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. Both service coordination agencies (CFCs) and the central office can pull reports to track the size and movement of caseloads at any point. Since January 2002, the program has also utilized a standardized monthly reporting system on a series of performance measures, including total caseload and participation rate. Since the beginning of SFY 03 (July 1, 2002), Illinois has operated a performance contracting system for CFCs, based on some of the more important measures found in the monthly statistical reports. Participation rates are reported for each CFC each month and this is one of the measures that carries performance contacting incentive funding.

The bulk of funding for service coordination is distributed based on average caseloads over a recent period. Incentive funding is also distributed to CFCs that do the best job of limiting the number of families that leave intake or IFSP by choice or because we cannot find them. Other incentives can be earned for doing the best job of completing IFSPs within 45 days and by providing the shortest average time between referral and initial IFSP. All of these factors lead to a heightened awareness of the importance of child find, good customer service and, ultimately, to higher participation rates. For instance, the reduction in the average time in intake from almost 80 days to under 30 days has resulted in an ongoing increase of approximately 2,000 children receiving IFSP services.

All of these activities are not only shared with CFCs monthly but also with the Illinois Interagency Council on Early Intervention (IICEI), as well as in other public forums, as appropriate. As a result of this continuous attention to child find and participation rate and reporting on these activities, development of the APR only requires summarizing data already collected and distributed for FFY 06/SFY 07.

Monitoring Priority: Effective General Supervision Part C / Child Find

Indicator 6: Percent of infants and toddlers birth to 3 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 3 with IFSPs) divided by the (population of infants and toddlers birth to 3)] 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 3 with IFSPs) divided by the (population of infants and toddlers birth to 3)] times 100 compared to National data.

FFY: 2006 (2006-2007)
Measurable and Rigorous Target: The percentage of all children in Illinois under age 3 served through an IFSP will be at least 3.24% on June 30, 2007, approximately 17,593 children.

Actual Target Data for FFY 06/SFY 07:

On October 31, 2006, Illinois reported 16,613 children under 3 had active IFSPs, equal to a 3.11% participation rate. (16,613/534,141x100=3.11%). That is significantly higher than the 3.00% for the FFY 05 federal report. However, this point represents a traditional low point for the caseload. There was an unanticipated surge in the caseload in the second half of FFY06/SFY 07. There were 17,654 open cases of children under 3 on June 30, 2007, representing a participation rate of 3.31% (17,654/ 534,141 x 100=3.31%). June 30 is both the end of the fiscal year and the traditional high point for the caseload. Illinois' targets are set for June 30. The FFY 06/SFY07 goal of 17,593 was exceeded by 61.

This represented a 3.7% increase between federal 618 reports and a 7% increase from the end of SFY 06 to the end of SFY 07. However, Illinois' participation rate rank for FFY 06 moved down from 12th to 14th. However, the FFY 06 reported caseload represents a 55.5% increase over four years, compared to just 8.5% nationwide.

2002 - 2006 Participation Rate Comparisons National & Similar Eligibility States
States with Moderately Restrictive Eligibility Criteria
STATE 2002
% of
Pop.
2002
Rank
2003
% of
Pop.
2003
Rank
2004
% of
Pop.
2004
Rank
2005
% of
Pop.
2005
Rank
2006
% of
Pop.
2006
Rank
4-Year
% Change
RHODE ISLAND 3.50 5 3.48 6 4.26 6 4.09 5 4.39 5 25.4%
NEW YORK 4.79 3 4.42 3 3.56 3 4.33 3 4.21 6 -12.1%
Indiana 3.67 4 3.62 4 3.94 4 4.04 6 3.66 7 -0.3%
ILLINOIS 2.00 27 2.42 20 2.86 16 3.00 12 3.11 14 55.5%
South Dakota 2.28 22 2.66 14 3.07 17 2.91 15 2.97 16 30.3%
PUERTO RICO * 1.59 37 1.65 40 2.84 36 2.58 21 2.85 17 79.2%
NEW JERSEY 2.12 24 2.36 23 1.80 26 2.53 22 2.80 18 32.1%
KENTUCKY 2.67 13 2.37 22 2.21 25 2.17 29 2.66 28 -0.4%
Delaware 3.29 7 2.90 10 2.29 12 2.94 14 2.66 21 -19.1%
North Carolina 1.62 36 1.41 46 1.71 39 1.85 36 2.03 30 25.1%
Alaska 2.12 24 2.17 26 2.02 31 2.09 30 1.96 34 -7.5%
Colorado 1.45 39 1.56 40 1.70 42 1.87 35 1.92 36 32.4%
Minnesota 1.72 34 1.78 34 1.50 48 1.56 46 1.70 42 -1.2%
Missouri 1.33 45 1.51 43 1.53 47 1.47 48 1.37 47 3.0%
2002 - 2006 Participation Rate Comparisons National & Similar Eligibility States
STATE 2002
% of
Pop.
2002
Rank
2003
% of
Pop.
2003
Rank
2004
% of
Pop.
2004
Rank
2005
% of
Pop.
2005
Rank
2006
% of
Pop.
2006
Rank
4-Year
% Change
Moderate States # 2.89 2.89 2.87 3.01 2.90 0.5%
Nationwide ^ 2.24 2.24 2.24 2.34 2.43 8.5%

