Part C State Annual Performance Report (APR) for FFY 06/SFY 07

Overview of the Annual Performance Report Development:

Illinois utilizes a central client tracking system, Cornerstone. No activity can take place without a case being active in Cornerstone. For many years the system has provided service coordination agencies (CFCs) with reports they can pull to help them track the size and movement of their caseloads. They also have tools to compile their own reports. The EI Bureau now has the same capacity to access and analyze current client data.

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), the program has operated a performance contracting system for CFCs, based on some of the more important measures found in the monthly statistical reports. The under 1 participation rate is reported for each CFC each month and this is one of the measures that caries performance contacting incentive funding.

The monthly reporting system also includes the following additional measures intended to emphasize the importance of reaching more children earlier: percent of caseload under 1, percent of initial IFSPs started under age 1, the average age of all open cases and average age at initial IFSP. In addition, the program tracks the percentage of the caseload over 30 months old, both because those cases should be in the transition process and as a counter-weight to the under 1 caseload. The emphasis is on reducing the age of the caseload. The Illinois Interagency Council on Early Intervention (IICEI) has made reaching eligible children at younger ages a priority for a number of years. Performance is reported to them regularly and age related factors are one of the primary areas of discussion with CFC Managers at their periodic meetings.

As a result of this ongoing emphasis on reaching children at younger ages and reporting on performance, development of the APR just required updating existing reports to the appropriate dates, as well as identifying the appropriate data for other states to make the required performance comparisons.

Monitoring Priority: Effective General Supervision Part C / Child Find

Indicator 5: Percent of infants and toddlers birth to 1 with IFSPs compared to:

  1. Other States with similar eligibility definitions; and
  2. National data.

(20 U.S.C. 1416(a)(3)(B) and 1442)

Measurement:

  1. 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 the same percent calculated for other States with similar (narrow, moderate or broad) eligibility definitions.
  2. 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: 2006 (2006-2007)
Measurable and Rigorous Target: The percentage of all children in Illinois under age 1 served through an IFSP will be at least 1.33% on June 30, 2007, approximately 2,406 children.

Actual Target Data for FFY06/SFY 07:

FFY06/SFY07 Participation Rates
October 31, 2006: 2,074/176,773 x 100=1.17%
June 30, 2007: 2,356/176,773 x 100=1.33%

Illinois was serving 2,356 children under 1 on June 30, 2007, falling short of the target by 50. The number of cases under 1 and the proportion of the caseload they comprise both increased, both from the October 31 counts or the June 30 counts. For a number of years Illinois has put a particular emphasis on trying to reach children at younger ages. While the under 1 participation rate has increased substantially in recent years it has mainly been due to the increase in the overall caseload. Essentially this means the program has continued to find more of the same kinds of children at almost the same age.

Illinois EI Program Children with IFSPs < 1 *
% of Pop.
December 1, 2002 0.70
June 30, 2003 0.84
December 1, 2003 0.90
June 30, 2004 1.06
December 1, 2004 1.09
June 30, 2005 1.21
December 1, 2005 1.07
June 30, 2006 1.20
Oct. 31, 2006 1.17
June 30, 2007 1.33

* June 30 rates based on birth data take to local level, federal 618 reporting rates based on statewide estimated population

Illinois has steadily moved up the overall participation rate rankings. Overall Illinois was 27th in 2002 and it was 14th for 2006. It is interesting to note that having eligibility rules that OSEP deem moderately restrictive does not seem to adversely affect the overall participation rates. As a group, moderately restrictive states have consistently had higher participation rates than the national average. In fact, the participation rate in for 2006 reporting was almost 20% higher than the national average. However, it does seem to affect reaching infants. The under 1 participation rate for moderately restrictive states is 10% lower than the national average and the proportion of the caseload that is under 1 is 25% lower. With this in mind, it is frustrating to the program that its many efforts to reach children sooner have only been modestly successful. On the positive side, Illinois has at least been able to buck the national trend that shows slower growth in the under 1 participation rate than the overall participation.

