Specifications include, but are not limited to: The proposed Project must: 1. Enhance systems and local processes to make it easier for families to navigate services within their community; 2. Provide culturally effective services that address community drivers of health. Activities must include but are not limited to: a. 100% of Grantee staff funded through the CYSHCN Systems Development Group shall complete the online course “Culturally Effective Health Care” through Texas Health Steps; b. Grantee must meet with organizations serving populations that experience additional disparities due to community drivers of health at least once per quarter to exchange information and plan collaborative activities; c. Notify all Clients about the availability of translation/interpretation services; d. Provide 100% of Clients with a translator/interpreter upon request for written communications and in-person meetings or events in their preferred language; and e. 100% of families will report staff provide services that respect their culture and traditions when working with their family. 3. Families are engaged in programming and are satisfied with the services provided. Activities must include, but are not limited to: a. 100% of families served shall have the opportunity to give feedback on the services provided through the DSHS-developed family experience survey, at least once per State Fiscal Year; b. Submit a program self-assessment on family engagement within the first 3 months of the Contract Effective Date and annually thereafter in a format as directed by DSHS; and c. Annually identify at least two (2) improvements based on the selfassessment results and identify activities to implement in response to the findings outlined in its work plan. Goals will be in a S.M.A.R.T format. 4. Comprehensive case management services shall be provided to or on behalf of children/youth with special health care needs. a. 100% of children/youth shall have, or be assisted in finding, a primary care provider (i.e., a physician or nurse practitioner for both preventive care (e.g., checkups and immunizations) and for when the child/youth is sick) within 60 days of implementation of the Individual Service Plan; b. 100% of youth aged 12 years and older who are served shall have a written transition plan developed in partnership with the family. The written transition plan may be a part of the child/youth’s Individual Service Plan or a standalone document and shall address key areas of transition including, but not limited to, transition to adult health care, plans for post-secondary education, development of vocational/employment skills, living arrangements and housing, and leisure activities; and c. Case management services shall demonstrate fidelity to the CYSHCN Case Management Practice Model.
