The Michigan Early On Early Intervention System Cost/Utilization Study Overview

1. Michigan Early OnEarly Intervention SystemCost /Utilization Study Overview SOLUTIONS Consulting Group, LLC ISD Special Ed Directors Friday, 3/17 from 9 am to 10 am and Monday, 3/20 from 1 pm to 2 pm

2. Flow for today’s call • A presentation/overview of the project planned for 20-25 minutes. • Please mute your phone if possible • Open the call to dialogue • Questions • Concerns • Suggestions for making this easier © Solutions Consulting Group, LLC 2005

3. Cost & Utilization Study *What are we trying to achieve? • To identify the total cost of today’s system. • To identify potential partnerships for funding including quantitative values. • To quantify the cost per child for actual services delivered. • To understand the relationship between planned service on the IFSP/IEP and what is actually delivered. • Analyze systemic differences. © Solutions Consulting Group, LLC 2005

4. Integral Component of the Overall Redesign Effort • The study will provide much needed information to move the redesign to completion. • Results of the Cost Study are scheduled for review and integration in targeted for 09/2006. • We are asking for your willing cooperation and recognize that the effort is substantial and the timelines are relatively short. • Each question that you ask is important. We will listen to suggested methods to lessen the burden. © Solutions Consulting Group, LLC 2005

5. System Definition • The Early On system is the coordinated effort, by mutual agreement, of agencies and organizations related to the system infrastructure and resources that contribute to meeting the identified outcomes for children and their families eligible and enrolled in Part C. © Solutions Consulting Group, LLC 2005

6. The Study Process • Various survey activities are designed to meet the needs of the cost study and tailored to the Michigan system. These include: • Utilization Study • IFSP/IEP Service Summary (Planned Services) • Child Questionnaire • Service Encounter Log (Actual Services) • Cost Study • Revenue Survey • Cost Survey • Salary Survey © Solutions Consulting Group, LLC 2005

7. Utilization Study • Will help us understand the relationship between the planned levels of service on the IFSP/IEP and the delivered levels of service. • Will enable us to compare services as they relate to race, Part C and Part C Special Education, ISD and/or Regions, Family Income, IFSP/IEP, and Urban/Rural variations. © Solutions Consulting Group, LLC 2005

8. Selection Process for Utilization • ISDs will prepare a roster of all children active as close to 4/1/06 as possible. • Using a method developed by Solutions, ISDs will select 20% of children on the 4/1/06 roster. • Service Coordinators will complete the IFSP Service Summary Page to include the name and contact information for each practitioner targeted for participation in the Service Encounter Log scheduled to start on 4/15/06. © Solutions Consulting Group, LLC 2005

9. Utilization Study • 1. IFSP/IEP Service Summary Page • For each child that has been selected to participate in the utilization review. • Completed at the ISD by the child’s Service Coordinator. • Provides a uniform method to collect the data that relates to planned levels of service; and • Provides the information pertaining to who is paying for the service and the pertinent information regarding who is actually providing the service. © Solutions Consulting Group, LLC 2005

10. Utilization Study • 2. Child Questionnaire • Completed for each child that has been selected to participate in the utilization review. • Initiated at the ISD by the child’s Service Coordinator. • Completed with the family’s participation. • Families may complete and mail the questionnaire separately. • Captures information not included in existing data sources • Provides a means to compare services as they relate to: • Family Income • IFSP and IEP • Part C and Part C Special Education • Eligibility Categories © Solutions Consulting Group, LLC 2005

11. Utilization Study • 3. Service Encounter Log • Completed by each practitioner that is serving a child that has been selected to participate in the utilization review. • Completed over a five-week period. • Captures the full range of services provided to the child across practitioners. • Captures the full range of services provided by the practitioner to all children on their caseload. • Provides a means to compare actual services delivered to the services that have been prescribed on the IFSP/IEP. © Solutions Consulting Group, LLC 2005

12. Practitioner Selection • When a child is selected for participation in the IFSP/IEP activity, all practitioners providing services identified on the IFSP/IEP will be asked to participate in the encounter tracking process • When a practitioner is selected, all their time will be considered. © Solutions Consulting Group, LLC 2005

13. Encounter Log • Used by practitioners to capture actual delivered service for a five (5) week period • Type of Professional, using the federal personnel categories • Category of Service • Employer • All clinician activity will be captured for Total Work Time • Face to Face : Direct Service Time • Travel Time • May include detail for children outside of Early On • Estimate detail for about 1,800 -2,200 children © Solutions Consulting Group, LLC 2005

14. Questionnaire • For each child identified for participation, the family and/or the Service Coordinator will also be asked to complete a confidential questionnaire • Some Demographics • Eligibility • Income • Race • Other © Solutions Consulting Group, LLC 2005

15. Cost Study • The Cost Study will help us determine salary and benefit information, administration and support costs and the revenue sources that are available • 30 of the 57 ISDs will be selected to participate in the Cost Study. © Solutions Consulting Group, LLC 2005

16. Cost Survey • Cost /Revenue/Salary Survey • With each selected ISD, we will have to determine who will be asked to complete the surveys; • Builds upon the information provided within the SE-4096; • Targeted for Distribution in late April; and • Will be supported by individually tailored calls for the ISDs chosen to account for the differing local arrangements. © Solutions Consulting Group, LLC 2005

17. Dialogue time • Please ask one question at a time. • Please state your name, position and ISD name. • Questions/Comments/Suggestions that have not been presented during the call may be sent to KGoldhamm@aol.com. © Solutions Consulting Group, LLC 2005

18. Karleen R. Goldhammer 725 Riverside Drive Augusta, ME 04330 KGoldhamm@aol.com Tel: 207-623-8994 Cell: 207-841-9793 Fax: 207-623-9793 Sue Mackey Andrews 3 Shore Road North P.O. Box 218 Dover-Foxcroft, ME 04426 sdmandrews@aol.com Tel: 207-564-8245 Cell: 207-408-8040 Fax: 207-564-7175 Thank you! © Solutions Consulting Group, LLC 2005