Monitoring Priority:
Early Intervention Services In Natural Environments
Compliance indicator:
Percent of infants and toddlers with IFSPs who receive the early intervention services on their IFSPs in a timely manner.
(20 U.S.C. 1416(a)(3)(A) and 1442)
Historical Data
Baseline Data: 2005 (bold)
| Target/Data |
FFY 2005 |
FFY 2006 |
FFY 2007 |
FFY 2008 |
FFY 2009 |
FFY 2010 |
FFY 2011 |
FFY 2012 |
FFY 2013 |
| Target |
N/A |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
| Data |
98.53% |
96.50% |
95.31% |
94.33% |
93.96% |
94.06% |
95.76% |
96.75% |
97.68% |
FFY 2014 - FFY 2018 Targets
| Target |
FFY 2014 |
FFY 2015 |
FFY 2016 |
FFY 2017 |
FFY 2018 |
| Target |
100% |
100% |
100% |
100% |
100% |
FFY 2014 SPP/APR Data
FFY 2013 Data: 97.68%
FFY 2014 Target:100%
FFY 2014 Data: 97.92%
| Data Description |
Total
Number |
| Number of infants and toddlers with IFSPs who receive the early intervention services on their IFSPs in a timely manner |
20265 |
| Total number of infants and toddlers with IFSPs |
20926 |
| Question |
Response |
| What is the source of the data provided for this indicator? |
State Database |
Provide the time period in which the data were collected (e.g., September through December, fourth quarter, selection from the full reporting period).
Data from the October 01 through the October 31, 2014 Service Delay Reporting System has been used.
Describe how the data accurately reflect data for infants and toddlers with IFSPs for the full reporting period.
A service delay is identified when a child waits more than 30 days to receive EI services listed on his or her IFSP. A time series evaluation of data indicates that service delays vary in a pattern according to seasonality.
The following attached chart shows the statewide performance as well as each of the State's 25 CFC offices. Statewide, 97.92% of infant and toddlers with an IFSP have experienced no delays. Three CFC offices were at 100% and showed no delays. Twenty CFC offices had 95% or more of their cases with no delays. Two CFC offices were between 90% and 95% of their active cases without a delay.
Overall, the percentage of children who receive EI services as listed on their IFSPs in a timely manner increased this year from 96.75% in FFY13/SFY14 to 97.92% in FFY14/SFY15, demonstrating compliance. This represents 20,926 infants and toddlers with an IFSP. Of those 20,926 infant and toddlers, 20,265 (excluding 226 infants and toddlers with documented exceptional family circumstances) experienced no delay of services, while 446 infants and toddlers experienced a delay due to a system reason (CFC delay, no provider, etc.).
In FFY14/SFY15, none of the CFC offices reported below 90% compliance, this is up from up from one CFC office in the previous year. Regionally, Cook County (CFC offices 6- 12) improved from 97.80% in FFY13/SFY14 to 98.31% this year.
Collar Counties (CFC 2,4,5,15, & 25) improved this year increasing from 97.88% in FFY13/SFY14 to 97.96% in FFY14/SFY15.
Actions required in FFY 2013 response
N/A
Responses to actions required in FFY 2013 response, not including correction of findings
Under the "Correction of Previous Findings of Noncompliance", several strategies are described to address the long standing of noncompliance (i.e. more detailed data reporting, pilot project to address service delays, research for use on telehelath, and coordinated recruitment efforts with the CFCs, Provider Connections, and colleges/universities). Due to the slowness of EI direct service provider payments and the uncertainty of the State of Illinois budget, the Bureau of EI has had a decrease in the number of direct service providers providing services into the EI system. The number of infants and toddlers on the EI service delay report has been improved since the last reporting period, but despite the fact Illinois has seen an increase of infants and toddlers coming into the system, we will continue to face the challenge of providing timely services. Illinois has addressed improvements to the Service Delay Reporting System through the implementation of improved edit checks and quality control has led to greater data accuracy and focus on timely delivery of services. We have focused many efforts on more detailed reporting and one-on-one technical assistance to the CFC offices. The Service Delivery Approaches Workgroup worked on reviewing service delivery in the EI Program in order to reduce service delays and better utilize provider resources to meet the needs of the service needs.
