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Quality Rubric","","Provider Progress Report Template - Quality Rubric用于记录服务提供方在指定周期内对儿童IFSP（Individualized Family Service Plan）目标的进展情况。文档包含儿童与机构信息、授权与服务日期、会次数量与频率、取消与缺勤统计以及结局（Outcome）版本与达成状态选择。模板要求以清晰、适合家庭理解的方式描述客观观察、短期目标、延迟影响、干预策略与家庭教练活动，并说明对授权频率的建议及是否新增IFSP结局。",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/provider-progress-report-template-quality-rubric/245556/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/provider-progress-report-template-quality-rubric/245556.png","ImageObject",442,249,{"name":88,"@type":89},"Quinn","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"进度报告需要填写哪些关键信息？","Question",{"text":108,"@type":109},"需要填写报告类型、儿童信息（姓名、编号、出生日期）、机构与专业方向、授权起止日期及首诊日期，并填写服务会次数量与频率等栏目。","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"模板如何要求描述儿童向IFSP结局的进展？",{"text":113,"@type":109},"要求使用适合家庭理解的清晰语言，提供客观事实与观察，说明与目标相关的短期目标、技能/行为/靶点、持续影响进展的延迟领域，以及干预策略与家庭教练如何支持目标推进。",{"name":115,"@type":106,"acceptedAnswer":116},"提供方在报告中如何处理授权频率的建议？",{"text":117,"@type":109},"根据儿童进展提供授权频率的建议：若调整需给出理由并说明与儿童当前发展水平和需求的匹配；若不调整需注明继续沿用当前频率；若建议停止服务需明确支持该决定的依据。","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},245556,1790109291,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},962075114765,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Provider Progress Report Template/Quality Rubric  \nProgress Report Type (check one)  \n\n| 5 month | 10 month | Other |\n| --- | --- | --- |\n|  |  |  |\n\nChild Information  \n\n| Name of Child | Child ID | Child Date of Birth |\n| --- | --- | --- |\n|  |  |  |\n\n\n| Report Date | IFSP Start Date | IFSP End Date |\n| --- | --- | --- |\n|  |  |  |\n\nProvider Information  \n\n| Name of Provider | Discipline | Name of Agency |\n| --- | --- | --- |\n|  |  |  |\n\nAuthorization Information  \n\n| Authorization Start Date (mm/dd/yyyy) | Authorization End Date (mm/dd/yyyy) | Date of First Session (mm/dd/yyyy) |\n| --- | --- | --- |\n|  |  |  |\n\nQuantity, Frequency, and Length  \n\n| Weekly | Monthly | Annually | Total |\n| --- | --- | --- | --- |\n|  |  |  |  |\n\n\n| Total Number of Sessions Provided | Number of Sessions Provided as Scheduled | Number of Sessions Provided as Make-Up |\n| --- | --- | --- |\n|  |  |  |\n\nNumber of sessions cancelled by family with prior notice  \nNumber of sessions missed due to no call / no show  \nNumber of sessions cancelled by provider with prior notice  \nOutcome  \n\n| Outcome Number | Outcome Version | Outcome Name |\n| --- | --- | --- |\n|  |  |  |\n\n\n| Check One | Status of Outcome |\n| --- | --- |\n|  | Achieved – Remove status of outcome from IFSP – review continued need for service |\n|  | Partially Met – Continue outcome as written on the IFSP, review frequency of authorization |\n|  | Little Progress – Continue outcome as written on the IFSP, review frequency of authorization |\n|  | Discontinue – Remove outcome for the IFSP, discontinue authorization |\n\nWhat progress has been made towards the outcome?  \nDescribe the child’s progress toward the identified IFSP outcome using clear, familyfriendly language. The10-month report should include more detailed information. This form is utilized by Service Coordinators in order to write annuals, ED Team Members toredetermine eligibility and complete the AEPS, and families to understand their child’s progress. Include only factual, objective observations rather than opinions or interpretations. In certain specialized cases, this form may also be used for insurance prior authorizations, high-intensity service requests, or for sharing with medical professionals. Below are topics that should be discussed in this box if applicable to the child.  \n• Summarize relevant short-term goals, including current developmental levels, the child’s present status, audiological information, presence of orthotics.  \n• Document specific skills, behaviors, or targets observed during visits, especially those demonstrated within daily routines.  \n• Identify any current areas of delay that continue to affect the child’s progress.  \n• Explain how intervention strategies were used and how they supported movement toward the goal.  \n• Include updates to intervention approaches, strategies, or caregiver coaching activities implemented during this period.  \n• Provide a brief summary of relevant events or developmental changes over the past several months.  \nHow will the provider support the child and family to continue making progress towards the outcome? (Only complete if continuing outcome)  \nDescribe how you will continue to support the child and family in making progress toward the ongoing IFSP outcome. Use family friendly language that the family is already familiar with. Below are topics that should be discussed in this box if applicable to the child.  \n• Identify any new short-term goals.  \n• Describe the planned intervention strategies you will use to support continued progress.  \n• Identify the specific skills, behaviors, or targets you will focus on upcoming visits.  \n• Outline how you will coach and partner with the caregiver to embed strategies into daily routines.  \n• Explain how you will help strengthen the family’s confidence and capacity to support their child’s development.  \n• Note any adjustments or updates to intervention methods based on the child’s current needs.  \n• Specify what you will monitor moving f","cbCaibsnU4qjibbD","https://ap.wps.com/l/cbCaibsnU4qjibbD","pdf",154169,"English","# Progress Report Type\n# Child Information\n## Report Dates\n# Provider Information\n# Authorization Information\n# Quantity, Frequency, and Length\n## Sessions Provided\n## Sessions Cancelled or Missed\n# Outcome\n## Outcome Version and Name\n## Status of Outcome\n# Progress Toward the Outcome\n## Evidence and Observations\n# Provider Support Plan\n# Authorization Frequency Recommendations\n# New Outcome Recommendations\n# Other Comments and Provider Contact Information","[{\"question\":\"进度报告需要填写哪些关键信息？\",\"answer\":\"需要填写报告类型、儿童信息（姓名、编号、出生日期）、机构与专业方向、授权起止日期及首诊日期，并填写服务会次数量与频率等栏目。\"},{\"question\":\"模板如何要求描述儿童向IFSP结局的进展？\",\"answer\":\"要求使用适合家庭理解的清晰语言，提供客观事实与观察，说明与目标相关的短期目标、技能/行为/靶点、持续影响进展的延迟领域，以及干预策略与家庭教练如何支持目标推进。\"},{\"question\":\"提供方在报告中如何处理授权频率的建议？\",\"answer\":\"根据儿童进展提供授权频率的建议：若调整需给出理由并说明与儿童当前发展水平和需求的匹配；若不调整需注明继续沿用当前频率；若建议停止服务需明确支持该决定的依据。\"}]","Provider Progress Report Template - Quality Rubric | PDF",1789229408]