Indicator 6 - Percent of infants and toddlers birth to 3 with IFSPs compared to national data.

Helping Families. Supporting Communities. Empowering Individuals.

Overview of the Annual Performance Report Development: See Indicator 1.

Monitoring Priority Effective General Supervision Part C / Child Find
Indicator 6 Percent of infants and toddlers birth to 3 with IFSPs compared to national data.
(20 U.S.C. 1416(a)(3)(B) and 1442)
Measurement 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 Measurable and Rigorous Target

FFY Measurable and Rigorous Target
FFY09/SFY10  The percentage of children in Illinois under age 3 served through an IFSP will be at least 3.37%, approximately 18,020 children.

Actual Target Data for FFY09/SFY10: Indicator 6

Indicator 6 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.
FFY09/SFY10 Result

(based on October 31, 2009 data): (18,266/540,688) X 100= 3.38%

Illinois is ranked 15th among all states and D.C.

Based on October 31, 2009 data, Illinois reported 18,266 children under 3 had active IFSPs, equal to a 3.38% participation rate. That is lower than the October 31, 2008 participation rate of 3.43%, but exceeds the FFY09/SFY10 target value of 3.37%. Illinois is ranked 15th among all states and D.C., down from 13th in the previous year.

The following chart provides statewide, regional, and CFC office participation rate histories. The participation rates are based upon June 30, 2010 data, with the census estimates used for the population of infants and toddlers birth to 3. For previous years, the participation rates were calculated using birth data rather than census estimates. Birth data for Illinois infants that are born in bordering states are no longer available to the program.

Participation Rate History by CFC & Region

CFC # & Area

End of

SFY04

End of

SFY05

End of SFY06

End of

SFY07

End of

SFY08

End of

SFY09

End of

SFY10

Rank

FY09

Change

6 year

Change

#1 - LOVES PARK 3.38% 3.43% 3.26% 3.33% 3.76% 3.60% 3.46% 17 -4.01% 2.24%
#2 - Lake County 2.61% 2.75% 2.72% 2.57% 2.85% 2.69% 2.81% 25 4.53% 7.74%
#3 - FREEPORT 3.34% 3.76% 3.49% 3.80% 3.45% 3.78% 3.50% 15 -7.30% 4.92%
#4 - Kane & Kendall Counties 2.77% 3.06% 2.86% 3.03% 3.07% 3.03% 2.92% 23 -3.78% 5.25%
#5 - Du Page County 2.73% 2.92% 3.11% 3.24% 3.16% 3.35% 3.54% 13 5.59% 29.57%
#6 - N. Suburbs 2.60% 2.90% 3.25% 3.62% 4.01% 3.90% 4.07% 6 4.47% 56.71%
#7 - W. Suburbs 2.87% 3.09% 3.43% 3.66% 3.84% 3.87% 4.25% 3 9.74% 47.97%
#8 - SW Chicago 2.86% 3.13% 3.20% 3.27% 3.43% 3.55% 3.77% 11 6.20% 31.82%
#9 - Central Chicago 2.71% 2.73% 3.11% 3.71% 3.65% 3.97% 3.86% 8 -2.80% 42.39%
#10 - SE Chicago 2.75% 2.99% 3.15% 3.22% 3.03% 3.24% 3.18% 21 -1.99% 15.48%
#11 - N. Chicago 3.28% 2.49% 2.75% 2.98% 3.31% 3.75% 3.80% 10 1.20% 15.70%
#12 - S. Suburbs 3.23% 3.37% 3.19% 3.33% 3.40% 3.35% 3.62% 12 8.04% 12.06%
#13 - MONMOUTH 2.33% 2.71% 3.11% 3.48% 3.26% 3.20% 3.17% 22 -1.05% 35.90%
#14 - PEORIA 2.40% 2.76% 2.90% 3.30% 3.55% 3.39% 3.37% 19 -0.64% 40.35%
#15 - Joliet 3.07% 3.37% 3.36% 3.25% 3.53% 3.66% 3.48% 16 -4.91% 13.37%
#16 - DANVILLE 2.41% 2.79% 2.91% 2.95% 3.42% 3.44% 3.53% 14 2.53% 46.35%
#17 - QUINCY 2.63% 2.66% 2.81% 3.75% 3.55% 3.85% 3.83% 9 -0.51% 45.65%
#18 - SPRINGFIELD 3.24% 3.46% 3.49% 3.54% 3.78% 4.08% 4.14% 5 1.57% 27.91%
#19 - DECATUR 3.02% 3.06% 3.32% 3.70% 3.32% 3.95% 4.05% 7 2.43% 33.97%
#20 - EFFINGHAM 4.02% 4.35% 4.47% 4.67% 4.51% 4.42% 4.35% 2 -1.63% 8.15%
#21 - BELLEVILLE 2.26% 2.48% 2.55% 2.57% 2.74% 3.09% 2.85% 24 -7.84% 26.01%
#22 - CENTRALIA 3.90% 4.36% 4.20% 4.46% 4.42% 4.31% 4.21% 4 -2.40% 7.86%
#23 - NORRIS CITY 6.44% 7.82% 6.91% 6.98% 7.95% 8.52% 7.63% 1 -10.44% 18.49%
#24 - CARBONDALE 2.30% 3.03% 3.04% 2.80% 3.04% 3.46% 3.39% 18 -1.90% 47.58%
#25 - McHenry County 3.67% 3.45% 3.17% 3.12% 3.61% 3.33% 3.29% 20 -1.20% -10.35%
Statewide 2.84% 3.07% 3.13% 3.30% 3.45% 3.56% 3.59% 0.80% 26.35%
Cook (6-12) 2.68% 2.89% 3.10% 3.35% 3.52% 3.66% 3.81% 4.07% 42.12%
Collar Counties (2,4,5,15,25) 2.87% 3.06% 3.05% 3.05% 3.21% 3.21% 3.23% 0.63% 12.55%
Downstate (Others) 3.06% 3.38% 3.26% 3.46% 3.58% 4.08% 3.62% -11.31% 18.26%

Note: 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.

