Linking Early Intervention Quality Practices With Child and Family Outcomes Sherry Franklin, North Carolina Part C Coordinator Deborah Carroll, PhD, Branch Head May 15, 2012
Feb 18, 2016
Linking Early Intervention Quality Practices With Child and Family Outcomes
Sherry Franklin, North Carolina Part C CoordinatorDeborah Carroll, PhD, Branch Head
May 15, 2012
NC Part C Context
State Lead Agency 17 Local Lead Agencies
13 State Employees 4 Contract Agencies
Community Early Intervention Service Providers
Results Component
Continuous Improvement Visit- November 14-18, 2011 Verification Results Component
May – June: Results Focus Selection Family Outcomes Birth to 1 Child Find
Orienting Programs/Providers to Key Practices that Support Child and Family Outcomes
State Interagency Coordinating Council formed a task group to assist in Results Component Selection
Reviewed Family Outcomes Survey and Process
So What?
Reviewed “Relationship of Quality Practices to Child and Family Outcome Measurement Results”
Orienting Programs/Providers to Key Practices that Support Child and Family Outcomes
Families and Stakeholders were able to:
Share their experiences with expected practices
Define common strengths and challenges
Come to consensus on the importance of the skills/training of Early Intervention Service Coordinators
Conducting Self-Assessment of State or Local Performance on Practices
FOCUS MONITORING- PROCEDURAL SAFEGUARDS
USE OF THE TOOL TO TRAIN MONITORS ON THE PRACTICES THAT HAVE A DIRECT IMPACT ON “KNOW YOUR RIGHTS”
EMBED QUESTIONS RELATED TO PRACTICES IN INTERVIEW TOOLS
NOW WHAT?
HOW TO GET STARTED HOW TO IMPLEMENT A STATEWIDE CHANGE IN PRACTICE HOW TO ACHIEVE DESIRED OUTCOME
Data Accountability Center (DAC)
Bottom Line State-Local Partnership State Implementation Team Local Implementation Team Quality Data Specific Problem/Issue Data-based Decisions
Concord
Durham
Greensboro
Rocky Mount
Our Partnership
Morganton
Shelby
Implementation Team Represents community members and
systems stakeholders Advises and assists systems change Develops & implements clear plans with
assignments of tasks/timelines Keeps implementation process focused Solves problems that arise during the
process.
Fixen, D.L., Naoom, S.F., Blasé, K.A., Freedman, R.M., & Wallace, F. (2005). Implementation Research; A Synthesis of the Literature. Tampa, Florida:
University of South Florida, National Implementation Research Network
Local Implementation Team
MUST INVOLVE A TEAM Program Director or designee Data Person/Quality Assurance staff Providers/staff involved in issue topic Parent Others as needed
* Must be a person with influence/authority
State Implementation Team
MUST INVOLVE A TEAM Administrators Data Person ICC member Parent Others as needed
* Must be a person with influence/authority
DAC Framework for Data UseConsists of three phases w/
several steps:• Preparation Phase
1. Identify relevant data• Inquiry Phase
1. Conduct data analysis2. Determine Root Cause
• Action Phase1. Plan for improvement2. Implement Plan3. Evaluate progress
Proactive Versus ReactiveBoth are Positive
A process to review existing data to select priorities for program improvement.
A process to determine program compliance and effectiveness.
ProactiveA process used to respond to a state identified problem.
A process used to respond to a locally identified problem.
Reactive
DATA QUALITY STANDARDS
How do you know whether the data collected/used is of high quality?
Data Quality Standards
Timely Accurate
Reliable Consistent Objective
Valid Complete Credible
Secure Useful
Interpretable Relevant Transparent Accessible
Data collected, submitted, analyzed, and reported must be:
Initial Questions (Using Available Data)
1. What do you notice? What are the patterns? Trends?2. What kinds of questions do you have as you look at the
available data?3. What other data might you want to explore to dig into
these questions?4. What is the storyline?5. What are these data telling you?6. What do you want to know?
Drill down involves accessing information by starting with a general category and moving
through the hierarchy of field to file to record; it is the act of focusing in to get to the root
cause.Source: Adapted from Webopedia
A hypothesis is defined as “…a starting-point for further investigation from
known facts”. The Concise Oxford Dictionary, 1990)
Why is a Hypothesis Important?
A good hypothesis will help you: 1. Focus your investigation2. Keep you from “losing the forest for
the trees” 3. Ensure that you stay on course in your
investigation
Data Analysis PlanThe analysis plan provides an outline of
additional data that need to be analyzed to test the hypothesis and determine root cause; it helps with preparing a clear and concise presentation of the results of your
analysis activities
Root CauseDetermining the root cause
enables the creation of effective actions to prevent
the problem from re-occurring
DATA BASED DECISION MAKING
Data should be used to drive:Root Cause Analysis leading to a
hypothesis(es)Improvement PlanningEvaluation (effectiveness)
NEXT STEPS Implementation of Pilot experience
Use Information for Improvement and Statewide Implementation Strategies
Questions/Comments