Exhibit A Statement of Work.pdf

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Attached to
HealthySteps Program Implementation Sites Solicitation
Solicitation number
RFP QAAA 2026000153 4
Issued by
Arapahoe County, Colorado

About this file

This is a Statement of Work (SOW) for HealthySteps Implementation Sites prepared by the Colorado Department of Early Childhood (CDEC). The document outlines the implementation requirements for the HealthySteps program, an evidence-based model providing enhanced well-child care to children ages birth to three years and their families within pediatric primary care settings. The contract period runs from July 1, 2026, through June 30, 2027, with services to be performed at a clinic location to be determined. The scope of work requires implementation of the HealthySteps model to a minimum of "Approaching Basic Fidelity" as defined by the HealthySteps National Office, with an embedded HealthySteps Specialist delivering services to approximately a specified number of families (exact numbers to be inserted site-specifically) across three service tiers: universal screening for all eligible children (Tier 1), brief developmental and behavioral consultations for families with typical concerns (Tier 2), and team-based well-child visits for families with the greatest need through age three (Tier 3).

The work plan encompasses multiple key activities including universal developmental, social-emotional, and autism screening; maternal mental health and family needs screening; establishment of a functional warm line for families; provision of developmental and early learning resources; care coordination and referrals to community resources; developmental and behavioral consultations; comprehensive data collection and reporting to both the State Intermediary Office (Assuring Better Child Health and Development) and the National Office; and mandatory participation in professional development, technical assistance, and community of practice activities. Specific milestones include achieving defined numbers of children served in Tiers 2 and 3 annually, increasing social-emotional screening rates, ensuring 100 percent contact of identified families within three days, and providing positive parenting and early learning guidance at all team-based well-child visits. All deliverables are subject to approval by the CDEC HealthySteps Program manager, who will monitor completion and compliance throughout the contract period.

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Exhibit A

Page 1 of 9 Revised 1/6/2025

Statement of Work [Vendor Legal Name including DBA if appropriate]

HealthySteps Implementation Sites

CDEC PROGRAM CONTRACT MANAGER

ABBREVIATIONS

● CDEC – Colorado Department of Early Childhood

● SOW - Statement of Work

● HS – HealthySteps

● ABCD – Assuring Better Child Health and Development

● CoP – Community of Practice

● PD – Professional Development

● TA – Technical Assistance

INTRODUCTION/BACKGROUND

● HealthySteps (HS) is an evidence based model that provides enhanced, comprehensive well‐child care to children ages birth to three years and their families by promoting the establishment of close relationships between healthcare professionals and parents in addressing the physical, emotional, and intellectual growth and development of young children (www.healthysteps.org). HS is delivered in the context of pediatric primary care and is multi-generational and prevention focused. The reach of HS goes beyond the children enrolled and reaches the whole family. The long-term goals of the HealthySteps® program are healthy children who succeed in school and life. These outcomes are achieved by targeting child health, parenting knowledge and practices, and family health and well-being.

● [Insert site specific background here such as clinic’s experience implementing HS or other integrated behavioral health strategies.]

Page 2 of 9 Revised 1/6/2025

SCOPE OF WORK

● This project will support the implementation of the HS model at [Clinic name]. All fidelity requirements of the model will be implemented as part of the scope of work and approximately [number] families will receive direct services from a HS Specialist embedded in the clinic. Approximately [number] children will receive Tier I services from the clinic including universal child- and family-level screening. Data will be collected and reported on services provided. Continuous quality improvement efforts will be made to ensure ongoing high-quality implementation of HS. Finally, the HS Specialist will engage in professional development and technical assistance opportunities afforded by the State Intermediary Office, Assuring Better Child Health and Development.

PERIOD OF PERFORMANCE

● July 1, 2026 – June 30, 2027

WHERE SERVICES WILL BE PERFORMED

• TBD

WORK PLAN

Work Plan

Outcomes, Benchmarks, and Milestones Outcome Statement #1:

The HealthySteps model will be implemented to a minimum of “Approaching Basic Fidelity”, as defined by the HealthySteps National Office.

