Florida Agency for Workforce Innovation Office of Early Learning Early Learning Information System (ELIS) Coalition Visits August - October, 2007 Agenda Getting Started • • Introductions Attendance ELIS Project Overview Joint Application Development (JAD) Process Overview ELIS Team Contacts Baseline Process Walk-through Overview Baseline Process Walk-through 2 ELIS Project Overview Early Learning Information System Fact Sheet (Refer to handout) Overview: ELIS:The Big Picture ELIS Phased Approach Stage 1 Improve our Processes and Document our Requirements Stage 3 Design, Build, Test, Train & Implement Stage 2 Data Cleansing 4 Overview: Key Stage 1 Activities Observe, analyze and document current business processes Identify best practices and process changes required Develop and standardize future business processes Identify functional and non-functional requirements Support the ELIS procurement activities 5 Overview: High-level JAD Strategy Here we are for today’s session Develop OEL As-Is Model • • Develop As-Is model Conduct problem analysis Conduct needs analysis • • • • • Develop Use Cases • Develop Use Cases based on To-Be models Conduct Remaining ELC JADs Develop ELC Strawman • Develop local As-Is model Conduct problem & needs analysis Develop baseline AsIs model Develop To-Be model • • • To remaining Phase IV tasks and Phase V, Procurement Develop RDD • Identify local variance Conduct problem analysis Conduct needs analysis Test future state concepts Develop Requirements Definition Document deliverable 6 Develop OEL To-Be Model • Develop To-Be model based on problem and needs analysis Overview: Coalition Process Inventory 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Resource and Referral Waitlist Management SR Eligibility Determination VPK Eligibility Determination SR Enrollment VPK Enrollment SR Eligibility Redetermination Child Assessment Provider Transfer Attendance Management 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 7 Payment Adjustments Provider Payments ELC Invoicing Provider On-boarding and Management Slot Management Collections Provider Quality Monitoring and Improvement Attendance Auditing Provider Compliance Monitoring Complaints Processing Overview: Handouts Site Visit Agenda and Schedule ELIS Team Contact Info Baseline Process Walk-through Overview Purpose: • • Review baseline As-Is process flow diagrams for each core business process identified Identify and document local variance, existing problems, and future needs Deliverables: Meeting minutes Local variations or gaps in baseline processes Existing business problems tied to processes Future process and IT system needs & capabilities 10 Process Hierarchy Our processes are structured into a 4-level hierarchy: Functional Group We will be working at this level in today’s session Process Name (Level 1) Process Flow Diagram (Level 2) Process Narrative (Level 3) 11 Example Process Flow Eligibility Guidelines Annual ELC Eligibility Site Review Schedule ELC Site Visit Scheduled ELC Site Visit Sample of Cases Review ELC Data A1 Site Review of Representative Cases A2 OEL Eligibility Spreadsheets Advise ELC A3 Completed ELC Eligibility Review A4 Disallowed Cost Microsoft SharePoint EFS Microsoft SharePoint EFS Investigation Eligibility Guidelines: · · · · Desk Reference Federal Statutes Florida Statutes ELC Spreadsheets 12 Initiate Benefit Recovery A5 Process Flow Format Tools & Documentation Inputs Eligibility Guidelines Sample of Cases Site Review of Representative Cases Outputs OEL Eligibility Spreadsheets A3 Process Step / Identifier EFS IT Systems Used Other information may be included in the diagram as appropriate for clarity. 13 Example Process Narrative Event: Program Monitoring - Eligibility Trigger: Scheduled ELC Site Visit Process: A2 – Review ELC Data Activities: 1. The OEL – CSSC – Performance and Accountability unit request EFS data extracts from the OEL – OPEA unit. The data extracts are specific to the ELC being reviewed, and should include: School Readiness Cases VPK Cases Child Care Provider data 2. Based on the random sample of EFS data, the OEL – CSSC – Performance and Accountability analyst selects specific cases to review at the ELC site visit. 