Discussion of Improvement Activities Completed and Explanation of Progress or Slippage that occurred for FFY09/SFY10:

Fiscal Year Progress/Slippage
FFY09/SFY10 The October 31, 2009 under 3 participation rate of 3.38% is lower than the October 31, 2008 participation rate of 3.43%, and exceeds the FFY09/SF10 target of 3.37%. Illinois has fallen from a ranking of 13 in FFY08/SFY09 to 15 among the 50 states and D.C. Illinois performed above the national percentage of 2.67%. In addition, all 25 CFC offices have participation rates above the national percentage.

Ten CFC offices have increased under 3 participation rates from the previous year. The participation rates in Cook County and collar county CFC offices have increased. Regional data for the remaining CFC offices show a downward trend. Since FFY03/SFY04, 24 of the CFC offices have increased participation rates.

Data provided in Indicator 6 demonstrate a decrease and indicate an overall leveling off of the under 3 participation rate. As stated in Indicator 5, the following rationales identify several important factors.

  • System stresses aggravated by the State's fiscal situation and the resulting delays in payments to providers may have diverted CFC office from efforts to increase participation rates.
  • Economic stressors on families may result in fewer families accessing program services.
FFY08/SFY09 During FFY08/SFY09, the Early Intervention program initiated the Program Integrity Project to accomplish statewide program equality; fidelity to program principles and state and federal laws; and long-term program stability. As a result of the Program Integrity Project, the program anticipated a reduced growth rate or a decline in overall enrollment in the program in FFY09/SFY10. Initial efforts focused on eligibility determination to make sure that process was being conducted according to policy and procedure, so that appropriate determinations will be made.

Improvement Activities Completed

Previous improvement activities, such as monthly reporting to CFC offices, performance contracting, and identification of findings and development of corrective action plans continue. In addition, the bulk of funding to CFC offices for service coordination is distributed based on average caseloads over a recent period.

Improvement Activity Status/Timeline/Resource

The Program Integrity Project efforts initiated in FFY08/SFY09 and described above (Indictor 1) will continue. Three pilot projects are underway to identify and test approaches to promote program integrity. The pilots involve the collection and analysis of data. A plan of training and technical assistance is then developed and implemented to ensure that program principles and procedures regarding eligibility determination and service plan development are being appropriately followed. Lessons learned through these pilots are shared with all CFC managers at monthly CFC managers' meetings.

Participation in advisory groups and pilot activities, described in Indicator 5. See Indicator 5 regarding status of participation in ABCD III, IHB2 and CHIPRA Child Health Quality Demonstration Grant projects.

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

The State Performance Plan (SPP) has been revised to specify, for each indicator, annual targets and improvement activities for each year through FFY2012 (July1, 2012 through June 30, 2013).

FFY Measurable and Rigorous Target

FFY Measurable and Rigorous Target
2010
(2010-2011) 
On October 31, 2010, the percentage of all children in Illinois under age 3 served through an IFSP will be at least 3.37%.
2011
(2011-2012) 
On October 31, 2011, the percentage of all children in Illinois under age 3 served through an IFSP will be at least 3.37%.
2012
(2012-2013)
On October 31, 2012, the percentage of all children in Illinois under age 3 served through an IFSP will be at least 3.37%.

The proposed performance targets for FFY10, FFY11 and FFY12 maintain the FFY2009 target value of 3.37%, due to the factors facing the EI Program, as discussed above. With several of these factors out of the control of the program, Illinois is not confident that improvement in terms of increases in stated percentages should be expected.

The improvement activities described in the SPP are ongoing efforts. The following are new improvement activities to be implemented through FFY12/SFY13.

New Improvement Activity Timelines & Resources

New Improved Activity Timelines & Resources
Continue participation in ABCD III, IHB2 project, including CFC office participation in pilot project activities and data sharing between the HFS and the IL Department of Humans Services/EI.

Selection of pilot sites will be completed by January 2011. Pilot activities and the development and implementation of data sharing activities will be an ongoing activity.

Resources include HFS and its IHB2 Project Management Committee and subcommittees, Bureau of Early Intervention, and CFC offices.

Continued participation in CHIPRA Child Health Quality Demonstration Grant.

Bureau staff will continue participation in Workgroups and assist in the development and implementation of strategies throughout the grant period (i.e., 2015).

Resources include HFS and its CHIPRA Child Health Quality Demonstration Grant Workgroups, Bureau of Early Intervention, and CFC offices.

Continue participation in EDOPC.

Bureau and EI Training Program staff will continue participation in the EDOPC advisory group and CFC offices will participate in pilot project activities.

Resources include the Advocate Health Care Steps Program, Illinois Chapter, American Academy of Pediatrics, Bureau of Early Intervention, EI Training Program, and CFC offices.

In order to bring the state into full compliance with CAPTA, the Department of Children and Family Services (DCFS) will implement a process to screen children that reside in intact families and refer to EI, when appropriate. DCFS staff hiring will be completed in FFY10/SFY11 and screening of children that reside in intact families will begin. CFC office staff will receive training as the screening process is rolled out statewide. This screening will be an ongoing strategy. Resources include DCFS and Bureau of Early Intervention staff, CFC offices and the Early Intervention Training Program.