What Did North Carolina Learn From Child Outcomes Pilots ?

1. What Did North Carolina Learn From Child Outcomes Pilots ? Sherry Franklin, NC Part C Quality Improvement Unit Manager Steve Snipes, NC Part C Program Evaluation Coordinator

2. NC’s Infant Toddler Program • Early Intervention System re-organized in 2004 • Division of Public Health lead agency statewide • 18 Children’s Developmental Services Agencies • CDSAs provide evaluation and service coordination • CDSAs developed regional provider networks • FY 2006-07 > 17,000 referrals with > 15,000 enrolled

3. CHILD OUTCOME MEASUREMENT IMPLEMENTATION PROCESS • All CDSAs phased-in during 2006-2007 • 3 Groups of six CDSAs • Trailblazers—April 2006 • Pavers—November 2006 • Cruisers—April 2007

4. Training and Support • Oversight by QI Unit Central Office and Regional Staff • Training and TA partners—ECO Center, NECTAC, UNC/FPG, and General Supervision Enhancement Grant • CDSA leadership teams

5. Approach to Training and Technical Assistance (TA) • Conference call discussions for planning • On-site “Orientation” for CDSA leadership • CDSA leadership trained local staff • Regularly scheduled TA conference calls for updates and problem-solving • Resource sharing/email listserv

6. Timelines CHILD OUTCOMES DEVELOPMENTAL PILOTS TIMELINE • March 24-- Conference Call (10 a.m.) • April 13 -- Conference Call (10 a.m.) • April 13 -- Greensboro and Mecklenburg reports due • April 21 -- Elizabeth City and New Bern reports due • April 28 -- Greensboro and Mecklenburg reports due • April 28 -- Conference Call (10 a.m.) • May 5 -- Sandhills and Smokies reports due • May 12 -- Greensboro and Mecklenburg reports due • May 16 -- Conference Call (10 a.m.) • May 19 -- Elizabeth City and New Bern reports due • May 26 -- Greensboro and Mecklenburg reports due • June 2 -- Conference Call (10 a.m.) • June 2 -- Sandhills and Smokies reports due • June 9 -- Greensboro and Mecklenburg reports due • June 16 -- Conference Call (10 a.m.) • June 16 -- Elizabeth City and New Bern reports due • July 7 -- All remaining reports due • July ?? -- Focus Group Meeting (time and location to be determined)

7. Child Outcome Summary Forms • Use ECO Center ‘COSF’ with minor edits • Every child 2 yrs 6 mos and younger at IFSP will receive entry COSF measure • Every child with entry COSF and in services six months will receive exit COSF • Each CDSA establishes a team approach • One person reviews COSF for completion • Data-entry by Central office staff

8. COSF Cover CDSA and Date summary completed: CDSA: Date Summary Completed: __/__/__ Assessment (circle): Initial Annual Assessment Exit Child information: Date of Birth: __/__/__ Race/Ethnicity (circle): White African Am. Native Am. Hispanic Asian/Pacific Islander Child Name: Sex (circle) M F County of Residence: Child Characteristics:  Developmental Delay  Established Condition: (list) List Other Contributing Factors (if applicable): People involved in ratings: Name and Role with Child/Family Information on Child -- Check all that apply:  Received in IFSP team meeting  Collected Separately  Incorporated into assessment(s)  Not Included Comments:

9. TRAILBLAZERS • FIRST PILOT • ON-SITE ORIENTATION • TECHNICAL ASSISTANCE • FOCUS GROUP

10. Lessons Learned • Give the Big Picture • “Interactive” Orientation • Establishment of Local Procedures • Parent Involvement • Development of Local Teams

11. Lessons Learned • Typically Developing Same Aged Peers • Inter-rater Reliability and Consistency • Data Collection and Submission • Feedback

12. Mid-Year Adjustments • Connect to SPP/APR • Training adjustment with PPT and teleconference prior to on-site • Assist family in discussing skills and behaviors, but not number rating • Set ratings following initial IFSP team meeting for maximum information

13. Mid-Year Adjustments • Regional consultants worked together on COSFs to assure consistent TA • Encouraged Pavers and Cruisers to work with a Trailblazer CDSA • ECO partners reviewed and gave feedback on Pavers/Cruisers COSFs • Check ECO website for updates

14. Successes and Challenges • All 18 CDSAs submitting entry COSFs • Some beginning to report exit COSFs • CDSAs report more wholistic view of child • Also, report more functional IFSPs • Evolving expectations at national level • Clarifying understanding at state level • Acceptance/participation at local level • Consistency and reliability of data