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2007 Indicators of Compliance and Quality Assurance

Alaska Early Intervention/Infant Learning Programs (EI/ILP) provide services for children ages 0 - 3 with developmental delays or disabilities.

Our mission is to partner with families to promote the healthy development of their infants and toddlers with special needs.

Each early intervention program is required to provide enrolled families with timely services and to meet certain program standards. Here is a snap shot of our statewide performance with these requirements. Please note that in Alaska, we visited each agency once every three years. The following information is only available for the agencies receiving a monitoring visit between July 1, 2007 and June 30, 2008. Data will be available for all agencies in the coming year.

  1. How quickly will your child get into services? (Indicator 7 - 45 day timeline)
  2. How well do EI/ILP agencies start services on time and provide services as planned? (Indicator 1 - Timely Services)
  3. Where do EI/ILP services take place? (Indicator 2 - Natural Environments)
  4. How are children doing as the result of early intervention service? (Indicator 3 - Child Outcomes)
  5. How well do services assist with family needs? (Indicator 4 - Family Outcomes)
  6. What percent of Alaska infants and toddlers (birth to one and under three years of age) are enrolled throughout the state? (Indicators 5 & 6 - Percent of Infant and Toddlers Enrolled)
  7. What happens after your child turns 3? (Indicator 8 - Transition)

1. How quickly will your child get into services?

Early intervention services are designed to enroll qualifying children within 45 days from the day you or your provider first contacts the agency. The statewide goal is to enroll 100% of all qualified children within 45 days from the initial referral.

Indicator 7 - APR FFY 2007 (July 2007 - June 2008)
Effective General Supervision Part C / Child Find ACC (Fairbanks) BBA (Dillingham) NSH (Nome) REA (Juneau) SLA (Seward) Total Ave Percent
Files Reviewed 18 15 10 16 4 63
Compliant Files 16 14 5 14 4 53
Percent Compliant 89% 94% 50% 88% 100% 84%

Definitions:

Files Reviewed: Number of eligible infants and toddler files with IFSPs

Compliant Files: Number of eligible infants and toddler files with IFSPs within 45 days

Percent Compliant: Number of eligible infants and toddlers with IFSP for whom and evaluation, assessment and initial IFSP meeting were conducted within Part C’s 45-day timeline.

Agency Abbreviations:

ACC: Alaska Center for Children & Adults, Inc., Project TEACH (ACCA) BBA: Bristol Bay Area Health Corporation ILP (BBAHC) NSH: Norton Sound Health Corporation ILP REA: REACH ILP SLA: SeaView Community Services

Indicator 7 45 - Day Timeline Progress Table
Measurable and Rigorous Target 2006-2007 Baseline FFY04 2004-2005 Actual Data FFY05 2005-2006 Actual Data FFY06 2006-2007 Actual Data FFY07 2007-2008
Indicator 7 100% 71% 88% 85.5% 84%

2. How well are Early Intervention/Infant Learning Program (EI/ILP) agencies doing at starting services on time and providing services as planned?

Early intervention services include developmental screening and evaluation of your child to determine if your child qualifies for the program. An Individual Family Service's Plan (IFSP) is developed by an early childhood developmental team, which includes you and your family. Once this plan is completed, services can start for you and your child.

From July 2007 - June 2008, EI/ILP provided services, as they were planned 54% of the time. The Alaska statewide goal is to provide services as planned 100% of the time.

APR FFY 2007 (July 2007 - June 2008) Indicator 1. Timely Service Provision

Alaska Early Intervention / Infant Learning Program Providers Monitored in FFY07

Percent of Intervention Services Provided as Planned on IFSP

ACC - Fairbanks North Star, North Slope

67%

BBA - Dillingham, Bristol Bay

47%

NSH - Nome

0%

REA - Juneau, Haines, Hoonah, Skagway, Wrangell, Petersburg, Yakutat

69%

SLA - Seward

100%

Total/Average

54%

Note: Alaska defines timely services as services identified by the Individualized Family Services Plan team that are started on or before their projected start date. Services are to be provided to children and their families as soon as possible.

