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Broad Data Analysis. Child Outcome Data. Broad Analysis: Child Outcomes. Does our state’s data look different than the national data? Are our state child outcomes trends stable over time? Is the data trending upwards? Is the data trending downwards?
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Broad Data Analysis Child Outcome Data
Broad Analysis: Child Outcomes • Does our state’s data look different than the national data? • Are our state child outcomes trends stable over time? • Is the data trending upwards? • Is the data trending downwards? • Is our state performing more poorly in some outcomes than others? • Are the child outcomes similar across programs? • What about data quality? Can we be confident in our data?
Virginia Trends Outcome 3: Use of Appropriate Behaviors to Meet Needs Outcome 2: Acquisition and Use of Knowledge and Skills
Child Outcome Results FFY11/FFY12 Meaningful Differences Calculation
Data Quality Elements • Completeness of data • number of children reported for the outcome/number who exited • Virginia’s results: average= 65%; range for Local Systems = 17% - 100% • Expected Patterns for Progress Categories • Virginia’s state date is within these parameters for all three outcomes • Child Outcomes State Trends Over Time • As noted on previous slides, Virginia’s results do not show wide variations which would trigger concerns about data quality
Broad Data Analysis Family Outcome Data
Broad Analysis: Family Outcomes • Does our state’s data look different than the national data? • Are our state family outcomes trends stable over time? • Is the data trending upwards? • Is the data trending downwards? • Is our state performing more poorly in some outcomes than others? • Are the family outcomes similar across programs? • What about data quality? Can we be confident in our data?
Family Outcomes: Local vs. State 2012-20134A: EI has helped the family know their rights
Family Outcomes: Local vs. State 2012-20134B: EI has helped the family communicate their children’s needs
Family Outcomes: Local vs. State 2012-20134C: EI has helped the family help their child develop and learn
Data Quality • The data analysis for Virginia’ survey is quite extensive, using rigorous data analysis standards. • Virginia’s response rate, like other states that use mailing as the means to disseminate the family survey, is lower than states who use other mechanisms.
Analysis Mechanisms • Use of federal monitoring tools and procedures • Communication with Local Systems through: • Ongoing TA • Regional Meetings • Trainings • System Manager Meetings • Monitoring Results • Record Reviews • QMRs • Individualized TA • Local System Contract Deliverables
Infrastructure Analysis:Information Sources • Local self-reporting • Stakeholder input • LSM surveys • Training/meeting evaluations • Monitoring/QMR • Dispute Resolutions • Observations through TA and other interactions
Broad Infrastructure Analysis Governance - Mixed • Strengths • Code of Virginia establishes infrastructure • VICC • State Interagency Agreement; interagency partnerships • DBHDS local contract with Local Lead Agencies specifies LS infrastructure requirements • Weaknesses • Variable job roles and skill sets of LSMs • Variable strength and specificity of LLA/provider contracts • Variable support from LLA leadership
Broad Infrastructure Analysis Fiscal - Mixed • Strengths • Additional state funding • Medicaid EI Services program • Trainings on fiscal issues • Strong working relationship with fiscal office at the state lead agency (DBHDS) • Weaknesses • Variable fiscal skill set of LSMs • Code of Virginia does not require fiscal commitment at local level • Variety of Local Lead Agencies • Inconsistent reporting of fiscal data at local level • Lack of fiscal data in state data system • Perception/reality that there is not enough money
Broad Infrastructure Analysis • Quality Standards – Not sure • Practice Manual articulates expected practices, but these are not labeled quality practices • Monitoring and Accountability – Strength • Local self-monitoring and supervision for continuous improvement – variable • Professional Development – Strength • Technical Assistance – Strength • Data – Weakness
Closing Thoughts Based on this broad review, did anything strike you as an area of focus for our Systemic Improvement Plan?