3. The analyst will request the ELC to pull the data for these cases (which will be reviewed at the ELC site visit). This request is made by posting the requested cases to the ELC SharePoint site. 4. The OEL – CSSC – Performance and Accountability unit reviews ELC specific documents (Fee Scale, SR and VPK Policies and Procedures, coalition monitoring documentation, etc.) prior to the site visit. Outputs: 1. Sample of Cases 2. ELC Document Findings 14 Workshop Approach For each As-Is process: Business Analysis Understand the Business Variance Analysis Understand Your Differences Problem Analysis Understand the Problems Understand the Future Needs Needs Analysis • Capture ideas on Post-it notes during the process walk through • Capture one idea per Post-it note • We’ll have a few minutes for final brainstorming at the end of each process walk through. • We will gather and document your input 15 As-Is Process Overview Updated Applicant Information Information Request / Need Transfer Trigger Resource and Referral Applicant Information SR / VPK Eligibility Determination Eligibility Expiration or Change Eligibility Decision / Certificate SR / VPK Provider Transfer Eligible Family/ Child Wait List Managment SR Eligibility ReDetermination Child Assessments Funds / Capacity Available Contract Compliance Monitoring Applicant Information Continued Eligible or Termination SR / VPK Enrollment Collections # Enrolled Funding Reports Budget Information Payment Adjustment Slot Management Corrections # Attending Child Care Provider Request Provider Onboarding and Management Contracted Child Care Provider Child Care Provider Information Attendance Management Attendance Monthly CloseOut & SR/VPK Provider Payments Child Care Provider Agreement Provider Quality Monitoring & Improvement ELC Invoicing Complaint Complaints Processing 16 Attendance Attendance Auditing Baseline Walk-through Agenda Morning 1. Resource & Referral 2. Waitlist Management 3. School Readiness Eligibility Determination 4. School Readiness Enrollment 5. School Readiness Eligibility Re-Determination 6. VPK Eligibility Determination 7. VPK Enrollment 8. VPK/SR Provider Transfer 9. Child Assessments Baseline Walk-through Agenda Afternoon 10. Attendance Management 11. Attendance Auditing 12. Payment Adjustments 13. Monthly Closeouts and Provider Payments 14. ELC Invoicing 15. Collections 16. Slot Management 17. Provider Onboarding and Management 18. Provider Quality Monitoring and Improvement 19. Contract Compliance Monitoring (ELC/Service Provider) 20. Complaints Processing As-Is Baseline Resource and Referral Telephone Walk-In Email Letter Information Need Customer Request for Information A1 OEL Rules and Policies Statutes ELC Annual Plan Service Provider Contract Service Provider Protocols Intake Information Documentation of Information Request Contact Log Intake Form EFS Customers Parents/Guardians Providers: · New · Current · Prospective (interested in providing service) Others: · Other Agencies · Teachers · Consultants · Vendors · Trainers Information/Referral Provided Knowledgeable Customers A2 EFS/CCRR Databases Spreadsheets Telephone Log Informational Packets Parent Information Packet (with Provider Referral List) New Provider Information Packet Prospective Provider Packet 19 As-Is Baseline Wait List Management FL Administrative Rule Chapter Applicant 60BB-4.300 Information Applicant Enter Applicant Data Dis-enrolled Children A1 SPE Applicant Records Created Applicant Information Policy Waitlist Re-verification A2 UWL Applicant Information Updated Applicant Information ELC UWL Policy Waitlist Selection A3 UWL 20 Updated Wait List Re-verification notices Update Wait