Numbers are based on on-site monitoring and reflect adjusted percentages based on delays due to extenuating family circumstances.

Indicator 1 Timely Service Progress Table

Measurable and Rigorous Target 2007-2008

Baseline FFY04 2004-2005

Actual Data FFY05 2005-2006

Actual Data FFY06 2006-2007

Actual Data FFY07 2007-2008

Indicator 7 Target: 100%

85%

84%

84%

54%

Note: The drop in FFY07 is related to a change in data collection and staff training; trainings have been completed to improve delivery of and documentation related to timely service delivery.

3. Where do Early Intervention/Infant Learning Program (EI/ILP) services take place?

EI/ILP provides services in inclusive settings and natural environments. Federal Law (Individuals with Disabilities Education Act) “states that services must be provided in a location where infants and toddlers of the same age without disabilities would typically be found. This could be in the home, a childcare center, a family childcare location, Early Head Start, a story hour, or other community-based program” (National Early Childhood Technical Assistance Center, Family Corner Definitions Page, 2007).

Alaska’s EI/ILP services were held in the natural environment 95.8% of the time between July 2007 – June 2008. Our statewide goal is to serve 95% of our enrolled children in the natural environment. This allows flexibility for the IFSP team to choose locations other than the natural environment when a child’s need require another setting.

National Early Childhood Technical Assistance Center, “Natural Environments (Part C)”, Family Corner Definitions Page, May 9, 2007. http://www.nectac.org/topics/inclusion/familycorner/family.asp

Indicator 2 Natural Environments - APR Federal Fiscal Year 2007 (June 2007 – July 2008)

Indicator 2

Alaska Center for Children and Adults

Bristol Bay Area Health Corporation

Norton Sound Health Corporation

REACH, Inc

SeaView Community Services

All Electronic Files

Percent of Infants and Toddlers with IFSPs who primarily receive early intervention services in the home or programs for typically developing children.

98%

100%

96%

100%

100%

Settings Where Early Intervention Services Were Provided Children Enrolled for Part C Services, Alaska EI/ILP
Settings 2002 2003 2004 2005 2006 2007
Natural Environment* 570 601 577 607 594 594
Other Settings 55 40 33 35 26 26
TOTAL 625 641 610 642 620 620
Percent Receiving Services in Natural Environment 91.2 % 93.8 % 94.6 % 94.5% 95.8% 95.8 %
*Natural Environment settings are: the child's home and programs for typically developing children

Source: Alaska's 619 Child Count Data reported to OSEP (as of December 1st each year)

4. How are children doing as the result of early intervention service?

Early intervention is dedicated to helping your child enhance their developmental strengths, such as learning new skills, getting their needs, and expressing their emotions. Each child’s skills are assessed on an ongoing basis. Near the end of your child’s enrollment, the IFSP team will re-assess how well your child has learned these new skills. This information is currently in the process of analysis. Data for the state and individual EI/ILP agencies will be available in the coming year.

Summary Statements for Part C Children

FFY 07: 7/1/2007 - 6/30/2008
Summary Statement 1 Emotional Knowledge Action
Of those children who entered the program below age expectations in the Outcome Area, the percent who substantially increased their rate of growth by the time they exited the program. 67.74% 65.71% 63.89%

42 of 62

46 of 70

46 of 72

Summary Statement 2 Emotional Knowledge Action
The percent of children who are functioning within age expectations in the Outcome Area by the time they exit the program. 55.58% 51.11% 48.89%

50 of 90

46 of 90

44 of 90

Indicator 3 Child Outcomes - OSEP Improvement Category Percent Emotional Knowledge Action
Number of Children 90 90 90
e: Children who maintained functioning at a level comparable to same-aged peers 31.11% 22.22% 20.00%
d: Children who improved functioning to reach a level comparable to same-aged peers 24.44% 28.89% 28.89%
c: Children who improved functioning to a level nearer to same-aged peers but did not reach it 22.22% 22.22% 22.22%
b: Children who improved functioning but not sufficient to move nearer to functioning comparable to same age peers 18.89% 25.56% 27.78%
a: Children who did not improve functioning 3.33% 1.11% 1.11%

