliance the State made during FFY 2008 (the
period from July 1, 2008, through June 30, 2009) (Sum of Column a on
the Indicator C 9 Worksheet)
71
2.
Number of findings the State verified as timely corrected (corrected within
one year from the date of notification to the EIS programs of the finding)
(Sum of Column b on the Indicator C 9 Worksheet)
42
3.
Number of findings not verified as corrected within one year [(1) minus (2)]
29
Correction of FFY 2008 Findings of Noncompliance Not Timely Corrected (corrected
more than one year from identification of the noncompliance) and/or Not Corrected:
4.
Number of FFY 2008 findings not timely corrected (same as the number
from (3) above)
29
5.
Number of FFY 2008 findings the State has verified as corrected beyond
the one-year timeline (“subsequent correction”)
1
6.
Number of FFY 2008 findings not yet verified as corrected [(4) minus (5)]
28
Actions Taken if Noncompliance Not Corrected: Corrective action plans to address
noncompliance policies, procedures, and practices are required to be written and implemented
for any finding of non-compliance. Compliance is considered in setting determination
scorecards if an agency fails to submit a credible corrective action plan, fails to make adequate
progress, or fails to implement major features of the plan. Determination scores are negatively
impacted by poor performance in performance measures.
Verification of Correction of FFY 2008 findings (either timely or subsequent): See steps
outlined below.
Describe the specific actions that the State took to verify the correction in FFY 2009 of
findings of noncompliance identified in FFY 2008: When a finding has been identified, the
CFC office develops a corrective action plan and implementation is documented. In addition,
the following steps are taken.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 66
APR Template – Part C (4)
Illinois
State
•
Indicator 1: CFC offices submit a monthly Service Delay Report. This report includes a
status code and date the delay was resolved. Child-specific information was used to
determine the status of all instances of noncompliance. Child specific data were accessed
through the Service Delay Reporting system, the Cornerstone system, and file reviews.
All instances of noncompliance were resolved for reasons that include the following: data
entry error, service provided, family declined service, and child no longer in system. The
status of findings will be monitored quarterly to verify that a CFC office had implemented
the regulatory requirement using monthly statistical reports that show three consecutive
months during which the CFC office shows (100%) compliance.
•
Indicator 2: Illinois uses its data system and a formal system of notification, to identify
findings and document correction of noncompliance. In SFY08/FFY09, 5 findings of
noncompliance were identified for Indicator 2, with all findings of noncompliance corrected
within one year.
•
Indicator 7: The data system continues to track a child for whom an
evaluation/assessment and an initial IFSP meeting were not conducted within Part C’s 45day timeline. No cases from the findings identified in this report were left unresolved, as
indicated in 75-day reports and case-by-case follow-up with CFC offices. The status of
findings will be monitored quarterly to verify that a CFC office had implemented the
regulatory requirement using monthly statistical reports that show three consecutive
months during which the CFC office shows (100%) compliance.
•
Indicator 8A: File reviews completed as part of CFC office onsite monitoring visits utilize
randomly selected files to determine if IFSPs document transition steps and services. As
part of a contractual agreement with the lead agency, the Illinois EI Monitoring Program
conducts annual on-site monitoring visits to the 25 CFC offices. The number of files to be
reviewed in a CFC office is based upon the number of active cases, varying from 20 files
in a CFC office with a caseload of less than 200 to 56 files for a caseload between 1,800
and 2,000. The number of files is divided by the number of service coordinators and then
files are randomly selected to be representative of each service coordinator’s caseload. In
addition to the development and implementation of corrective action plans, child specific
correction is documented and correction documented when no files at the subsequent
annual monitoring review indicate a finding.
There are several elements of the CFC monitoring file review tool that relate to
documentation of the transition process. Transition elements from the CFC monitoring file
review tool that reflect compliance with Indicator 8(a) include the following:
¾
There is evidence that six months prior to the child’s third birthday communication
began with the family about transition.
¾
With informed parental consent, service coordinator notified the child’s local
educational agency that the child will shortly reach the age of eligibility for preschool
services under Part B.
¾
Early Intervention to Early Childhood Tracking Form was completed (PA34).
¾
Transition Efforts are documented in case notes (CMO4).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 67
APR Template – Part C (4)
Illinois
State
•
Indicator 8B: No findings of noncompliance have been identified for 8B. Electronic transfer
of data to the Illinois State Board of Education/Part B, on the state-level, ensures full
compliance.