Correction of Findings of Noncompliance Identified in FFY 2013
| Findings |
Findings of Noncompliance Verified as Corrected Within One Year |
Findings of Noncompliance Subsequently Corrected |
Findings Not Yet Verified as Corrected |
| Findings of Noncompliance Identified: 1 |
1 |
null |
0 |
FFY 2013 Findings of Noncompliance Verified as Corrected
Describe how the State verified that the source of noncompliance is correctly implementing the regulatory requirements
CFC office implementation of the specific statutory/regulatory requirement is documented when data demonstrate that a CFC office has 100 percent compliance during three consecutive months.
Describe how the State verified that each individual case of noncompliance was corrected
Child-specific/individual instance correction is documented through the use of the Cornerstone and file reviews. Instances of noncompliance are considered resolved when data errors have been corrected, the required action has been completed, or the child is no longer within the jurisdiction of the program.
FFY 2010 Findings Not Yet Verified as Corrected
Actions taken if noncompliance not corrected
Illinois reports data to each CFC o?ce for all active infant and toddlers in Part C who did not receive timely services, based upon a 12-month data analysis. When a ?nding of noncompliance is identi?ed, a corrective action plan (CAP) to address noncompliant policies, procedures, and practices must be submitted to the EI bureau and implemented. On an annual basis, if a ?nding is not veri?ed as corrected, the CFC o?ce must reassess policies, procedures and practices and submit and implement a new CAP.
Service delays are considered when making local determination scores. The following items are taken into consideration: 1) if an agency fails to submit a credible CAP for addressing service delays, fails to mak adequate progress, or fails to implement major features of the plan and 2) If the CFC office has more than one ?nding of longstanding noncompliance. CFC offices with determination scores of "Needs Intervention" or "Needs Substantial Intervention" have additional reporting obligations for CAPs. Those with a determination of "Needs Substantial Intervention" receive a focused veri?cation monitoring visit.
Illinois has had several statewide and targeted efforts to identify and correct the root causes of continuing noncompliance that include the following:
- Conference calls were held with nocompliant CFC offices and Bureau staff to discuss documentation of service delays and strategies on how to address issues related to timely services. These discussions clarified data entry instructions to support the correct documentation of reasons for delay. In addition, strategies on how to effectively minimize those delays were shared and discussed.
- Extensive research and analysis of service delivery approaches and strategies have supported the work of the Service Delivery Approaches Workgroup for the last 4 years. Information was pulled from national websites and journals and through discussions with technical assistant sta? and Part C programs from other states. The group has discussed Illinois' current policies and procedures for system components (i.e., intake/referral, evaluation/assessment, IFSP development, service implementation, and transition), identifying challenges in each component and developing a vision for improvements/changes. The Workgroup developed a set of recommendations these were presented to the IICEI and the Bureau at he July IICEI meeting.
- An EI Provider Recruitment workspace was created to store and update EI Provider Recruitment Materials. This allows all EI Partners (CFCs, DHS, Provider Connections, EI Training Program and EI CBO) to have access to resources/materials and to document targeted and statewide recruitment efforts through college, universities, and certificate programs. The Bureau of EI partnered with the EI Training Program, Provider Connections, EI Monitoring Program, EI Clearinghouse, the EI CBO, and the CFC managers to focus provider recruitment e?orts on "pre-service programs." Provider Connections researched and identi?ed the pre-service programs throughout the state. The EI Clearinghouse and EI Training Program joined in the e?ort to design spreadsheets and identify an electronic "home" for the spreadsheets and other documents that support provider recruitment, including a PowerPoint presentation and draft letters and information for faculty. The spreadsheets document and support various recruitment e?orts with colleges and universities with degree programs for developmental therapists, occupational therapists, physical therapists and speech language pathologists, professional associations (ISHA, IOTA, IPTA, ICA, IDTA), interpreter/translator certi?cate and degree programs, and International Medical Interpreter Association Certi?cate Programs. To support recruitment e?orts, both the EI Training Program and Provider Connections have either updated or added "New to EI" resource pages to their websites. Information about choosing EI as a career is also provided. In addition, questions targeting new providers were added to a training needs assessment tool to solicit feedback about what resources new providers took advantage of as they began their work in the EI system and how these resources could be improved. On a quarterly basis, Provider Connections conducts surveys of new providers to assess resources that support the credentialing process.