Indicator 3 Child Outcomes - OSEP Improvement Category Counts Emotional Knowledge Action
Number of Children 90 90 90
e: Children who maintained functioning at a level comparable to same-aged peers 28 20 18
d: Children who improved functioning to reach a level comparable to same-aged peers 22 26 26
c: Children who improved functioning to a level nearer to same-aged peers but did not reach it 20 20 20
b: Children who improved functioning but not sufficient to move nearer to functioning comparable to same age peers 17 23 25
a: Children who did not improve functioning 3 1 1

Concrete explanation of improvement categories:

e: d: c: b: a:

Child scored a 6 or 7 both times Child scored below a 6 at Time 1 and 6 or 7 at Time 2. Child scored higher at Time 2 than at Time 1, but Time 2 score is not a 6 or 7. Child scored the same at Time 2 and Time 1 (but not a 6 or 7); OR child scored lower at Time 2 than at Time 1 but the child made progress. Child scored lower at Time 2 than at Time 1 and the child made no progress; OR child scored a 1 at both times but made no progress.

5. How are families doing as the result of early intervention service? Indicator 4 - Family Outcomes

Addendum 2

Early intervention is a family centered program. Your family needs are very important to the planning process. Each EI/ILP agency will assist you in assessing and meeting your needs related to the care and development of your child. In May 2008, a questionnaire was mailed to families with children eligible for Part C services enrolled for Alaska EI/EI/ILP services at any time between January 1, 2007 and December 31, 2007 and who had received services for at least 6 months. There were 120 families who received the survey. Completed questionnaires were received from 69 families, representing 18 grantee agencies statewide. The response rate was 58%, which provided a valid representation of the families in Alaska. The response rate was not large enough to provide valid results by agency or region. The questionnaire had specific items related to how early intervention services have helped the family: A. Know their rights; B. Effectively communicate their children's needs; and C. Help their children develop and learn. Click here to see the statewide results of this statewide survey.

A. Know their rights;

B. Effectively communicate their children's needs; and

C. Help their children develop and learn.


A. Know their rights: 84% of families responded that Alaska's early intervention services helped their family know their rights (indicated by a rating of 3 or higher). Alaska’s FFY07 target is 99% for this indicator.

Rating

Frequency

Percent

Central Tendency

1 – None of the time

2

2.9%

Mean: 3.22

Median: 3.00

Mode: 3

SD : 0.783

2 – Some of the time

9

13.0%

3 – Most of the time

30

43.5%

4 – All of the time

28

40.6%

Total Responses

69

100.0%


Percent of Families Reporting Early Intervention had done an excellent job helping them know their rights

2006 2007 2008

64.2%

92.0% 84.1%

B. Communicate child's needs: 97% of families responded that Early Intervention has done and excellent job helping them effectively communicate their child’s needs most to all of the time. Alaska’s FFY07 target is 100% for this indicator.

Rating

Frequency

Percent

Central Tendency

1 – None of the time

----

----

Mean: 3.46

Median: 3.00

Mode: 4

SD : 0.559

2 – Some of the time

2

3.0%

3 – Most of the time

32

47.8%

4 – All of the time

33

49.3%

Total Responses

67

100.0%


Percent of Families Reporting Early Intervention has done an excellent job helping them effectively communicate their child’s needs

2006 2007 2008

79.5%

97.0% 97.0%

C. Help child develop and learn: 92% of families report Early Intervention services have helped them to help their children develop and learn (indicated by a rating of 3 or higher). Alaska’s FFY07 target is 100% for this indicator.