•
Indicator 8C: CFC offices conducted case file reviews for all children that did not have a
transition meeting entered in the Cornerstone system. CFC offices either confirmed
through case notes that a transition meeting had been held/transition appropriate
completed or that the child was no longer in the jurisdiction of the Early Intervention
program. Transition information from the IL State Board of Education was also reviewed
to determine the child's transition outcome. The status of findings will be monitored
quarterly to verify that a CFC office had implemented the regulatory requirement using
monthly statistical reports that show three consecutive months during which the CFC office
shows (100%) compliance.
Correction of Remaining FFY 2007 Findings of Noncompliance (if applicable)
If the State reported less than 100% for this indicator in its FFY 2007 APR and did not report
that the remaining FFY 2007 findings were subsequently corrected, provide the information
below:
1.
Number of remaining FFY 2007 findings noted in OSEP’s June 2010 FFY
2008 APR response table for this indicator
2
2.
Number of remaining FFY 2007 findings the State has verified as corrected
2
3.
Number of remaining FFY 2007 findings the State has NOT verified as
corrected [(1) minus (2)]
0
Correction of Any Remaining Findings of Noncompliance from FFY 2006 or Earlier – not
applicable
Additional Information required by the OSEP APR Response Table for this Indicator (if
applicable):
Statement from the Response Table
State’s Response
If the State does not report 100% compliance
for this indicator in the FFY09 APR, the State
must review its improvement activities and
review them, if necessary.
See improvement activities listed below.
In addition, in reporting on Indicator 9 in the
FFY 2009 APR, the State must use the
Indicator 9 Worksheet.
See Attachment A.
Further, in response to Indicators 1, 7, 8A and
8C in the FFy2009 APR, the State must report
on correction of the noncompliance described
in this table under those indicators.
See description of correction of noncompliance,
described above.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 68
APR Template – Part C (4)
Illinois
State
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
FFY
2011
(2011-2012)
2012
(2012-2013)
Measurable and Rigorous Target
100 percent of noncompliance will be corrected within one year of
identification.
100 percent of noncompliance will be corrected within one year of
identification.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
New Improvement Activity
Additional data will be provided to CFC offices
so they can monitor compliance with transition
requirements and address child-specific and
system issues in a timely way.
Timelines & Resources
Beginning in January 2011 and on an ongoing
basis, a system will be implemented that will
provide a monthly list to each CFC office of all
children that have not had transition meetings
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Beginning in July 2011and on an ongoing
basis, “mini APR tables” will be provided to
CFC offices on a quarterly basis, so that they
can monitor performance on Indicators 1, 7,
and 8C.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
In addition to making findings to CFC offices
based upon dispute resolution, complaints and
hearings and reporting them in Indicator 9 of
the APR, findings will also include those made
to individual service providers. The provider
will be notified of the finding and child -specific
correction of the violation will be ensured.
When broader non-compliance exists, the
provider will be required to submit and
implement a corrective action plan to ensure
that the policy, procedure, or practice that led
to the noncompliance has been corrected so
that future provision of services to other
children are compliant.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
This will be implemented in FFY10/SFY11 as
part of the finding notification process and will
continue as an ongoing strategy.
Resources include the Bureaus of Early
Intervention and the EI Monitoring Program.
Monitoring Priority – Page 69
APR Template – Part C (4)
Illinois
State
Illinois Part C is implementing a coordinated
system of finding notification and correction.
On a quarterly basis, data will be reviewed to
ensure that implementation of corrective action
plans have been documented, child specific
correction has taken place, and CFC offices
demonstrate three consecutive months with
100 percent compliance. When compliance
with OSEP Timely Correction Memo 09-02 is
present, CFC offices will be notified that
correction of a finding has taken place. The
program will also communicate with the EI
Monitoring Program to track and document
correction of noncompliance for 8A that has
been identified through file reviews as part of
the on-site CFC office review process. The
system will also track correction of
noncompliance identified based upon dispute
resolution, complaints and hearings.
This will be implemented in FFY10/SFY11 as
part of the finding notification process and will
continue as an ongoing strategy.
Illinois will use a full 12 months of data for the
identification of findings for Indicator 1.
This will be implemented in FFY10/SFY11 as
part of the finding notification process and will
continue as an ongoing strategy.
