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HHS Coordinated Strategic Plan
Strategic Priorities and Streamlining
FY 2002— Second Quarter Detail Report
HHS Agency Self-Reported Progress on Implementing
Strategic Priorities and Other Streamlining and Service
Delivery Efforts
HHSC Research, Planning and Evaluation Division
Updated: June 2002
Table of Contents
INTRODUCTION........................................................................................................................................... 3
THE TEXAS HEALTH AND HUMAN SERVICES AGENCIES ..................................................................... 4
IMPROVE COMMUNITY BASED TRANSPORTATION SERVICES ........................................................... 5
IMPROVE AVAILABILITY OF INFORMATION ABOUT SERVICES AND CONTINUE DEVELOPMENT
OF THE STATEWIDE INFORMATION AND REFERRAL (I & R) SYSTEM ................................................ 7
IMPROVE ELIGIBILITY AND ENROLLMENT PROCESSES FOR AGENCY CLIENTS AND
CUSTOMERS ............................................................................................................................................... 9
EXPAND HEALTH INSURANCE FOR CHILDREN.................................................................................... 11
IMPROVE COORDINATION OF CHILDREN’S SPECIAL INITIATIVES AT THE COMMUNITY LEVEL .. 13
EXPAND THE AVAILABILITY OF SUPPORTED EMPLOYMENT OPPORTUNITIES .............................. 15
SUPPORT “SUCCESSFUL AGING” THROUGH DEVELOPMENT OF AN INTERAGENCY POLICY
FRAMEWORK ............................................................................................................................................ 16
ENHANCE THE CONDITIONS THAT SUPPORT GOOD HEALTH AND SELF-SUFFICIENCY IN THE
BORDER COLONIAS ................................................................................................................................. 19
IMPLEMENT BUSINESS PROCESS IMPROVEMENTS ACROSS HHS AGENCIES THROUGH
OPTIMAL USE OF NEW TECHNOLOGY AND STANDARDIZATION WHEREVER POSSIBLE ............. 24
DEVELOP AND IMPLEMENT A LONG-RANGE INTERAGENCY PROJECT ON HOW TO MORE
EFFECTIVELY PREVENT DELINQUENCY AND CONDUCT DISORDERS IN CHILDREN AND
ADOLESCENTS ......................................................................................................................................... 28
EXPAND THE AVAILABILITY OF RESPITE SERVICES........................................................................... 30
IMPROVE TRANSITION SERVICES FOR CHILDREN AND YOUNG ADULTS TO OVERCOME
SERVICE DELIVERY SYSTEM FRAGMENTATION ................................................................................. 31
EXPAND OPPORTUNITIES FOR COMMUNITY-BASED SERVICES IN COMPLIANCE WITH
EXECUTIVE ORDER GWB 99-2................................................................................................................ 34
RESPOND TO THE GROWING NUMBER OF PERSONS WITH DIABETES BY INCREASING PUBLIC
AND POLICY-MAKER AWARENESS AND MAKING OTHER APPROPRIATE POLICY CHANGES....... 36
STREAMLINING AND SIMPLIFICATION OF SERVICE DELIVERY ......................................................... 37
2
Introduction
The Texas Health and Human Services agencies have made great strides in system
strategic planning by continuing to improve the Coordinated Strategic Plan (CSP). This
report comprises an essential step in our development as a responsive enterprise—
tracking and reporting progress on achieving CSP strategic priorities. The strategic pri-
orities are a key element of the HHS Coordinated Strategic Plan for Fiscal Years 2001-
2006, published September 1, 2000. This report summarizes progress made on rele-
vant Strategic Priorities for the second quarter of Fiscal Year 2002 (December 2001 -
February 2002).
The strategic priorities described in this report represent consensus on key strategic di-
rections that cross HHS agency boundaries and that are needed to produce results.
These priorities serve to focus individual agency planning and actions toward accom-
plishing critical enterprise-wide projects. Each strategic priority contains an “intended
outcome” that was identified jointly by the agencies, and that CEOs agreed to target col-
lectively.
This report is intended to provide HHSC and HHS agencies with information needed to:
! Measure progress in achieving goals;
! Identify and clearly describe successes;
! Evaluate the effectiveness of current services; and
! Identify barriers and effective mitigation strategies.
Since March 2001 each HHS agency has been submitting quarterly reports to HHSC
Commissioner Don Gilbert describing agency progress in implementing those HHS stra-
tegic priorities in which they have direct involvement. Agency reports provide: (1) A brief
description of what the agency has done (activities) during the quarter related to those
priorities, (2) how the activities contributed to the achievement of the "intended out-
comes" (results), and (3) a description of recent efforts to streamline and simplify ser-
vice delivery.
The HHSC Planning and Evaluation Office has compiled these individual agency re-
ports into a comprehensive report. HHSC has also provided a summary of progress for
each strategic priority.
3
The Texas Health and Human Services Agencies
Twelve Health and Human Services agencies comprise the HHS Enterprise. These
agencies include:
HHSC Health and Human Services Commission
TDoA Texas Department on Aging
TCADA Texas Commission on Alcohol and Drug Abuse
TCB Texas Commission for the Blind
TCDHH Texas Commission for the Deaf and Hard of Hearing
ECI Interagency Council on Early Childhood Intervention
TDH Texas Department of Health
THCIC Texas Health Care Information Council
TDHS Texas Department of Human Services
TDMHMR Texas Department of Mental Health and Mental Retardation
TDPRS Texas Department of Protective and Regulatory Services
TRC Texas Rehabilitation Commission
These agencies participate in producing the Coordinated Strategic Plan for the Enter-
prise as well as provide quarterly reports on progress in achieving the strategic priori-
ties.
In the sections that follow, each strategic priority is stated, followed by its intended out-
come. Then the activities of each HHS agency are outlined. Progress in the second
quarter of Fiscal Year 2002 is shown in this document.
4
Improve Community Based Transportation Services
Intended Outcome
Under the leadership of HHSC, agencies that fund transportation services (TDH, DHS, MHMR, TDoA,
and TxDOT) will change the way they do business to reduce duplication, and to redesign current frag-
mented, program-specific funding and service mechanisms to promote more efficient community trans-
portation systems that better meet the diverse needs, cultures, geography and priorities of Texas com-
munities.
Summary of Progress
HHSC assessed transportation needs in the Texas-Mexico Colonias, surveyed HHS agencies on Colo-
nias transportation issues, and worked with the Director of Border Affairs to explore transportation im-
provement initiatives in the Colonias. HHSC also collaborated with local transportation agencies in North-
east Texas to prepare a transportation resource directory.
TDoA, through the AAAs, supported the provision of transportation services. TDoA, in cooperation with
the Office of Community Transportation services, issued a request for proposals for transportation coordi-
nation projects across Texas.
TCADA-funded contractors are encouraged to provide transportation services for clients. Contracts in-
clude provisions for transportation services.
TDHS’s Local Innovations Projects addressed transportation services for low income persons. In Region
1, the services focus on helping clients become employed or retain employment. Also in Region 1, the
Wheels to Work program ended; current or former TANF clients received training and help to purchase
vehicles. In Region 8, funds are provided for transportation and vehicle repair. In Region 4, an initiative
focused on clients with disabling conditions.
HHSC Collaborated with TxDOT to improve data collection from HHS agencies required under
TxDOT legislation.
Collaborated with TDoA to develop and let jointly funded RFP for local transportation
coordination projects.
Collected legislatively mandated information regarding HHS agency client transportation
services and expenditures.
Toured Colonias and discussed potential methods of collaboration with Director of Bor-
der Affairs.
Collaborated with TDoA to arrange meeting with HHS agencies and Brownwood local
and state officials to provide technical assistance on local transportation coordination
issues.
Surveyed HHS agencies involved in Colonias project on transportation coordination is-
sues.
Collaborated with TIRN and Northeast Texas AIC to prepare a transportation resource
inventory for the NE Tx region.
5
Met with A&M Colonias project director and regional administrators to discuss needs
and potential areas for collaboration.
Collaborated with TxDOT and TWC to provide state guidance on suggested changes
regarding transportation in TANF and JARC reauthorization bills before Congress.
Collaborated with TDMHMR to survey local MHMR Authorities on transportation expen-
ditures.
Collaborated with TDH and TIRN to develop instructional letter providing AICs with con-
sistent referral information regarding the Medicaid Medical Transportation Program.
Requested information from HHS agencies on existing capacity to capture comprehen-
sive data regarding trip volume and modality.
Met with TWC to provide information on HHS transportation and lay groundwork for fu-
ture collaboration.
TDoA The Department continues to coordinate transportation services with the Office of
Community Transportation Services. AAAs continue to support the provision of
transportation services including demand response, fixed route and assisted
transportation. During the second quarter, the Department, in partnership with the Office
of Community Transportation Services, issued a request for proposals for transportation
coordination projects across Texas. Projects will provide the opportunity for
communities to shape transportation systems to meet the needs of its residents. It is
anticipated that through collaboration and planning at the local level, communities can
increase the availability of options, supports and services to all citizens while
maximizing the use of available resources. The expected outcome is to implement
methods for successful, inclusive, local collaboration regarding public, client and private
transportation and methods for coordination that can be replicated and modified for use
throughout the state.
TCADA TCADA-funded providers are encouraged to provide transportation services for clients.
Fiscal year 02 contracts include provisions for transportation services as requested in
individual provider budget summaries.
TDH Performance Measure: The complete information will not be available until all contrac-
tors have billed for services provided, approximately 45-60 days after any cut off period.
TDHS Jobs Access Supportive Services (JASS), an Innovation Project in Region 1, provided
transportation assistance to low income persons. Five transportation options are offered
to help low income persons stay employed, get a job, and/or access training for em-
ployment or career advancement. Transportation options include: 1) referral and linkage
to an existing transportation provider or program providing transportation assistance; 2)
payment of fares for participants to use existing public transit systems; 3) assistance
with fuel costs for participants using personal vehicles; 4) assistance with vehicle repair
costs for persons using personal vehicles; and 5) payment of passenger fares for pri-
vate taxi service.
The Wheels to Work program in Region 1 ended December 2001. Of the 64 applica-
tions received, 35 clients completed the credit training and 13 completed the vehicle
maintenance training. A total of 32 cars were purchased in nine counties. All participants
were current or former TANF clients.
DHS Region 8 worked with several entities to provide transportation services. One entity
6
servicing mutual clients is the Middle Rio Grande Development Council. The Middle Rio
Grande Development Council services Program Area Counties of Zavala, Dimmit, Mav-
erick, La Salle, and Val Verde and provides transportation monies to customers for their
program Work Search, Job Readiness, Orientation Sessions, and Vehicle Repairs. This
important initiative provides funds for transportation, vehicle repair, and helps bring ser-
vices to the needy citizens. DHS Region 8 communities are in rural areas, and custom-
ers take advantage of the time and money savings required through coordination of ser-
vices in a “one stop shop” setting.
Region 4 Texas Works staff participated in a Transportation Initiative through the Home-
less Coalition of Smith County to address the transportation needs of Smith County
residents, especially those with disabling conditions.
Improve Availability of Information About Services and
Continue Development of the Statewide Information
and Referral (I & R) System
Intended Outcome
The statewide I&R Network will serve as the primary local and state access points for health and human
services information in Texas. All HHS agencies will contribute necessary information to the system, will
not operate duplicate systems, and will make appropriate referrals to the system.
Summary of Progress
HHSC implemented the Finding Help in Texas Internet web site. It has had a total of 8,642 hits during the
period from January through March, 2002. All 25 Area Information Centers (AICs) have been identified,
and 19 have uploaded resource information for use in the Internet system. Two AICs are nationally ac-
credited agencies, and 15 other AICs are in the process of receiving accreditation.
Other HHS agencies provided information to the I&R system, including TDoA (through the AAAs),
TCADA, TCDHH, ECI contractors, TDH, and TRC. TDHS and TDPRS conducted public awareness cam-
paigns.
HHSC Finding Help in Texas Web site was implemented.
All 25 of the Area Information Centers have been identified and are working toward
compliance of the TIRN roles and responsibilities.
19 Area Information Centers have uploaded resource information for use in the Finding
Help in Texas Internet System.
Finding Help Internet system has had a total of 8,642 hits on the web site from January
through March, 2002.
Working with STARS to link programs.
7
Working with TWC to include child care information.
2 AICs are nationally accredited agencies with 15 other AICs in the process.
Designed the telecommunications infrastructure and created plan for the implementation
of the 2-1-1dialing code.
Participated in local planning meetings on the implementation of the Internet system and
2-1-1.
Updated the Reference Guide of HHS state agency programs and added the Texas
Dept. of Housing and Community Affairs to the Guide.
TDoA Department staff continue to coordinate with the HHSC Information and Referral Divi-
sion. AAAs continue to support Information, Referral and Assistance services as a major
component of their system of access and assistance and coordinate the provision of
Information, Referral and Assistance services with the local Area Information Center as
well as community organizations who might provide information and services.
TCADA TCADA continues to participate on the HHSC I & R Network by attending scheduled
meetings and supporting its continued development. TCADA promotes the statewide I &
R Network to agency staff and stakeholders.
In the second quarter, TCADA participated in updating the I & R system database with
information about agency programs and services.
TCDHH Agency continues to support and update information as necessary.