Page 3 of 9 Revised 1/6/2025

Key Activity A1: Universal child-level screening Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A1-1: Conduct universal Developmental screening at least once per year for all eligible children ages 0-3

Ongoing for the entire period of performance

Universal developmental screening is fully implemented

Percentage of total eligible children ages 0 – 3 who received at least one developmental screener in the past year

A1-2: Conduct universal Social-emotional screening at least once per year for all eligible children ages 0-3.

Ongoing for the entire period of performance

Universal social-emotional screening will begin to be implemented

Percentage of total eligible children ages 0 – 3 who received at least one social-emotional screener in the past year

A1-3: Conduct universal Autism Screening at least once for all eligible children by the time they turn 27 months

Ongoing for the entire period of performance

Universal autism screening will be fully implemented

Percentage of total eligible children ages 0 – 3 who received at least one autism screening in years 2 and 3 screener in the past year

Page 4 of 9 Revised 1/6/2025

Key Activity B1: Universal family-level screening Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category B1-1: Conduct universal maternal mental health screening at least once for all children under the age of 6 months

Ongoing for the entire period of performance

Universal maternal mood screening will be fully implemented

Percentage of total children ages 0 – 6 months who received at least one maternal mood screening in the first 6 months of life.

B1-2: Conduct universal screening for family needs at least once per year for all children ages 0

- 3

Ongoing for the entire period of performance

Universal psychosocial needs screening will be fully implemented

Percentage of total children ages 0 – 3 years who received at least one psychosocial screening in the past year.

Key Activity C1: HealthySteps warm line will be available for all families with children ages 0-3 Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category C1-1: Create a warm line for families to call in the case that they have non-urgent, non-medical questions

Ongoing for the entire period of performance

A functional warm line is available to all families.

Presence of a functional warm line

C1-2: Provide families with information about the warm line and how to use this resource

Ongoing for the entire period of performance

Families are aware of the warm line number and know how and when to use it.

Presence of a functional warm line and distribution strategy

C1-3: The warm line will be staffed by HealthySteps Specialists and calls will be responded to within 72 hours

Ongoing for the entire period of performance

Families who access the warm line will be responded to within 72 hours.

Existence of staffing plan

Page 5 of 9 Revised 1/6/2025

Key Activity D1: Developmental resources will be provided to families, based on need Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category D1-1: Maintain up-to-date resources related to development and positive parenting to provide to families

Ongoing for the entire period of performance

A library of up-to-date resources is available and provided to families.

Existence of a library of developmental resources and distribution plan

D1-2: Provide handouts or other resources to families, as needed, in order to support developmental progress.

Ongoing for the entire period of performance

Families will receive up-to-date handouts or other resources at each visit, as indicated.

Number of families who received developmental resources during visits with HealthySteps Specialists

Key Activity E1: Information about early learning will be provided to families, as needed.

E1-1: Maintain up-to-date resources related to school readiness to provide to families.

Ongoing for the entire period of performance

A library of up-to-date resources is available and provided to families

Existence of a library of early learning resources

E1-2: Provide handouts or other resources to families, as needed, in order to enhance school readiness.

Ongoing for the entire period of performance

Families will receive up-to-date handouts or other resources at each visit, as indicated.

Number of families who received early learning resources during visits with HealthySteps Specialists

Key Activity F1: Care coordination will be provided to families in need

F1-1: Refer families to community resources, as necessary.

Ongoing for the entire period of performance

Families will be effectively connected to community resources, as needed

Number of community referrals made for families in Tiers 2 or 3

Page 6 of 9 Revised 1/6/2025

F1-2: Follow up on referrals to community resources in order to close the loop with families and ensure they are appropriately connected.

Ongoing for the entire period of performance

Referrals will be followed up on to ensure that families are appropriately connected.

Number of completed referrals

Key Activity G1: Developmental and behavioral consultations will be provided to families to address brief developmental or behavioral concerns (Tier 2) Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category G1-1: HealthySteps Specialists will provide brief (1-3 visits) consultations to families who have typical developmental or behavioral concerns

Ongoing for the entire period of performance

HealthySteps Specialists will provide brief consultations to families who have typical developmental or behavioral concerns

Number of unique children receiving a Tier 2 consultation and Number of Tier 2 visits provided by the HealthySteps Specialist

G1-2: Refer families receiving brief consultations to community resources, as necessary