Resources include the Bureaus of Early
Intervention and Performance Support
Services and the EI Monitoring Program.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Additional data will be provided to CFC offices
so they can monitor service delays and
address child-specific and system issues in a
timely way.
Beginning in July 2011and on an ongoing
basis, “mini APR tables” will be provided to
CFC offices on a quarterly basis, so that they
can monitor performance on Indicators 1, 7,
and 8C.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 70
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY 08/SFY 09
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 10: Percent of signed written complaints with reports issued that were resolved within
60-day timeline or a timeline extended for exceptional circumstances with respect to a particular
complaint.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement: Percent = [(1.1(b) + 1.1(c)) divided by 1.1] times 100.
FFY
2009
(7/1/09-6/30/10)
Measurable and Rigorous Target
100 percent of signed written complaints with reports issued that were resolved
within 60-day timeline or a timeline extended for exceptional circumstances with
respect to a particular complaint.
Actual Target Data for FFY09/SFY10
Indicator 10:
From Table 4: [(1.1(b) + 1.1(c)) divided by 1.1] times 100.
FFY09/SFY10 Result: [(7+3)/10]*100=100%
FFY09/SFY10 Target = 100%
100 percent of signed written complaints with reports issued that were resolved within 60-day
timeline or a timeline extended for exceptional circumstances with respect to a particular
complaint.
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
The number of signed written complaints remained the same in FFY09/SFY10 as in
FFY08/SFY09, with reports issued within the 60-day timeline or a timeline extended for
exceptional circumstances with respect to a particular complaint. One complaint was
dismissed, as the issue identified in the complaint occurred after the child had aged out of the
program. The number of resolutions that required an extended timeline decreased from 5 in
FFY08/SFY09 to 3 in FFY09/SFY10. The extended timelines were required to allow staff to
investigate complaints, with delays attributable to waits to receive additional information from
families or documentation from service providers. Two of these complaints also involved the
translation of documents from/into Spanish.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 71
APR Template – Part C (4)
Illinois
State
An electronic database is used to track complaint status. Staffing levels have remained stable
to facilitate timely resolution. Complaints are resolved within the 60-day timeline, unless
exceptional circumstances arise.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
FFY
Measurable and Rigorous Target
2011
(2011-2012)
100 percent of all signed written complaints with reports issued will be resolved
within the 60-day timeline or the timeline will be extended for exceptional
circumstances with respect to a particular complaint.
2010
(2012-2013)
100 percent of all signed written complaints with reports issued will be resolved
within the 60-day timeline or the timeline will be extended for exceptional
circumstances with respect to a particular complaint.
The improvement activities described in the SPP are ongoing efforts.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 72
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY 08/SFY 09
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 11: Percent of fully adjudicated due process hearing requests that were fully
adjudicated within the applicable timeline.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement: Percent = [(3.2(a) + 3.2(b)) divided by 3.2] times 100.
FFY
2009
(7/1/09-6/30/10)
Measurable and Rigorous Target
100 percent of fully adjudicated due process hearing requests that were fully
adjudicated within the applicable timeline.
Actual Target Data for FFY09/SFY10
Indicator 11
From Table 4: [(3.2(a) + 3.2(b)) divided by 3.2] times 100.
FFY09/SFY10 Result: No due process complaints were received.
FFY09/SFY10 Target = 100%
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
In FFY09/SFY10, no due process complaints were received. In FFY08/SFY09, three hearings
were requested, but were resolved without a hearing.
An electronic database is used to track due process hearing requests. Bureau staffing levels
have remained stable to facilitate timely resolution. Contracts are in place with individuals who
serve as Impartial Hearing Officer for the Illinois Early Intervention Program.
The State has chosen, pursuant to 34 CFR §303.420(a), to adopt mediation and due process
procedures in 34 CFR §300.506 through §300.512, and develop procedures that meet the
requirements of §303.425.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 73
APR Template – Part C (4)
Illinois
State
FFY
Measurable and Rigorous Target
2011
(2011-2012)
100 percent of fully adjudicated due process hearing requests will be fully
adjudicated within the applicable time frame.
2010
(2012-2013)
100 percent of fully adjudicated due process hearing requests will be fully
adjudicated within the applicable time frame.