ECI ECI continues to participate in HHSC’s Statewide I&R Workgroup. ECI policy requires
that all ECI contract service providers are required to maintain contact with their local
area information centers. Staff operating the state ECI Care Line received inservice
training regarding the area information centers and the resources that they can provide
to callers.
TDH By participating in HHSC's Information & Referral system, TDH will be supporting the
211 initiative, since the I&R data will be automatically included. TDH is represented in
the I&R system.
Approximately 35% of our contacts are from citizens needing other than health issues
assistance.
On target to encourage active, ongoing connections among 25 I&R center & 550+ TX
alliance for Healthy Communities contacts.
TDHS The Health Access Clearinghouse, in cooperation with all HHS agencies, local health-
care organizations and the local Information and Referral system, was created to pro-
vide one location for individuals in Region 1 to contact and obtain information regarding
all healthcare related services in the Panhandle area.
Texas Works and Long Term Care Services staff members in Region 10 participated in
12 Community Awareness Fairs during this quarter. Information tables were set up, and
consumers were able to obtain handout materials or ask questions about available ser-
vices. The Community Awareness Fairs are a very successful way to inform the public
of the services DHS offers and how to access those services. Referrals to other agen-
8
cies also are made at the Community Awareness Fairs.
TDPRS The Texas Youth Hotline’s annual winter public awareness campaign began December
26th. The campaign includes public service announcements (PSAs) for television and
radio; PSAs on MTV in selected cities; press releases distributed to media; cable televi-
sion bulletin board PSAs; and satellite tracking to monitor television audiences state-
wide.
The 2002 Child Abuse Prevention Kits were received by PEI and have already been
distributed to the Texas Education Agency for distribution to all Texas public schools, to
Prevent Child Abuse Texas for use during their annual conference, and to the PRS re-
gional offices for distribution to the community. PEI Staff will also be mailing kits to all
licensed child-care centers in Texas. A total of 30,000 kits, each containing an interac-
tive CD Rom, will be distributed throughout the state.
PRS’ “It’s Up To You” media campaign is being expanded to include Community Based
Family Resource Support (CBFRS) providers.
TRC A TRC staff member represents the agency at all Texas I&R Network State Agency
Workgroup meetings. TRC has provided and will continue to provide updated informa-
tion on its programs and services on a regular basis. In December, coordination of revi-
sion and updates to the TRC Program Reference Guide for the Texas I&R Network Re-
source Directory was completed.
Improve Eligibility and Enrollment Processes for
Agency Clients and Customers
Intended Outcome
TIERS will help improve Texans’ access to health and human services by replacing the current auto-
mated eligibility determination system, improving business efficiencies and effectiveness, and establish-
ing the foundation for a comprehensive integrated eligibility determination process. SB 374: Improved
local systems for accessing long-term care services.
Summary of Progress
The TDHS TIERS initiative continued providing Internet screening services using the STARS system.
TIERS implemented the TIERS Scheduler component in the San Marcos, Airport, and Brackenridge pilot
offices. Help Desk services also began for the TIERS Scheduler.
TIERS approved an implementation plan and deployment guide for full Texas Works functionality.
TCADA trained 51 provider organizations to use the Behavioral Health Integrated Provider System
(BHIPS), bringing the total number of organizations using the system to 80.
TDoA and TDHS are developing common intake and assessment tools for older clients.
TDH created a limited services eligibility category to include TB clients in a pilot project.
9
HHSC Two quarterly meetings of the HHSC TIERS Oversight Committee were held during this
reporting period. TIERS Project staff provided an update on activities for the past quar-
ter including federal approvals, state funding issues, deployment of the State of Texas
Assessment and Referral System (STARS), an overview of the TIERS development
methodology, and extensive discussion on interfaces between TIERS and various state
agencies. Activities of the HHSC TIERS Oversight Committee ensure that eligibility sys-
tems among health and human services systems and the Texas Workforce Commission
are appropriately accommodated in the design and implementation of TIERS. Additional
information about the HHSC TIERS Oversight Committee can be found on the TIERS
website at http://www.dhs.state.tx.us/programs/TIERS/.
TDoA The Department continues to place the highest priority on the provision of care coordi-
nation and benefits counseling (legal assistance) through the 28 area agencies on ag-
ing. A primary function of both of these services is to provide a human screen and
“navigator” for a variety of eligibility processes. Benefits Counselors and Care Coordina-
tors utilize all existing technology currently in place to facilitate and meet the eligibility
needs of older clients. While not included as a TIERS activity, the Department continues
to work with HHSC and TDHS to develop common intake and assessment tools and
meet the established outcome under this strategic priority.
The Department continues to work with TDHS to implement the recommendations from
the Agency Coordination Taskforce. To address the recommendations regarding com-
mon intakes, assessments and referral protocols, the Department is working with TDHS
to modify intakes, assessment forms and interest list forms to include a recommenda-
tion to the AAA, where appropriate. TDHS and TDoA currently utilize common assess-
ment forms and the information contained on the intake is common, however, not in the
same order.
TCADA Staff from the Substance Abuse and Mental Health Services Administration made a visit
in September to begin negotiations for using the Behavioral Health Integrated Provider
System (BHIPS) as a national model. BHIPS was presented to approximately 10 other
states in Bethesda, Maryland in November.
In the first quarter of fiscal year 2002, each TCADA provider was surveyed and sepa-
rated into categories for readiness for training. The results of this survey determined the
training schedule. 91 staff members in 29 provider organizations were trained to use
BHIPS, bringing the total number of users to 319 in 37 organizations. An engagement
letter was developed to ensure providers will be on the system within 60 days after train-
ing. Responsibility for the TCADA Help Desk was transferred to a support team consist-
ing of various staff within TCADA. A clinical team was developed to determine require-
ments for the treatment plan functionality, specifications were written and programming
began. A decision support team was appointed to determine agency reporting require-
ments, and providers were surveyed to determine their additional reporting needs.
In the second quarter, with all TCADA-funded providers evaluated for readiness, training
continues to be performed across the state. Approximately 290 participants in 51 pro-
vider organizations were trained to use BHIPS bringing the total (cumulative) number of
users to 455 in 80 organizations. Treatment/Service plan functionalities have been
completed and initiated as a pilot among selected organizations with a timeline for full
implementation beginning April 15, 2002. Training manuals have been revised to in-
clude instructions for use of the treatment/service plan in future trainings.
Since September 2000, 13,455 individuals have been screened, 8,109 assessments
have been completed and 9,977 clients have been admitted for treatment. Other utiliza-
10
tion statistics are available.
TDH On target--created eligibility category of limited services to include TB clients in pilot
project; screening and integrated eligibility system is ongoing and continues to work well
in pilot project.
TDHS TIERS accomplishments included:
Working with program to complete evaluation plan for approval of Food Stamp waivers
from Food Nutrition Services (FNS)
Completed knowledge transfer for Stage 1B – STARS Internet Screener
Approved final (as built) Detailed Design of Stage 1B - STARS Internet Screener
Approved Stage 1C (TIERS Scheduler) Pilot Implementation Plan, Deployment Guide
and User Guide
Approved TIERS Scheduler Detail Design Specification Document
Approved Stage 2 (Full Texas Works Functionality) Implementation Plan and Deploy-
ment Guide
TIERS and Deloitte began planning for end-user training for Stage 2 (Full Texas Works
Functionality).
Approved Iteration 1 of the Detailed Design of Stage 2 – Full Texas Works Functionality
Implemented Stage 1C – TIERS Scheduler in San Marcos, Airport, and Brackenridge
pilot offices
Completed joint application design (JAD) sessions for Long Term Care
Began HelpDesk services for TIERS Scheduler
TDMHMR The benefit design development process continues. The first roll out of the revisions to
the Department’s benefit package is expected in the first quarter of 2003.
Expand Health Insurance for Children
Intended Outcome
To reduce the number of children without health insurance.
Summary of Progress
On January 1, 2002, SB 43, 77th Texas Legislature, was implemented. The application process for chil-
dren’s Medicaid was simplified.
As of April 26, 2002, 529,111 children were enrolled in CHIP.
11
In accordance with TCADA rules, TCADA providers take all necessary steps to become Medicaid and
CHIP providers.
ECI policy requires providers to submit reimbursement requests to health plans that provide CHIP cover-
age.
DHS implemented Centralized Children’s Medicaid for families in Harris County.
HHSC With the January 1, 2002 implementation of SB 43, 77th Texas Legislature, the applica-
tion process for children's Medicaid was significantly simplified, making it as easy for
Medicaid-eligible families to enroll their children as it is for families who qualify for CHIP.
As of April 26, 2002, 529,111 children were enrolled in CHIP.
TCADA TCADA rules require that TCADA-funded providers take all necessary steps to become
Medicaid and CHIP providers. TCADA providers are substantially in compliance.
ECI In order to maximize funding of ECI services covered by CHIP, ECI has developed pol-
icy requirements of providers to submit reimbursement requests to participating health
plans that provide CHIP coverage to ensure reimbursement of services. Providers are
encouraged to network and develop processes to streamline claims procedures within
their designated CHIP Service Areas in order to achieve timely third party reimburse-
ment from CHIP. Programs have been referred to the CHIP health plan administrators
and the Provider Resolutions Department at the HHSC for assistance with identified
barriers to third party recovery from CHIP. In addition, providers needing assistance with
contract negotiations have been referred to the Provider Ombudsman at HHSC in order
to assure delivery of services in accordance with state and federal law.
TDHS SB 43 simplified Medicaid eligibility determination for children under 19. The goals of the
initiative are to remove barriers to applying for and retaining children in Medicaid, and
eliminating gaps in coverage when children are deemed from Medicaid to CHIP. DHS
implemented SB 43 effective January 1, 2002. The program benefits the public as the
same application and process is used as that used in the Children’s Health Insurance
Program (CHIP). Simplified Medicaid eliminates the requirement for a face to face inter-
view. Other benefits include simplified verification and documentation requirements, 6
months of continuous eligibility, the same renewal process as CHIP, seamless transition
between Medicaid and CHIP. To facilitate the application process, DHS now allows
other entities to accept Medicaid applications.
In Region 1, presentations regarding Medicaid Simplification were made to hospital dis-
tricts, health departments, healthcare professionals, local and state agencies, health-
care case management specialists, and school district staff.
The number of Hospital Based Advisors in Region 4 has increased this quarter. These
advisors will be visiting public schools, including Head Start facilities and day care cen-
ters, to provide outreach to children without health insurance.
Region 6 implemented Centralized Children’s Medicaid for families in Harris County.
These efforts along with the implementation of Simplified Medicaid procedures have
aided in removing barriers in the application process. Fewer verification requirements
encourage clients to apply for assistance.
12
TDMHMR The Department continues to work with HHSC, TDH and the local mental health authori-
ties to address issues that arise to CHIP implementation. The local authorities continue
to provide assistance to the families of CHIP eligible children and adolescents with the
application process. Preliminary data on the delivery of mental health services to CHIP
enrollees is now available, and analysis is underway related to provider availability, net-
work development, and access to services.
Improve Coordination of Children’s Special Initiatives
at the Community Level
Intended Outcome
The families of children and adolescents, with complex needs, remain intact and receive a continuum of
coordinated services from multiple agencies.
Summary of Progress
HHSC, TDMHMR, TDHS, and TDPRS funded, designed, developed, and released an RFP to develop
and implement a system of family-based alternatives for children in institutional care in the central Texas
area.
TDH contracts with TCADA to perform tobacco prevention and control activities in San Angelo, Abilene,
Midland-Odessa, and Del Rio and cessation interventions in McLennan, Brazos, and Fort Bend counties.
TCADA funded 20 community coalitions that promote healthy, safe communities through community mo-
bilization.
Approximately 500 attendees participated in TCADA’s third annual prevention conference.
TDHS’s Long Term Care Services finalized a contract with Texas Community Solutions to implement the
permanency planning process.
TDPRS released two new Internet web pages that show the results of inspections of regulated child care
facilities. Since November 1, 2002, there have been 17,000 visits to the pages.
HHSC Coordinated the Children's Policy Council, Office of Early Childhood Coordination Advi-
sory Committee, Community Resource Coordination Groups, Texas Integrated Funding
Initiative, the Texas Family Support Initiative, Children's Policy Team.
Led effort with MHMR, DHS and PRS to fund, design, develop and release a request for
proposals to develop and implement a system of family-based alternatives for children
in institutional care in the central Texas area.
TCADA TCADA participates on a variety of interagency workgroups that focus primarily on co-
ordination and collaborative efforts at the state and local level. These include the Com-
munity Resource Coordination Groups (CRCG) statewide for both children and their
families, and for adults, including older persons, and the Texas Integrated Funding Ini-
tiative (TIFI) to further their efforts. TCADA staff represents the agency on the Inter-
13
agency Council on Early Childhood Intervention, the Fetal Alcohol Consortium and also
works with the Texas Department of Protective and Regulatory Services to develop an
interagency memorandum of understanding. TCADA is also leading a collaborative
group comprised of other health and human services agencies to develop a statewide
plan to prevent, intervene and treat child trauma related to substance abuse.