2002 - 2006 Participation Rate Comparisons National & Similar Eligibility States
States with Moderately
Restrictive Eligibility
Criteria
2002
% of
Pop.
2002
Rank
2003
% of
Pop.
2003
Rank
2004
% of
Pop.
2004
Rank
2005
% of
Pop.
2005
Rank
% of
Pop.
Rank 4-Year
% Change
Rhode Island 1.78 6 1.88 4 1.75 6 1.86 4 2.04 5 14.6%
Indiana 2.10 3 1.86 5 1.99 3 1.40 10 1.40 14 -33.3%
South Dakota 0.59 40 0.67 38 0.89 25 0.82 29 1.21 19 105.1%
ILLINOIS 0.70 36 0.90 24 1.09 21 1.07 20 1.17 20 67.1%
New York 1.10 18 1.03 20 1.10 20 1.04 22 1.09 23 -0.9%
Delaware 1.84 5 1.78 7 1.33 13 0.98 25 0.99 38 -46.2%
North Carolina 0.63 39 0.42 51 0.70 34 0.52 42 0.84 29 33.3%
Alaska 0.80 29 0.86 27 0.82 28 0.93 28 0.76 31 -5.0%
Colorado 0.68 37 0.67 37 0.74 33 0.74 32 0.73 33 7.4%
Missouri 0.55 41 0.62 39 0.67 38 0.71 35 0.64 39 16.4%
New Jersey 0.55 42 0.60 42 0.53 46 0.56 41 0.63 40 14.5%
Minnesota 0.73 35 0.76 30 0.41 52 0.46 51 0.63 40 -13.7%
Puerto Rico 0.46 NA 0.37 NA 0.42 51 0.46 50 0.61 44 32.6%
Kentucky 0.79 32 0.60 41 0.46 50 0.49 45 0.60 45 -24.1%
2002 - 2006 Participation Rate Comparisons National & Similar Eligibility States
2002
% of
Pop.
2003
% of
Pop.
2004
% of
Pop.
2005
% of
Pop.
2006
% of
Pop.
4-Year
%
Change
Moderate States # 0.91 0.91 0.94 0.88 0.93 2.5%
Nationwide ^ 1.03 0.99 0.97 0.95 1.04 0.7%
  • For states with moderately restrictive eligibility rules in that year.
  • Totals excluding children classified as eligible because they are at-risk
Tabular Representation of Chart: Early Intervention Under 1 Participation Rate IFSPs/All Children <1
January February March April May June July August September October November December
2000 na na na na na na na na na 0.84% 0.84% 0.79%
2001 0.79% 0.78% 0.80% 0.80% 0.82% 0.78% 0.67% 0.66% 0.60% 0.58% 0.54% 0.51%
2002 0.52% 0.55% 0.58% 0.64% 0.69% 0.70% 0.72% 0.73% 0.73% 0.74% 0.72% 0.73%
2003 0.73% 0.74% 0.78% 0.82% 0.85% 0.87% 0.90% 0.86% 0.88% 0.92% 0.92% 0.91%
2004 0.89% 0.94% 1.00% 1.05% 1.05% 1.06% 1.02% 1.03% 1.04% 1.06% 1.08% 1.08%
2005 1.08% 1.11% 1.16% 1.18% 1.20% 1.21% 1.16% 1.14% 1.11% 1.08% 1.10% 1.11%
2006 1.11% 1.12% 1.16% 1.15% 1.19% 1.20% 1.16% 1.20% 1.16% 1.16% 1.16% 1.15%
2007 1.17% 1.21% 1.25% 1.27% 1.30% 1.30% na na na na na na

Based on birth data rather than estimated population used for 618 reporting because estimated population data is not available to local levels.

In the five years between the end of FFY 01/SFY 02 and the end of FFY 06/SFY 07, the under 1 participation rate increased for all but one CFC. Ten of the 25 areas at least doubled. The greatest increase among the large geographic regions has been experienced in Cook County. While there was a significant increase in the under 1 participation rate during FFY 06/SFY 07, seven CFCs experienced decreases. At the end of FFY 01/SFY 02, only five of the state's 25 service coordination areas and none of the three larger geographic groupings served more than the OSEP goal of 1.00% of the under 1 population. At the end of SFY 07, only six CFCs were below 1.00%. Only DuPage County (CFC 5) has failed to be above 1.00% at least once in the five-year period. All three larger geographic groupings are now well above 1.00%. The collar counties have consistently lagged behind the rest of the state in reaching infants.

