Overview of the Annual Performance Report Development:

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.

FFY:

FFY08/SFY09

Measurable and Rigorous Target: All new IFSPs will be initiated within 45 days of referral.

Actual Target Data for FFY08/SFY09:

Indicator 7: [IFSP initiated within 45 days of referral /(Total IFSPs - Cases delayed for family reasons)] X 100

FFY08/SFY09 Result: [17,608/(17,848-149)] X 100 = 99.49%

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, 2008 through June 30, 2009. In response to Indicator 7, data exclude cases delayed for family reasons, as allowed by the federal definition. 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.

Ten of the 25 CFC offices demonstrate 100% compliance with the 45-day requirement using the federal definition. 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%

FFY 08/SFY 09 IFSPs Initiated * within 45 days Reasons for Delay


Total *
Not
Delayed
CFC
Delay
Family
Delay
Provider
Delay
On
Time
On Time
Less Family
Delay
By CFC# & Name
#1 - ROCKFORD 590 585 2 3 - 99.15% 99.66%
#2 - LAKE CO. 775 773 1 1 - 99.74% 99.87%
#3 - FREEPORT 324 311 2 8 3 95.99% 98.42%
#4 - KANE-KENDALL 882 832 11 28 11 94.33% 97.42%
#5- DUPAGE 1,159 1,152 2 4 1 99.40% 99.74%
#6 - N SUBURBS 1,492 1,490 2 - - 99.87% 99.87%
#7 - W SUBURBS 958 956 1 1 - 99.79% 99.90%
#8 - SW CHICAGO 731 731 - - - 100.00% 100.00%
#9 - CENTRAL CHICAGO 984 980 1 2 1 99.59% 99.80%
#10 - SE CHICAGO 681 681 - - - 100.00% 100.00%
#11 - N CHICAGO 2,135 2,105 - 25 5 98.59% 99.76%
#12 - S SUBURBS 992 992 - - - 100.00% 100.00%
#13 - MACOMB 343 342 - 1 - 99.71% 100.00%
#14 - PEORIA 566 540 2 20 4 95.41% 98.90%
#15 - JOLIET 1,424 1,418 3 2 1 99.58% 99.72%
#16 - BLOOMINGTON 705 678 4 14 9 96.17% 98.12%
#17 - QUINCY 243 243 - - - 100.00% 100.00%
#18 - SPRINGFIELD 344 338 2 3 1 98.26% 99.12%
#19 - DECATUR 368 368 - - - 100.00% 100.00%
#20 - EFFINGHAM 371 370 - 1 - 99.73% 100.00%
#21 - BELLEVILLE 660 608 18 32 2 92.12% 96.82%
#22 - CENTRALIA 339 336 - 3 - 99.12% 100.00%
#23 - NORRIS CITY 196 196 - - - 100.00% 100.00%
#24 - CARBONDALE 168 168 - - - 100.00% 100.00%
#25 - MCHENRY CO. 418 415 1 1 1 99.28% 99.52%
By Location
STATEWIDE 17,848 17,608 52 149 39 98.66% 99.49%
% OF TOTAL 100.0% 98.66% 0.29% 0.83% 0.22%
COOK (6-12) 7,973 7,935 4 28 6 99.52% 99.87%
COLLAR (2, 4, 5, 15, 25) 4,658 4,590 18 36 14 98.54% 99.31%
DOWNSTATE (OTHERS ) 5,217 5,083 30 85 19 97.43% 99.05%

* Table does not include reenrollments. 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 FFY08/SFY09, the proportion of cases with IFSPs initiated within 45 days increased to 99.49% with 10 CFC offices with 100% compliance, up from 99.43% with 8 CFC offices with 100% compliance in the previous year. In both FFY07/SFY08 and FFY08/SFY09, only four CFC offices (#3,#4,#14, and#16) fell below 99%. In FFY08/SFY09, three of these CFCs (#3,#14, and#16) demonstrated improvement to 98.42%, 98.9%, and 98.12%, respectively. The remaining CFC office (#4) dropped from 98.28% to 97.4%. Major challenges in these areas of the state include EI provider availability and rapid growth in caseloads creating staff vacancy problems for CFC offices.