In addition, the Texas Department of Health contracts with TCADA to perform preven-
tion and control activities in San Angelo, Abilene, Midland-Odessa and Del Rio in an
effort to prevent youth tobacco use, to protect the public from involuntary exposure to
environmental tobacco smoke and to reduce tobacco use among diverse and special
populations. The contract also includes cessation interventions in McLennan, Brazos
and Fort Bend counties. In these areas TCADA works with local county medical and
dental societies to promote the American Cancer Society Quit Line, disseminates infor-
mation about the Quit Line, distributes tobacco prevention and cessation guides to clini-
cians, and conducts educational activities to educate health care providers on tobacco
issues regarding cessation.
Community coalitions promote healthy, safe communities through community mobiliza-
tion. TCADA funded 20 community coalitions designed to encourage interagency col-
laboration at the local level in fiscal year 2002 contracts.
Approximately 500 attendees participated in TCADA’s third annual prevention confer-
ence in November 2001. In addition, TCADA has participated in a variety of state-
initiated activities such as coalition building activities with other agencies to improve
communication and coordination and to inform organizations about the issues of sub-
stance abuse.
ECI ECI and the Texas Commission for the Blind (TCB) are developing a joint letter to
caseworkers to help coordinate services for ECI children who are blind or visually im-
paired. The purpose of the letter is to outline the specific areas of expertise brought by
staff from both programs in order to reduce duplication of services.
ECI and the Texas Education Agency (TEA) are collaborating on a Memorandum of
Understanding regarding services for ECI children who have auditory and/or visual im-
pairments.
ECI’s participation on the Advisory Committee for the Health and Human Services
Commission Office of Early Childhood Coordination includes representation on two sub-
committees: Services, Policies and Best Practices as well as Interagency Coordination.
In addition, ECI state office staff continue to participate on the State Community Re-
source Coordination Groups (CRCG) team and local ECI programs are represented on
CRCG teams in their respective communities.
TDH No change in status
TDHS DHS Region 4 Long Term Care Services staff assisted the CRCG (Children’s Resource
Community Group) by working with at-risk youths to provide area resources. CASA
(Court Appointed Special Advocate), CPS (Child Protective Services), Juvenile Proba-
tion, and local schools are additional agencies included in this effort.
Long Term Care Services staff participated in meetings with HHSC to develop the Re-
quest for Proposal for Alternative Families required by SB 368.
14
Texas Works staff in Region 4 participated in information sharing and networking with
local community health organizations (Smith County Health District and WIC) to ensure
the health needs of children are addressed.
Long Term Care Services staff met with representatives from the Every Child coalition
to discuss program and policy changes that will provide support to families and their
children who have disabilities.
Long Term Care Services finalized a contract with Texas Community Solutions to im-
plement the permanency planning process.
TDPRS CCL released two new inspection results pages for the licensing public web pages.
They contain the results of reports and inspections of regulated child care facilities that
were conducted beginning January 1st. There have been 17,000 visits to the public
pages since the first four pages were released on November 1, 2002.
CPS currently has collaboration efforts with DHS and the Texas Council on Family Vio-
lence. These efforts include a new brochure, an MOU, and cross training between CPS
and family violence shelter staff.
Expand the Availability of Supported Employment Op-
portunities
Intended Outcome
Texas prospers from the contributions to the economy by persons in Supported Employment. Supported
Employment clients are more integrated in the community function at higher levels and over time enjoy
greater independence and autonomy. The strategies to be tested in the pilot should improve supported
employment by maximizing the resources that each of the agencies has available.
Summary of Progress
TCB prepared for the beginning of the Supported Employment interagency pilot scheduled for March
2002 in Bastrop, Caldwell, and Burnet counties.
TCB is reexamining factors that influence the availability and usage of Supported Employment services.
TRC provided consultation on the Supported Employment Pilot Project Standards and completed a draft
which was approved.
TCB Much of this quarter was spent in preparation for the kickoff of the Supported Employ-
ment interagency pilot that will begin in March 2002. It is being implemented in Central
Texas including Travis, Williamson, Bastrop, Caldwell and Burnet counties. TCB has
decided to apply the pilot processes for its Austin region and will continue to participate
in the interagency group.
For parts of the state not included in the pilot, we are reexamining internal procedures,
training needs, and other related factors that influence the availability and usage of
15
Supported Employment services. TCB is revising its procedural manual chapter in order
to streamline processes while adhering to federal program criteria.
TDMHMR Milestone Purchasing of Supported Employment for the Interagency pilot project is
scheduled to begin March 1, 2002 with joint case planning scheduled to begin Septem-
ber 1, 2002. Planning has begun for the Medicaid demonstration.
TRC Two Central Office Program Specialists attended and participated in the scheduled In-
teragency Supported Employment workgroup meetings. Consultation was provided on
the Supported Employment Pilot Project Standards and a draft completed, which was
approved. A Program Specialist attended and participated in scheduled training for
TRC, TEA, MHMR, and TCB purchasers and developed training sessions to guide
counselors in the targeted area to know how to use the pilot project.
Support “Successful Aging” Through Development Of
An Interagency Policy Framework
Intended Outcome
Legislators, state and local government and other stakeholders will have comprehensive information to
understand and effectively address the issues and needs of current and future older Texans. Legislators,
state and local government and other stakeholders will have: 1) A demographic profile of current older
Texans; 2) Research findings and analyses on the special needs of current older Texans (health, hous-
ing, insurance, legal rights); 3) Information on the readiness of baby boomers to meet the challenges of
aging; and 4) Information on the readiness of state government to meet the challenges of an aging Texas.
Summary of Progress
TDoA is conducting research and policy analysis on housing needs, caregiving, and demographic pro-
files.
TDoA made four awards of $15,000 each to communities to analyze their preparedness for aging well.
The final report on the Dual Eligibles on the Texas-Mexico border was completed by TDoA and submitted
to the Centers for Medicare and Medicaid Services.
TDoA established and populated a data base of academic researchers in fields related to aging.
TDH reports that the SHCC symposium on Health Care Workforce was conducted successfully.
TDHS’s Fort Worth staff developed a partnership with the Northside Inter Church Agency. A food bank
was established at a TDHS office, and NICA brings elderly clients to the center. Eligibility staff are avail-
able to these individuals on weekends.
The TDPRS Board adopted rules related to the Employee Misconduct Registry maintained by TDHS. The
rules address investigations involving confirmed perpetrators employed by Home and Community Sup-
port Services Agencies.
16
HHSC HHSC continues to serve as a member of the interagency Aging Policy Group. Staff
have provided input into TDoA's 'Aging Policy in Brief' documents and served as a re-
viewer of the agency's Aging Texas Well grants.
TDoA During the second quarter, the Department’s Office of Aging Policy and Information
worked towards the completion of numerous activities. A summary of the activities is
identified below.
Housing research continues with University of North Texas as contractor. Work is on
schedule and report containing data on housing needs of older Texans will be com-
pleted in December, 2002.
Parameters of caregiver study under development with interviews with key stakeholders
to determine information needs most critical for policy development. Upon final devel-
opment of parameters of study, RFP will be posted and applications accepted to study
the special needs of caregivers in Texas, racial/ethnic differences in caregiving, ur-
ban/rural differences in caregiving, and decision-making process of caregivers. Special
attention will be given to how and why caregivers choose to access the formal service
system.
Work has begun on update of demographic profile of older Texans based on the 2000
census numbers.
Policy analysis and recommendations in three priority policy areas of workforce, healthy
aging, and housing are in draft stage and are under review by TDoA management.
TDoA staff are monitoring interim legislative committees for appropriate opportunities to
provide information based on policy recommendations. Final policy recommendations
will be available in next quarter. TDoA staff also began “operationalizing” some of the
recommendations, including testifying contacts with interim committees, planning with
TDH staff and working with TWC/TCWEC on planning process for senior employment
programs.
Four awards of $15,000 each have been made to communities to conduct a local analy-
sis of the preparedness of the community for aging well. Results of these community
analyses will include recommendations for state and federal policy recommendations
that will support communities in their efforts to provide positive environments for suc-
cessful aging. The RFP has been reposted to allow other communities an opportunity to
respond.
Final report on the Dual Eligibles on the Texas-Mexico border was completed and sub-
mitted to Centers for Medicare and Medicaid Services in December, 2001.
TDoA staff has met with representatives of the Medicaid office and HHSC research staff
to offer research assistance in potential areas of mutual interest for research regarding
cost savings in Medicaid. No mutual areas were identified.
TDoA staff continue to be available for the Mentoring Works! Workgroup. Texas Work-
force Commission has the lead on this effort and has not developed plans for implemen-
tation.
The Texas Commission on Alcohol and Drug Abuse is represented on TDoA's Aging
Policy Resource Group and has indicated an interest in developing a joint project in ei-
ther the public information or research area. Due to staff turnover at TCADA (executive
director, governmental relations director, research director), joint activity has been de-
17
layed until TCADA staff in decision-making positions are available.
TDoA research and planning staff participate on Commission for Geriatric Study Re-
quirements for Medical School, Texas Suicide Prevention Steering Committee, HHSC
Colonias Workgroup, TDH Committees for Osteoporosis, Cardiovascular Disease and
Stroke, Diabetes, HIV and other workgroups addressing specific disease states. Other
workgroups include Mental Health and Aging Coalition, prisoners with special needs,
and HHSC planning for workforce preparedness.
TDoA has established a data base of academic researchers in the fields of gerontology,
geriatrics, and other interdisciplinary fields related to aging. Data base has been popu-
lated with initial groups of names and specialty areas. This group will be used as a re-
source for referral to additional researchers.
TCADA TCADA participates on the Mental Health and Aging Council to address issues related
to the aging population. In addition, through an MOU for Coordinated Services to Older
Persons, eight state agencies are collaborating on specific objectives to ensure that in-
formation and education are provided to state and local communities.
TDH SHCC symposium on Health Care Workforce successfully conducted on 3/21/02.
TDHS DHS Region 3 staff in Fort Worth developed a partnership with the Northside Inter
Church Agency (NICA) and Long Term Care Services. This partnership originated from
comments received in a Food Stamp Access report. Elderly in this area needed financial
assistance to obtain food but had difficulty in getting to the DHS offices. This project
provides a food bank at the Jacksboro Highway office. NICA brings their elderly clients
into the center one Saturday a month to give them food. The partnership with NICA ar-
ranged to have a Food Stamp worker and a Long Term Care worker present on that
specific Saturday to interview anyone interested in DHS services and programs and to
determine eligibility for the services each department administers.
TDPRS APS program is working with the Department of Human Services (DHS) to educate
nursing facilities about court intervention for residents who are not able to make deci-
sions for themselves due to mental competency issues. APS cannot provide guardian-
ship services for these residents because they are not currently experiencing abuse,
neglect and/or exploitation. The Probate Code indicates that county courts should be
appointing guardians for these individuals; however, some counties are reluctant to do
so.
On January 25, 2002, the PRS Board adopted rules related to the implementation of the
Employee Misconduct Registry. These rules were developed in response to SB 1245
from the 77th Texas Legislature that requires PRS to begin entering findings on certain
investigations into the Employee Misconduct Registry maintained by the Texas Depart-
ment of Human Services. The investigations affected are those involving confirmed per-
petrators employed by Home and Community Support Services Agencies (HCSSAs).
Prior to a finding of reportable conduct being entered into the registry, the employee will
be offered a due process hearing.
APS participated in various interagency activities concerned with successful aging:
Texas Guardianship Association Board, HHSC’s Interagency Guardianship work group,
Guardianship Advisory Board, Guardianship Taskforce, statewide Texas Money Man-
agement Program Advisory Council, Texas AG’s Office Crime Victims Taskforce, and
the Community Resource Coordination Group for Adults (CRCGA) state team.
18
Enhance the Conditions That Support Good Health and
Self-Sufficiency in the Border Colonias
Intended Outcome
Participating HHS agencies will develop a uniform plan that ensures coordination among HHS agencies
so that their services are accessible to residents of the Texas colonias. The agencies will also work in
partnership with colonias residents, local community centers, and other state and local programs.
Summary of Progress
HHSC and each of the HHS agencies contributed to a resource directory for promotoras to use in the
field. The directory was completed and delivered to the promotoras.
Training of promotoras was standardized, and a training calendar was published.
Coordinated scheduling of services was developed by the HHS agencies at community centers in Pro-
greso, Cameron Park, and Sebastian.
A colonias initiative has been started in Laredo and El Paso.
The Texas A&M University Colonias Substance Abuse Prevention Program funded by TCADA served the
Sparks, Montana Vista, and Socorro colonias in El Paso County. Meetings were held at elementary
schools and community centers, and home visits were conducted. Two information and health fairs were
conducted.
TCB provided eye screenings to colonias residents through Prevent Blindness Texas.
In El Paso, TCB conducted two major eye medical evaluation events.
TDH provided training to promotoras in Weslaco on tobacco prevention, EMS, and zoonosis. WIC ser-
vices were provided to 6,025 clients in Sebastian, Cameron Park, and Progreso.
A TDHS Texas Works Local Innovation Project in Hidalgo County, “Family Forward,” provides services for
victims of domestic violence, financial assistance for vehicle repairs, clothing/uniforms, and adult literacy
and ESL classes.
Through the promotoras, TDMHMR ensures accessibility of screening and intake services for emotionally
disturbed children.
Training on Adult MH and MR services was provided to promotoras.
TDPRS contracts with Texas A&M University to manage the Family Support Program. In the second
quarter, 31 promotoras made or attempted 2,887 home visits.