The improvement activities described in the SPP are ongoing efforts.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 74
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY 08/SFY 09
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 12: Percent of hearing requests that went to resolution sessions that were resolved
through resolution session settlement agreements (applicable if Part B due process procedures
are adopted).
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement: Percent = (3.1(a) divided by 3.1) times 100.
FFY
2009
(7/1/09-6/30/10)
Measurable and Rigorous Target
States are not required to establish baseline or targets if the number of resolution
sessions is less than 10.
Indicator 12:
From Table 4: (3.1(a) divided by 3.1) times 100.
FFY09/SFY10 Result: No due process complaints were received.
FFY09/SFY10 Target = Not established
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
No due process complaints were received in FFY09/SFY10. In FFY08/SFY09, three hearing
requests were received, but were resolved without a hearing.
Contracts are in place with individuals who serve as Impartial Hearing Officer for the Illinois
Early Intervention Program. Legal staff of the Lead Agency is available to facilitate the
development and negotiation of all resolution session agreements. Hearing requests are tracked
using an electronic database. Bureau staffing levels have remained stable to facilitate timely
resolution.
The State has chosen, pursuant to 34 CFR §303.420(a), to adopt mediation and due process
procedures in 34 CFR §300.506 through §300.512, and develop procedures that meet the
requirements of §303.425.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013).
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 75
APR Template – Part C (4)
Illinois
State
FFY
Measurable and Rigorous Target
2011
(2011-2012)
States are not required to establish baseline or targets if the number of
resolution sessions is less than 10.
2010
(2012-2013)
States are not required to establish baseline or targets if the number of
resolution sessions is less than 10.
The improvement activities described in the SPP are ongoing efforts.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 76
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY 08/SFY 09
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 13: Percent of mediations held that resulted in mediation agreements.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement: Percent = [(2.1(a)(i) + 2.1(b)(i)) divided by 2.1] times 100.
FFY
2009
(7/1/09-6/30/10)
Measurable and Rigorous Target
94 percent of mediations held will result in mediation agreements.
Indicator 13
From Table 4: [(2.1(a)(i) + 2.1(b)(i)) divided by 2.1] times 100.
FFY09/SFY10 Result: [(0+1)/1] X 100 = 100%
FFY09/SFY10 Target = 94%
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY09/SFY10:
In FFY09/SFY10, one mediation request was received, resulting in a mediation agreement that
was pending on 6/30/10 but signed on 7/1/10. In FFY08/SFY09, one mediation was held,
resulting in a mediation agreement.
Bureau staffing levels have remained stable to facilitate timely resolution. An electronic
database is used to track mediations.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY09/SFY10: The State Performance Plan (SPP) has been revised to specify,
for each indicator, annual targets and improvement activities for each year through FFY2012
(July1, 2012 through June 30, 2013. Since baseline data and data for subsequent years
included less than 10 mediations per year, it did not seem reasonable to continue to propose
targets, as they probably should not have initially been established. It was not clear if OSEP
would allow this change. As a result, it was determined to keep the 2011 and 2012 target
values at the FFY2010/SFY2011 level of 94%.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 77
APR Template – Part C (4)
Illinois
State
FFY
2011
(2011-2012)
2010
(2012-2013)
Measurable and Rigorous Target
95 percent of mediations held will result in mediation agreements.
95 percent of mediations held will result in mediation agreements.
The improvement activities described in the SPP are ongoing efforts.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 78
APR Template – Part C (4)
Illinois
State
Part C State Annual Performance Report (APR) for FFY08/SFY09
Overview of the Annual Performance Report Development:
See Indicator 1.
Monitoring Priority: Effective General Supervision Part C / General Supervision
Indicator 14: State reported data (618 and State Performance Plan and Annual Performance
Report) are timely and accurate.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement: State reported data, including 618 data, State performance plan, and
annual performance reports, are:
a. Submitted on or before due dates (February 1 for child count, including race and
settings; and November 1 for dispute resolution); and
b. Accurate, including covering the correct year and following the correct measurement.
States are required to use the “Indicator 14 Data Rubric” for reporting data for this indicator
(see Attachment B).
FFY
2009
(7/1/09-6/30/10)
Measurable and Rigorous Target
100 percent of state reported data will be timely and accurate.