For Indicator 7, 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 SFY07/FFY08, 24 findings of noncompliance were identified for Indicator 7, with all findings of noncompliance corrected within one year. For CFC offices with findings, reports that demonstrate implementation of corrective action plans and outcomes to those strategies were submitted. All the reports were received and reviewed and it was determined that all findings of noncompliance were corrected. 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 45-day timeline. No cases from the findings identified in this report were left unresolved, as indicated in 75- and 90-day reports.

Illinois has taken an aggressive approach to the measurement and reporting of the timeliness of eligibility determination, particularly compliance with the 45-day rule. The sharp improvement in 45-day rule compliance can be traced back to the introduction of regular monthly reporting initiated in January 2002 and the related introduction of performance contracting effective July 1, 2002. The following chart demonstrates the program's significant progress since that time. As the state and each CFC office push beyond the 99% mark, Illinois has not only maintained performance but continues to improve.

Illinois Early Intervention Program Monthly 45-Day Compliance

Illinois has taken an aggressive approach to the measurement and reporting of the timeliness of eligibility determination, particularly compliance with the 45-day rule. The sharp improvement in 45-day rule compliance can be traced back to the introduction of regular monthly reporting initiated in January 2002 and the related introduction of performance contracting effective July 1, 2002. The following chart demonstrates the program's significant progress since that time. As the state and each CFC office push beyond the 99% mark, Illinois has not only maintained performance but continues to improve.

  • The IICEI continues to receive regular reports on average days to initial IFSP.
  • The EI Program continues to report on 45-day compliance by CFC office in their monthly reports including 1) proportion of intake over 45 days, 2) the proportion of intake over 75 days, 3) the proportion of new IFSPs initiated within 45 days of referral, and 4) the average number of days between referral and initial IFSP date.
  • Monthly, a report is provided to each CFC office, which lists children that will exceed 45 days in intake by the end of the month if the process is not complete or the case is not closed by that time. The report helps CFC offices focus on these cases and correct data entry errors.
  • Incentive funding is granted to the top 12 CFC offices with the highest rates of IFPS completed within 45 days. If more then 12 CFC offices complete all of their IFSPs within 45 days, all those who meet the standard will receive incentive funding.
  • Incentive funding is granted to the 12 CFC offices with the lowest average number of days between referral and initial IFSP.
  • A penalty adjustment of 1% is made if the number of cases in intake over 45 days exceeds 5% and 2% if the percent over 45 days exceeds 7.5%.
  • Findings are reported to each CFC office for cases in intake over 45 days, based upon 12-month data. Corrective action plans to address noncompliance policies, procedures, and practices are required to be written and implemented, with full compliance documented within one year.
  • As part of designation of determinations, the score of a CFC office is negatively impacted if it receives a penalty adjustment for the number of cases in intake over 45 days exceeding 5% and if it is ranked in the bottom 5 CFC offices for all 10 measures that carry incentive funding, including the proportion of IFPS completed within 45 days and the lowest average number of days between referral and initial IFSP.
  • Quarterly CFC base grants are calculated based on the average number of open IFSPs over a six-month period. Any instance where an IFSP was initiated in more than 45 days will be subtracted from the case count for that month, which will reduce the CFC office's grant for the next two quarters.
  • Data elements have been added and CFC offices have been directed to record in the Cornerstone system the reason a case took more than 45 days to start an IFSP (i.e., CFC, family or provider).
  • Although few cases go beyond 75 days, this number is reported to CFC offices so that data entry or system errors can be identified and corrected.
  • The EI Program continued its aggressive approach of treating all instances where it takes more than 45 days to initiate an IFSP the same, even if for family reasons. This creates a heightened sense of the importance of getting families answers on eligibility as quickly as possible in all situations and the need to find ways around problems. Even where there are family issues CFCs are encouraged to help families overcome their problems. There also is a protection from closing cases just to avoid going over 45 days due to problems because there also is a performance contracting element based on which CFCs do the best job of limiting terminations from intake due to family reasons. This framework has created a continuous quality improvement environment that encourages all CFCs to find new ways to make the eligibility determination process work better for all families.
  • As part of this document, the EI Program reports on its Internet site CFC office performance on 1) the % of IFSPs started within 45 (Indicator 7) and 2) the average days to IFPS, given below. The average number of days to IFSP continues to fall, with a statewide average of 26.7 days in FFY08/SFY09, down from 27.2 days in FFY07/SFY08.