Under Age 1 Participation Rate History by CFC
CFC & Number End of
SFY 02
End of
SFY 03
End of
SFY 04
End of
SFY 05
End of
SFY 06
End of
SFY 07
Rank SFY 07
Change
5 Year
Change
#1 - ROCKFORD 0.70% 1.23% 1.44% 1.15% 1.28% 1.46% 10 13.5% 107.4%
#2 - LAKE COUNTY 0.51% 0.66% 0.86% 1.00% 0.91% 0.75% 25 -17.2% 46.6%
#3 - FREEPORT 1.01% 1.07% 1.25% 1.59% 1.10% 1.50% 8 36.1% 48.8%
#4 - KANE-KENDALL 0.75% 0.82% 0.76% 1.19% 1.01% 1.20% 19 18.0% 60.0%
#5 - DUPAGE COUNTY 0.50% 0.66% 0.94% 0.97% 0.92% 0.99% 20 7.8% 98.4%
#6 - N. SUBURBS 0.47% 0.67% 0.93% 1.10% 1.28% 1.38% 12 8.2% 195.9%
#7 - W. SUBURBS 0.71% 0.75% 0.88% 0.93% 1.10% 1.25% 17 13.5% 75.8%
#8 - S.W. CHICAGO 1.07% 1.08% 1.33% 1.60% 1.40% 1.44% 11 2.8% 34.4%
#9 - CENTRAL CHICAGO 0.85% 1.27% 1.28% 1.20% 1.53% 2.05% 2 33.6% 140.8%
#10 - S.E. CHICAGO 0.71% 0.93% 1.54% 1.68% 1.67% 1.90% 4 13.3% 165.1%
#11 - N. CHICAGO 0.57% 0.72% 0.95% 1.00% 1.20% 1.33% 13 10.5% 134.7%
#12 - S. SUBURBS 0.81% 0.98% 1.37% 1.60% 1.45% 1.30% 14 -10.6% 60.2%
#13 - MACOMB 0.33% 0.83% 0.63% 1.38% 1.01% 1.24% 18 22.5% 279.8%
#14 - PEORIA 0.50% 0.65% 0.63% 0.74% 0.98% 0.94% 23 -3.8% 89.5%
#15 - JOLIET 0.81% 0.78% 1.15% 1.26% 1.01% 0.96% 22 -5.3% 18.7%
#16 - BLOOMINGTON 0.47% 0.72% 0.69% 0.83% 0.95% 1.28% 15 34.9% 174.8%
#17 - QUINCY 0.85% 0.76% 0.85% 1.28% 1.29% 1.84% 5 42.9% 116.1%
#18 - SPRINGFIELD 0.61% 1.09% 1.45% 1.22% 1.39% 1.49% 9 6.7% 143.6%
#19 - DECATUR 1.11% 0.78% 0.94% 1.41% 1.29% 1.60% 7 23.9% 44.1%
#20 - EFFINGHAM 0.91% 1.76% 1.29% 2.13% 1.61% 1.99% 3 24.0% 118.1%
#21 - METRO E. ST. LOUIS 0.53% 0.79% 0.86% 1.03% 0.94% 0.78% 24 -17.6% 46.8%
#22 - CENTRALIA 1.24% 1.72% 1.53% 1.61% 1.39% 1.60% 6 15.4% 28.8%
#23 - NORRIS CITY 3.07% 2.51% 2.88% 3.35% 4.27% 2.65% 1 -37.8% -13.5%
#24 - CARBONDALE 0.97% 0.57% 0.63% 1.14% 1.33% 1.28% 16 -4.2% 31.2%
#25 - MCHENRY 0.98% 0.69% 1.36% 1.02% 0.94% 0.99% 21 4.9% 0.9%
Under Age 1 Participation Rate History by Region
CFC & Number End of
SFY 02
End of
SFY 03
End of
SFY 04
End of
SFY 05
End of
SFY 06
End of
SFY 07
SFY 07
Change
5 Year
Change
Statewide 0.70% 0.87% 1.06% 1.21% 1.20% 1.30% 8.3% 85.4%
COOK (6-12) 0.70% 0.88% 1.14% 1.25% 1.35% 1.48% 10.1% 112.4%
COLLAR (2, 4, 5, 15, 25) 0.67% 0.72% 0.97% 1.09% 1.05% 1.07% 1.2% 60.1%
DOWNSTATE (OTHERS) 0.75% 1.00% 1.03% 1.26% 1.12% 1.24% 10.6% 65.7%

Discussion of Improvement Activities Completed and Explanation of Progress or Slippage that occurred for FFY 06/SFY 07:

The significant increase in the under 1 participation rate is mainly attributable to the overall increase in referrals and decrease in closings. There was an increase in the percent of open cases under 1 and the number of new initial IFSPs started before age 1 increased slightly. A comparison of Illinois to national statistics and trends show that we have improved somewhat, while other states have stalled or even gone backwards. The program will continue with its existing efforts to promote reaching eligible children sooner. We also will work with the new IICEI Chair and council members to find ways to reach out to the medical community and others.

Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines / Resources for FFY 06/SFY 07:

The improvement activities and timelines will remain the same. There was strong growth in SFY 06/FFY 07. Underlying factors, including anticipated growth in case closures, point to slowing growth in the future. In recognition of this, the future targets are being adjusted down as follows:

  • FFY 07/SFY 08 - 1.36% of children under 1, approximately 2,410 IFSPs on June 30, 2008
  • FFY 08/SFY 09 - 1.39% of children under 1, approximately 2,464 IFSPs on June 30, 2009
  • FFY 09/SFY 10 - 1.42% of children under 1, approximately 2,518 IFSPs on June 30, 2010
  • FFY 10/SFY 11 - 1.46% of children under 1, approximately 2,573 IFSPs on June 30, 2011