1. The Road To Implementation Where Are We?

2. 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

3. Draft Vision of Iowa’s CSPD for Early ACCESS From Early Childhood Iowa (ECI): Every child, beginning at birth, will be healthy and successful.

4. 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.

5. 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,

6. 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-3http://implementation.fpg.unc.edu/module-3

7. The Road To Implementation Service Data Welcome and Thank You Tim Glenn, Research Analyst, DE

8. Early Intervention Services (EIS) AR = Autism ResourcesOM =Orientation& Mobility AT = Assistive TechnologyOT = Occupational Therapy AU = Audiology ServicesPT = Physical Therapy DI = Deaf/hard of hearing InstructPY = Psychological Services FT = Family Training/CounselingSC = Service Coordination HS = Health ServicesSI = Special Instruction IN = Sign/Cued LanguageSS = Speech-Language MS = Medical EvalSW = Social Work NR = Nursing ServicesTR = Transportation Services NU= Nutrition ServicesVI = Vision Instruction VS = Vision Services

9. 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.

10. Early Intervention Services Data 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

11. Early Intervention Services Data Data are for services between 7/1/13 and 5/29/14 Limitations: Data for current services being received Verification needed

12. Early Intervention Services Data Data are for services between 7/1/13 and 5/29/14 How many children are receiving each service? No Assistive Technology Devices (AT) No Medical Services to Determine Eligibility (MS) No Transportation Services (TR)

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

14. Data are for services between 7/1/13 and 5/29/14 StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 5,517 298 527 391 538 744 1,655 473 430 461

15. Data are for services between 7/1/13 and 5/29/14 StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 2125112231186179373464109276195

17. Early Intervention Services Data Data are for services between 7/1/13 and 5/29/14 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

18. Early Intervention Services Minutes/Month Data are for services between 7/1/13 and 5/29/14

19. Minutes per 6 MONTHS StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 621,32522,89099,66036,94048,10568,83094,58059,200138,70052,420

20. Minutes per MONTH StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 66,3113,4958,7305,5306,14011,03314,8084,9916,4255,160

21. Early Intervention Services Data 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

22. Mean of Minutes of EI Services Data are for services between 7/1/13 and 5/29/14

23. Median of Minutes of EI Services Data are for services between 7/1/13 and 5/29/14

24. Median Minutes per 6 MONTHS StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 90 15090 4590360120 A=112.676.8189.194.589.492.557.1125.2322.6113.7 N=55172985273915387441655473430461

25. Minutes per MONTH StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 2312019545019520150 M=33.6185.1195.040.90.0195.024.324.10.015.0 N=78539219027071501

26. Minutes per MONTH StateAEA 1AEA 7AEA 8AEA 9AEA 10AEA 11AEA 12AEA 13AEA 15 60 454060 459060 M=64.854.080.557.141.766.065.653.981.160.2 N=2125112231186179373464109276195

27. Early Intervention Services Data Getting Familiar With The Data 3 Means 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.