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Established in 1994, Sunny Days is the largest provider of Early Intervention (EI) services in New Jersey and offers services nationally. Our family-centered approach empowers families to support their child's development to their fullest potential.
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A little history about Sunny Days • Established in 1994 by Joyce Salzberg MSW and Donna Maher RN, two women who have become recognized leaders and innovators in the field of Early Intervention • Largest provider of EI Services in New Jersey • Provides services nationally, in New York, Pennsylvania, Delaware, New Jersey and California
Sunny Days CEO’s • Joyce Salzberg, holds a BA and MSW from Temple University. She has over 40 years of experience in the field of healthcare and developmental disabilities. She was the past Associate Executive Director of United Cerebral Palsy of NJ. She has been a member of the SICC since 1998, where she chaired several sub-committees. She has also served on numerous charitable boards, oversight committees and industry advocacy groups
Sunny Days CEO’s • Donna Maher, RN is a graduate of Misericordia Nursing School. Prior to establishing Sunny Days, Donna was a Labor and Delivery Nurse at Albert Einstein Hospital. She has also worked as a school nurse with children with disabilities as well as a nurse and Director of Development in an Early Intervention program . She served on the NJ State Quality Assurance Task Force and Board of Directors at a state REIC
Our Mission • To provide quality Evaluative and Therapeutic Early Intervention Services. Our family-centered philosophy supports the family as well as the most significant component to the child’s progress. To foster the family’s ability to promote their child’s development to their fullest potential. • To empower family to incorporate support strategies into their daily routines which will maximize the child’s ability to participate in their environment.
Who’s Who at Sunny Days? Program Director - NJ • Karen Olanrewaju BSN, RN 732-761-0088 kolanrewaju@sunnydays.com
Who’s Who at Sunny Days?Clinical Educators • Kathleen V. Flatley, MS, OTR 201-512-0030 kflatley@sunnydays.com • Jacqueline Jupin-Manzi RNC-NIC, MHA 732-223-0211 jjupin-manzi@sunnydays.com • Carola d’Emery, PT, PhD 732-761-0088 cdemery@sunnydays.com • Scott Rieger, MA, NCC, BCBA 908-415-2143 srieger@sunnydays.com
Role of Clinical Educators (CE’s) • Provide practitioner orientation and trainings • Conduct routine and/or targeted observations of practitioner sessions in person or via facetime • Function in mentoring capacity • Offer suggestions and help practitioners problem solve cases, however IFSP team has final say on all IFSP decisions! • Parents can decline to have a CE observe a session and should know CE’s are there to observe practitioner. If parent requests feedback on child, CE’s may provide their impressions
Who’s Who at Sunny Days?Regional Administrators Debbie Zielinski 732-335-3720 dzielinski@sunnydays.com Marisa LaMonte Paulsen 732-905-7737 mlamonte-paulsen@sunnydays.com Sussex Essex Union Autism Services (Central and Northern NJ) Atlantic/Burlington Camden/Cape May Glouster/Hunterdon Monmouth Autism Services (Southern Region) Sheryl Newman 732-905-8939 snewman@sunnydays.com Sarah Martin 201-784-7577 smartin@sunnydays.com Mercer Middlesex Ocean Somerset Bergen Hudson Morris Passaic
Who’s Who at Sunny Days?TET Assignment Coordinators Targeted Evaluation Teams Hunterdon/ Ocean, Atlantic and Cape May and Exit Evals in Union and Passaic Lauren Salvesen 732-761-0088 x 283 lsalveson@sunnydays.com Hudson, Morris, Sussex, Bergen-Back up and Exit Evals in Bergen Stephanie Ottrando 732-761-0088 x 267 sottrando@sunnydays.com
Regional Administrators • Assign and manage referrals/cases • Your primary contact people once you begin providing services • Please note contact info which can also be found on our website and will be sent to you with your contract as well
Other Staff • You may receive emails/calls from HR, Billing or Program Departments • All Regional Administrators (RA’s) have assistants who you may deal with as well • Service coordinators are not SD personnel. Check with your RA if you have any concerns about service coordinator or family requests • Please direct all questions to your Regional Administrator not the service coordinators
Sunny Days • Sunny Days NJ serves children from birth to 3 through the Early Intervention System • Our sister company, the Sunshine Center, provides services to children privately - both home and center based
NJ Early Intervention (EI) System • NJEIS receives funding from the federal government and must comply with Part C of the Individuals with Disabilities Education Act (IDEA) • NJ Dept. of Health (DOH) is the lead agency that administers the program • Most directives we provide are based on need to comply with IDEA or NJEIS policies
NJEIS • Four grant funded organizations called Regional Early Intervention Collaboratives (Southern, Mid-Jersey Cares, Family Link, Helpful Hands) • REIC’s plan and coordinate NJ’s EI system at the regional/community level • Provider agencies and service coordination units
EI Services at Public Expense • Child Find • Procedural Safeguards • Service Coordination • Evaluation and Assessment • Family Information Meeting • Individual Family Service Plan Development (IFSP) • Review and Transition Planning
EI Services not at Public Expense • All other direct service is subject to a family cost share • Cost share is based on income and family size • This is a fee that families pay per service, your billing in EIMS needs to be timely so that families can submit to their insurance.