HHSC Continuing the work from the last quarter--HHS agencies as well as their partners,
TWC, TEA, and TAMU, have completed the pilot in Cameron Park, Sebastian, and Pro-
greso.
19
Community forums were published in the Texas Register and public comments were
gathered from community members, promotoras, local agency officials, state office
partners, and various local entities.
In the initial review of the pilot, residents state that delivery of services have been suc-
cessful in increasing access to HHS agencies.
Information on the pilot was gathered and submitted for review. The final report is pend-
ing review and approval from the HHSC Commissioner.
A promotora resource directory of HHS agency services, titled “Health and Human Ser-
vices Guide, Guia De Salud Y Servicios Humanos”, has been completed and delivered
to A & M promotoras, for use in the field.
Training of TAMU promotoras was standardized into a methodology of regular training
as well as a published training calendar. This insured participation of HHS agencies and
their partners in meeting the needs of the promotoras.
Coordinated scheduling of services at three community centers, Progreso, Cameron
Park, and Sebastian, by participating agencies RGV TCADA, TCB, TDH, DHS, AAA,
DPRS.
Monthly meetings were held with HHS agencies and our partners in order to increase
collaboration of agencies and insure quality services to residents of colonias.
Four additional staff persons were hired, one regional coordinator in El Paso, one re-
gional coordinator in Laredo, and one regional coordinator in Harlingen and an adminis-
trative technician in Harlingen.
A colonias initiative has been started in Laredo and El Paso. Similar partnership with
TWC, TEA, and TAMU has been developed with services being extended to community
centers in colonia areas. All HHS agencies and partners have been participating in the
development of a service plan for their area.
Meeting with central office representatives of the HHS agencies and partners have
started development of a tracking system to measure the effectiveness of agency ser-
vices.
TDoA Department staff continue to participate on the Border and Colonias workgroup.
Agency directory for individuals living in the Colonias was completed and has been dis-
seminated to Promotoras in the Rio Grande Valley. The directory will be used to inform
community members about services available through the various agencies. Some
changes/edits will be made to revised directory. Next step is to create directory for Rio
Grande and South Texas.
HHSC staff has continued to work in the Rio Grande and South Texas AAA regions on
implementation of Colonia initiatives. This has been a smoother process.
Local meetings were held throughout the second quarter of FY02 to discuss continued
training of Promotoras, implementation of the tracking form, and other activities in the
colonias.
Meetings were held throughout the second quarter in Austin for state agencies. Agen-
20
cies discussed participation of colonia initiatives at local level and the need for local staff
to attend meetings, the colonias evaluation report, and the development of a service
plan.
TCADA The Border CAPT met with Dr. Wanser and staff in October to discuss a collaboration
that will involve five bi-national prevention workshops for fiscal year 2002. Dr. Wanser
and staff attended the Fourth U.S.-Mexico Demand Reduction Conference in Mexico
City in November. TCADA is facilitating a contract between the University of Texas –
Pan American and CSAP to produce four videoconferences during fiscal year 2002.
The Texas A&M University Colonia Substance Abuse Prevention Program funded by
TCADA continues to provide services to three colonias: Sparks, Montana Vista and So-
corro in El Paso county. During the first quarter of fiscal year 2002, the Prevention Co-
ordinator conducted meetings in at least six elementary schools in the three targeted
areas to provide information about the Familias Fuertes Program and Drug/Alcohol
Problems. More than 350 people attended. Prevention promotoras conducted home
visits and continued recruiting new families for the Familias Fuertes Program; 98 par-
ticipants were recruited. Prevention staff collaborated with the Rio Vista Community
Center Outreach staff for conducting two information and health fairs in October for a
total of more than 250 participants. Local youth have received training in how to imple-
ment a 4-H club in the colonias, the dangers of smoking and drugs, and on how to talk
to other youth about the dangers of alcohol and drugs. Prevention promotoras and the
prevention coordinator initiated the development of an Underage Drinking and Driving
Prevention Program that will work with Mexico, Las Cruces, NM and Texas.
The HHSC Colonia Initiative held its first HHSC conference in El Paso in September to
share information and network with representatives of other HHS agencies, local offi-
cials and stakeholders about this initiative. TCADA providers in Willacy, Cameron and
Hidalgo counties continue to participate in training promotoras in the types of prevention
and treatment services through a six-month training plan. TCADA providers are using
Hablamos en Confianza Curriculum for the promotoras and residents. The Texas A&M
Colonia Program staff coordinates this training schedule.
In the second quarter, colonia meetings were held in El Paso, Laredo, Weslaco, and
Austin. In Austin, the colonia workgroup discussed the evaluation process for the Colo-
nia Initiative and other process issues.
The El Paso colonia project held alternative activities in all three community centers,
and 260 youth, 103 adults and 76 families participated. The project provided the
Strengthening Families education program to 43 adults and 43 youth. The program of-
fered information on substance abuse prevention to 196 adults and gave two presenta-
tions on minors and tobacco. Public forums are planned for Sparks, Montana Vista and
Rio Vista colonias. In Laredo, public forums are being discussed for the El Cenizo,
Larga Vista and Rio Bravo colonias.
TCB Harlingen Region: Prevent Blindness Texas has been providing eye screenings to resi-
dents in the Colonias and referring those persons to TCB who have serious eye condi-
tions warranting our intervention.
In Cameron Park Colonia, counselors provide intake and related TCB services once a
month. Harlingen staff continues to attend monthly meetings that focus on service provi-
sion to Colonias. A similar Workgroup has been created in Laredo and staff attends
these monthly meetings.
21
El Paso Region: During the last quarter, two major eye medical evaluation events were
completed at the Rio Vista Colonias Center of Texas A&M and the Washington Com-
munity Center for a total of 87 persons served. The El Paso Region participated in the
HHSC Community Forum at Rio Vista.
TCDHH Agency staff attended one workgroup meeting in Austin.
Contracted Regional Specialist for HHSC Region 11 attended 5 team meetings in
Laredo and Brownsville.
Contracted Regional Specialist for HHSC Region 10 attended 2 team meetings in El
Paso.
ECI ECI state and local staff continue to participate on the HHSC Colonias workgroup. Local
representatives are involved in local planning with community agencies and promotoras.
They continue to participate in pilot project implementation and follow-up, and to report
activities and progress to the ECI State Office. The agency also continues to work with
local programs in El Paso and the Rio Grande Valley to increase ECI outreach in under-
served areas, including the colonias.
TDH Training sessions were provided to colonia promotoras at the Texas A & M CHUD in
Weslaco on the following topics: Tobacco Prevention, EMS and Zoonosis. Met with
TCADA representative to initiate a collaborative effort with TCADA contractors and local
providers in the colonias. Have participated in two telephone conferences to develop
agenda and list learning styles. Sites selected for conferences: Eagle Pass, El Paso,
Harlingen, and Laredo. Provided WIC services to 6,025 clients in Sebastian, Cameron
Park and Progresso.
As of January 2001, Texas Diabetes Council adopted the Type 2 Diabetes in Children
and Adolescents: Statewide Action Plan which are widely disseminated (website, con-
ferences, on request).
The Texas Diabetes Council's advisory committee on Standards of Care is drafting a
new treatment algorithm to address Type 2 diabetes in children.
TDHS Region 11 participated with HHSC in seven public forums held at seven different Colo-
nias sites in Willacy, Cameron, Hidalgo, and Webb Counties.
Forums for colonias residents were held February 11-12, 2002 in Region 10. Approxi-
mately 150 participants attended. The forums were designed to enable colonias resi-
dents to participate in formulating a plan for service delivery for their areas. State
agency representatives attending heard residents input regarding where services were
accessible and useful and also where improvement is needed. DHS participants in-
cluded staff from Texas Works and Long Term Care Services.
Texas Works Local Innovation Projects used community organizations to eliminate or
reduce barriers to employment at the local level. Project “Family Forward”, one of the 14
projects, targets the colonias population of Hidalgo County for services that include non-
residential services for victims of domestic violence, four months of financial assistance
to target group for vehicle repairs, clothing/uniforms, and adult literacy and ESL classes.
This unique approach is a joint effort by the United Farm Workers Union and Mujeres
Unidas/Women Together. The project uses assistance from promotoras to build trust
with target population and seeks to place participants into employment at a level that will
foster and support continued independence.
22
Region 11 staff participated in the One Stop Migrant and Farm Labor Workers Health
Fair in December 2001 and are planning another Health Fair for March 23, 2002.
TDMHMR TDMHMR recognizes that there is a great need for mental health and mental retardation
services in the colonias along the Texas-Mexico border. While we do not have a con-
centrated program to target these areas, a number of programs are providing outreach,
education and services to the colonias residents, co-locating at a local Texas A&M
community resource center in the colonias. Outlined below are the services/activities
that are currently being provided in the El Paso, Laredo, & Lower Rio Grande Valley
areas.
HHSC Forums and Training in Lower Rio Grande Valley (Weslaco), Laredo, and El
Paso. Educational presentations provided to HHSC agency field office personnel and
promotoras on each agency and various services provided by the agencies.
Children’s Services has been working with the promotoras to ensure accessibility to
Screening and Intake Services for those children with severe emotional disturbances.
During this time children/families identified by the promotoras are screened for severe
emotional disturbances and provided intake to services when appropriate. Further out-
reach and services to this area are anticipated.
Adult MH Services provides psychiatric services in the targeted areas to those individu-
als meeting priority population. Center staff conducted presentations on services to the
promotoras in the targeted areas.
Adult MR Services provides long term services in the targeted areas to those individuals
meeting priority population. Center staff conducted presentations on services to the
promotoras in the targeted areas.
Local Planning Initiatives are taking place. In order to ensure that the needs of the colo-
nias were taken into consideration when developing the Local Plan, community forums
have been held and needs surveys distributed to individuals dwelling in or supporting
the colonias. As expected, community input and survey responses received showed
high need in many areas of HHSC, including mental health and mental retardation in-
formation and services.
TDPRS PEI contracts with Texas A&M University to manage the Colonias Family Support Pro-
gram through two separate contracts. Promotoras work, in partnership with residents,
local community centers, and other state and local programs, to promote health activi-
ties and improve health outcomes within their communities. In the second quarter 31
promotoras made or attempted 2,887 home visits, organized monthly service provider
meetings (641 attendees), organized monthly resident meetings (593 attendees), made
33 visits to service provider agencies, and assisted with 38 community events. Promo-
toras are based in El Paso County (Upper Rio Grande Region), Montana Vista, Socorro,
and Sparks; Webb County (Lower South Texas Region), El Cenizo and Rio Bravo;
Cameron and Hidalgo Counties (Lower South Texas Region), Cameron Park and Pro-
greso. Combined contract funding for these counties is about $453,461.
TDPRS regional representatives to the Colonias Initiative project are based in El Paso,
Laredo, and Edinburg. An Austin PEI staff member serves on the Austin Colonias Initia-
tive Planning Committee. PRS State Office staff attend the HHSC sponsored Colonias
Initiatives State Agencies Committee held quarterly in Austin and the regional represen-
tatives attend meetings held in their local area as scheduled.
23
Child Care Licensing (CCL) Regional Resource Consultants made training materials in
Spanish on Shaken Baby Syndrome and Sudden Infant Death Syndrome available for
Spanish-speaking child care providers.
TRC Staff participated in the Interagency Workgroup on the Colonias Project. TRC Region I
completed applications with 1 client residing in the Colonias in December, 1 client in
January, and 0 clients in February. TRC Region V completed applications with 2 clients
residing in the Colonias during December, 0 clients in January, and 0 clients in Febru-
ary.
Implement Business Process Improvements Across HHS
Agencies Through Optimal Use of New Technology and
Standardization Wherever Possible
Intended Outcome
To create efficiencies in administration of programs and improve the quality of administrative systems.
Summary of Progress
All the HHS agencies participated in various Administrative Consolidation Workgroups and in the imple-
mentation of the Health and Human Services Administrative System. Among the systems to be consoli-
dated are human resources management, training, auditing, pharmaceutical purchasing, and facilities
management.
ECI is evaluating alternative procurement methods. A value purchasing approach is being considered.
TDHS completed the first iteration of a web site that manages the agency’s key performance measures.
Educational services began using intranet/internet applications for training front line staff.
TDPRS is implementing Outlook Public Folders to allow data sharing among staff and to provide the abil-
ity to schedule conference rooms and reserve audio-visual equipment.
TRC has published the initial chapters of the Training and Development Best Practices Manual on the
SAO web site.
HHSC HHSC continued to work on the implementation of HSAS in order to standardize or cre-
ate a common administrative system for enterprise use.
The Administrative Consolidation Facility Leasing Workgroup is working on a recom-
mendation to establish a web based leasing report program that will have enterprise-
wide application usage for lease space data.
Other Administrative Consolidation Workgroups will continue to pursue opportunities for
the standardization of automation systems for enterprise-wide usage whenever the op-
portunity presents itself.
24
TDoA Department staff continued to participate on all applicable Administrative Services Im-
provement/Consolidation and Information Technology workgroups. In addition, the De-
partment monitored and complied with MOU with HHSC to implement payroll services
provided by HHSC, monitored and complied with contract with enterprise for Job Cen-
ter, monitored and complied with contract with TRC for Safety, Risk Mgt, Workers Com-
pensation, Civil Rights; Facilities Management and other General Administrative Ser-
vices, reported business process improvement cost savings to HHSC and monitored
contract for outsourced Civil Rights functions to Texas Rehabilitation Commission.
