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Meeting the Challenges of Fiscal Stability: Refining and Interagency Finance System

This presentation by Erin Kinavey explores the development and implementation of a comprehensive finance system for early intervention services in Alaska, focusing on the use of demographic information, monitoring, infrastructure, fiscal resources, and policy guidance. The presenter also discusses the current eligibility definition and the need to serve all eligible children in Alaska.

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Meeting the Challenges of Fiscal Stability: Refining and Interagency Finance System

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  1. Meeting the Challenges of Fiscal Stability: Refining and Interagency Finance System The Alaska Experience Presenter: Erin Kinavey Part C Coordinator/ Early Intervention Manager

  2. Setting the Context • Initial work began in 2004 • Our work morphed into a systems approach to financing service • Completing the Finance Self-Assessment in 2006 • Current accomplishments and direction

  3. Initial Work in 2004

  4. Overview of Alaska’s Finance State Work Plan

  5. Review of Relevant Data to Inform Decisions

  6. Agreements for Use of Resources Demographic Information V I S I O N System Monitoring Design a Finance System Infrastructure Fiscal Resources Guidance and Support Policies and Procedures Political and Economic Context A Framework for Developing and Sustaining a Part C Finance System Agreements for Use of Resources Demographic Information V I S I O N System Monitoring Design a Finance System Infrastructure Fiscal Resources Guidance and Support Policies and Procedures Political and Economic Context

  7. Who Should Alaska Be Serving:Given the Current Eligibility Definition? 2004 Prevalence Study • Identify the 0-3 population • Percentage of children currently in service (range = 0 - 4.35 percent • Population characteristics that are predictors of participation in early intervention (reports of harm, poverty, pre-term birth, late or no prenatal care and maternal education <12 years). • Computation of an index • Estimated prevalence projection

  8. How The Data From The Prevalence Study May Be Used • Grant application planning for targeting activities to our needs, establish measurable outcomes and accountability • Evaluate system resources (people, time and money) • Data analysis and verification • Quality assurance - reporting realistic needs/resources to the legislature and general public

  9. Alaska’s Finance Self-Assessment : Things to Consider • What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? • Are we identifying, evaluating, and serving all eligible children? • What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

  10. What is the Rate of Population Growth? US/AK Population Growth and Birth Rates, 1990-2000 Source: U.S. Census Bureau

  11. What Race/Ethnicity are Children 0-3? Percent of 0-3 Population Source: U.S. Census Bureau, 2003 & 2004

  12. Who is Receiving EI Services in Alaska by Race/Ethnicity? Number of Children Source: 2004 US Census Bureau December 1 Count

  13. Alaska’s Finance Self-Assessment Demographic Information: Things to Consider • What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? • Are we identifying, evaluating, and serving all eligible children? • What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

  14. Prenatal and Birth Risk Factors Source: Kids Count 2004

  15. Prenatal and Birth Risk Factors Source: Kids Count 2004

  16. What Proportion of Children Are Being Served by Early Intervention Services? % of 0-3 children served Source: December 1 Child Count

  17. At What Age Are Children Being Served? Source: December 1, 2004 count

  18. What Services Are Children Receiving?

  19. Type of Services - LOWER Than 2004 National Average % Children Receiving Services Source: 2004 December 1 Count

  20. Type of Services- HIGHER Than 2004 National Average % Receiving Services Source:2004 December 1 Count

  21. Alaska’s Finance Self-Assessment Demographic Information: Things to Consider • What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? • Are we identifying, evaluating, and serving all eligible children? • What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

  22. What We Know…. • What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? • We know the rate of population growth • Race/Ethnicity of children 0-3 • Who is receiving services by race/ethnicity • Local information from 2004 Prevalence Study • Are we identifying, evaluating, and serving all eligible children? • Prenatal and birth risk factors • Proportion of children being served by Part C • Age at which children are being served • Percentage of types of services being provided • What do we know about Alaska early intervention services that inform EI/ILP about the use of resources, supports and services?

  23. NEXT STEPS: Considerations for strategies/options • Update Prevalence Study ~How many children should Alaska be serving if eligibility changes to 25% delay? • Cost Study ~What is the current total cost of doing business and how are resources used? • Compare local data with State data ~ Local self-assessment • Project total cost for broadening eligibility • Prepare for next legislative session

  24. Questions???? Contact Erin at: Erin.kinavey@alaska.gov (907) 269-3423

  25. Thank you. For more information, please e-mail us atnectac@unc.edu or visit our website atwww.nectac.org

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