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SECTION G -- HUMAN SERVICES
PUBLIC HEALTH SERVICES
SCHOOL HEALTH SERVICES
PROGRAM MISSION: To prevent health related barriers to learning through
prevention and early intervention services.
These services are provided using a community-based public health
approach.
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The goal of the School
Health Program is to provide students and their families prevention and
early intervention services, using a public health model, to enable the student
to learn to the best of his or her potential.
Specifically, to identify health problems and document referrals within
established time frames; and to increase the number of at-risk pre-adolescents
and adolescents participating in educational programs to promote health and
prevent risky behavior. This is
achieved through health education emphasizing public health objectives such as
injury and risk behavior prevention, communicable disease prevention (for
example, immunizations), care coordination/case management of children with
special health care needs, first aid and care of the sick child in the school
clinics, and the implementation of the full range of public health services by
public health nurses in the schools and community. The public health nurses in the schools also serve as the first
point of contact for services for many high-risk families and provide linkages
with other needed services.
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The goal of the Parent
Infant Education Program (PIE) is to reduce the impact of developmental
delays and disabilities on the growth and development of infants and toddlers,
birth through two years of age, by providing early intervention services. In compliance with Part C of the Individuals
with Disabilities Education Act, PIE helps families obtain an array of early
intervention services to address the needs of the child and family.
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The goal of the Diagnostic
and Evaluation Clinic is to provide comprehensive diagnostic evaluations,
education and referrals for children suspected of having developmental,
learning, behavioral or emotional problems to enable parents to make
appropriate education and treatment decisions.
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School Health
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FY 2004
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FY 2005
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FY 2006
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% Change:
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Actual
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Adopted
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Proposed
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'05 to '06
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Personnel
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$4,167,131
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$4,174,469
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$4,261,934
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2%
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Non-Personnel
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439,593
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324,929
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419,030
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29%
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Subtotal
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4,606,724
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4,499,398
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4,680,964
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4%
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Inter-Departmental
Credits
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(201,605)
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(191,439)
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(200,620)
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5%
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Total Expenditures
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4,405,119
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4,307,959
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4,480,344
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4%
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Fees
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10,999
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10,000
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19,000
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90%
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Medicaid
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33,136
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30,000
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47,500
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58%
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State Grants
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361,146
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230,156
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305,167
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33%
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Miscellaneous
Grants
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287,758
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327,866
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276,456
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-16%
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State Share
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724,357
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-
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-
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Total Revenue
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1,417,396
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598,022
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648,123
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8%
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Net Tax Support
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$2,987,723
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$3,709,937
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$3,832,221
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3%
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Authorized FTEs
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67.3
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66.8
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65.8
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Funded FTEs
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67.3
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66.8
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65.8
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SIGNIFICANT BUDGET HIGHLIGHTS:
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Non-Personnel increased ($94,101) to reflect increased
services purchased for Parent Infant Education clients with additional grant
revenues.
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Fees increased ($9,000) to reflect anticipated revenues
from the Arlington Public Schools for school health physicals.
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Medicaid revenues increased ($17,500) as a result of
increased Medicaid payments in the Parent Infant Education program for State
Plan Option Services.
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State Grants increased ($75,011) to reflect increase in
Part C grant funds in Parent Infant Education program.
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Miscellaneous Grants are reduced ($51,410) to reflect loss of the Teens
Against Tobacco grant.
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FTEs are reduced by a total of 1.0 FTE to reflect
reduction of 0.5 FTE from loss of the Teens Against Tobacco (TATU) grant, and
the transfer of 0.5 FTE to Family Health Services.
PERFORMANCE MEASURES:
School Health Program
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FY 2002 Actual
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FY 2003
Actual
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FY 2004 Actual
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FY 2005 Estimate
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FY 2006 Estimate
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FY 2006 Goal
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Mission Outcome Measures
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Number of student problems
identified and referrals made for other services
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3,108
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3,188
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3,753
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3,700
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3,700
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3,700
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Number/percent of children
referred obtaining follow-up within established time-frames for each type of
referral
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2,222/71%
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2,537/80%
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3,202/85%
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3,145/85%
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3,330/90%
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3,330/90%
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Number/percent of
adolescent students participating in educational programs to prevent risky
behavior
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1,652/18%
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1,800/22%
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1,661/18%
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2,000/22%
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2,200/23%
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2,200/23%
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Number/percent
of preadolescent students (4th and 5th graders)
participating in risk-prevention education sessions
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N/A
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562/20%
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502/17%
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600/21%
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600/21%
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600/21%
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Number/percent of students participating in
health education sessions promoting healthy lifestyle choices (other than
risky behaviors).
