# data[].attributes.headline
TARGETS stand out – discussed targets if we should change the targets

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TARGETS stand out – discussed targets if we should change the targets

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Target looks achievable, nothing out of place that would seem unachievable. 

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Target looks achievable, nothing out of place that would seem unachievable. 

# data[].attributes.headline
How are the workgroups addressing the low percentages that range from program to program? 

# data[].attributes.subject
How are the workgroups addressing the low percentages that range from program to program? 

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There’s a range of percentages through Programs (3A1), so the number is an average. Why are some programs so high, and why are some so low? Isn’t it an average? Should we raise it? Most families will only accept services if the child has a delay. 

# data[].attributes.subject
There’s a range of percentages through Programs (3A1), so the number is an average. Why are some programs so high, and why are some so low? Isn’t it an average? Should we raise it? Most families will only accept services if the child has a delay. 

# data[].attributes.headline
Coming in with a delay, so should we minimize the target to meet the delay or leave it?  

# data[].attributes.subject
Coming in with a delay, so should we minimize the target to meet the delay or leave it?  

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If a program has 38% and demographics, is military kids, is there a way of swaying ratings? Relocation? Could still be valid but is it accurate. 

# data[].attributes.subject
If a program has 38% and demographics, is military kids, is there a way of swaying ratings? Relocation? Could still be valid but is it accurate. 

# data[].attributes.headline
Sometimes it’s difficult in the beginning to start by saying, your child has delays. So, we need to build a relationship with the families at the beginning. It's hard to have an honest conversation at the beginning, but we need to have one to get accurate ratings. 

# data[].attributes.subject
Sometimes it’s difficult in the beginning to start by saying, your child has delays. So, we need to build a relationship with the families at the beginning. It's hard to have an honest conversation at the beginning, but we need to have one to get accurate ratings. 

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It is hard; like the play project, Mom said she thinks the child is acting normally. 

# data[].attributes.subject
It is hard; like the play project, Mom said she thinks the child is acting normally. 

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PMs can share that providers should be honest with families to be assertive in a positive way to give honest ratings. Build rapport and have conversations with families again throughout observations. 

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PMs can share that providers should be honest with families to be assertive in a positive way to give honest ratings. Build rapport and have conversations with families again throughout observations. 

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What CC has done during COS rating, they will prepare developmental delays and highlight the positive. Skills that the child has to discuss first, then rate the skills the child doesn’t have.  

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What CC has done during COS rating, they will prepare developmental delays and highlight the positive. Skills that the child has to discuss first, then rate the skills the child doesn’t have.  

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CC also use whatever else they know about the families to help all team members understand where the families are, as well as the child. Being a part of the evaluation helps her discuss results that families have also seen. So, pay close attention to all interactions. 

# data[].attributes.subject
CC also use whatever else they know about the families to help all team members understand where the families are, as well as the child. Being a part of the evaluation helps her discuss results that families have also seen. So, pay close attention to all interactions. 

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Having something like an agenda on who should share what, and when. (I.e., having families share highs before you share lows is harder.) 

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Having something like an agenda on who should share what, and when. (I.e., having families share highs before you share lows is harder.) 

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high cancellation rates – so families cannot meet targets if they aren’t there.

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high cancellation rates – so families cannot meet targets if they aren’t there.

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If not in the home, we don’t know if families are carrying through with strategies. 

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If not in the home, we don’t know if families are carrying through with strategies. 

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Cancellations and providers coming in on parents' days off to teach them, but the child is with caregivers who do not participate in strategies. Also, there are many language barriers and cultural differences. For instance, we want children to feel food for textures, but culturally it is not allowed. Also, the parent coaching model is spent with parents, but not caregivers are grandparents, etc. So, coaching doesn’t work. 

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Cancellations and providers coming in on parents' days off to teach them, but the child is with caregivers who do not participate in strategies. Also, there are many language barriers and cultural differences. For instance, we want children to feel food for textures, but culturally it is not allowed. Also, the parent coaching model is spent with parents, but not caregivers are grandparents, etc. So, coaching doesn’t work. 

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States have shifted to identify the actual caregiver. Get the actual caregiver to build capacity.

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States have shifted to identify the actual caregiver. Get the actual caregiver to build capacity.

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Cultural difference – hard to ask questions when, culturally, people may not want to share information, talk, etc. 

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Cultural difference – hard to ask questions when, culturally, people may not want to share information, talk, etc. 

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IFSP leads to discount Early Headstart, Seagulls, etc. So families are “going through” IFSP just to get higher on the list for ASD program (PACT, case managers) or discounts, and not being consistent with services for EI. 