Average Time in Intake By CFC & Region

CFC# & Name SFY02 SFY03 SFY04 SFY05 SFY06 SFY07 SFY08 SFY09
#1 - ROCKFORD 65.52 39.27 35.51 32.46 29.59 26.61 27.96 28.92
#2 - LAKE CO. 87.30 47.16 33.69 30.82 32.15 30.17 27.47 26.94
#3 - FREEPORT 64.70 43.53 35.71 32.47 32.15 31.90 29.71 31.54
#4 - KANE-KENDALL 78.03 37.66 38.41 32.83 34.96 34.59 34.04 33.58
#5- DUPAGE 76.30 33.32 33.90 33.48 34.45 33.53 33.39 32.88
#6 - N SUBURBS 87.36 38.41 34.40 30.29 31.38 29.14 29.48 27.15
#7 - W SUBURBS 53.53 37.84 30.90 26.53 27.99 25.67 24.48 24.55
#8 - SW CHICAGO 57.45 28.44 21.11 18.00 17.61 16.89 17.27 16.64
#9 - CENTRAL CHICAGO 59.10 28.11 25.66 26.04 24.17 21.98 21.65 19.81
#10 - SE CHICAGO 79.74 20.14 20.65 16.33 16.56 17.12 15.29 11.51
#11 - N CHICAGO 56.78 35.12 31.60 29.91 31.22 31.40 29.89 27.44
#12 - S SUBURBS 62.94 35.51 32.15 24.14 21.98 20.95 22.92 22.80
#13 - MACOMB 55.23 35.83 35.91 33.58 29.23 28.53 29.20 28.50
#14 - PEORIA 64.56 44.03 39.91 34.14 30.76 29.45 29.74 28.93
#15 - JOLIET 59.46 39.45 39.81 31.34 33.36 22.68 20.84 25.97
#16 - BLOOMINGTON 64.22 41.69 38.76 37.34 29.34 31.95 29.98 29.41
#17 - QUINCY 55.04 40.80 34.25 32.74 31.14 29.46 29.83 30.14
#18 - SPRINGFIELD 58.41 40.76 38.70 34.45 31.26 30.22 31.05 30.44
#19 - DECATUR 48.94 30.23 30.00 28.21 29.12 26.65 24.91 26.48
#20 - EFFINGHAM 57.51 35.11 32.73 33.04 33.84 33.80 31.19 30.64
#21 - BELLEVILLE 52.94 41.70 38.01 36.62 36.21 35.67 32.30 31.56
#22 - CENTRALIA 59.87 37.23 32.45 28.72 26.83 24.72 26.56 25.46
#23 - NORRIS CITY 51.82 38.32 36.91 36.21 33.48 29.68 30.70 29.72
#24 - CARBONDALE 57.43 41.58 35.08 34.82 33.24 32.66 33.73 32.43
#25 - MCHENRY CO. 57.13 39.13 33.63 30.39 30.19 28.86 29.51 31.50
STATEWIDE 65.30 35.88 33.07 29.78 29.54 27.70 27.21 26.72

Revisions, with Justification, to Proposed Targets / Improvement Activities / Timelines / Resources for FFY09/SFY10:

The improvement activities described above are ongoing efforts. No changes in targets, improvement activities or timelines are proposed.