List Updated Applicant Information A4 UWL Selected Applicants As-Is BASELINE School Readiness (SR) Eligibility Determination Eligibility Guidelines Provider Information Applicant Information Eligibility Guidelines Applicant Information Preliminary Eligibility Determination Applicant Contact and Preliminary Review A1 SPE A2 Scheduling System Excel Applicant Information: Eligibility Guidelines: · · · · FL Statutes Federal Regulations ELC Policies and Procedures OEL Policy and Rules Eligibility Decision Determine Eligibility · · · · Proof of Family Income (earned and unearned) Child Date of Birth Valid ID Proof of Approved Activity / Purpose for Care 21 Notes: · This process is applicable to determination of eligibility for School Readiness / Child Care as defined in FL Administrative Rule Chapter 60BB-4 As-Is BASELINE School Readiness (SR) Enrollment Terms & Conditions SR Eligibility Confirmed Applicant Information Document Needs, Eligibility and Fees A1 EFS Developmental Screening tool FL Statutes Enrollment Documents Process Enrollment Conduct Child Developmental Screening A2 A3 EFS Updated Fees Determined EFS Excel Signed Consent (for screenings) EFS Tracking Systems (Excel, etc.) Note: This process is applicable to all children eligible for School Readiness Programs as defined in FL Administrative Rule Chapter 60BB-4 22 Enrollment Documents · Completed, Signed Application · Completed Income Worksheet · Provider Authorization Form · Signed Terms & Conditions · Parent Rights and Responsibilities As-Is BASELINE School Readiness (SR) Eligibility Re-Determination Terms & Conditions Eligibility Expiration Reports Parent Information Eligibility Expiration Updated Client Information Re-Determination Package Notice of Eligibility Re-Determination Applicant / Eligibility Information Re-determination notice/ information request A1 Child Care Authorization Re-Determine SR Eligibility Confirmation of Continued Eligibility or Termination of Services Updated Eligibility Documentation A2 EFS EFS Updated Eligibility Documentation: Scheduling systems · · · · 23 Child Care Authorization/Referral Notice of Change in Child Care Status Updated EFS Parent and Child Records (including Parent / Child History Notes) Signed Child Care Application, income worksheet and required forms (Certificate or related form) As-Is BASELINE VPK Eligibility Determination Eligibility Guidelines Provider Information Applicant Information VPK Group VPK Sessions/ Eligibility Events Guidelines Applicant Information Applicant Contact and Preliminary Review Preliminary VPK Eligibility Determination A1 Determine VPK Eligibility VPK Eligibility Established A2 SPE Eligibility Guidelines: · · · State Regulations ELC Policy and Rules OEL Policy and Rules Applicant Information: · · · Child Date of Birth Valid ID / Proof of FL Residency Proof of immunization (in some ELCs) 24 State Regulations · This process is applicable to children under FL Statues 1002.79 and FL Administrative Rule 60BB-8. Voluntary Pre-kindergarten education program As-Is BASELINE VPK Enrollment Applicant Information VPK eligibility decision VPK Provider Selection Applicant Provider Information Information Completed VPK Certificate of Eligibility Process Enrollment VPK Enrollment Completed EFS Updated A1 A2 EFS EFS 25 As-Is Baseline VPK / SR Provider Transfer Attendance/ Payment Parent/ Reports Provider Information Request/ Notification of/for a Provider Transfer Assess Transfer Request A1 EFS VPK / SR Child Care Authorization Confirmation of available FTE Hours (VPK) Confirmation of Paid Parent Co-pay Balances (SR) Confirm Transfer (VPK / SR) Signed Authorization Forms EFS Updated A2 EFS Excel Provider Transfer Information Signed Authorization Forms: School Readiness: · Application and Authorization Form · Child Care Eligibility and Enrollment Certificate VPK: · VPK Re-Enrollment Form · VPK Child Eligibility and Enrollment Certificate · Additional Forms may be used 