EI Process • A look at the process of Early Intervention.
Early Intervention Process • Referral –NJEIS-06 • Intake • Eligibility Evaluation NJEIS-02 and NJEIS-07 • Family Information Gathering Meeting • IFSP Development • Assignment of EI Agency NJEIS-09 • Service Provision NJEIS-16 • Direct Service • IFSP Reviews (including an annual BDI-2) NJEIS-11 , • Transition out of EI Policy NJEIS-20
Identification and Referral • Referral is made to SCHS when there is a concern. NJEIS-06 1-888-653-4463 or 1-888-njeiinfo • Family consent is required prior to the referral • Family consent is not needed prior to referral in: • Substantiated cases of abuse • Cases where an infant has been exposed to drugs prenatally NJEIS-01
Evaluation for EligibilityNJEIS-07 • Family provides consent • Service Coordinator sends referral to evaluation team in that county • Evaluation team is multidisciplinary, and they reach out to the family to schedule the evaluation. • Must be completed within 45 days of referral • State using Battelle Developmental Inventory (BDI-2) for initial evaluations
Eligibility CriteriaNJEIS-02 • Two categories of eligibility • Developmental Delay • Conditions with High Probability of Delay
EligibilityNJEIS-07 • Developmental Delay is measured as 2.0 standard deviations below the mean in one developmental area or 1.5 standard deviations below the mean in two or more developmental areas. (Can also be documented with Informed Clinical Opinion) • Conditions with High Probability of Resulting in Delay – must be confirmed in report from physician, advanced practice nurse or psychologist (includes 10 presumptive diagnoses which don’t require the signed statement or report)
10 Presumptive Diagnoses • Down Syndrome • Fetal Alcohol Syndrome • Hearing Impairment • Vision • Autism • Spina Bifida • Cerebral Palsy • Trisomy 13,18, etc • Fragile X • Hydrocephalous
Informed Clinical Opinion • Qualitative concerns and how the atypical behavior or development patterns affect the child's functioning in the child's daily routines. • Clinical observations that indicate subsequent development will likely be affected without intervention.
Periodic BDI-2NJEIS-11 • For children who were initially determined eligible by informed clinical opinion (ICO), a periodic BDI-2 will be conducted to determine continued eligibility • At the 6 month review these children must be eligible by the BDI-2 scores or a high probability diagnosis to continue. ICO can not be used again to keep them eligible
Family Information Gathering Meeting • Conducted by the service coordinator • Financial information collected • Family guided assessment is completed to discuss family routines, priorities, and concerns in preparation for IFSP meeting
Initial IFSP Meeting and DevelopmentNJEIS-07 • Done within 45 days of referral • Conducted at a place convenient for the family • Conducted in native language of the family. • During this meeting the team develops child and family outcomes and decides upon strategies and services necessary to meet those outcomes
IFSP Participants • Family • Service Coordinator • Evaluation Team Members • Family can also choose to include other relatives, daycare staff or advocate, etc. if they choose
Provision of Services • Family provides written consent for services NJEIS-16 • Family provided with agreed upon services • Services provided in Natural Environments and are consistent with the outcomes (goals)/strategies of the IFSP • Services are reviewed periodically and eligibility is re-determined annually NJEIS- 11,19
NJ EIMS • NJ is using the Early Intervention Management System (EIMS) database for case management since 12/1/17 • Run by Public Consulting Group (PCG)
NJ EIMS • On demand training webinars can be found after logging into EIMS. https://njeis.pcgus.com/njei. • After signing in to the site, click training link under announcements. • You will need to click on the word HELP
NJ EIMS • You can also access the training modules through the billing portal • Go to EI Billing Portal tab (on green menu bar) that takes you to NJEIS Fiscal Portal where you click on “Help” and from drop down menu choose “Training” to access Webinars
NJ EIMS • Please view “Intro to EI Management System” webinar and “Practitioner Training” webinar • TET members also view “Evaluation Training” webinar • No documentation of attendance or certificate is required
NJ EIMS • Every session you complete must be logged in the EIMS or the agency will not be paid. This includes IFSP meetings TPC’s and all TET services • This is linked to the families cost share billing.