# data[].attributes.subject
IFSP leads to discount Early Headstart, Seagulls, etc. So families are “going through” IFSP just to get higher on the list for ASD program (PACT, case managers) or discounts, and not being consistent with services for EI. 

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Some families only do the visit because they only need the IFSP for other benefits.  The they don’t actually want to get services, so they say things that don’t match what babies are doing or saying baby needs services when they don’t.  

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Some families only do the visit because they only need the IFSP for other benefits.  The they don’t actually want to get services, so they say things that don’t match what babies are doing or saying baby needs services when they don’t.  

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Resource caregiver was told UCP said we don’t need to meet in the home, and we can meet anywhere, meet in Honolulu (not Wahiawa) 

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Resource caregiver was told UCP said we don’t need to meet in the home, and we can meet anywhere, meet in Honolulu (not Wahiawa) 

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Can COS be changed from a list to what frequency of how much the baby is doing consistently?  

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Can COS be changed from a list to what frequency of how much the baby is doing consistently?  

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Crosswalk from BDI to COS would be good as a springboard to have conversations. 

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Crosswalk from BDI to COS would be good as a springboard to have conversations. 

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If you are good at BDI, you are using the family input. Then use that as the starting point for the initial talk with families. Then use COS at the next meeting. 

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If you are good at BDI, you are using the family input. Then use that as the starting point for the initial talk with families. Then use COS at the next meeting. 

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Use a standardized score instead of input.  

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Use a standardized score instead of input.  

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BDI and COS should mirror, and they don’t always. 

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BDI and COS should mirror, and they don’t always. 

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45-day timeline, especially if cancellations, then child progresses which then changes the concerns. 

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45-day timeline, especially if cancellations, then child progresses which then changes the concerns. 

# data[].attributes.headline
 Role play of how to go through COS. COS Trainings – best practices, guideline, etc. One video for training. 

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 Role play of how to go through COS. COS Trainings – best practices, guideline, etc. One video for training. 

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Suggestion- During new hire Orientation – include a demo of an actual COS in practice. 

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Suggestion- During new hire Orientation – include a demo of an actual COS in practice. 

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Scale up the piloting of the COS Fidelity Tool in order to gather more data and determine next steps.  

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Scale up the piloting of the COS Fidelity Tool in order to gather more data and determine next steps.  

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If YES:                                             Recommendation to revise target to __________             Justification:  

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If YES:                                             Recommendation to revise target to __________             Justification:  

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Who will be responsible for completing the additional COS training with care coordinators needing additional support?  

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Who will be responsible for completing the additional COS training with care coordinators needing additional support?  

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we have acquired several new programs as well as program managers that need to be trained. 

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we have acquired several new programs as well as program managers that need to be trained. 

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Follow-up LCFT submission with an emailed conversation to help support strategies that PM has with LCFTs. 

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Follow-up LCFT submission with an emailed conversation to help support strategies that PM has with LCFTs. 

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Program Support- started doing in-services to review the COS process from intake, MDE, PLODS, and how these all link and support the program in facilitating the conversation with the team. 

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Program Support- started doing in-services to review the COS process from intake, MDE, PLODS, and how these all link and support the program in facilitating the conversation with the team. 

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Program Support- have program staff role play a provided scenario and how they would have this conversation with the family, which includes full participation from all providers even if they did not do the eval or may not be the PSP.

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Program Support- have program staff role play a provided scenario and how they would have this conversation with the family, which includes full participation from all providers even if they did not do the eval or may not be the PSP.

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Program Support- We are trying to support the program in creating bridges between all the different parts that lead up to the IFSP and COS

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Program Support- We are trying to support the program in creating bridges between all the different parts that lead up to the IFSP and COS

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Program Managers who are participating in the COS workgroup have agreed to pilot the tool with staff. Manager will observe 2 COS ratings per CC before the next workgroup meeting in January 2026.

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Program Managers who are participating in the COS workgroup have agreed to pilot the tool with staff. Manager will observe 2 COS ratings per CC before the next workgroup meeting in January 2026.

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Do you DISAGREE with this target? if so, what is your proposed target and justification? 

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Do you DISAGREE with this target? if so, what is your proposed target and justification? 

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Do you DISAGREE with this goal? What is your justification and proposal?

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Do you DISAGREE with this goal? What is your justification and proposal?

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Complete a training for all new managers as well as any current managers who would like a refresher on how to use their data for program improvement. 

# data[].attributes.subject
Complete a training for all new managers as well as any current managers who would like a refresher on how to use their data for program improvement. 