Actual Target Data for FFY08/SFY09:
Indicator 14
From Part C Indicator Data Rubric-Percent of timely and accurate data =(C /70) X 100
FFY09/SFY10 Result: 70/70 X 100 = 100%
FFY09/SFY10 Target = 100%
The Illinois Cornerstone system is a statewide database application that is used by all Child and
Family Connections (CFC) offices. The application includes a number of edit checks on
numeric data, character data, and data fields, as well as content-specific edit checks and logical
consistency checks. The design of the Cornerstone system, including all of the edit and logical
consistency checks, help ensure the quality and consistency of the data.
All 618 data tables and APR data used in responses to Indicators 2 through 9 meet
computational and logic edit checks. An electronic database is used to track complaint,
mediation and administrative hearing status and outcomes used in response to Indicators 10 13. On a monthly basis, CFC offices use an electronic reporting system to submit service delay
data for Indicator 1. For Indicator 8A, data are pulled from the EI Monitoring Program’s
database that includes information from on-site monitoring visits of CFC offices.
All 618 and APR data were accurate to the best knowledge of the lead agency. All reports were
submitted in a timely fashion.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 79
APR Template – Part C (4)
Illinois
State
Discussion of Improvement Activities Completed and Explanation of Progress or
Slippage that occurred for FFY08/SFY09:
Progress/Slippage for Indicator 14: In FFY08/SFY09 and in FFY09/SFY10, Illinois
demonstrated 100% compliance with data accuracy and report submission.
Improvement Activities Completed: Previous improvement activities continue, such as
distribution of monthly statistical reports, CFC office capacity to run its own reports, Cornerstone
edit rights, onsite monitoring visits, service coordination training, data sharing with Illinois State
Board of Education/Part B, security for protected health information, CFC Procedure Manual
updates, Cornerstone system updates, submission of required federal reports, and maintenance
of Bureau staffing.
No new improvement activities were identified for FFY09/SFY10, but several steps were taken
during this time period to ensure timely and accurate data. These steps include the following:
•
In addition to offering an online child outcomes training module, the Early Intervention
Training Program has provided eight training sessions statewide entitled, “Team
Discussions on Child Outcomes: How, When and Where.” These training efforts will help
EI providers and service coordinators improve their skills in determining child outcomes
scores.
•
The data logic for pulling matched pairs data to measure child outcomes was reviewed and
revised to address identified problems. Data had been lost if exit data were entered within
120 days of the child’s third birthday, but not within 120 days of the case closure date.
Another problem arose when the final IFSP and the termination dates were the same day.
Both of these issues have been corrected, allowing additional matched pairs to be included
in child outcome data. An issue with the use of an old termination code has also been
addressed, with the old code for “moved out of state” being replaced with the correct,
current code.
•
An edit was added to the Cornerstone system to allow CFC offices to add child outcome
data to the system up to 90 days so that missing data can be entered or corrections made
by the CFC office.
•
In April 2010, the CFC #2 manager volunteered to conduct a file review on the files of
children with “unmatched pairs” for child outcome data in her CFC. At a May 2010 CFC
managers meeting, the CFC manager presented her analysis of the review. Her
presentation was followed by a facilitated discussion among the CFC managers about
issues and strategies to improve compliance.
•
On June 17, 2010, a meeting of CFC managers from the Chicago area CFC offices was
held to further discuss strategies for improving compliance with completing and entering
the child outcome data. These CFC offices represent the area of the state with the lowest
percentage of children whose electronic files contain matched child outcome pairs.
•
Sharing additional child outcomes data with CFC managers and subsequent steps taken
by the managers to ensure compliance with completing the process and entering the data
have dramatically increased the number of matched pairs available for analysis of child
outcomes.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 80
APR Template – Part C (4)
Illinois
State
•
Illinois utilized the revised version of the Family Outcomes Survey (FOS-R) for the first
time this year to collect the data for this indicator. The FOS-R uses a 5-point rating scale
(versus a 7-point scale used in previous versions) to assess the helpfulness of early
intervention, ranging from 1 = Not at all, 2 = A little, 3 = Somewhat helpful, 4 = Very helpful,
and 5 = extremely helpful. Also new with the FOS-R are 17 new helpfulness indicators (5
for “Know their rights”; 6 for “Effectively communicate their children’s needs; and 6 for
“Help their children develop and learn”). These additional indicators have been added
with the belief that the data collected would be more informative and valid than data
collected from the previous version of the FOS.