* Puerto Rico rate and ranking estimated for 2002 and 2003. OSEP tables did not include population estimates for Puerto Rico. 2002 & 2003 sub-total Excludes Puerto Rico.^ Totals excluding children classified as eligible because they are at-risk# For states listed as moderately restrictive in that year.

Illinois EI Program Participation Rate History
% of Children
< 3 Served
December 1, 2002 2.00
June 30, 2003 2.27
December 1, 2003 2.66
June 30, 2004 2.78
December 1, 2004 2.82
June 30, 2005 3.07
December 1, 2005 3.00
June 30, 2006 3.09
Oct. 31, 2006 3.11
June 30, 2007 3.31

Between June 30, 2006 and June 30, 2007, 21 of 25 CFC caseloads saw increases. All 25 have experienced increases in the last five years. However, for the second year in a row the caseload in the collar counties remained flat while it grew in Cook County and downstate. Both last year and over the last five years, the most substantial growth has taken place in Cook County. This has allowed the participation rate in Cook County to move above the state average for the first time.

NOTE: CFC counts include the small number of cases open over age 3 for up to 30 days to facilitate final closing. No ongoing services can be paid for by EI. Participation rates are calculated based on births, instead of population estimates because population estimates are not done to the necessary level.

Participation Rate History by CFC
CFC # & Name 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 FY 06
Change
5 Year
Change
#1 - ROCKFORD 2.53% 2.86% 3.38% 3.43% 3.26% 3.33% 9 2.3% 31.7%
#2 - LAKE COUNTY 1.90% 2.03% 2.61% 2.75% 2.72% 2.57% 24 -5.8% 35.0%
#3 - FREEPORT 2.76% 2.86% 3.34% 3.76% 3.49% 3.80% 4 9.1% 38.1%
#4 - KANE-KENDALL 1.78% 2.15% 2.77% 3.06% 2.86% 3.03% 21 6.1% 70.7%
#5 - DUPAGE COUNTY 1.76% 1.95% 2.73% 2.92% 3.11% 3.24% 17 4.1% 83.6%
#6 - N. SUBURBS 1.58% 1.92% 2.60% 2.90% 3.25% 3.62% 10 11.5% 129.4%
#7 - W. SUBURBS 2.17% 2.30% 2.87% 3.09% 3.43% 3.66% 6 6.5% 68.5%
#8 - S.W. CHICAGO 2.12% 2.38% 2.86% 3.19% 3.20% 3.27% 11 2.0% 53.8%
#9 - CENTRAL CHICAGO 1.93% 2.28% 2.71% 2.73% 3.11% 3.71% 15 19.2% 92.6%
#10 - S.E. CHICAGO 1.98% 2.32% 2.75% 2.99% 3.15% 3.22% 14 2.4% 62.9%
#11 - N. CHICAGO 1.43% 1.79% 2.28% 2.49% 2.75% 2.98% 23 8.5% 108.7%
#12 - S. SUBURBS 2.10% 2.50% 3.23% 3.37% 3.19% 3.33% 12 4.4% 58.3%
#13 - MACOMB 1.88% 2.32% 2.33% 2.71% 3.11% 3.48% 16 11.7% 85.0%
#14 - PEORIA 2.03% 2.11% 2.40% 2.76% 2.90% 3.30% 20 13.7% 62.7%
#15 - JOLIET 2.21% 2.41% 3.07% 3.37% 3.36% 3.25% 7 -3.3% 47.4%
#16 - BLOOMINGTON 1.79% 2.24% 2.41% 2.79% 2.91% 2.95% 19 1.4% 64.7%
#17 - QUINCY 2.51% 2.71% 2.63% 2.66% 2.81% 3.75% 22 33.5% 49.2%
