APR & SSIP- Child Outcomes (Indicator #3) by https://padlet.com/DOHEIS/md1li7gl2gb849qv en-us 2025-12-18 22:02:30 UTC 2025-12-24 18:30:07 UTC hello@padlet.com TARGETS stand out – discussed targets if we should change the targets DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728801950 2025-12-19 18:56:52 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728801950 Target looks achievable, nothing out of place that would seem unachievable. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802153 2025-12-19 18:57:22 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802153 How are the workgroups addressing the low percentages that range from program to program? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802244 2025-12-19 18:57:36 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802244 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802365 2025-12-19 18:57:53 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802365 Coming in with a delay, so should we minimize the target to meet the delay or leave it? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802771 2025-12-19 18:58:41 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728802771 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728803017 2025-12-19 18:58:56 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728803017 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728806032 2025-12-19 19:05:39 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728806032 It is hard; like the play project, Mom said she thinks the child is acting normally. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728806749 2025-12-19 19:06:17 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728806749 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728808174 2025-12-19 19:08:29 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728808174 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728809740 2025-12-19 19:11:29 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728809740 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728810057 2025-12-19 19:12:12 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728810057 Having something like an agenda on who should share what, and when. (I.e., having families share highs before you share lows is harder.) DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728810577 2025-12-19 19:13:34 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728810577 Training provided – educating programs DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728811158 2025-12-19 19:14:43 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728811158 Streamlined process DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728811266 2025-12-19 19:14:54 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728811266 high cancellation rates – so families cannot meet targets if they aren’t there. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812077 2025-12-19 19:16:37 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812077 If not in the home, we don’t know if families are carrying through with strategies. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812756 2025-12-19 19:17:39 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812756 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812977 2025-12-19 19:18:05 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728812977 States have shifted to identify the actual caregiver. Get the actual caregiver to build capacity. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728813123 2025-12-19 19:18:26 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728813123 Cultural difference – hard to ask questions when, culturally, people may not want to share information, talk, etc. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728813324 2025-12-19 19:18:50 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728813324 late entry into EI (2 months into) DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814047 2025-12-19 19:20:08 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814047 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814159 2025-12-19 19:20:22 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814159 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814243 2025-12-19 19:20:34 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814243 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) DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814359 2025-12-19 19:20:50 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814359 Lying on COS rating. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814472 2025-12-19 19:21:05 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814472 Can COS be changed from a list to what frequency of how much the baby is doing consistently? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814571 2025-12-19 19:21:20 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814571 Crosswalk from BDI to COS would be good as a springboard to have conversations. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814663 2025-12-19 19:21:33 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814663 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814749 2025-12-19 19:21:44 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814749 Use a standardized score instead of input. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814857 2025-12-19 19:21:56 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814857 BDI and COS should mirror, and they don’t always. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814958 2025-12-19 19:22:11 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728814958 45-day timeline, especially if cancellations, then child progresses which then changes the concerns. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815147 2025-12-19 19:22:34 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815147 Role play of how to go through COS. COS Trainings – best practices, guideline, etc. One video for training. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815465 2025-12-19 19:23:18 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815465 Suggestion- During new hire Orientation – include a demo of an actual COS in practice. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815600 2025-12-19 19:23:31 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815600 Scale up the piloting of the COS Fidelity Tool in order to gather more data and determine next steps. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815868 2025-12-19 19:24:03 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728815868 3A1: 47.45% - 3A2-65.03% 3B1: 57.41% - 3B2-42.72% 3C1: 59.34% 3C2 - 67.58% Recommendation: Change target YES NO DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728820253 2025-12-19 19:33:29 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728820253 If YES: Recommendation to revise target to __________ Justification: DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728821679 2025-12-19 19:37:09 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728821679 Who will be responsible for completing the additional COS training with care coordinators needing additional support? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728825625 2025-12-19 19:44:34 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728825625 Do you AGREE with this target? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728831160 2025-12-19 19:57:29 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728831160 we have acquired several new programs as well as program managers that need to be trained. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728832277 2025-12-19 20:00:27 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728832277 Follow-up LCFT submission with an emailed conversation to help support strategies that PM has with LCFTs. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728833444 2025-12-19 20:02:39 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728833444 Do you AGREE with this target? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728834273 2025-12-19 20:04:03 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728834273 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728834458 2025-12-19 20:04:23 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3728834458 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731558466 2025-12-23 17:36:06 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731558466 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731558986 2025-12-23 17:37:18 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731558986 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 DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731559248 2025-12-23 17:37:50 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731559248 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. DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731569492 2025-12-23 18:02:53 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731569492 Group recommended NO change to target DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731570970 2025-12-23 18:06:26 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731570970 Do you DISAGREE with this target? if so, what is your proposed target and justification? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731574921 2025-12-23 18:16:45 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731574921 Do you DISAGREE with this goal? What is your justification and proposal? DOHEIS https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731579411 2025-12-23 18:29:04 UTC https://padlet.com/DOHEIS/md1li7gl2gb849qv/wish/3731579411