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6,593/35%
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7,652/41%
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6,639/35%
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7,700/41%
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7,700/41%
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7,700/41%
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Number/percent of students
participating in health promotion campaign activities each year.
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N/A
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1,402/8%
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2,856/15%
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3,000/16%
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3,000/16%
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3,000/16%
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Number of education programs conducted for
adolescents to reduce or prevent risky behavior
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78
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109
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171
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180
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200
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200
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Customer
Measures
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Percent of parents
responding to customer satisfaction survey indicating overall satisfaction
with service
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N/A
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N/A
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N/A
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80%
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80%
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80%
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Percent of school staff responding to survey who
indicate overall satisfaction with services
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N/A
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N/A
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N/A
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80%
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80%
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80%
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Workload Measures
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School enrollment as of
September 30th
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Total number of students
enrolled
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19,097
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18,469
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19,120
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18,744
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19,000
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19,000
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Number of 4th
and 5th graders
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2,861
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2,795
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2,891
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2,819
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2,800
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2,800
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Number of adolescents
(middle and high school)
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9,307
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8,354
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9,337
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9,158
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9,500
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9,500
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Programs
for adolescents on risk-reduction topics are defined as programs related to
substance abuse, eating disorders, violence, and sexual behavior provided to
middle school and high school students (grades 6-12). This does not include the many individual risk-reduction
counseling sessions with students.
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Customer survey
results will be available beginning in FY 2005.
Parent Infant Education Program
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FY 2002 Actual
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FY2003
Actual
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FY 2004 Actual
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FY 2005 Estimate
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FY 2006 Estimate
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FY 2006 Goal
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Mission Outcome Measures
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Number/percent of children who received an
Infant and Family Service Plan (IFSP) within 45 days of referral (families
who request a delay are not included in data)
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N/A
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88/83%
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99/80%
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99/80%
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105/85%
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124/100%
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Number/percent of children who began a service
within three weeks of inclusion on the IFSP
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N/A
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122/74%
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154/84%
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154/84%
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174/95%
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183/100%
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Number/percent of children who have a completed
discharge plan before transition from the PIE program
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N/A
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N/A
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193/100%
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193/100%
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193/100%
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193/100%
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Customer Measures
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Percent of
families responding to the State Family Survey, who indicate satisfaction with
the quality of services provided by early intervention services staff
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N/A
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N/A
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N/A
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80%
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95%
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100%
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Percent of families
responding to the State Family Survey, who indicate satisfaction with the way
services were coordinated
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N/A
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N/A
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N/A
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80%
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95%
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100%
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Percent of families
responding to the State Family Survey, who reported that their early
intervention experience made them feel more confident in finding ways to meet
their child's needs
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N/A
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N/A
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N/A
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80%
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100%
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100%
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Workload Measures
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Number of children
receiving intake services
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195
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219
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278
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278
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278
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278
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Number of children receiving
occupational therapy, physical therapy, speech therapy, special instruction
and/or service coordination
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274
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315
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344
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344
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344
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344
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Diagnostic and Evaluation Clinic
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FY 2002 Actual
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FY2003
Actual
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FY 2004 Actual
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FY 2005 Estimate
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FY 2006 Estimate
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FY 2006 Goal
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Mission Outcome Measures
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Number/percent of
evaluations completed within 60 days of the initial face-to-face meeting with
the client
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N/A
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N/A
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37/74%
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52/80%
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66/95%
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66/95%
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Number/percent of
evaluation reports mailed to the family within 14 days of the interpretive
conference
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N/A
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42/89%
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43/86%
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56/80%
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67/95%
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67/95%
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Number/percent of families
who reported receiving follow-up case management within 6 months of the
evaluation
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N/A
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35/82%
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45/96%
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63/96%
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66/100%
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66/100%
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Customer Measures
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Percent of families,
responding to the Family Satisfaction Survey, who felt that the evaluation
report provided the information that would be useful to agencies that might
work with their child.
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N/A
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N/A
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N/A
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85%
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95%
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95%
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Percent of families,
responding to the Family Satisfaction Survey, who felt recommendations and
referral resources provided by the clinic evaluation would be useful.
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N/A
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N/A
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N/A
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85%
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90%
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90%
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Percent of families,
responding to the Family Satisfaction Survey, who reported that the clinic
evaluation addressed their concerns.
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N/A
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N/A
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N/A
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85%
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90%
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90%
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Workload Measures
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Number of children assessed
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45
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47
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50
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65
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70
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70
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In FY 2004, delays in completion of the evaluation
resulted from appointment cancellations by families and difficulties in
scheduling educational components of the evaluation. One position was also
vacant for a period of two months, impacting the ability to meet targeted
timelines.
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Client satisfaction survey will be done in FY 2005.
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