During the two most recent reporting periods (FY 16), of the families who did not receive an annual review within the required timeframe, all were due to family circumstances (cancelled visit, child sick, family vacation, etc.). These issues are being addressed by staff clearly communicating deadlines to families and scheduling review dates in advance.

During previous reporting periods, some annual reviews were missed due to staff circumstances (sick, vacation, lack of tracking/knowledge of deadline, etc.). These issues were addressed by staff planning further in advance, receiving print outs of upcoming reviews, reviewing upcoming deadlines once a month at the weekly referral and intake meeting and improved team communication. Some confusion remains regarding deadlines when there are multiple CIS service providers working with a family.

The families' team. CIS staff. Parents/Families. Therapies - SLP/OT/PT. Child care providers. Outside partners engaged with family.

• Systems to track deadlines - yellow paper, database, schedule in calendar.
• Consistent data understanding and entry.
• Flexibility - families and staff.

• Monthly, the CIS team will review upcoming annual reviews to coordinate a review date among relevant partners.
• Continue to have data printed for each Primary Service Provider monthly to ensure review meetings are scheduled in advance (consider 11 month review for cases with circumstances that might inhibit a timely review).
• Service Providers mark upcoming reviews in their calendars/appointment books.
• Ensure all staff enter data accurately - indicate reason if timeline not met.
• Develop a policy regarding exiting families in a timely manner.
• Review billing and encounter information to ensure families are exited from the program when they should be.
• Continue to discuss possible family exits at weekly meeting.
• Finalize family engagement letter and include information on policy regarding exiting families.
• Create clear protocol on transitioning from one CIS program to another CIS program and how to ensure that information in the database is accurate. Invite all players to the transition meeting. EI makes sure to give One Plan cover sheet with timelines to new Service Coordinator.