TCADA TCADA has implemented the recommendations from agency management reports, in-
cluding the HHSC Process Review, to strengthen and streamline business processes.
TCADA continues to participate in the PeopleSoft planning efforts through the Change
Control Boards and the HHSAS Steering Committee to ensure the effective design and
rollout of the system modules. TCADA is scheduled to migrate to PeopleSoft as of the
beginning of fiscal year 2003.
TCB Financial Systems:
HHSAS: During the quarter, TCB staff worked with the Health and Human Services
Commission and PeopleSoft staff to ensure the accessibility of HHSAS’s upcoming
web-based release of the financial systems software. Based on the positive results of
this effort, planning efforts were finalized for the TCB implementation of the core finan-
cial modules of the Health and Human Services Administration System.
TCB WORKS: A contract was awarded in December to Duration Software. Duration
reviewed existing TCB system documentation. Project initiation phase was begun.
TCDHH Agency begins implementation planning for PeopleSoft (HHSAS)
ECI The following initiatives will help ECI move toward the goals that the legislature has set
for all HHS agencies to streamline business practices and reduce costs:
HR Consolidation
ECI has actively participated in HHS Administrative Services Improvement workgroups
to advance consolidation efforts for HR services throughout HHS agencies, resulting in
recommendations for achieving consolidation of HR functions through an enterprise
human resources office that will administer and coordinate the development and imple-
mentation of various HR functions, such as one Human Resources Policy Manual, full
implementation of PeopleSoft HRMS, and Payroll, Time and Labor. Work continues to-
wards further consolidation of other HR functions such as policy administration, classifi-
cation administration, organization development, workforce planning and civil rights.
HHS Administrative Improvements Steering Committee
ECI staff continue to participate on the Health and Human Services (HHS) Administra-
tive Improvements Steering Committee to assist the Health and Human Services Com-
mission (HHSC) in its review of the effectiveness and efficiency of the business proc-
esses of all of the HHS agencies. The review is a requirement of Senate Bill 1, Rider 21
of the 77th Texas Legislature, which also directs HHSC to “determine items of appropria-
tion where reductions may be made in the total amount of $10 million in general reve-
nue funds” by October 1, 2002. ECI staff have reviewed all workgroup recommenda-
tions for consolidation efforts and made recommendations to HHSC for final approval.
Workgroups have focused on the following functions: Administrative Training, Human
Resources, Purchasing, Internal Auditing, Facilities Management, Pharmaceutical Pur-
25
chases, HHSCN consolidation.
Centralized Database
ECI and TRC project staff reviewed data and feedback from end users to identify
needed changes and enhancements to the application. Development and testing pro-
ceeded on version 1.0.2. Project staff explored alternatives for uploading data from local
programs.
Best Value
In accordance with recommendations of the Sunset Commission, ECI is evaluating al-
ternative methods of procurement that would ensure best value for the state. In order to
control the rising costs associated with the enormous growth ECI has experienced this
past biennium and implement a quality improvement process that emphasizes account-
ability, ECI is considering a value purchasing approach that would contain costs with the
development of a capitated rate for certain functions and reimburse on a fee for service
basis for other specific direct services. ECI has contracted with Maximus to conduct a
cost study for ECI services and develop standard rates in order to evaluate projected
savings with this alternative funding methodology.
TDH Work breakdown structures (WBS) and durations have been finalized in the project
plans for TDH, MHMR and HHSC. Currently the Enterprise Project Office is integrating
these components into an enterprise work plan that will be completed in mid-March
2002.
TDHS Region 3 upgraded 21 of its sites during this period to the NetWare 5.1 operating sys-
tem. This operating system allows for more remote problem resolution and on-line in-
ventory of hardware and software. This operating system should reduce technical sup-
port time and travel as well as reduce costs related to inventory.
Budget Management Services completed the first iteration of the final product for Phase
I of the Managing For Success project, a web site detailing the Key Performance Meas-
ures for TDHS. The first of three training classes has been completed. This phase of the
project is on schedule and planned to be completed by April 15, 2002. When complete,
this will assist TDHS in meeting 80% or more of its Key Performance Measures targets
and 70% or more certification for accuracy of the measures.
Budget Management Services began the process of creating a replacement for the
TDHS budget system, Budget Analysis and Reporting System (BARS). The present
system is a 20-year-old mainframe based system and will be replaced with a cli-
ent/server version. The newer system will more easily integrate with IAS (PeopleSoft)
and any other client/server system from which it receives data. The completion date is
expected to be in Spring 2003.
The HHSC Purchasing Business Process improvement Workgroup continued to meet
during the 2nd Quarter. The HHSC Steering Committee accepted the workgroup’s rec-
ommendation for procurement of an HHS agency-wide cell phone and pager contract.
DHS staff participate on the committee that is developing specifications for the Request
For Offers (RFO). The committee plans to release the RFO by March 15, 2002. It is an-
ticipated that this contract could result in savings for direct delivery and other programs
needing cell phones and pagers.
Activity continued with the HHS Consolidation Workgroup. DHS took the lead on devel-
oping reports for expanding the scope of the Consolidated Help Desk (CHD) and the
Health and Human Services Commission Network (HHSCN).
26
Texas Works Educational Services began using Intranet/Internet applications for train-
ing front line staff. This includes Computer-Based Training, Power Point presentations,
and Web-Based Training. Training materials for handbook revisions, bulletins and spe-
cial revisions are distributed to field staff through the Texas Works Educational Services
intranet website. Texas Works staff statewide now have access to timely training on an
“as needed” basis.
TDMHMR TDMHMR staff continue to participate extensively in the implementation of the Health
and Human Services Administration System (HHSAS). Work focuses on the HR, Payroll
and Time & Labor modules, specifically with configuration activities in the Prototyping
phase of the project. As-is processes have been provided for use in transactional proto-
typing sessions scheduled to begin April 1, 2002.
TDPRS Information Technology has converted agency administrative forms into a web-based
format. This will speed up the implementation of changes and provide greater
accessibility.
CCL staff are working with the Protective Services Training Institute to define a set of
competencies for child care licensers. This list of competencies will assist the program
in targeting applicants for field positions, developing an appropriate training program,
and clarifying the role of regulators with the public.
IT is in the process of implementing Outlook Public Folders. This end user tool allows
groups to share data and collaborate on document preparation by placing information in
folders that are generally available as part of Outlook. The tool also provides the ability
to schedule conference rooms and reserve audio-visual equipment for meetings.
IT is leading an HHSC Voice Telecommunications consolidation workgroup tasked with
generating cost savings in the next bi-annum, reducing operational costs and improving
end user services.
Pilot testing the use of handheld devices for caseworkers has completed. One of the
functions tested was the recording of case narratives to be transported to the CAPS
application. Analysis has begun to determine applicability of the portable devices as an
important productivity tool.
Human Resources Recruitment and Retention (R&R) Section has been heavily involved
in the development of Telework Program Policies that will replace the current Interim
policy. The new policies will undergo the coordination and approval process during the
month of March.
Human Resources R&R Section is working with the Health and Human Services Re-
cruitment group in researching internet recruitment companies for a cooperative internet
recruitment contract.
TRC HRM began planning for the transfer of approximately 300 medicaid staff from TDH to
HHSC. TRC provides HRM support per contractual agreement with HHSC.
The HHS Training and Development Workgroup, chaired by TRC HRD, has published
the initial chapters of the Training and Development Best Practices Manual on the SAO
web site, with other chapters to follow. At the request of HHSC, this Workgroup has
suspended operations until further notice. The HHS Administrative Training Consolida-
tion Workgroup has replaced it. The Administrative Training Consolidation workgroup
met once in November, twice in December, and 4 times in January. Its purpose is to
27
identify administrative training functions that can be consolidated for greater efficiency
and cost savings.
TRC is working with HHSC to begin the process of coordinating policy and procedure
activities. In order to streamline TRC’s human resources support to HHSC, policies and
procedures should mirror each other to the greatest extent possible. TRC HRM contin-
ued as a member of the HHSC Enterprise HRM Workgroup, which presented a report to
the Enterprise Steering Committee on consolidation and colocation initiatives.
The HHS Records Management Workgroup completed their work on the development
of an HHSC policy to standardize Record Management policies that are common
throughout the HHS agencies. Policy draft was forwarded to HHSC for their action.
Develop and Implement a Long-Range Interagency Pro-
ject on How to More Effectively Prevent Delinquency
and Conduct Disorders in Children and Adolescents
Intended Outcome
Long-term outcomes will be a decrease in mortality rates due to violence, a decrease in the rate of juve-
nile offenders referred to local juvenile probation departments, a reduction in the rate of confirmed cases
of child abuse, and improvement in child and adolescent health indicators related to risky behavior. Inter-
mediate outcomes include a review of precursor research, review of funding for prevention efforts, identi-
fication of service gaps, and determination of how to leverage existing resources through better coordina-
tion among agencies and programs.
Summary of Progress
TCADA reports that the Alliance Against Underage Drinking’s internet web site received more than 33
thousand hits in the first quarter of FY 2002.
TCADA announced Community Champion Award recipients in San Antonio, El Paso, Alamo Heights,
Greenville, and Brazos counties. The recipients are individuals and organizations that strengthen Texas
children and help make neighborhoods safe.
TCADA delivers weekly prevention messages to radio stations across the state through the Drug-Free
Texas Radio News Network.
TCADA-funded prevention services were provided to 21,303 adults and 156,751 youth from September
2001 through February 2002.
The TDPRS evaluation of the Second Chance Program continued.
TCADA The Alliance Against Underage Drinking, a collaborative effort of more than 45 public
and private organizations, is working with local leaders to address underage drinking
issues. The Alliance’s Internet site, launched in September 2000, received more than 33
thousand hits in the first quarter of fiscal year 2002. This number represents a greater
28
than 90 percent increase from the number of hits in the same quarter last year.
During the first quarter, TCADA announced the next round of Community Champion
Award recipients. The Community Champion Award recognizes individuals and organi-
zations that have shown a commitment to strengthening Texas children and making
neighborhoods safe through education, awareness and community support. Recipients
in San Antonio, El Paso, Alamo Heights, Greenville and Brazos counties received this
honor.
TCADA’s Demand Reduction Initiative is an approach to more effectively address sub-
stance abuse issues by building alliances with other public and private agencies that
share a common vision and purpose to increase the coordination among these agencies
and to build important connections to communities and the private sector. Acting on SB
558 enacted in 2001, TCADA convened the Drug Demand Reduction Advisory Commit-
tee. At its October meeting, the Committee appointed a planning workgroup to develop
draft vision and mission statements and objectives. The planning workgroup met in No-
vember and developed overview presentations and draft statements of vision and guid-
ing principles.
In the second quarter, the Drug Demand Reduction Advisory Committee reviewed the
activities of prior drug demand reduction efforts at its December meeting. In February,
Jim McDonough, director of Florida’s Office of Drug Control, discussed the state’s activi-
ties and accomplishments in the area of drug control supply and demand.
TCADA delivers weekly prevention messages to radio stations across the state through
the Drug-Free Texas Radio News Network. The network provides taped messages to
more than 150 Texas radio stations with the potential to reach more than one million
listeners.
TCADA provides funding to prevention programs that also contribute to the agency ob-
jectives. TCADA funded organizations provide prevention services targeted to children
of substance abusing parents who may or may not be in treatment, children living in
poverty and children of the incarcerated. TCADA-funded prevention services were pro-
vided to 21,303 adults and 156,751 youth in the first six months of fiscal year 2002.
TCADA also participates on the Take Time For Kids interagency workgroup that pro-
motes and supports the development of broad-based community coalitions that work
together to provide early childhood parenting education to parents of children less than
four years old.
During the first quarter, continuation contracts were signed with the Texas Youth Com-
mission in October to provide treatment services to incarcerated youth and with the
Texas Department of Protective and Regulatory Services to provide treatment services
for children in foster care.
TDMHMR TDMHMR staff attended a public hearing on HB 1901 (the long-range plan for juvenile
offenders with mental health needs) and have provided assistance in training both
MHMR and probation staff in the delivery of services to the targeted offender population
at the TCOMI funded pilot sites. TDMHMR staff will attend all further public hearings
that relate to HB 1901 and provide comment as needed.
TDPRS The ongoing evaluation of the Second Chance Program continues this year. The pur-
pose of the evaluation is to determine effectiveness in program goals. Those goals are:
1) to reduce/prevent problems TANF eligible teenage parents and their children face,
29
and 2) to break the cycle of welfare dependence through the provision of timely and ap-
propriate services. The evaluation will guide the Request for Proposals (RFP) for Fiscal
Year 2004 services.
As directed by House Concurrent Resolution 254, PRS is working with the United Ways
of Texas to complete community assessments in seven non-urban counties. The as-
sessments provide information about the availability of services for at-risk youth and a
forum to discuss gaps in those services. The Texas Juvenile Probation Commission,
Texas Youth Commission, Office of the Attorney General, Governor’s Office, and local
law enforcement and school districts are participating. Meetings have been completed in
Titus and Wichita counties.
Expand the Availability of Respite Services
Intended Outcome
Families and other caregivers will avoid burnout and other stresses that lead to institutionalization or other
more expensive services funded by the state.
Summary of Progress
The Texas Board on Aging approved rules that govern a Respite Voucher program to enable caregivers
to arrange for appropriate respite services.
