1. Massachusetts Part C Department of Public Health (LA) 62 programs, 38 vendor agencies 6 Regions 6 Regional Specialists

2. Central Region (10 Programs) Metro-West Region (7 programs) Southeast Region ( 11 programs) Boston Region (9) Northeast Region (13)

3. MA Part C Program Monitoring: Protocol Program certification is annual Recert site visit every other year Contract Performance Monitoring Team: Reg. Spec. and Family Member Goal: visit 31 programs each year

4. MA Part C Program Monitoring: Process Service delivery data review On Site: Program Quality Performance Evaluation EI Facility Checklist Staff Credentials/Health and Safety Requirements File Review & Paper Trail Audit: 10% of enrollment Observation of Service Delivery Four Structured Focus Groups

5. MA Part C Program Monitoring FY 2002 APR/Data Verification: Problems identified: Inconsistent Follow-up Lack of staff resources Program accountability Inability to focus on “trouble spots”

6. NCSEAM Partnership February 2004: Developed workplan Lead Agency Staff: Part C Coordinator, Procedural Safeguards Coordinator, Monitoring Staff, ICC Staff ICC Chair Parent Representatives EI Training Center vendor ICC Rep. For Low Incidence Committee

7. NCSEAM Partnership (cont’d) ICC Meeting May 6, 200 Key Activities: present data and workplan, recruit stakeholders June 2004: Full Stakeholders Group Key Activities: Vision, Mission of Focused Monitoring and General Supervision

8. NCSEAM Partnership (cont’d) ICC Retreat September 2004 Key Activities: Increase understanding of national picture, OSEP role and requirements, NCSEAM role, Family Survey

9. NCSEAM Partnership (cont’d) October 2004: Two days Key Activities: Day 1: Finalize groupings (staff only) Day 2: Select key areas: Stakeholders’ group ICC November 18, 2004 Key Activities: Feedback on key areas, full ICC

10. G.S. Vision Statement Revised 6/30/04, MA Stakeholders Group General Supervision of Early Intervention in the Massachusetts system is designed to promote core values and to ensure compliance with federal and state requirements through training, technical assistance, and monitoring. General Supervision focuses on identifying commendable practices, suggesting improvements to enhance quality of services and specifying and enforcing corrective actions in areas of non- compliance.

11. Core Values: MA EI System (1) RESPECT Recognizing that each group of people has its own unique culture, and honoring the values and ways of each family’s neighborhood, community, extended family, and individual unit. INDIVIDUALIZATION Tailoring supports and services with each family to its own unique needs and circumstances. FAMILY-CENTEREDNESS Basing decisions with each family on its own values, priorities, and routines.

12. Core Values: MA EI System (2) COMMUNITY Realizing that each family exists in the context of a greater community, and fostering those communities as resources for supports and services. TEAM COLLABORATION Working as equal partners with each family and with the people and service systems in a family’s life. LIFE-LONG LEARNING Viewing early intervention supports and services as a first step on a journey for each child, family, and provider.

13. Goals/Indicators Selected Transition Percentage of children who, at discharge, have referral(s) in place Service Coordination Number of days a service (any service) begins after IFSP signature

14. Transition Staff/Parent Training on Transition Collaborative work with Community Partners 90-day meeting occurs First notation on transition plan First discussion of next service options with family Discussion of inclusive options Tools and materials shared with family Helping families craft a vision Communication with/data provided to school systems Families know their rights/options 90 day invitation sent out? Did school attend? Did team meeting occur before third birthday (at 30 months or prior?) Parent satisfaction Formal administrative complaints Are parents training other parents Parent to Parent support Is scheduling convenient?

15. Service Coordination Outcomes and strategies page has family and child info Family has resources to respond to expressed needs How was Service Coordinator (SC) chosen? How many SC’s provided to family? Who decides changes Service coordinators perception of role separate from discipline and direct service Training for families around service coordination/what to expect Options/outcomes related to family routines Variety of settings for individual children SC knowledge of community and resources How does program maximize community resources Parent handbook/tools/materials???? How often updated??? Service coordinator collaborating to increase their skills

16. NCSEAM Family Survey Initiated 12/04 Parent Leadership Project, Program Directors, Family TIES Identification of opportunities Goal: 750 Completed by 1/31/05: 430

17. NCSEAM Family Survey Link to monitoring: revised focus group Family Survey Next Steps Develop Focused Monitoring Protocols Develop GS Data Verification System Initiate 7/1/2005