#18 - SPRINGFIELD 2.65% 3.14% 3.24% 3.46% 3.49% 3.54% 5 1.5% 33.4%
#19 - DECATUR 2.51% 2.49% 3.02% 3.06% 3.32% 3.70% 8 11.2% 47.5%
#20 - EFFINGHAM 3.52% 3.46% 4.02% 4.35% 4.47% 4.67% 2 4.4% 32.7%
#21 - METRO E. ST. LOUIS 1.80% 1.86% 2.26% 2.48% 2.55% 2.57% 25 0.5% 42.6%
#22 - CENTRALIA 3.99% 4.03% 3.90% 4.36% 4.20% 4.46% 3 6.0% 11.8%
#23 - NORRIS CITY 4.58% 6.19% 6.44% 7.82% 6.91% 6.98% 1 0.9% 52.2%
#24 - CARBONDALE 2.59% 1.82% 2.30% 3.03% 3.04% 2.80% 18 -8.0% 8.1%
#25 - MCHENRY 2.08% 2.49% 3.67% 3.45% 3.17% 3.12% 13 -1.7% 49.6%
Participation Rate History by Region
CFC # & Name End of
SFY 02
End of
SFY 03
End of
SFY 04
End of
SFY 05
End of
SFY 06
End of
SFY 07
FY 06
Change
5 Year
Change
Statewide 2.04% 2.30% 2.84% 3.07% 3.13% 3.30% 5.4% 61.9%
Cook (6-12) 1.81% 2.14% 2.68% 2.89% 3.10% 3.35% 8.2% 84.8%
Collar (2, 4, 5, 15, 25) 1.93% 2.16% 2.87% 3.06% 3.05% 3.05% 0.0% 58.0%
Downstate (Others) 2.54% 2.75% 3.06% 3.38% 3.26% 3.46% 6.0% 36.3%

Notes: 1) 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, 2) Review of case counting methodology found that approximately1.5% of the caseload was being excluded inappropriately as duplicates prior to end of FY 04.

The program's front door, represented by referrals, appeared to be leveling out last year but it accelerated in FFY 06/SFY 07.

Tabular Representation of Chart: Early Intervention Average Monthly Referrals 12-Month Moving Average
Year January February March April May June July August September October November December
2000 na na na na na na na 1,354 1,370 1,405 1,434 1,448
2001 1,466 1,481 1,497 1,535 1,548 1,559 1,576 1,576 1,581 1,596 1,587 1,590
2002 1,611 1,630 1,628 1,652 1,665 1,660 1,685 1,699 1,724 1,739 1,740 1,754
2003 1,781 1,792 1,811 1,813 1,810 1,832 1,848 1,865 1,901 1,928 1,939 1,967
2004 1,987 2,017 2,065 2,092 2,102 2,120 2,127 2,152 2,160 2,157 2,202 2,216
2005 2,230 2,241 2,243 2,254 2,286 2,317 2,317 2,345 2,352 2,360 2,365 2,362
2006 2,381 2,378 2,381 2,369 2,395 2,389 2,404 2,409 2,396 2,414 2,424 2,417
2007 2,432 2,442 2,462 2,491 2,496 2,497 2,515 2,516 2,541 na na na

Increased referrals created a slightly more rapid growth in new case openings. Since EI only has an average case for around 14 months, closings normally rise and fall in sync with openings but lag perhaps a year behind. During FFY 05/SFY 06, growth in new case openings was slow and that produced a relatively flat number of case closings in FFY 06/SFY 07. However, closings during the year lagged a bit behind expectation. Although the trend has been towards more rapid caseload growth, this and the higher number of openings may point to slower caseload growth in FFY07/SFY 08.