26 As-Is Baseline Child Assessments Assessment Tool Pre-Assessment A1 Technical Assistance Technical Assistance Technical Assistance Annual Cycle Assessment Tool Scores Individualized Child Plans A2 Annual Cycle Post Assessment A3 School Ready Children Outcomes Data Assessment Tool Software Excel Spreadsheets Access Database Assessment Tool Software Excel Spreadsheets Access Database 27 As-Is Baseline Attendance Management Attendance Roster Log Recertification Process Enrollment Process Generate Attendance Roster A1 Termination Process VPK / SR Provider Attendance Attendance Marking Process Roster log Incomplete Attendance Roster Enter Attendance and Submit Roster A2 EFS Completed Attendance Roster VPK / SR Provider Information Attendance Entered in EFS Enter Attendance into EFS A3 EFS 28 Trial Reimbursement Report As-Is Baseline Attendance Auditing SR / VPK Provider Information Annual Review Request Attendance Documentation A1 Attendance Documentation SR / VPK Provider Information Attendance Audit Log Review Attendance Documentation Audit Findings Attendance Audit Log Recieve Supporting Documenation Supporting Attendance Documentation Audit Log Audit Revisions A3 A2 EFS Close Attendance Audit A4 Attendance Audit Closed Additional Actions EFS SR / VPK Child Care Provider Information: · Parent Sign In / Sign Out Forms · VPK Student Attendance and Parental Choice Certificate Form · Provider Transmittal Attendance Form 29 Additional Actions: · Payment Adjustment Initiated · Offer Technical Assistance to the Provider · Require meeting with Provider Director · Follow up Reviews As-Is Baseline Payment Adjustment VPK / SR Provider Information Attendance Information Determine Payment Adjustment Payment Adjustment Request Review Payment Adjustment Request A1 A2 EFS Approved Payment Adjustment Request Prior Period Adjustment Report Process Payment Adjustment A3 EFS VPK / SR Provider Information: 1. Original Paper Attendance Roster 2. SR Parental Sign In / Sign Out Forms 3. VPK Monthly Absence Reason Forms 30 As-Is Baseline Monthly Closeout and SR / VPK Provider Payments Balancing Spreadsheet ELC Funds Attendance Information Generate and Reconcile EFS Payment Report Reconciled Monthly Closeout A2 A1 EFS Accounting Software Complete Final Monthly Closeout Issue Resolution Accounting Software Verified Monthly Closeout Reports Issue SR / VPK Provider Payment SR / VPK Provider Payment A3 Accounting Software Verified Monthly Closeout Reports 1. Reconciled Payment Transmittal Reports 2. Final Reimbursement Reports 3. Final 5045 Reports 4. Data entered into General Ledger 31 As-Is Baseline ELC Invoicing (to OEL) OEL Invoice Spreadsheet ELC Invoice Spreadsheet Monthly Invoice Submission Created OEL Invoice Invoice Data Generate Invoice Data A1 EFS Create OEL Invoice Submit Invoice A4 A3 A2 Service Provider Accounting Software Sign Off on OEL Invoice Submitted OEL Invoice Signed OEL Invoice ELC Accounting Software ELC Accounting Software Provider Payments Receive Reimbursement A5 32 As-Is Baseline Collections FDLE Suspected Fraud Referral Form Questioned Cost Questioned Cost Determination A1 Demand Letters Recovery Details Questioned Cost Request Repayment of Delinquent Account Initiate Recovery A3 A2 33 Payment Request Recovery Resolution A4 Resolved Recovery As-Is Baseline Slot Management Enrollment Information Enrollment Information Dis-enrollment Policy, Service Priority Policy Funding Information Funding Reports Slot Analysis A1 EFS Dis-enrollment Policy, Service Priority Policy Slot Management Strategy Dis-enrollment recommendations Enrollment Information Funding Information ELC Board Review Dis-enrollment Policy, Service Priority Policy ELC Board Response Funding Information Dis-enrollment Policy, Service Priority Policy OEL Response Funding Information OEL Review Complete Disenrollment A3 A4 A2 EFS EFS ELC Board Response: Do not dis-enroll because: additional funding guidance to Finance Committee