Rating

Frequency

Percent

Central Tendency

1 – None of the time

----

----

Mean: 3.47

Median: 4.00

Mode: 4

SD : 0.634

2 – Some of the time

5

7.4%

3 – Most of the time

26

38.2%

4 – All of the time

37

54.4%

Total Responses

68

100.0%

Percent of Families Reporting Early Intervention has Helped Them to Help Their Child Develop and Learn

2006 2007 2008

85%

96% 92.6%

6. What percent of Alaska infants and toddlers (birth to one and under three years of age) are enrolled throughout the state?

Indicators 5 & 6 - Percent of Infant & Toddlers Enrolled

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

A. Other States with similar eligibility definitions; and B. National data.

EI/ILP strives to provide services to all infants and toddlers with developmental delays and or disabilities who qualify for services. EI/ILP served 1.1% of infants under the age of one from July 1, 2007 and June 30, 2008. Alaska exceeded eight of twelve other states with similar eligibility definitions in this indicator. This is an increased ranking of one in the previous year, at which time Alaska exceeded seven other states. Alaska matches the FFY07 national average of 1.1% for this indicator.

Children Birth to 1 Receiving Part C Services in Alaska and in States with Similar Eligibility Definitions - 2005*Number and Percent of the State Population
2003 2004 2005

2007

State # % # % # % # %
Average of Moderate States 0.9 0.9 0.9 1.1
Alaska 90 0.9 83 0.8 96 0.9 128 1.1
Other Moderate States:
Colorado 444 0.7 505 0.7 492 0.7 512 0.7
Delaware 201 1.8 148 1.3 109 1.0 125 1.0
Illinois 1,675 0.9 1,954 1.1 1,943 1.1 2,185 1.2
Indiana 1,395 1.6 1,456 1.7 1,217 1.4 1,101 1.3
Kentucky 325 0.6 251 0.5 274 0.5 362 0.7
Minnesota 472 0.7 282 0.4 318 0.5 450 0.6
Missouri 465 0.6 514 0.7 552 0.7 617 0.8
New Jersey 677 0.6 629 0.5 640 0.6 728 0.7
New York 2,640 1.0 2,793 1.1 2,619 1.0 2,555 1.0
Puerto Rico 187 0.3 213 0.4 234 0.5 303 0.6
Rhode Island 227 1.9 214 1.7 246 1.9 285 2.3
South Dakota 70 0.7 97 0.9 91 0.8 135 1.2

Sources:

2000-2005: Federal Resource Center, Table 8-4 ( http://www.rrfcnetwork.org/images/stories/FRC/spp_mat/2006_Dec/table%208-4-2005.pdf )

2007: U.S. Department of Education, Office of Special Education Programs, Data Analysis System (DANS), OMB #1820-0557: "Infants and Toddlers Receiving Early Intervention Services in Accordance with Part C," 2007. Data updated as of July 15, 2008.

*The eligibility definitions used by these states is "Moderate", according to rankings complted by NECTAC in October 2005.

National Baseline 35,963 0.9 38,192 0.9 39,649 1.0 45,367 1.1

Percent of infants and toddlers birth to 3 with IFSPs compared to:

A. Other States with similar eligibility definitions B. National data.

Early Intervention/Infant Learning Program (EI/ILP) served 1.9% of all Alaskan infants and toddlers under the age of 3 between July 1, 2007 and June 30, 2008.

This demonstrated a decrease from the baseline data of 2.0% (July 1, 2003 - June 30, 2004).

Alaska continues to move toward the national average of 2.3%. Alaska exceeded three of twelve other states with similar (moderate) eligibility definitions in this indicator.