NJ EIMS • Practitioners will receive an email with a password to access the site • PCG Call Center 1-844-378-2936 • Can contact them for help with logging issues M-F 7 am to 7pm • If any problems occur please obtain a ticket number for reference
Practitioner Responsibilities for Service Provision • Respond to the RA as soon as possible indicating your availability to fill the service • If accepting case, contact family to schedule and immediately notify your RA of scheduled start date. We have 12 calendar days from agency assignment to complete first session (NJEIS-16) • If any time has passed since RA was assigned case you may need to start sooner to meet EI timelines. Best to schedule ASAP
Practitioner Responsibilities • Cases will appear under “My Caseload” field on the EIMS. • Family contact information is listed under demographics. • Evaluation and IFSP, etc. are in “Documents” section. • Referral info can also be found under Early Intervention then Referral Process tabs on EIMS
Contact Log Entries • Document initial contact with families on the parent contact log feature of the EIMS database when scheduling a new service • If unable to log in EIMS, document on a paper communication note (can be found on our website) • Review Policy/Procedure on Communication Note Completion • Please let RA know when your 1st session is scheduled or if you have had difficulty scheduling – this is extremely important! Also let RA know when 1st session actually occurs.
Contact Log Entries • Follow prompts on EIMS and include description of outcome of contact (Left voice mail on mother’s cell attempting to schedule first visit of _____for Tuesday 11/13/18 at 11:00 am) • Must provide details of conversation in the notes field of contact log • Please state which service you are attempting to schedule in your note (OT, PT, DI, etc.)
Contact Log Entries • Every time a contact is made with family a new entry to log must be completed. • For example first session rescheduled from 11/13/18 at 11 a.m. to 11/17/18 at 11 a.m. due to child having a doctor appointment. • Let your RA know of any schedule changes for first session
Contact Log Entries • The EIMS also has a contact log for documenting non-family contact • Can use for SC contacts, RA, interpreter, other practitioners, providers outside of the system (with proper consent), etc. • Contact log is to document a contact – it is not the contact itself
Provision of ServicesNJEIS-16 • Support all outcomes to the maximum extent possible when appropriate and safe. All practitioners must be aware of all outcomes • Communication between multiple practitioners is encouraged
Schedule • Please set up a consistent schedule with the family • Document on the EIMS contact log if there were changes to your schedule discussed with the family
Important Documents • Please review the referral, evaluation, and IFSP in the child’s file • Referral is listed under Early Intervention tab in EIMS. • Evaluation and IFSP, etc. are in “Documents” section of EIMS. (may also be emailed to you) • Must read/understand outcomes to be addressed and service pages to see all services (legal document between families and NJEIS). See end dates on service pages to know when next review is due
Frequency and Length • Must provide services at agreed upon frequency and length • Example – If IFSP says 3 x 60 minutes can’t do 2 x 90 minute sessions • If there is to be an ongoing change a meeting and IFSP re-write must occur • The EIMS system will not allow you to log in sessions outside of the assigned frequency and length
Natural Environments • Means more than simply home based services! • Natural Environments are the philosophy of the NJEIS and IDEA • Caregivers must always be present during a session. Caregivers should be actively participating and engaged with their child throughout the entire session • Eliminate or minimize bringing in toys or other items that limit parental carry over
Natural Environments • Children receiving Early Intervention services in a daycare setting should not be removed from the classroom • Practitioners should work within the routines of the center, and facilitate the child to participate in the activities