Intent to Dis-enroll 34 Enrollment Information EFS OEL Response: Do not dis-enroll because: additional funding error in slot analysis Consensus to Dis-enroll UWL Dis-enrolled Children As-Is Baseline Provider Onboarding and Management ELC Policy OEL Rules & Regs Statutes Service Provider Policies Matching Report Community Contacts Recruiting Letters Provider Request Recruiting Efforts Provider Contact A1 Provider Interest Provider Orientation Screening Credentialing Completed Forms A2 Document Review and Verification ELC Policies OEL Rules Child Care Provider Agreement Contract Signed Records Updated A4 A3 Annual Update CCRR/EFS Spreadsheets FAX Orientation Log EFS FAX Orientation Topics Eligibility Guidelines Provider Agreement Licensure Requirements Reimbursement Rates & Procedures Curriculum Standards Background Screening VPK Forms 10 & 11 Teacher Credentials 35 Approved SR or VPK Provider As-Is Baseline Provider Quality Monitoring and Improvement OEL Policies ELC Policies Provider Agreement Provider Records Annual Cycle Prepare for Monitoring Program Improvement Strategies & Tools Mentoring & Technical Assistance Providers Selected Conduct Monitoring Results Program Improvement Plan Follow-Up A4 A1 A2 A3 Provider Pre-Assessment Tools EFS Checklist Provider Post-Assessment Tools Spreadsheets Access Databases Program Improvement Strategies and Tools Mentoring Technical Assistance Quality Rating Program (Star Rating) Environmental Rating Scale Harms Pre & Post Assessments Self Assessment Coaching & Mentoring Training 36 Site Visits Program Improvement Strategies & Tools Quality Service Termination of Contract As-Is Baseline Contract Compliance Monitoring Service Provider Contracts Service Provider Reports Reviews Monthly, Quarterly, & Annual Initiate Contract Review Contract Monitoring Review Tool Contract Monitoring Review Tool A1 Service Provider Shadow Systems ELC Key Performance Indicator Report Monitoring Schedule Conduct Compliance Audit Service Provider Annual Reports Service Provider Reports Audit Findings Develop Draft Report A2 A3 Provider Compliance Auditing Information: · Monthly, Quarterly, Annual Key Indicator Report · Contract Monitoring Tool · Performance Improvement Plan 37 Draft ELC Compliance Monitoring Report Deliver Final Report to Coalition Board Present Final Report A4 Provider Compliance Monitoring Information: ELC Monitoring Policy & Procedures: · Monitoring Schedule · Monitoring Tool · Monitoring Report · Service Provider Contract · Fee Schedule · Quarterly Report · Key Indicator Report · Monitoring Process Map · Randomization Tool (for selecting file review) · List of requested client and provider files to review · File Review GRID · Fraud Reports · State Laws, Rules and Statutes: 60BB, eligibility codes and F.S. 411, 1002 and others as appropriate. As-Is Baseline Complaints Processing Provider Information Complaint Provider History Provider Information ELC Policy Decision Complaint Form Receive Complaint Provider Information ELC Review Process Complaint Final Decision Close Complaint Petition A2 A1 EFS Word A3 A4 Complaint Closed Additional Documentation EFS Additional Documentation: · Corrective Action Plan · Policy Recommendations to ELC Management · External Agency Information 38 As-Is BASELINE Sub-Process Process Changes Resulting from Transfer of Guardianship Referral / Legal Documents Referral or Notification of Transfer of Child Guardianship Validate Transfer to & Eligibility of the New Guardian A1 Enrollment Process Eligibility Process Validated Guardianship Eligible Guardian EFS Process Changes Resulting from Guardianship Transfer A2 Guardianship Transfer Changes Completed Documents/Records Updated EFS Documents/Records Updated: · EFS Parent Record · EFS Provider Record · EFS Child Record · EFS History Notes · Signed Child Care Application · Certificate or related Provider form · Income Worksheet · Terms and Conditions 39 Wrap-up Thank-you! 40