63 ECI programs continued participation in its respite initiative.
During the second quarter of FY 2002, 1,915 individuals received respite services through the mental
health and mental retardation community system.
TDPRS continued the Intermittent Foster Parent Alternate Care services for foster families. Work is in
progress on an RFP to procure these services using funds from the Community Based Family Resource
and Support grant.
TDoA In both urban and rural settings there is a lack of providers for respite services. The
Texas Board on Aging at their February meeting approved rules that govern a Respite
Voucher Program. This program will provide a voucher to caregivers in order that they
may arrange for respite services that best meet the needs of the person for whom they
are providing care.
ECI 63 ECI programs continued participation in the agency’s respite initiative this quarter. At
the beginning of the quarter, 89 families were on waiting lists to receive ECI respite ser-
vices.
TDH The waiting list continues and no status change.
TDMHMR Respite services continue to be required in the children's mental health service and the
mental retardation service array through the performance contract. During the second
quarter of FY 02, 1,915 individuals received respite services through the mental health
and mental retardation community system.
30
TDPRS The CPS program continued the implementation of Intermittent Foster Parent Alternate
Care services for foster families during the second quarter. Contracts exist in all 11 PRS
regions. CPS foster parents are accessing these services and have indicated that the
service is appreciated. This service is not considered as a foster care placement for a
child because the child’s placement remains with the foster home requesting the ser-
vice. This will allows foster families to assist each other in needed alternate care. To
ensure the health and safety of children, CPS has developed additional safety guide-
lines that limit the number of respite children that can be placed into a foster home offer-
ing Intermittent Foster Parent Alternate Care services, that ensure adequate sleeping
arrangements, and that require appropriate supervision at all times. These guidelines
have been added to the respite care contracts and CPS policy.
PEI is working on the release of an RFP to procure Intermittent Foster Parent Alternate
Care services using funds from the federal Community Based Family Resource and
Support (CBFRS) grant. CBFRS recipients are strongly encouraged to establish these
programs.
Improve Transition Services for Children and Young
Adults to Overcome Service Delivery System Fragmenta-
tion
Intended Outcome
As agency clients who become ineligible or no longer require services from one program, they will be
successfully transitioned into independence or make a connection with other programs that meet their
needs. School children will receive the services they need through improved relationships with school
districts and HHS agencies.
Summary of Progress
HHS agencies and the Texas Education Agency developed a transition MOU providing services to chil-
dren and young adults.
TCADA provided regional training on a variety of issues.
TDHS’s Special Nutrition Programs has partnered with Harvest Food Banks to host information sessions
for the Summer Food Service Program for Children.
TDPRS reports that the National Youth in Transition Information System federal report was completed.
Texas is one of the pilot states for independent living data collection.
TDPRS’s Preparation for Adult Living (PAL) program is partnering with the Texas Youth Hotline to provide
more outreach to youth who have left foster care.
TDPRS reports that Amarillo and Central Texas housing authorities were awarded Section 8 housing
vouchers for youth transitioning from foster care to independent living.
31
HHSC Monitored the development of the Transition MOU between TEA and HHS agencies
providing services to children and young adults.
Led the Children's Policy Council in examining transition related policies in order to de-
velop recommendations for the council's September 2002 report.
Led ongoing effort among HHS agencies to improve the system of support and care to
help transition children from institutional care to family settings.
TCADA TCADA uses various media to inform and educate its providers regarding available
state, local and federal programs and services for clients and encourages providers to
maximize these resources, programs and services. In November, TCADA held its third
prevention conference attended by approximately 400 participants. In addition, TCADA
provided regional training in Austin, El Paso, Harlingen, Lubbock, Houston and San An-
tonio on cost allocation; TCADA Chapter 148 rules; new provider orientation and train-
ing; Texas DWI repeat offender training; client eligibility; outreach, screening and refer-
ral services; documenting prevention activities; TCADA Chapter 144 rules; DWI admin-
istrator/Instructor training; and adolescent mental health.
In the second quarter training was provided to a total of more than 900 people in
Laredo, Austin, Amarillo, Dallas, Harlingen, Houston, Odessa, San Antonio and Mes-
quite. Trainings included topics on adolescent mental health, documenting prevention
activities, DWI education programs, dual diagnosis, HIV overview, rules training, and
DSM-IV.
Fiscal year 2002 contracts require new and existing providers in each HHS region to
work together to create coordinated systems of prevention, intervention and treatment
services and to work with other service providers.
ECI MOU with TEA
Representatives of ECI and the Texas Education Agency (TEA) have developed a
Memorandum of Understanding intended to facilitate a seamless transition of eligible
children from IDEA, Part C to IDEA, Part B programs and services. The two agencies
are now collaborating on a joint training process for field staff regarding implementation
of the MOU.
MOU with TDMHMR
ECI is developing a Memorandum of Understanding with the Texas Department of Men-
tal Health and Mental Retardation (TDMHMR) that builds a continuum of services be-
tween ECI and TDMHMR community centers for children with serious mental health
problems and their families.
In addition, ECI continues to:
Explore strategies for working with existing community organizations to build an effec-
tive continuum of family support that continues for a lifetime.
Collaborate with TEA, Head Start, Migrant Head Start and Early Head Start programs to
enhance linkages.
Work with the Texas Department of Protective and Regulatory Services (TDPRS) and
the Texas Workforce Commission (TWC) to inform childcare providers about ECI ser-
vices.
32
TDH MOU for transition services is currently being proposed for agency rule by the Texas
Education Agency. The Texas Family Support Initiative is continuing under the direction
of HHSC and the University Affiliated Program at University of Texas-Austin. The Chil-
dren's Policy Council has new legislation from the 77th Session to guide the composi-
tion and purpose of the Council.
TDHS Special Nutrition Programs has partnered with twenty-two Harvest Food Banks in Texas
to host a series of information sessions for the Summer Food Service Program (SFSP)
for Children. Sixteen SFSP Information Sessions have been scheduled at fourteen food
banks across the state. Seven SFSP Information Sessions were provided during Janu-
ary and February 2002. The purpose of these sessions is to provide general information
about the SFSP to local grassroots organizations and to recruit additional program
sponsors and feeding sites. Information about SFSP locations and services throughout
the state will also be available to households at food bank distribution sites. This col-
laboration will assist in increasing the number of low income children who receive nutri-
tious meals during the summer when they do not have access to the meals they receive
while in school.
TDMHMR No new progress.
TDPRS The National Youth in Transition Information System (NYTIS) federal report was com-
pleted in January 2002. Texas is one of the pilot states for independent living data col-
lection. PRS Information Technology is involved in the planning phase. Several man-
agement reports in the PAL Data Warehouse were operational in January 2002.
PAL is partnering with the Texas Youth Hotline to provide more outreach to youth who
have left foster care and are between 18 and 21 years old. Youth will be counseled and
referred to resources in their communities.
The PRS PAL Youth Specialist and the Youth Leadership Committee are working on a
Texas Foster Care Handbook for Youth. The purpose is to provide teens in foster care
with information about their rights, the foster care system, and answers to frequently
asked questions about foster care, from a youth perspective.
Amarillo and Central Texas housing authorities were awarded section 8 housing vouch-
ers for youth transitioning from foster care to independent living. Local CPS staff will be
actively involved in the identification of clients and referral process.
TRC Central Office Program Specialist continued to work with the Transition MOU work-
group. The 77th Legislature added an Article IX rider requiring completion of the MOU
regarding transition services for students with disabilities by 12-31-01. A Central Office
Program Specialist added TRC comments for publication when the document is sent to
the Registry and met with the MOU workgroup to complete the review and revision of
the MOU. 100% of action items in the Transition Action Plan due to be completed by 2-
28-2002 were finished by target date.
33
Expand Opportunities for Community-Based Services in
Compliance with Executive Order GWB 99-2
Intended Outcome
To enhance the ability of individuals with disabilities to live and receive services in their communities.
Specific intermediate goals, as described in the Promoting Independence Plan, include 1) establishing the
value base for people with disabilities, 2) addressing the wait for community-based care for those in insti-
tutional settings, and 3) evaluating and refining the system of services and supports. To accomplish the
third outcome, a systematic process must be developed whereby the program design and application for
all long-term care services and supports are matched against the value base, including collaboration and
partnerships at the community level to provide supports and services to families.
Summary of Progress
HHSC sought funding from the Developmental Disabilities Council regarding monitoring permanency
planning.
TDHS chose three contractors for Relocation Services and Community Awareness.
TDHS is testing the effectiveness of a program that consolidates five Medicaid waiver services (Commu-
nity Based Alternatives, Community Living Assistance and Support Services, Deaf Blind Multiple Disabili-
ties, Home and Community-Based Services, and Medically Dependent Children Program). The program
is a pilot in Bexar County; 40 clients have been certified.
Of 236 persons identified by TDMHMR for movement to the community, all but 24 moved or had their re-
ferral closed.
13 persons in large ICF/MR facilities were enrolled into HCS waiver services. An additional 192 persons
remained on the waiting list.
TDPRS assisted HHSC in a clinical review of children residing in institutions for persons with mental re-
tardation to assess their needs for transitioning to community living.
HHSC During the second quarter of FY02, the office of long-term care services and supports,
and the Children’s services director from HHSC, have worked on the development of
the alternative family based options pilot, referenced in SB368. The Commission will be
putting out an RFP related to this pilot.
Additionally the Commission sought funding from the DD Council regarding assistance
with SB368 and the monitoring of permanency planning. The Commission intends to
hire two DD grant funded positions related to this endeavor.
Monitoring of the DHS pilot relocation specialist RFP, continues by the Task Force. A
sub-workgroup from the Task Force related to housing is working on an MOU for TDHS,
HHSC, and TDHCA in order to roll out a housing voucher initiative with 35 HUD vouch-
ers for individuals with disabilities currently in nursing homes.
The SB 367 committee continues to monitor the TDMHMR slot allocation and commu-
nity living options assessment process. Future efforts will be related to revision of the PI
34
Plan.
TDoA Department staff continue to attend the HHSC Olmstead Promoting Independence Ad-
visory Board meetings and provide input regarding the effects of the Olmstead ruling on
nursing facility residents and their families.
TDH HHSC Task Force meeting held in February. Members were given information about the
ongoing efforts of the state agencies to comply with the Olmstead Plan, specifically from
MHMR and DHS.
TDHS Long Term Care Services chose three contractors from the Request for Proposal bids
for Relocation Services and Community Awareness. Contracts will be negotiated in the
next quarter.
Region 8 is testing the effectiveness of a process that consolidates the services author-
ized by five Medicaid waivers. The program consolidates the Community Based Alterna-
tives (CBA), Community Living Assistance and Support Services (CLASS), Deaf Blind
Multiple Disabilities (DB/MD), Home Community-based Services (HSC), and Medically
Dependent Children Program (MDCP). The process is expected to improve the access
to these five services by streamlining the eligibility and service authorization processes.
The client will have to meet only one set of criteria in order to qualify for any or all of the
services. The case will have one case manager capable of authorizing any of the ser-
vices. As a pilot, the program is limited to two hundred clients in Bexar County. Through
this quarter, 40 clients have been certified in this program.
TDMHMR At the end of the second quarter of 2002, there were 2 persons residing in state mental
retardation facilities who were to be offered community services under the original plan.
An additional 4 persons were re-referred and are within the 180 day window for move-
ment.
Beginning this FY, 236 persons were identified for movement to a community alternative
by the end of Quarter 2. Of the 236, all but 24 individuals moved or had their referral
closed.
By the end of the second quarter, 13 persons in large ICFs/MR (14 beds or more) and
on the HCS waiting list were enrolled into HCS waiver services. An additional 192 per-
sons in large ICFs/MR remained on the waiver waiting list. The 192 persons are to be-
gin receiving waiver services by the end of the fiscal year.
For persons in SMHF over twelve months, facility treatment teams develop a continuity
of care plan with the local MH authority in order to remove the barriers preventing dis-
charge.
The department, in partnership with stakeholders, continued its analysis of persons with
3 or more admissions into state mental health facilities in 180 days. Strategies are being
developed to address the needs of these individuals.
The department is a partner with HHSC in these efforts, and implementation of the
Texas Promoting Independence Plan will have significant impact on department opera-
tions and policies over the coming years.
TDPRS CPS has entered into a contract with DePelchin Child-Placing Agency to provide Level-
of-Care 5 and 6 services to PRS children w/ significant behavioral, and developmental
issues. Depelchin will not provide these services in a traditional residential setting, but
35
rather, in the less restrictive environment of a foster family home.
During this quarter APS has continued its involvement in several interagency work-
groups concerned with expanding opportunities for community-based services. APS
staff have been actively involved in the Promoting Independence Committee, HHSC’s
Senate Bill 831 work group (Ticket to Work), Alzheimer’s Advisory Committee, Texas
Mental Health and Aging Coalition, Texas Long-Term Care Access Project Committee,
Client Transportation Services, Interagency Council on Homelessness, Interagency
Domestic Violence Workgroup, and the CRCGA state team that is working with local
Adult CRCG programs and planning statewide expansion of community services.
PRS has been actively involved in interagency meetings to address barriers and funding
issues related to the eligibility of all PRS children to receive Medicaid Waiver services in
the community. This group includes those youth aging out of foster care due to their
age.