•
In the past, Illinois EI Program has used birth data to calculate participation rates reported
in Indicators 5 and 6. These birth data have been provided by the IL Department of Public
Health (IDPH) and have included births to Illinois residents who travel to birthing centers in
neighboring states. Information about births in neighboring states is no longer available to
the program, as data sharing agreements between IDPH and neighboring states do not
allow IDPH to share these data with IDHS. Beginning with the FFY09/SFY10 APR, census
data has been used to calculate participation rates for CFC offices. It is believed that
census data will allow Illinois to accurately and consistently calculate participation rates,
particularly for those CFCs that border large metropolitan areas in another state.
•
The Cornerstone data input screen for transition data has been streamlined to eliminate
unneeded data items, support documentation of information collected in the Early
Intervention to Early Childhood Tracking Form, and ensure that transition data can be
easily and accurately entered into the Cornerstone system by CFC office staff.
•
Beginning in April 2010 methods were developed to provide CFC managers with child
specific data for Indictor 1. Each month, CFC managers receive a list of cases that appear
as “lost cases, “ which are cases that have been reported as having service delays but
appear to be removed from the list without reporting a resolution. CFC offices are asked to
respond back with the disposition of each case, to either resolve the case or correct any
data errors. Each CFC office is also given a list of children with service delays and must
report each month on the status of these cases, as either resolved or still delayed.
Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines /
Resources for FFY10/SFY11:
The State Performance Plan (SPP) has been revised to specify, for each indicator, annual
targets and improvement activities for each year through FFY2012 (July1, 2012 through June
30, 2013).
FFY
2011
(2011-2012)
2012
(2012-2013)
Measurable and Rigorous Target
100 percent of state reported data will be timely and accurate.
100 percent of state reported data will be timely and accurate.
The improvement activities described in the SPP are ongoing efforts. The following are new
improvement activities to be implemented through FFY12/SFY13.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 81
APR Template – Part C (4)
Illinois
State
New Improvement Activity
Access to Early Intervention Cornerstone data
will be improved to expedite the process of
generating reports. Currently, Cornerstone is
not a stand-alone system for EI, but is
inclusive of other community health programs,
which make it less flexible.
Timelines & Resources
By July 1, 2011, Business Objects will be
implemented, which will provide a more
efficient way to access EI Cornerstone data
directly. The process will create a “universe”
that will consist of only EI data. EI data can
then be queried from information specific to EI,
rather than querying the entire Cornerstone
system and then sorting EI data from other
program data.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Additional data will be provided to CFC offices
so they can monitor compliance with Indicators
1, 7 and 8C and address child-specific and
system issues in a timely way.
Beginning in January 2011 and on an ongoing
basis, a system will be implemented that will
provide a monthly list to each CFC office of all
children that have not had transition meetings
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Beginning in July 2011and on an ongoing
basis, “mini APR tables” will be provided to
CFC offices on a quarterly basis, so that they
can monitor performance on Indicators 1, 7,
and 8C.
Resources include the Bureaus of Early
Intervention and Performance Support
Services.
Part C State Annual Performance Report for FFY2009
(OMB NO: 1820-0578 / Expiration Date: 11/30/2012)
Monitoring Priority – Page 82
ATTACHMENT A
INDICATOR C-9 WORKSHEET
Indicator/Indicator Clusters
General Supervision
System Components
1. Percent of infants and
toddlers with IFSPs who
receive the early intervention
services on their IFSPs in a
timely manner
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
Dispute Resolution:
Complaints, Hearings
2. Percent of infants and
toddlers with IFSPs who
primarily receive early
intervention services in the
home or community-based
settings
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
Dispute Resolution:
Complaints, Hearings
7. Percent of eligible infants
and toddlers with IFSPs for
whom an evaluation and
assessment and an initial
IFSP meeting were
conducted within Part C’s
45-day timeline.
