TEIS Referral

Data Analysis

Nashville Software School

Data Analytics | Cohort 7

Rate of re-referral and

Multiple referrals by

Point of Entry Office (POE)

Re-referral Rate

16.26% Re-referrals

115,523 total referrals

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18,781 re-referrals

Re-referrals By Point of Entry Office

Percent of re-referrals By Point of Entry Office

• 15,641 children with more than 1 referral in Tennessee.

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• MD, GN, and NW Point of Entry offices have the highest percentage of re-referrals.

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Recommendations:

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• Add a referral id that links to the child id to keep track of family relocation and maintain a consistent record of past referrals.

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• Allow referral sources a way to see if children already have an existing referral.

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Key Points

Referral Sources with Higher Rates of Successful Referrals

Successful Referral Percentages

Total Referrals with Success Percentage

Total Referrals vs Total Successful Referrals

Key Points

• Out of 24 referral source types, only 17 have made 100 or more referrals since 2016
• 5 most successful referral source types: Foster Parent – 62.23%

Speech Therapist – 60.4%

Physical Therapist – 60.19%

Parent – 57.4%

Family & Friends – 53.1%

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• 5 least successful referral source types: DCS – 17.53%

NICU – 35.36%

NHS – 31.08% Dept of Health – 37.41%

Hospital – 39.99%

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• PCP is the biggest referral source, but ranks 9 out 17 for successful referral percentage at 41.6%
• DCS is the second biggest referral source, but ranks 17 out 17 for successful referral percentage at 17.53%
• Parent is the third biggest referral source, but ranks 4 out of 17 for successful referral percentage at 57.4%
• Resource types who work more closely with a child have better successful referral percentages
• Institutions which typically have transient relationships with a child are the least successful referral sources
• Volume of referrals does not equal success of referrals, measured by creation of an IFSP

Average Age and Rate of Successful Referrals by POE

What is a child’s average age at referral?�How do POE’s compare?

*Potential POEs of concern where average age of referral is greater than 15 months are:

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• South Central (17.01 months)

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• Greater Nashville (16.49 months)

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• Upper Cumberland (15.54 months)

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• Memphis Delta (15.40 months)

*Notification date used for calculation

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15 months

Total Referral vs Eligible Referral IFSP Result�How do POE’s compare?

*Only POE’s of potential concern are

Memphis Delta (34.45%) and Northwest (31.87%)

35%

75%

Average Age of Referral for �Memphis Delta by Year

Key Points

• is a potential POE of concern with a higher average age of referral and a lower percent of total referrals resulting in an IFSP.

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• Eligible children have a higher percentage of resulting in an IFSP.

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• Memphis DeltaParental consent/understanding is a critical component in reaching eligibility (extra data of this is available upon request please refer to Michael Norman).

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• Did not attempt to establish a correlation between the average age of referral and successful referrals, further research is recommended.

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Age, Referral Source &

Socioeconomic Status (County & POE SES)

Referrals by Age

• The highest proportion of referrals is for children ages 0-6 months
• The patterns of referrals and re-referrals by age are very similar, which suggests there is generally not a long delay in re-referrals

Referrals vs. Re-referrals

• The only developmental period with a higher proportion of re-referrals is 6-18 months

Referral and Re-Referrals by Source

• The top 5 sources for referrals and re-referrals are identical, and percentages are very similar

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Socioeconomic Status (County)

• This map of Tennessee displays the SES status by county
• The lighter the color, the higher the SES
• The darker the color, the lower the SES

Socioeconomic Status (POE)

• We took the SES information we had for counties and calculated the average SES for all 9 POEs

Using these charts, we are able to easily identify the POE territories with the highest levels of economic need.

Distressed: 5�At-Risk: 4�Transitional: 3�Competitive: 2�Attainment: 1

Key Points

• The highest proportion of referrals is for children ages 0-6 months
• The patterns of referrals and re-referrals by age are very similar, which suggests there is generally not a long delay in re-referrals
• The only developmental period with a higher proportion of re-referrals is 6-18 months
• POE locations with the highest levels of economic need:
• First Tennessee, Northwest, Southwest
• POE locations with the lowest levels of economic need:
• Upper Cumberland, Greater Nashville, South Central

Early Exit Rates �for�Point of Entry Offices�and�Service Coordinators

Early Exit by Point of Entry Office

Average TEIS Early Exit Rate = 37.65%

Early Exit Rate by Service Coordinator

214 / 335

13 / 21

165 / 272

135 / 243

6 / 11

18 / 25

112 / 203

128 / 244

75 / 150

107 / 245

8 / 9

17 / 23

11 / 15

29 / 42

93 / 141

43 / 73

134 / 244

29 / 59

121 / 251

132 / 277

52 / 78

54 / 86

6 / 10

35 / 61

8 / 11

Early Exit Rate by Service Coordinator

7 / 8

11 / 11

48 / 55

14 / 18

17 / 22

27 / 36

5 / 9

9 / 17

64 / 127

46 / 97

9 / 12

6 / 9

20 / 31

14 / 23

42 / 84

4 / 4

5 / 6

3 / 4

5 / 7

9 / 13

Key Points

• The average TEIS Early Exit rate is 37.65%

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• 5 Point of Entry Offices have Early Exit rates above the overall average:
• Southwest
• Northwest
• East Tennessee
• Upper Cumberland
• First Tennessee
• 154 Service Coordinators have rates above the average for their Point of Entry Office (full list is available)

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• We suggest East Tennessee POE as an area to focus on
• High overall Early Exit rate
• High proportion of Service Coordinators whose rates fall above that average

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Key Takeaways

• Add a referral id that links to the child id to keep track of family relocation and maintain a consistent record of past referrals.
• Allow referral sources a way to see if children already have an existing referral.
• Resource types who work more closely with a child have better successful referral percentages
• Institutions which typically have transient relationships with a child are the least successful referral sources
• Volume of referrals does not equal success of referrals, measured by creation of an IFSP
• Memphis Delta is an area of concern with a higher average age of referral and a lower percent of total referrals resulting in an IFSP
• Parental consent/understanding is a critical component in reaching eligibility
• Concentrate more resources on lower levels of social economic areas in TN for better rates of referrals
• Focus on East Tennessee area for high overall early exit rate and high proportion of Service Coordinators whose rates fall above average

Questions?

Thank you for the opportunity to analyze this data. We truly appreciate this experience.