PRS assisted HHSC in a clinical review of a sample of children residing in institutions
for person with mental retardation in order to assess their needs for transitioning to
community living. This review included establishing the costs for the services to meet
these needs.
PRS conducted a cost analysis of the PRS children in institutional care to identify fund-
ing streams and any barriers to their use.
Respond to the Growing Number of Persons with Dia-
betes by Increasing Public and Policy-Maker Awareness
and Making Other Appropriate Policy Changes
Intended Outcome
Reduce the incidence of diabetes in Texas and the associated costs to HHS programs.
Summary of Progress
Milestones related to a TDH pilot program to demonstrate effectiveness of a community-based initiative
targeting obesity in children were completed. Pre-post testing indicated the level of moderate-to-vigorous
activity in physical education lesson time increased from 33.6% to 45.7%.
TCB There is no update for this quarter.
TDH As of December 2001, all milestones related to pilot program to demonstrate effective-
ness of a community-based initiative targeting obesity in children were completed. Pre-
post testing indicated the level of moderate-to-vigorous activity in physical education
lesson time from baseline mean of 33.6% to 45.7% (target 50% or greater within three
years) in year one. School lunches are prepared at target for fat calories, i.e., 30% or
less.
36
As of January 2001, Texas Diabetes Council adopted the Type 2 Diabetes in Children
and Adolescents: Statewide Action Plan which are widely disseminated (website, con-
ferences, on request).
The Texas Diabetes Council's advisory committee on Standards of Care is drafting a
new treatment algorithm to address Type 2 diabetes in children.
Streamlining and Simplification of Service Delivery
Intended outcome
This section contains descriptions of significant service delivery and streamlining efforts undertaken that
are not already accounted for in one or more of the strategic priorities.
TCB Streamlined TCB voter registration procedures by eliminating duplication of tasks.
Completed two on-line Office Supply Needs surveys with field staff. The Office Supplies
Workgroup reviewed the survey and tested products from Texas Industries for the Blind
and Handicapped (TIBH). Initiated phase two – evaluation of TIBH products.
TCDHH The agency contracts with TCB to provide Internal Auditing procedures, initial meeting
with Internal Auditor conducted.
Agency continues to participate in Business Improvement planning meetings and for the
implementation of PeopleSoft.
TDH Target 1-Project 1. Produce the Public Health Improvement Plan in 2002. Approve
working outline for PHIP. On target. Draft outline distributed to contributors and Associ-
ate Commissioners for comment between 12/19/01-1/7/02. Outline presented to Execu-
tive Team on 1/15/02.
Target 1-Project 6. Alignment of Plans and Legislative Initiatives. Finalize TDH Priority
Initiatives. Partially delayed. 1/4/02—Editorial board members appointed; first meeting
held on January 7, 2002.
Priority Initiative workshop set for April 10-11, 2002.
Target 4, Project 4. Public Health Performance Standards for Local Health Depart-
ments. Conduct a pilot of local level NPS and analyze the data. Analyzed National Per-
formance Standards (NPS) pilot data; and prepared to host Texas Conference on NPS
and Local System Improvement Plans on January 8 & 9.
NPS findings were presented at the conference January 8-9, 2002.
TDHS Consolidation, coordination, streamlining and simplifying administrative or support func-
tions, including use of automation and internet.
Region 8 installed 21 PCs in the resource rooms of 13 offices to enhance client capabili-
37
ties to access STARS, the internet self-screener. All offices have PCs that access
STARS. STARS is a bilingual, internet self-screening tool that allows users to identify
potential eligibility for one or more of 50 programs and services offered through DHS,
TDH, various other state agencies, and SSI. The region is promoting STARS through
mailings and presentations to community groups and agencies, as well as disseminating
brochures and posters to a wide audience throughout the region.
Long Term Care Services in Region 6 restructured and realigned CCAD caseloads in
the Harris County area and dissolved initial assessment units. All units will now handle
both applications and ongoing case management activities. With all units completing
applications and managing ongoing case activities, workload processes will become
more even. The goals are to achieve a higher rate of timeliness in seeing the applicant
within the 14-day time frame and to initiate services quicker to applicants.
The QWS3270 IP terminal emulator software has been distributed to DHS desktops.
This software was distributed so that DHS staff have faster connection and inquiry re-
sponse times, providing better service to our customers. The conversion to this software
aligns the agency with newer technology and an industry network standard.
The web site for the Special Nutrition Programs (SNP) was launched in January 2002.
Program participants and other interested persons may find information pertaining to
program requirements, names and phone numbers of SNP staff to contact for program
information, program training information and links to other nutrition-related sites.
State/local collaborations or partnerships, or collaboration initiatives with other state
agencies.
The DHS Lone Star Technology Department (LSTD) and the Texas Department of
Health (TDH) have partnered to integrate WIC benefits on the Lone Star Card. The pro-
ject integration requires the use of a single card, call center and central processor. WIC
clinic and DHS local office procedures for client information and the handling of cards
must also be integrated. The WIC EBT Integration Project is currently completing its
requirements definition phase. Recommendations for resolution of issues and the estab-
lishment of business rules were documented for both agencies and developed into func-
tional requirement specifications for WIC EBT integration. TDH projects that its New
Mexico pilot will begin on 07/08/2002 and the Texas pilot in El Paso three to six months
later. DHS is currently targeting for pilot implementation between October 2002 and
January 2003.
In collaboration with the United States Department of Agriculture (USDA) and the Texas
Department of Agriculture (TDA), TDHS’ Lone Star Technology Department (LSTD) is
working on a pilot project to enable farmers markets to accept Lone Star Card transac-
tions. This is a key component to providing access to healthy, Texas-grown products for
parents and children. Pilot farmers market sites in Lufkin, Del Rio, Lubbock, Ft. Worth,
San Antonio, Jacksonville, Tyler, and Dallas have been considered to initiate this effort.
A Region 5 Texas Works staff member has been appointed to the Jefferson County
Foster Care Task Force County Court Improvement Project to provide insight to county
judges and other members about Children’s Medicaid Services.
Texas Works staff in Pecos collaborated with 26 state and local agencies to host a job
fair on February 22, 2002. Anchor Foods, the largest employer in Pecos, has been sold
and several hundred employees will be losing their jobs by May 2002. The job fair was a
community collaboration to assist employees losing their jobs to find employment and
38
services available to help them during their transition to other employment.
An Innovation Grant contract was awarded by Texas Works to Volunteers of America in
Region 6. This contract will assist individuals in achieving self sufficiency and promotion
of independence, substance abuse counseling.
As part of the partnership between the Family Violence Program and the Department of
Protective and Regulatory Services, a CPS brochure with information directed to Family
Violence shelter clients was distributed to all Texas shelters. Partners in this effort par-
ticipated in a regional forum to address state collaborations related to Domestic Vio-
lence and Child Maltreatment. Additionally, a sample MOU was submitted to Domestic
Violence service providers and PRS Regional Administrators in order to facilitate the
request for local discussions and signed MOUs.
An interagency contract was signed with Office of Attorney General to allow the Family
Violence Program to administer $2 million in discretionary Crime Victims Comp funds.
Contracts were prepared which allow for service providers to receive the dedicated
funding.
Staff have finalized plan components and began the rule-writing process to establish a
public-private partnership for refugee resettlement, which will transfer the Refugee Cash
Assistance program from TDHS regional offices to non-profit resettlement agencies.
This initiative is perceived as the best option in assisting RCA eligible refugees to
achieve self-sufficiency.
Cost efficiency or cost-effectiveness initiatives.
The Civil Rights Division (CRD) completed the development and initial presentation of
the computer based training (CBT) curriculum on Basic Civil Rights Overview (BCRO)
for new employees. When the session becomes available statewide, all DHS employ-
ees will have the capability to take the mandated BCRO CBT at their desks. DHS
should realize a cost savings from the decreased travel and time for employees to at-
tend these mandated sessions. CRD continues additional CBT curriculum for two year
mandated supplemental civil rights training by utilizing the experience gained from the
development of the BCRO CBT.
Efforts to streamline/simplify service delivery at any of these stages: planning, eligibility
determination, intake/enrollment, outreach, marketing, education, implementation, case
management, referral, quality assurance, or evaluation.
The Long Term Care (LTC) Regional Awareness Project, that includes County Exten-
sion Services and yearly meetings with all Home and Community Support Services
(HCSS) agencies, has allowed staff to make 33 presentations in 14 different counties
this quarter. This project allows us to educate the population of potential clients and/or
their caregivers about services available through LTC Services, and enhances commu-
nication to improve service effectiveness by offering yearly HCSS seminars.
Region 4 utilized EZ Access for seniors as a food stamp outreach program. Mailouts are
sent to persons age 60 or over along with information on special services to qualifying
seniors, help with completing applications, home visits and telephone interviews.
Region 2 represented DHS at a City of Abilene Employees Leadership Conference held
on February 20, 2002. Information was shared regarding DHS programs and eligibility,
as well as volunteer opportunities and programs.
39
DHS requested and received a waiver of federal regulations to conduct a Food Stamp
demonstration project that will outreach aged SSI recipients who are not currently en-
rolled in the Food Stamp program. The Simplified Nutritional Assistance Program
(SNAP) is a partnership between DHS and the Food and Nutrition Service (FNS). The
goal of this program is to positively impact service to a group of Texans who face barri-
ers to participation due to age and a perceived complex application process. DHS will
identify and mail a simplified food stamp application to potentially eligible applicants.
Applicants are only required to sign the application and indicate their monthly shelter
expenses. Upon return of the application, individuals will be certified for up to 36 months
and will receive a standard food stamp benefit based on their reported shelter expense.
In addition to positively impacting service to participants, this program is anticipated to
result in increased administrative efficiency.
DHS has requested a standard medical deduction waiver to allow elderly or disabled
household members a choice between either a standard deduction of $137 per month
or a deduction for actual expenses. This demonstration project would potentially provide
increased food stamp benefits to eligible elderly and disabled household, reduce staff
workload and lower the risk of quality control errors.
Family Violence staff worked closely with the Texas Council on Family Violence in draft-
ing and finalizing a state plan for family violence services that was required by SB47.
The plan was presented to the DHS Board in February 2002, and in March 2002 will be
submitted to state leaders, service providers, and allied professionals.
Efforts to increase customer/consumer satisfaction (including customer satisfaction as-
sessments)
Texas Works clients in Region 4 were given a customer service card with a toll-free re-
gional number to the client compliment line. This gives the client an opportunity to leave
a complimentary message for staff that provided them with excellent customer service.
Staff receiving complimentary messages from clients receive a token of appreciation.
The customer service card also has a toll-free number for the complaint hotline at State
Office. All complaints received in the Customer Service office are investigated.
TDMHMR Internet and intranet. TDMHMR is using the Internet and intranet increasingly to simplify
the distribution of information on access to and quality of services, e.g., service direc-
tory, rules, Medicaid manuals.
Automated volunteer and donor tracking. TDMHMR uses an integrated software system
for basic volunteer and donor tracking functions and fundraising for community relations’
offices throughout Texas. The standardization is time-saving and allows staff to maintain
volunteer information, track donor profiles and history, and create personalized ac-
knowledgements, appeal letters, and reports.
Standard voice mail systemwide. TDMHMR has a standard voice mail system for 20 of
its 24 facilities. In the next fiscal year, Central Office (CO), Austin State Hospital (ASH),
and Austin State School (AUS) will consolidate Mitel systems so the three facilities will
have extension access for other facilities, be able to use the internal "phonebook" func-
tion to find a number at the other facilities, and be able to return voice mail messages
through the system. Voice recognition dialing for the three facilities is being explored.
This facilitates the partnering efforts between and among AUS, ASH, and CO, with po-
tential to consolidate the phone systems at other facilities which have Mitel.
Interagency rulemaking on standards for services. TDMHMR has statutory responsibility
40
for setting standards of care and treatment in psychiatric hospitals, and the Texas De-
partment of Health (TDH) is the state-licensing agency. TDMHMR and TDH are coordi-
nating the development of their respective rules to be easier to understand and enforce.
The cooperative effort is reducing redundancy across the two agencies’ regulations.
Operations consolidations. TDMHMR state facilities have consolidated operations as
follows:
Maintenance. Central Office and Austin State Hospital have a consolidated mainte-
nance operation;
Laboratory testing. Needs for reference laboratory testing have been consolidated into a
statewide contract;
Administration and support. Vernon State Hospital and Wichita Falls State Hospital were
consolidated into the North Texas State Hospital, facilitated by the state wide area net-
work and video-conferencing to reduce travel and promote communication;
Purchasing. An automated purchasing system on the wide area network as well as the
optimal use of procurement cards has facilitated the consolidation of accounting and
purchasing functions at several facilities, including: Mexia State School and the Waco
Center for Youth, Brenham State School and Richmond State School, and North Texas
State Hospital and Denton State School.
Human services. Hiring, training, and benefit management of the Central Office person-
nel office were consolidated with those of Austin State Hospital, with e-mail to commu-
nicate training schedules and public folders to list job postings;
Laundry. Laundry operations have been consolidated at several facilities, e.g.,
Austin State Hospital and Austin State School consolidated operations in 1988 and now
provide laundry services to Brenham State School. Rusk State Hospital and Lufkin State
School have consolidated the most modern laundry equipment at the Lufkin State
School campus to produce lower operating costs.
