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North Carolina Infant Toddler Program 0 Strategies Statewide State Legislative request for funding...
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Transcript of North Carolina Infant Toddler Program 0 Strategies Statewide State Legislative request for funding...
North Carolina Infant Toddler Program
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Strategies
Statewide State Legislative request for funding (for some areas of State)Revised IFSPIntensive Statewide Technical AssistanceDevelopment of Local Improvement Strategies (See handout)Development of Local QA ProcessQA Coordinator quarterly meetings
North Carolina Infant Toddler Program
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TABs
North Carolina Infant Toddler Program
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CHILD OUTCOMES
% Positive Social-Emotional Skills Data FY 2009
CDSA a b c d e Total
“A” 2% 23% 15% 28% 33% 100%
“B” 2% 15% 15% 21% 47% 100%
“C” 0% 14% 18% 35% 33% 100%
“D” 1% 8% 14% 38% 39% 100%
“E” 1% 14% 30% 40% 15% 100%
“F” 1% 45% 11% 15% 28% 100%
“G” 1% 28% 55% 15% 0% 100%
“H” 0% 30% 11% 31% 28% 100%
“I” 2% 10% 25% 38% 26% 100%
“J” 1% 13% 16% 27% 43% 100%
“K” 1% 26% 18% 31% 25% 100%
“L” 1% 9% 36% 47% 8% 100%
“M” 0% 18% 26% 32% 24% 100%
“N” 1% 27% 15% 33% 23% 100%
“O” 1% 12% 10% 27% 50% 100%
“P” 3% 21% 30% 31% 16% 100%
“Q” 0% 28% 31% 15% 26% 100%
“R” 2% 24% 19% 31% 24% 100%
NC Totals 1% 19% 21% 31% 28% 100%
NC Statewide Data: Review for Outliers
*Upon review of all outliers in each outcome area it was noticed that both CDSA “F” and CDSA “G” had consistent outliers in ALL three outcome areas.
North Carolina Infant Toddler Program
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CDSA “F”
North Carolina Infant Toddler Program
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CDSA “F” Comparison to State
Development Area a b c d e
Positive
CDSA “F” 1% 45% 11% 15% 28%
NC 1% 19% 21% 31% 28%
Acquiring
CDSA “F” 0% 42% 23% 30% 4%
NC 1% 18% 31% 41% 10%
Taking
CDSA “F” 1% 42% 11% 38% 8%
NC 1% 19% 23% 44% 14%
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CDSA “F” comparison to State
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
CDSA "F" NC CDSA "F" NC CDSA "F" NC
Positive Acquiring Taking
a
b
c
d
e
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CDSA “F” Drill Down
Looked at CDSA “F” county by countyEligibility Categories
a-e categories by outcome area
Actual entry and exit ratings for children
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CDSA “F” Data Themes
Eligibility Category
Reviewed children by eligibility categoryFound low number for established conditions
Unable to conclude that high “b” percentages are in fact due to the type of children served
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CDSA “F” Data Themes
a-e categories by outcome area
Reviewed the 8 counties in this catchment area Found one county that was significantly higher than the catchment area’s average in all three outcome areas.Exclusion of this county from the CDSA’s totals increase both SSI and SSII by 4-5%
North Carolina Infant Toddler Program
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CDSA “F” Data Themes
Actual entry and exit ratings
At entry more children received ratings of 4 and 5 than all other ratings combined.
At exit, although making progress these children received a rating at or below the number received at entry.
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CDSA “F” Next Steps
Discussions with management team
Look at how CDSA is coding Developmental Delay vs. Established Condition
Take a look at actual completed COSFs
Drill down further at the county level
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CDSA “G”
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CDSA “G” comparison to State
Development Area a b c d e
Positive
CDSA “G” 1% 28% 55% 15% 0%
NC 1% 19% 21% 31% 28%
Acquiring
CDSA “G” 1% 33% 62% 4% 0%
NC 1% 18% 31% 41% 10%
Taking
CDSA “G” 1% 29% 57% 13% 0%
NC 1% 19% 23% 44% 14%
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CDSA “G” comparison to State
0%
10%
20%
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50%
60%
70%
CDSA "G" NC CDSA "G" NC CDSA "G" NC
Positive Acquiring Taking
a
b
c
d
e
North Carolina Infant Toddler Program
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CDSA “G” Drill Down
Looked at CDSA “G” county by countyEligibility Categories
a-e categories by outcome area
Actual ratings for children at entry
North Carolina Infant Toddler Program
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CDSA “G” Data Themes
Eligibility categoryReviewed children by eligibility category and concluded
80.14% of children are served under the DD category and 19.86% served under EC
Therefore, one would not expect all children to have a delay in ALL three outcome areas
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CDSA “G” Data Themes
a-e categories by outcome areas
Ratings and outcome areas looked consistent across the 10 counties.
North Carolina Infant Toddler Program
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CDSA “G” Data Themes
Actual ratings at entry
At time of entry NO child received a rating of 6 or 7 in ANY of the outcome areas.
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CDSA “G” Next Steps
Discussion with management team about usage of COSF
Look at some actual completed ratings
Analyze further the types of children served and begin to ask more questions such as
Higher % of children eligible for Part B when compared to the state?
Children made eligible by speech only? Clinical opinion?
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North Carolina
North Carolina Infant Toddler Program
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NC next steps
Complete this type of quality check for each of the 18 CDSAs
Looking for both high and low outliers
Provide TA tailored to identified themes.CDSA specific
Regional
Statewide
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Questions???
For additional information, refer to our website www.ncei.org