Tabular Representation of Chart: Average New Opened IFSPs 12-Month Moving Average
Year January February March April May June July August September October November December
2000 na na na na na na na 1,033 1,046 1,057 1,062 1,057
2001 1,056 1,053 1,045 1,055 1,052 1,013 964 918 878 850 824 808
2002 784 767 743 734 723 736 771 800 830 856 875 895
2003 907 923 944 948 957 968 986 989 1,012 1,035 1,046 1,071
2004 1,076 1,095 1,127 1,150 1,159 1,177 1,172 1,200 1,210 1,210 1,232 1,242
2005 1,263 1,273 1,284 1,284 1,299 1,317 1,328 1,332 1,332 1,334 1,342 1,338
2006 1,345 1,346 1,342 1,340 1,348 1,356 1,358 1,365 1,366 1,379 1,374 1,376
2007 1,391 1,401 1,399 1,419 1,433 1,425 1,441 1,447 1,448 na na na
Tabular Representation of Chart: Average New Closed IFSPs 12-Month Moving Average
Year January February March April May June July August September October November December
2000 na na na na na na na 670 701 741 784 809
2001 841 874 907 948 985 1,019 1,046 1,050 1,047 1,054 1,045 1,033
2002 1,019 994 963 941 912 873 854 846 843 826 805 812
2003 819 830 841 848 852 871 880 893 906 919 930 946
2004 955 962 979 993 1,006 1,023 1,043 1,072 1,086 1,100 1,129 1,134
2005 1,152 1,165 1,183 1,192 1,203 1,217 1,219 1,230 1,238 1,242 1,246 1,253
2006 1,261 1,275 1,284 1,283 1,303 1,310 1,315 1,315 1,322 1,329 1,332 1,328
2007 1,337 1,330 1,321 1,338 1,338 1,338 1,358 1,353 na na na na

Caseload followed the normal seasonal pattern of a flat first half of the year and a spurt between February and June. However, the surge in the spring was greater than anticipated due to an upswing in referrals and a lull in case closings. Referral growth may continue but an increase in closings is more certain.

Tabular Representation of Chart: Early Intervention Individual Family Service Plans (IFSPs)
Year January February March April May June July August September October November December
1999 na na na na na na na 7,523 7,769 8,106 8,462 8,671
2000 9,071 9,416 9,956 10,421 10,917 11,355 11,629 11,874 11,902 11,627 11,638 11,575
2001 11,642 11,627 11,749 11,958 12,034 11,698 11,109 10,915 10,629 10,292 10,055 9,910
2002 9,876 9,965 10,167 10,511 10,795 11,061 11,101 10,945 10,989 11,125 11,353 11,339
2003 11,345 11,462 11,759 12,043 12,364 12,521 12,685 12,703 12,873 13,131 13,369 13,472
2004 13,409 13,706 14,203 14,902 15,204 15,389 15,305 15,266 15,328 15,385 15,486 15,573
2005 15,499 15,659 15,993 16,220 16,495 16,647 16,528 16,376 16,329 16,320 16,448 16,399
2006 16,314 16,356 16,522 16,744 16,859 17,023 16,884 16,829 16,723 16,787 16,812 16,827
2007 16,819 17,071 17,339 17,588 17,884 17,936 17,753 17,795 17,735 na na na

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

Caseload growth exceeded expectation. The program did not introduce any new activities to increase child find and retention but continued to promote and refine its successful activities, including the performance contracting framework that rewards successful child find activities. However, growth in referrals was greater than anticipated and the number of case closings lagged behind expectation. This is partially due to limited success in reaching children at younger ages.

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

The participation rate on June 30, 2007 of 3.31% exceeded the target of 3.24% but this was partially due to a change in the assumed number of children under 3. The actual number of children with an IFSP was 17,654, which was only 61 above the goal of 17,654. As a result the program does not propose any change in improvement activities or timelines. Going forward, we anticipate that the growth in referrals will slow and the previous spurt in growth will produce an echoing increase in case closings. However, the program still anticipates meeting the previously established targets.