Food services. Austin State Hospital and Austin State School consolidated food ser-
vices operations utilizing the newest and most efficient equipment and processes;
Medication distribution. San Antonio State Hospital has a pharmacy distribution system,
which utilizes robotic equipment to select and dispense medications for San Antonio
State School and Kerrville State Hospital. Automation has reduced medication errors
and waste and enabled reductions in staffing;
Clinical functions. Teleconferencing has enabled San Antonio State Hospital to perform
clinical and administrative functions for a state center remotely and reduce the cost of
consultants, locum tenens, and travel expenses previously required.
Disaster relief. TDMHMR is the lead for disaster mental health crisis counseling services
and the State Crisis Consortium in the State of Texas Disaster Plan, coordinating needs
assessments for defusing, debriefings, and ongoing mental health needs of disaster and
trauma victims for any state or federally declared emergency. It coordinates the devel-
opment of federally funded crisis counseling, ensures the provision of disaster mental
health training programs, and addresses disaster worker needs.
Information resources. TDMHMR participates in the HHSC Information Resources Man-
41
agers group in several interagency initiatives, most notably the Health and Human Ser-
vices Consolidated Network, which saves the participating agencies several million dol-
lars in telecommunications costs each year by cooperative purchasing and operation of
the wide area network. Initiatives include technology standards for the agencies and
consolidation of electronic mail and call centers or help desks.
Long term care coordination. The TDMHMR/TDHS Long Term Care Work Group re-
ports on planning and long term care services and recommends standardized regulation
of residential and community long-term care services; rate-setting process for long-term
care; contract monitoring for long-term care; intake, assessment, referral, and coordi-
nated case management; and administration of the In-Home and Family Support Pro-
gram.
Waiver for multiple waiver populations. TDMHMR is participating with the Department of
Human Services, the Texas Department of Health and the Health and Human Services
Commission in a pilot Medicaid waiver project that will serve the state's multiple waiver
populations in a single waiver. The pilot program will serve a maximum of 200 individu-
als and will provide an array of services like those included in existing Medicaid waiver
programs.
Children with special health care needs. A committee in which TDMHMR participates
continues to advise the Health and Human Services Commission (Medicaid Bureau)
regarding health care policy and Medicaid managed care issues for children with special
health care needs. TDMHMR has also continued to provide input to TDH on the
re-development of the Children with Special Health Care Needs Program, with a draft
rule recently released for comment.
Mentoring. TDMHMR participates in an interagency task force sponsored by the Office
of Governor to develop a state-level mentoring partnership. Representatives to this task
force include the Texas Health and Human Services Commission, the Department of
Human Services, the Texas Juvenile Probation Commission, the Texas Education
Agency, the Texas Department of Protective and Regulatory Services, the Texas Higher
Education Coordinating Board, the Texas Commission on Alcohol and Drug Abuse, the
Texas Youth Commission, the Texas Department of Criminal Justice, the Texas De-
partment of Health, Texas Rehabilitation Commission, the Texas Department of Public
Safety, the Office of the Governor, and special interest groups. The goal of this work-
group is to increase the quality, capacity, and scale of mentoring at both the community
and the state level through identification of funding and additional resources to dedicate
to Texas mentoring programs.
Central LON and LOC determinations. To minimize replication of effort, TDMHMR is
assuming responsibility for level of need (LON) and level of care (LOC) determinations
for CLASS and deaf, blind waiver programs operated by the Texas Department of Hu-
man Services. This eliminates duplicated efforts and provides one consistent venue for
obtaining LON and LOC for consumers while making maximum use of the computer
technology already in place at TDMHMR.
Procurement cards. Procurement cards can significantly reduce numbers of under-$250
purchase orders, the level of purchasing and accounts payable activities, and the num-
ber of purchasing staff. At Mexia State School, Waco Center for Youth, and Brenham
and Richmond State Schools, there is potential for purchasing consolidation or regional.
This effort is facilitated by the automated purchasing system and the wide area network.
The Administrative Oversight Committee is distributing best practice guidelines for use
and control of procurement cards.
42
MRLA waiver. TDMHMR is piloting recommendations of the Ad Hoc Committee on Men-
tal Retardation and Managed Care at three local authorities that are also the pilot sites
for the HB 2377 pilot (Lubbock Regional MHMR Center, Tarrant County Community
MHMR Center, and Austin-Travis County MHMR Center). This includes the implementa-
tion of the Mental Retardation Local Authority waiver, which streamlines and simplifies
service delivery processes at eligibility determination, intake, and service planning.
Additional sites will be implemented during FY 2001.
NorthSTAR. The managed care carve-out program for mental health and substance
abuse services is jointly administered by TDMHMR and the Texas Commission on Al-
cohol and Drug Abuse.
Uniform assessment. TDMHMR participates in the HB 633 Advisory Panel to assist the
Health and Human Services Commission in developing and piloting a uniform assess-
ment of functional skills for people likely to need longer term care services. The panel
includes representatives from the Texas Department of Human Services, the Texas Re-
habilitation Commission, Advocacy, Inc., United Cerebral Palsy, The Arc of Texas, and
others.
TDPRS Leadership Development has been identified as an agency Strategic Initiative. A work-
group has been formed to examine leadership development. The workgroup contains
members representing 9 regions and state office with all program areas and all man-
agement levels of staff represented. The workgroup is in the process of identifying Or-
ganizational Competencies, a Mission Statement and Core Values for PRS leaders.
Three ongoing sub-committees were formed: Assessment and Experiential Learning,
Mentoring, and Formal Training. The Leadership Development staff is currently working
with Human Resources to address leadership issues in the Human Resource Manage-
ment Plan.
The installation of remote access service in Houston and San Antonio has been com-
pleted. Employees in Dallas, Austin, San Antonio, and Houston now have local dial-up
numbers. This project will result in significantly reduced long distance charges since dial
in employees in these areas will connect via local numbers and not via the 1-800 ser-
vice. Employees in these areas may experience higher connection speeds depending
on local telephone line quality.
The Professional Development Division instituted Online Training Registration. This al-
lows employees to register for professional development classes online.
HR Retention and Recruitment (R&R) continues to work with the Health and Human
Services Agencies’ (HHSA) Cooperative Recruitment work group on several cost sav-
ings and streamlining activities.
TRC (a) Consolidating, coordinating, streamlining or simplifying administrative or support
functions, including automation and the Internet
Ongoing Projects – TRC continues to improve administrative efficiency by working with
HHSC committees, co-locating with other state offices, finding opportunities for agen-
cies to share support services, and participating in interagency efforts to streamline ad-
ministrative procurement.
Co-located sites: This quarter, TRC has 122 leased (82 co-located and 40 not co-
located), 26 non-leased, and 4 state-owned sites (Brown-Heatly, Austin Warehouse,
Houston Elias Ramirez Building, Fort Worth State Building).
43
Interagency contracts: TRC provides selected support services for agencies in the
Brown-Heatly Building. In addition to all building-related services TRC provides such
services as purchasing support, HUB administrative support, recycling, and automated
services under interagency contracts with HHSC, Texas Department on Aging (TDoA),
and the Interagency Council on Early Childhood Intervention (ECI). TRC also adminis-
ters all Human Resource services for HHSC. TRC Automated Services provides full
support for the HHSC, TDoA, and ECI workstations including HELP Desk support for all
application software, installation and maintenance of PCs, network trouble shooting, and
PC replacement planning. All Brown-Heatly agencies (HHSC, TDoA, ECI) will be up-
graded to the new standard Windows Server 2000; this has been rescheduled for
March/April.
Procurement: TRC and TCB have developed and implemented a process to coordinate
the annual review and analysis required to establish the medical services rate schedule.
These activities result in a common rate schedule for medical and health care services
that provides compliance with legislation and ensures best value. We are currently in
the process of establishing the FY 03 rate schedule. In addition, TRC has developed a
process to share the final rate schedule with TYC and provide ongoing updates regard-
ing rate or methodology changes. The HHSAS (Health and Human Services Administra-
tive System) currently in use by HHSC has been in place and operating for 5 months
with only minor problems that have been resolved as they occurred. The monthly divi-
sional HUB expenditures report required by statute was corrected and is now available
for use. Contract programmers are still working on other, non-critical, HUB reports. A
multi-agency purchasing workgroup is crafting an RFO for pager/cell phone purchases
for the HHS enterprise, intended to reduce costs for all HHS agencies.
Special Project:
Temporary warehouse space—HHS Print Shop storage: TDH and TRC are cooperating
to provide 3,300 square feet of space for 24–30 months while construction fences are
blocking the delivery dock of the TDH Service Building. Space was made by rearranging
inventory stock. TRC is currently using a portion of the identified space for storage of
overflow stock as TDH is not fully utilizing all assigned pallet rack space.
Health & Human Service Agencies—Job Fair: HRM represented both TRC & HHSC at
the UT-Government Agency job fair on January 25, 2002. The fair drew approximately
4000 participants with about 1500 requesting information about HHS positions. HRM
made a presentation regarding employment opportunities in HHS agencies at the St.
Edwards University Senior Luncheon on February 20, 2002.
(b) State and local collaborations and partnerships:
Ongoing Projects To continually improve and streamline service delivery, TRC main-
tains active partnerships with numerous local and state entities through memoranda of
understanding (MOUs), interagency contracts, and committees and boards.
Non-financial agreements: TRC has 36 non-financial agreements with state and federal
government entities.
Administrative interagency contracts: TRC has 6 vocational rehabilitation graduate in-
terns (4 in state and 2 out of state) from contracted universities. Also, TRC performs
services in 12 state interagency contracts and receives services under 15 interagency
contracts.
44
Statewide MOU for workforce development: Partners under the Federal Workforce In-
vestment Act, including TRC and the Texas Workforce Commission (TWC), work to-
gether toward coordination of state and local workforce development. Between TRC and
TCB, public vocational rehabilitation is represented on 26 of the 28 Local Workforce
Development Boards (LWDBs). TRC is taking a proactive role in getting MOUs com-
pleted with the remaining LWDBs.
Board and committee service: TRC staff members belong to the Children/Youth and
Adult State Teams of the HHSC Community Resource Coordination Groups, as well as
the disaster team with the Governor’s Office. The Governor's Office of Emergency Man-
agement is developing general guidelines.
(c) Coordination or collaboration initiatives with other state agencies
Ongoing Projects:
Workforce development workgroups and committees: TRC works with a variety of sub-
committees and workgroups within the TWC and Texas Council on Workforce and Eco-
nomic Competitiveness (TCWEC) system.
Rate setting: A Rate Review Workgroup, which includes membership from TCB, was
established by TRC. The group reviews rates established by TRC for all manner of
goods and services and makes recommendations for needed change. The group antici-
pates having recommendations for fee adjustments for Community Rehabilitation Pro-
gram services ready for management consideration in February.
Community Resource Coordination Groups Adults and Children: TRC collaborates with
several HHS agencies to coordinate efficient information sharing regarding programs for
children and youth and adults. Due to recent legislation (SB 1468), the youth and adult
MOUs are being combined. The Combined CRCG and CRCGA MOU has been com-
pleted and signatures are being obtained from the participating Agency Executives.
(d) Cost-efficiency or cost-effectiveness initiatives
Special Projects:
All training in the VR field and central office was complete by June 29. Due to conflicting
priorities in DDS, their training was delayed until July and was completed July 30. All
questions from the field have been addressed by Buyer Support Services or by Field
Operations management. These questions have been placed on the BSS and HRD
websites. As trainers conducted these training sessions, they forwarded questions to
HRD. HRD worked with SMEs to get answers to the FAQs. Some of the clarification
made by the SMEs and recent purchasing policy-related changes in FPS and RSM re-
quire that the current training packet be revised. With Mrs. Wolfe’s approval, HRD will
request feedback from the regions on how to improve this training packet as well as
what purchasing training issues may be a result of purchasing reviews. After the packet
is revised, HRD will work with SMEs to ensure that we have the correct answers in the
training packet.
PeopleSoft: HRM provided process flow charts to the PeopleSoft Implementation team
and participated twice weekly in prototyping and table setup meetings. A TRC Deputy
Commissioner continues to serve on the HHSAS (Health and Human Services Adminis-
trative System; PeopleSoft) Steering Committee. TRC is committed to the acceleration
of the process to bring all HHS agencies onto the HHSAS HR modules to facilitate con-
45
solidation of HR functions. TRC information technology staff are prepared to assist the
implementation process when approved.
(e) Efforts to streamline or simplify service delivery at one or more of the following
stages: i) Planning, ii) Eligibility determination, iii) Intake or enrollment, iv) Outreach,
marketing, or education, v) Implementation, vi) Case management or referral, and vii)
Quality assurance evaluations
Ongoing Projects Enhancements of in-house developed software.
AdminSys (Administrative procurement application): TRC has updated equipment prop-
erty disposition titles to comply with Comptroller changes, and has revised the timeline
for payment request action items to be in line with TRC policy. (implemented 01/02)
RehabSys (Rehabilitation services application that includes procurement): TRC has
added a privacy clause on relevant forms and letters to comply with legislation changes,
and has revised the timeline for payment request action items to be in line with TRC
policy. (implemented 01/02)
Buyer Support Services (Ancillary process for maintenance of specification, provider,
and contract database): TRC implemented changes to provide more uniformity of data
entry and to expand contract search capabilities. (implemented 01/02)
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