Ongoing for the entire period of performance

Families will be appropriately connected with community resources, as needed

Number of Tier 2 children who receive a referral to community resources

Page 7 of 9 Revised 1/6/2025

Key Activity H1: Families determined to have the most need will receive team-based well child visits at each well-child visit through age three (Tier 3)

Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category H1-1: Develop an internal process for identifying families who will benefit most from Tier 3 services and share this with clinic staff

Ongoing for the entire period of performance

An internal process for identifying families who will benefit most from Tier 3 services is developed and documented

Existence of definition

H1-2: Revisit Tier 3 criteria on a quarterly basis and make adjustments as needed

Ongoing for the entire period of performance

Tier 3 criteria is reviewed quarterly and adjusted, as needed

Number of QI meetings completed to review definition

H1-3: HealthySteps Specialists participate in team-based well-child visits with families enrolled in Tier 3 services

Ongoing for the entire period of performance

Families enrolled in Tier 3 HealthySteps receive team-based well child visits from enrollment through age 3

Number of Tier 3 children seen for team-based well child care

H1-4: Monitor the HealthySteps database “expected visits” report on a monthly basis and follow up with Tier 3 families who have missed well child visits

Ongoing for the entire period of performance

Tier 3 HealthySteps families will be closely monitored to ensure that

Number of Tier 3 children who require outreach to ensure that they attend their well child care.

Key Activity I1: A comprehensive data collection plan will be put in place

I1-1: Tier 3 data will be entered into the statewide database

Ongoing for the entire period of performance

Up-to-date data will be entered into database on a monthly basis by the 5th of the following month.

Existence of up-to-date Tier 3 data

Page 8 of 9 Revised 1/6/2025

I1-2: Tiers 1 and 2 data will be collected in the medical record

Ongoing for the entire period of performance

Medical record will contain extractable data for Tiers 1 & 2

Existence of up-to-date Tier 1 & 2 data

I1-3: Data will be reported the State Intermediary office and the National Office as required by both entities.

Ongoing for the entire period of performance

Data will be reported the State Intermediary office and the National Office as required by both entities.

Monthly reporting to ABCD and annual reporting to The National Office

Key Activity J1: HealthySteps staff and providers participate in all required professional development training and technical assistance services provided or required by the State Intermediary office at ABCD Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category J1-1: Participate in quarterly community of practice calls with

ABCD

Ongoing for the entire period of performance

Ongoing participation in monthly CoP calls

Attendance at CoP calls

J1-2: Participate in annual professional development series with ABCD

Ongoing for the entire period of performance

Participation in annual PD series Attendance at annual PD series

J1-3: Participate in any necessary technical assistance activities with ABCD

Ongoing for the entire period of performance

Participation in any necessary TA activities

Attendance at TA activities

J1-4: Participate in any necessary technical assistance activities with the HS National Office

Ongoing for the entire period of performance

Participation in any necessary TA activities

Attendance at TA activities

Page 9 of 9 Revised 1/6/2025

SCHEDULE/MILESTONES

• [Clinic name] will provide Tier 3 (Team-based well child care) services to at least [number] children annually.

• [Clinic name] will provide Tier 2 (Team-based well child care) services to at least [number] children annually.

• HealthySteps Specialist will attend at least 4 hours of professional development annually to improve capacity and competence in delivering HealthySteps services.

• Social-Emotional Screening rates will increase from [percentage] to [percentage] of children being screened at least once per year in the [clinic name].

• 100% of families who are identified as needing brief consultations will be contacted by a HealthySteps Specialist within 3 days.

• 100% of families in Tier 3 will receive positive parenting and/or early learning guidance or materials at team-based well-child visits.

ACCEPTANCE CRITERIA

The acceptance of all deliverables shall reside with the CDEC, HealthySteps Program. The designated program manager shall monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work has been met.

The CDEC program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be accomplished.

[Vendor Legal Name including DBA if appropriate]
HealthySteps Implementation Sites
CDEC Program Contract Manager
ABBREVIATIONS
● HS – HealthySteps
● ABCD – Assuring Better Child Health and Development
● CoP – Community of Practice
● PD – Professional Development
● TA – Technical Assistance
Introduction/Background
Scope of Work
Period of Performance
Where Services Will Be Performed
Work Plan
Schedule/Milestones
Acceptance Criteria

Work Plan

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