Children Birth to 3 Receiving Part C Services in Alaska and in States with Similar Eligibility Definitions - 2005 *Number and Percent of the State Population
2003 2004 2005

2007

State # % # % # % # %
Average of Moderate States 2.5 2.6 2.7 2.7
Alaska 641 2.1 610 2.0 642 2.1 620 1.9
Other Moderate States:
Colorado 3,148 1.5 3,484 1.7 3,754 1.9 4,069 1.9
Delaware 953 2.9 1,006 3.1 985 2.9 860 2.4
Illinois 13,140 2.4 15,318 2.9 16,175 3.0 17,765 3.3
Indiana 9,543 3.7 10,067 3.9 9,890 3.8 9,014 3.4
Kentucky 3,903 2.4 3,666 2.3 3,549 2.2 4,237 2.5
Minnesota 3,502 1.8 6,039 1.5 3,209 1.6 3,924 1.8
Missouri 3,423 1.5 3,445 1.5 3,356 1.5 3,450 1.5
New Jersey 8,085 2.3 7,790 2.2 8,815 2.5 9,389 2.8
4.3 29,765 4.1
Puerto Rico 2,486 1.4 3,139 1.8 3,900 2.6 4,762 3.3
Rhode Island 1,282 3.5 1,314 3.6 1,610 4.1 1,690 4.6
South Dakota 830 2.7 897 2.8 935 2.9 1,132 3.3

Sources:

2001-2005: Federal Resource Center, Table 8-4 ( http://www.rrfcnetwork.org/images/stories/FRC/spp_mat/2006_Dec/table%208-4-2005.pdf )

2007: U.S. Department of Education, Office of Special Education Programs, Data Analysis System (DANS), OMB #1820-0557: "Infants and Toddlers Receiving Early Intervention Services in Accordance with Part C," 2007. Data updated as of July 15, 2008.

*The eligibility definitions used by these states is "Moderate", according to rankings complted by NECTAC in October 2005.

National Baseline 267,734 2.2 275,484 2.2 290,753 2.3 321,894 2.5

APR FFY07 (July 2006 – June 2007) Indicators 5 and 6

Agency

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

Indicator 6: Percent of infants and toddlers birth to 3 with IFSPs

ACC - Fairbanks North Star, North Slope

0.6%

1.6%
BBA - Dillingham, Bristol Bay 1.0% 3.5%
NSH - Nome 0.5% 2.5%
REA - Juneau, Haines, Hoonah, Skagway, Wrangell, Petersburg, Yakutat 0.6% 3.0%
SLA - Seward 0.0% 0.3%
State Targets 1.1% 2.3%

7. What happens after your child turns 3? Indicator 8 - Transition

Early Intervention/Infant Learning Program (EI/ILP) programs assists enrolled children and their families to prepare for other needed services after a child's third birthday. Transition planning can begin at any time during the child's enrollment, however a transition meeting is held at least 90 days prior to the child's third birthday. This meeting is held to discuss available resources and the type of services you wish to have for your child. As your child turns 3, he or she may transition from EI/ILP to Early Childhood Special Education, Head Start, childcare or other early childhood programs. EI/ILP is required to assist you with timely transition services. This planning includes:

A. Developing an IFSP with transition steps and services; B. Notifying the school district if a child is potentially eligible for Preschool Special Education Services; and C. Holding a transition meeting.

The statewide EI/ILP goal for all transition services is 100%. Between July 1, 2007 to June 30, 2008, transition services were held:

A. 83% - Percent of children exiting Part C who have an IFSP with transition steps.

B. 100% - Percent of children exiting Part C and potentially eligible for Part B where notification to the LEA occurred.

C. 96% - Percent of children exiting Part C and potentially eligible for Part B where the transition conference occurred.

Indicator 8 Compliance FF07

July 1, 2007 - June 30, 2008

ACC

BBA

NSH

REA SLA Total

8a. Transition Planning

100%

83%

50%

75 % 100 % 83 %

8b. Notification

100%

100%

100%

100 % 100 % 100 %

8c. 90-Day Meeting

100%

100%

75%

100 % 100 % 96 %

Indicator 8 Transition Plan Progress Table

Measurable and Rigorous Target 2006-2007

Baseline FFY04 2004-2005

Actual Data FFY05 2005-2006

Actual Data FFY06 2006-2007

Actual Data FFY07 2007-2008

Indicator 8a 100%

95%

94%

88%

83 %

Indicator 8b 100%

95%

86%

80%

100 %

Indicator 8c 100%

95%

85%

83%

96 %