Child Outcomes Lean Process: Marie Ostoyich & Katherine Reksc: - - PowerPoint PPT Presentation

▶
child outcomes lean process
SMART_READER_LITE
LIVE PREVIEW

Child Outcomes Lean Process: Marie Ostoyich & Katherine Reksc: - - PowerPoint PPT Presentation

Sep 04, 2023 189 likes •550 views

NYSAC Fall Seminar Child Outcomes Lean Process: Marie Ostoyich & Katherine Reksc: Bureau of Early Intervention: September 13, 2017 September 13, 2017 2 Thank You! Lean Partners- Bob Schmidt and Team Niagara County- Lisa Chester-

slide-1
SLIDE 1

September 13, 2017

NYSAC Fall Seminar

Child Outcomes Lean Process:

Marie Ostoyich & Katherine Reksc: Bureau of Early Intervention:

slide-2
SLIDE 2

September 13, 2017 2

Thank You!

  • Lean Partners- Bob Schmidt and Team
  • Niagara County- Lisa Chester- Early Intervention

Official & NYS Early Intervention Coordinating Council (EICC) Member

  • NYSACHO- New York State Association of

Counties

  • NYSAC- New York Association of Counties
slide-3
SLIDE 3

September 13, 2017 3

So What’s Early Intervention Got To Do With Lean ?

  • Child Outcome Summary (COS) Form

Submissions

slide-4
SLIDE 4

September 13, 2017 4

Why are Child Outcomes Important?

  • Central to the Early Intervention Program’s Mission

– Serve children with developmental delays and their families

  • Accountability

– US Office of Special Education Programs – Federal Annual Performance Report Indicators – State’s Annual Determination Process – Municipalities’ Annual Determination Process

4

slide-5
SLIDE 5

September 13, 2017 5

History of COS Form Processing:

  • Previous Method of Processing
  • NYSDOH Bureau of Early Intervention
  • Certified Mail
  • Health Commerce (December 2016- present)

5

slide-6
SLIDE 6

September 13, 2017 6

Bureau Challenges:

  • Missing Forms
  • Incomplete Forms
  • Tracking
  • Certified Mail

Signatures

  • Mailroom
  • County Transfers
slide-7
SLIDE 7

September 13, 2017 7

COS Entry & Exit Forms

  • Should be Completed at IFSP Meetings
  • Include Parent Whenever Possible
  • Discussion of Scoring
  • Consensus
  • Submit to NYSDOH- BEI via

HCS – Secure file transfer upload

7

slide-8
SLIDE 8

September 13, 2017 8 8

slide-9
SLIDE 9

September 13, 2017 9 11/7/2016

slide-10
SLIDE 10

September 13, 2017 10 11/7/2016

slide-11
SLIDE 11

September 13, 2017 11 11/7/2016

slide-12
SLIDE 12

September 13, 2017 12

NEW & IMPROVED COS ENTRY FORM

slide-13
SLIDE 13

September 13, 2017 13

NEW & IMPROVED COS EXIT FORM

slide-14
SLIDE 14

September 13, 2017 14

Steps to Improvements:

  • Calls to Counties Requesting forms
  • Lean Project to Optimize Work Process
  • New Internal Tracking Tools
  • Electronic Only Submissions via Secure Upload
  • Health Commerce System (HCS)
  • Monthly All County Call Updates
  • Lean Project- November 2016- July 2017
  • Resources:

Early Childhood Technical Assistance Center (ECTA) Individuals with Disabilities Education Act (IDEA) Early Childhood Data Systems (DaSy) Session 8 (Entry vs. Exit Rating Resource)

slide-15
SLIDE 15

September 13, 2017 15

Other Improvements: Updated COS Entry & Exit Forms:

  • New Vendor
  • Sent to Counties June 2017
  • No Address Updates
  • County Sample Size Correct
  • Online Instruction Package Only
slide-16
SLIDE 16

September 13, 2017 16

Recent Changes in COS Forms Submissions (July 1, 2017)

  • Cohort Sample Counting Changes
  • Initiated with Initial Individualized Family Service

Plan (IFSP) Meeting

  • Not at the Time of Referral (as previously)
  • No Ineligible Children in the Sample
slide-17
SLIDE 17

September 13, 2017 17

Lean Project Charter Problem Statement:

slide-18
SLIDE 18

September 13, 2017 18

EI Lean Map # 1:

18

slide-19
SLIDE 19

September 13, 2017 19

EI Lean Map # 2:

slide-20
SLIDE 20

September 13, 2017 20

Voice of the Customer: Counties

slide-21
SLIDE 21

September 13, 2017 21

VOC: Survey Monkey Questions

  • Q1: What region of the state is your county in?
  • Q2: How would you describe your county?
  • Q3: What is working best with the process in

your county? Why?

  • Q4: What do you like LEAST about the

process? Why?

  • Q5: What are the challenges in engaging

parents in the process?

  • Q6: What are the challenges in engaging

evaluators and providers in the process?

  • Q7: What are the challenges of submitting

forms?

  • Q8: Are there any other sources of difficulty or

challenges in the Child Outcomes process?

  • Q9: What could make the Child Outcomes

process easier?

  • Q10: What part of the process do you think

could be eliminated or stream lined?

  • Q11: What would you like us to start doing?
  • Q12: If you could have a magic wand, what

would the perfect process look like?

slide-22
SLIDE 22

September 13, 2017 22

Survey Monkey Responses: 41 out of 58 Counties Let’s Review….

slide-23
SLIDE 23

September 13, 2017 23

Voice of the Customer: Focus Group

slide-24
SLIDE 24

September 13, 2017 24

Voice of the Customer: Focus Group

slide-25
SLIDE 25

September 13, 2017 25

Thank You: VOC Focus Group Participants:

  • Six Counties:
  • Niagara County- Lisa Chester
  • Ulster County- Rita Wood & Linda Duval
  • Rensselaer County- Ann Hansen
  • Essex County- Lucianna Celotti
  • Albany County- Deirdre Romanski
  • Westchester County- Marina Yoegel & Jo- Ann Rongo
  • NYSACHO:
  • Robert Viets, Cheryl Gerstler, Cristina Dyer-Drobnack & Linda Wagner
slide-26
SLIDE 26

September 13, 2017 26

Executive Report Out:

slide-27
SLIDE 27

September 13, 2017 27

Lean Ideas for Improvement:

slide-28
SLIDE 28

September 13, 2017 28

Lean Implementation Plan:

slide-29
SLIDE 29

September 13, 2017 29

Screen Shots of Online COS Entry Form

slide-30
SLIDE 30

September 13, 2017 30

Weekly Team Huddles @ the White Board:

slide-31
SLIDE 31

September 13, 2017 31

slide-32
SLIDE 32

September 13, 2017 32

Activities to Date:

  • Kaizen July 26-28, 2017
  • List of Ideas for Improvement from Lean
  • Lean Check-Ins- 30 day
  • NYSAC Presentation
slide-33
SLIDE 33

September 13, 2017 33

Next Steps:

➢60 day Lean Check-in ➢90 day Lean Check-in ➢EI- LEAN-COS Webinar for NYSACHO- September 2017 ➢Continuous County Reports

slide-34
SLIDE 34

September 13, 2017 34

Questions:

slide-35
SLIDE 35

September 13, 2017 35

Thank You!

Bureau of Early Intervention:

Phone: (518) 473-7016 Email:

marie.ostoyich@health.ny.gov katherine.reksc@health.ny.gov kirsten.siegenthaler@health.ny.gov