IV. Priority Recommendations (continued)
Q3. Address inconsistencies and inequities in EI processes and performance at the county level
The Part C EI program is grounded in communities, with counties playing a critical role for administration. However, parents, providers and others note significant inconsistencies and inequities in how EI is administered at the local level, which can result in inequitable service delivery to children and their families. County performance in serving children is not consistent. Address inconsistencies and inequities in EI processes and performance at the county level, based on public/private review of work flow and expected processes (e.g., provider continuity and availability, diagnoses for eligibility) and performance data, including family satisfaction, race/ethnicity, and disability/developmental status.
Issue
Solution
Administrative Minimal additional funding needed
Type
Q4. Create an EI consultation role for child care programs
Many infants and toddlers spend time in child care programs, making these settings one location where EI services may be delivered. Both EI and child care providers report the challenge of learning and sharing information during the course of a clinical visit in a busy child care setting. The system is lacking EI consultants who could help inform, coach, and improve the supportive role of child care providers. Create and provide funding for an EI consultation role for child care programs (parallel to the ECMH consultant role for child care) to provide coaching and assist with developing teacher skills relative to the early intervention needs of children in their care.
Issue
Solution
Administrative and legislative Additional financial resources required
Type
Q5. Consistently use Informed Clinical Opinion
Informed Clinical Opinion is required to be part of Part C EI assessment processes when needed. Providers and families report that Informed Clinical Opinion is not consistently available across the state as part of assessments that determine eligibility for Part C EI. Review county and provider level inconsistencies and clarify the guidance for Part C related to the use of Informed Clinical Opinion statewide.
Issue
Solution
Administrative Minimal additional funding needed
Type
Q6. Fully implement the coaching model
Pennsylvania has made a strong commitment to use the evidence-based coaching model to deliver Part C EI services. Continued effort is needed, however, to ensure a well-trained and fairly compensated workforce to deliver the coaching model with effectiveness and quality across the state. Continue implementation and funding for statewide use of the coaching model, including adequate rates to bill for visits and program funding to develop workforce skills.
Issue
Solution
Administrative Minimal new funding required
Type
June 2022
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