the road to implementation where are we?. the road to implementation march 31, 204…small groups to...

The Road To ImplementationWhere Are We?

The Road To Implementation

March 31, 204…Small Groups to address:• Communication Plan (Melissa)

– EA CSPD Vision, mission, roles/responsibilities– Internal & external communication plans

• Data Needed (Cindy)– Frequency & intensity of home visits

• Barriers (Cindy)– Historical practices of 1 visit per month

Draft Vision of Iowa’s CSPD for Early ACCESS

From Early Childhood Iowa (ECI):

Every child, beginning at birth, will be healthy and successful.

Draft Mission of Iowa’s CSPD for Early ACCESS

Adapted from ECPC:

Iowa's CSPD for Early ACCESS will be a well-communicated system of integrated professional development supports for early interventionists across disciplines who directly impact infants and toddlers with diverse abilities and their families.

Draft Roles/Responsibilities of the DMM State-Level Implementation Team

1. Increasing “buy-in” and readiness,2. Installing and sustaining the implementation

infrastructure,3. Assessing fidelity and outcomes,4. Building linkages with external systems,

Draft Roles/Responsibilities of the DMM State-Level Implementation Team

5. Problem-solving and sustainability, 6. Supporting the work of the Regional Implementation

Teams,7. Engaging the community, and 8. Actively creating hospitable environments

(scheduling, resources, PD resource allocation, etc).

Tout, K., Metz, A., & Bartley, L. (2013). Considering statewide professional development systems. In T. Halle, A. Metz, & Martinez-Beck, I. (Eds.) Applying Implementation Science in Early Childhood Programs and Systems, 269-294. Baltimore, MD: Paul H. Brookes Publishing Co., Inc.AI Hub, Module 3: Implementation Teams http://implementation.fpg.unc.edu/module-3

http://implementation.fpg.unc.edu/module-3

The Road To ImplementationService Data

Welcome and Thank YouTim Glenn, Research Analyst, DE

Early Intervention Services (EIS)AR = Autism Resources OM =Orientation& MobilityAT = Assistive Technology OT = Occupational TherapyAU = Audiology Services PT = Physical TherapyDI = Deaf/hard of hearing Instruct PY = Psychological ServicesFT = Family Training/Counseling SC = Service CoordinationHS = Health Services SI = Special InstructionIN = Sign/Cued Language SS = Speech-Language MS = Medical Eval SW = Social WorkNR = Nursing Services TR = Transportation ServicesNU= Nutrition Services VI = Vision Instruction

VS = Vision Services

Early Intervention Services Data

A look at “dosage” or quantity or amount of service.

Frequency: How often the intervention is delivered (times per week, month, year).

Intensity: The “strength” of the intervention or how many minutes of the intervention delivered within a session.


Statistics used for today:

Number (N): The number of children

Mean: The average minutes of intensity or minutes intervention is delivered within a session.

Median: The middle number of minutes in the range.Ex: 3, 5, 7, 12, 13, 14, 21, 23, 23, 23, 23, 29, 39, 40, 56

Sum: Total minutes of Services

Early Intervention Services DataData are for services between 7/1/13 and 5/29/14

Limitations:

• Data for current services being received

• Verification needed


How many children are receiving each service?

• No Assistive Technology Devices (AT)

• No Medical Services to Determine Eligibility (MS)

• No Transportation Services (TR)


AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 150

200

400

600

800

1,000

1,200

1,400

1,600

1,800

N-All Services

SC DI FT OT PT SI SS

Nu

mb

er

of

Ch

ildre

n

Data are for services between 7/1/13 and 5/29/14


200

400

600

800

1,000

1,200

1,400

1,600

1,800

N-SC

Nu

mb

er

of

Ch

ildre

n

State AEA 1 AEA 7 AEA 8 AEA 9 AEA 10 AEA 11 AEA 12 AEA 13 AEA 15

5,517 298

527

391

538

744

1,655

473

430

461

Data are for services between 7/1/13 and 5/29/14


100

200

300

400

500

N-SS

Nu

mb

er

of

Ch

ildre

n


2125 112 231 186 179 373 464 109 276 195


How much of a service are children/families receiving?

•Frequency is reported by monthly amount

•Intensity is reported by minutes

•Data are for # minutes/month in each AEA

Early Intervention Services Minutes/MonthData are for services between 7/1/13 and 5/29/14


20,000

40,000

60,000

80,000

100,000

120,000

140,000

Sum-All Services


To

tal M

inu

tes

Minutes per 6 MONTHS


621,325 22,890 99,660 36,940 48,105 68,830 94,580 59,200 138,700 52,420


20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000Sum-SC

To

tal M

inu

tes

Minutes per MONTH


66,311 3,495 8,730 5,530 6,140 11,033 14,808 4,991 6,425 5,160


2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

Sum-PT

To

tal M

inu

tes


Statistics used for today:

Number (N): The number of children

Mean: The average minutes of intensity or minutes intervention is delivered within a session.

Median: The middle number of minutes in the range.Ex: 3, 5, 7, 12, 13, 14, 21, 23, 23, 23, 23, 29, 39, 40, 56

Sum: Total minutes of Services

Mean of Minutes of EI ServicesData are for services between 7/1/13 and 5/29/14


50

100

150

200

250

300

350Mean-All Services


Min

ute

s p

er

Mo

nth

Median of Minutes of EI ServicesData are for services between 7/1/13 and 5/29/14


50

100

150

200

250

300

350

400

Median-All Services


Min

ute

s p

er

Mo

nth

Median Minutes per 6 MONTHS


90 90 150 90 90 90 45 90 360 120

A=112.6 76.8 189.1 94.5 89.4 92.5 57.1 125.2 322.6 113.7

N=5517 298 527 391 538 744 1655 473 430 461


50

100

150

200

250

300

350

400

Median-SC

Min

ute

s p

er

Mo

nth

Minutes per MONTH


23 120 195 45 0 195 20 15 0 15

M=33.6 185.1 195.0 40.9 0.0 195.0 24.3 24.1 0.0 15.0

N=785 39 2 19 0 2 707 15 0 1


50

100

150

200

250

Median-FT

Min

ute

s p

er

Mo

nth

Minutes per MONTH


60 60 60 45 40 60 60 45 90 60

M=64.8 54.0 80.5 57.1 41.7 66.0 65.6 53.9 81.1 60.2

N=2125 112 231 186 179 373 464 109 276 195


10

20

30

40

50

60

70

80

90

100

Median-SS

Min

ute

s p

er

Mo

nth


Getting Familiar With The Data 3Means and Medians of EI Services

There are 43,829.08 minutes in a month.A newborn sleeps on average of 16 hours per day and

is awake for 8 hours (480 minutes) a day OR 14,600 minutes per month.

A 1-3 year old needs 12-14 hours of sleep a day and is awake 10-12 hours (600-720 minutes) a day OR

18,250-21,900 minutes per month.

the road to implementation where are we?. the road to implementation march 31, 204…small groups to...

Documents

vision services

implementation science

implementation infrastructure

early accessadapted

early interventionists

draft vision of iowas

regional implementation

implementation teams