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
Dispute Resolution:
Complaints, Hearings
8. Percent of all children exiting
Part C who received timely
transition planning to support
the child’s transition to
preschool and other
appropriate community
services by their third
birthday including:
A. IFSPs with transition
steps and services;
8. Percent of all children exiting
Part C who received timely
transition planning to support
the child’s transition to
preschool and other
appropriate community
services by their third
birthday including:
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
Dispute Resolution:
Complaints, Hearings
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
# of EIS
Programs
Issued
Findings in
FFY 2008
(7/1/08
through
6/30/09)
(a) # of
Findings of
noncompliance
identified in
FFY 2008
(7/1/08 through
6/30/09)
(b) # of Findings
of noncompliance
from (a) for which
correction was
verified no later
than one year
from identification
21
21
1
0
0
0
5
5
5
0
0
0
17
17
14
0
0
0
7
7
5
0
0
0
0
0
0
ATTACHMENT A
Indicator/Indicator Clusters
General Supervision
System Components
(a) # of
Findings of
noncompliance
identified in
FFY 2008
(7/1/08 through
6/30/09)
0
0
21
21
0
0
Sum the numbers down Column a and Column b
71
B. Notification to LEA, if
child potentially eligible
for Part B; and
8. Percent of all children exiting
Part C who received timely
transition planning to support
the child’s transition to
preschool and other
appropriate community
services by their third
birthday including:
Dispute Resolution:
Complaints, Hearings
# of EIS
Programs
Issued
Findings in
FFY 2008
(7/1/08
through
6/30/09)
Monitoring Activities:
Self-Assessment/ Local
APR, Data Review,
Desk Audit, On-Site
Visits, or Other
Dispute Resolution:
Complaints, Hearings
(b) # of Findings
of noncompliance
from (a) for which
correction was
verified no later
than one year
from identification
0
17
0
C. Transition conference, if
child potentially eligible
for Part B.
42
ATTACHMENT B
Part C Indicator 14 Data Rubric
APR Indicator
Valid and reliable
Correct calculation
Total
1
2
3
4
5
6
7
8A
8B
8C
9
10
11
12
13
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
30
Subtotal
APR Score
Calculation
Timely Submission Points
(5pts for submission of APR/SPP by February 1, 2010.)
Grand Total (Sum of Subtotal and Timely Submission Points)
5
35
Indicator 14 - 618 Data
Table
Table 1 - Child Count
Due Date: 2/1/10
Table 2 - Settings
Due Date: 2/1/10
Table 3 - Exiting
Due Date: 11/1/10
Table 4-Dispute Resolution
Due Date: 11/1/10
Timely
Complete
Data
Passed Edit
Check
Responded
to Date
Note
Requests
Total
1
1
1
1
4
1
1
1
1
4
1
1
1
N/A
3
1
1
1
N/A
3
Subtotal
Weighted Total (subtotal X 2.5)
Indicator #14 Calculation
A. APR Grand Total
B. 618 Grand Total
C. APR Grand Total (A) + 618 Grand Total (B) =
Total NA in APR
Total NA in 618
Base
D. Subtotal (C divided by Base*) =
E. Indicator Score (Subtotal D x 100) =
35.00
35.00
70.00
0.00
0.00
70.00
1.000
100.0
14
35
ATTACHMENT C
May 2010
Dear Illinois Early Intervention Family,
I would like to invite you to take part in a project created for families like yours. The
Illinois Early Intervention Statewide Outcome Survey is for families of young children
who have a special need or disability. Findings will help improve services for our Illinois
children and their families.
The project involves completing the survey included with this letter. If you complete the
survey, then you agree to participate. If you decide not to take part in the project, your
early intervention services will not be affected. Volunteering your time to take part in
this project is completely up to you.
The survey may seem long but most families will only need about 5 to 10 minutes to
complete it. You choose which family member will complete the survey. The survey
may make you think of ways to talk to others about what’s important to your family.
Feel free to use the survey as a way to discuss your ideas or hopes with friends, other
family members, or service providers.
Your answers will not be shared with your child’s early intervention providers or Child
and Family Connections staff. Please use the envelope provided to return your
completed survey to the Illinois Early Intervention Training Program. Your personal
information will be kept strictly confidential. Results from the surveys will be combined
and reported in summary form only.
We hope every family will participate so that we can get the best information possible.
Please return your survey within two weeks. When we receive your survey, we will
include your name in a drawing.
Results from the project will be available upon request. If you would like more
information about the Illinois Early Intervention Statewide Outcome Survey, please call
the EI Training Program at (866) 509-3867 ext. 253. Thank you for your time.
Sincerely,
Janet D. Gully, Chief
Bureau of Early Intervention
ATTACHMENT C
ATTACHMENT C
ATTACHMENT D
ATTACHMENT D
ATTACHMENT D
ATTACHMENT D