- The Bureau created a workgroup of front-end users to help improve the electronic access of the IFSP including accounting for any children needing, but not yet receiving, services consented to on the IFSP. Additionally, the IICEI's workgroup completed recommendations to incorporate a method for families to obtain IFSP consented services not available through the credentialed/enrolled EI provider, via a separate system of approval and payments. The Bureau is considering the recommendations as resources are available.
FFY 2009 Findings Not Yet Verified as Corrected
Actions taken if noncompliance not corrected
See above response
FFY 2008 Findings Not Yet Verified as Corrected
Actions taken if noncompliance not corrected
See above response
|
Child and Family
Connections #
|
Active
IFSPs
|
Exceptional Family
Circumstances
|
Net IFSPs
(less Exceptional Family
Circumstances)
|
No
Delays
|
% No
Delays
|
| CFC 1 |
705 |
6 |
699 |
636 |
91.06% |
| CFC **2 |
849 |
15 |
834 |
827 |
99.18% |
| CFC 3 |
341 |
2 |
339 |
331 |
97.65% |
| CFC **4 |
980 |
11 |
969 |
965 |
99.59% |
| CFC **5 |
1302 |
5 |
1297 |
1,295 |
99.85% |
| CFC *6 |
2004 |
37 |
1967 |
1,961 |
99.70% |
| CFC *7 |
1225 |
10 |
1215 |
1,199 |
98.69% |
| CFC *8 |
964 |
17 |
947 |
894 |
94.50% |
| CFC *9 |
1195 |
1 |
1194 |
1,160 |
97.15% |
| CFC *10 |
922 |
5 |
917 |
878 |
95.77% |
| CCFC *11 |
2680 |
56 |
2624 |
2,608 |
99.40% |
| CFC *12 |
1231 |
10 |
1221 |
1,212 |
99.27% |
| CFC 13 |
296 |
2 |
294 |
283 |
96.28% |
| CFC 14 |
582 |
18 |
564 |
540 |
95.88% |
| CFC **15 |
1472 |
14 |
1458 |
1,390 |
95.38% |
| CFC 16 |
710 |
9 |
701 |
668 |
95.35% |
| CFC 17 |
204 |
0 |
204 |
204 |
100.00% |
| CFC 18 |
358 |
2 |
356 |
351 |
98.60% |
| CFC 19 |
520 |
1 |
519 |
516 |
99.42% |
| CFC 20 |
429 |
1 |
428 |
426 |
99.53% |
| CFC 21 |
693 |
1 |
692 |
692 |
100.00% |
| CFC 22 |
390 |
0 |
390 |
387 |
99.23% |
| CFC 23 |
190 |
2 |
188 |
188 |
100.00% |
| CFC 24 |
184 |
0 |
184 |
178 |
96.74% |
| CFC **25 |
500 |
1 |
499 |
476 |
95.40% |
| Statewide |
20,926 |
226 |
20,700 |
20,265 |
97.92% |
| Cook County (6-12)* |
10,221 |
136 |
10,085 |
9,912 |
98.31% |
|
Collar Counties (2, 4, 5, 15,
and 25)**
|
5,103 |
46 |
5,057 |
4,593 |
97.96% |
| Downstate (All Others) |
5,602 |
44 |
5,558 |
5,400 |
97.18% |
