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Health Equity Strategic Plan | Department of Human Services

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Visit the Department of Human Services website, call 303-866-5700, or contact CDHS for more information or assistance with direct services.

Priority:

Economic Stability,
Education Access and Quality,
Health Care Access and Quality,
& Social and Community Context

Social Determinants of Health dial graphic; Economic, Education, Healthcare, and Social sections highlighted

Learn more about the Social Determinants of Health

Problem statement

Advancing health equity is critical to the core of the vision and mission of the Colorado Department of Human Services (CDHS). As one of the largest agencies with direct client/patient contact AND as the employer with the most diverse classifications of positions in the state, our impact on the social determinants of health for Coloradans is meaningful and significant. Our commitment to eliminating health disparities has strengthened over time, and we recognize there is still much we can do to minimize disparate impacts on, and improve the wellbeing of, multiple communities.

Community engagement

CDHS is intentional with our community engagement process. We are committed to utilizing and compensating individuals for their lived experience expertise. We engage communities to impact our decision-making and policy development through: 


pink healthcare icon and blue education icon

Strategy #1

Early Deaf and Hard of Hearing Communication and Language Access 

Timely screening, diagnostic, and early intervention efforts can help combat the prevalent language and socioemotional delays prevalent among members of the deaf and hard of hearing communities. The Colorado Early Hearing Detection and Intervention (COEHDI) program supports the Joint Infant Committee on Infant Hearing (JCIH, 2019)’s 1-3-6 benchmarks to ensure appropriate language, communication, and social development. COEDHI program data reported to CDC will focus on 1-3-6 milestones, screening by 1 month of age, diagnostics/identification by 3 months of age, and enrollment in early intervention by 6 months of age. Goals include increase screening by 1% from baseline per year, or achieve at least a 95% screening rate, whichever is lower; increase diagnostics/identification by 10% from baseline or achieve a minimum rate of 85%, whichever is lower; and increase enrollment in early intervention by 15% from baseline or achieve a minimum of 80%, whichever is lower. 

Infant having their hearing tested

Communities prioritized by this strategy:

  • Low-income communities
  • People living with disabilities 
  • Linguistically isolated communities
  • Historically marginalized communities
  • Cumulatively impacted communities
  • Rural communities 
  • Deaf, Hard of Hearing, and DeafBlind communities

Areas of impact

This strategy will impact Coloradans statewide. 

Map of Colorado counties, all counties are highlighted

2024 milestones

  • Overall COEHDI system: [Complete]
    • Participated in an Interagency Steering Committee with CSDB, CDEC, and CDPHE to identify roles and responsibilities.
    • Conducted COEHDI Alliance and meetings of five task forces to identify system needs and gaps.
    • Concluded the 2020-24 HRSA grant.
    • Applied for and received the HRSA EHDI 5-year grant beginning April 2024 with full support of the Alliance.
    • Hired a new COEHDI Director.
  • Activities for screening: [Complete]
    • cCMV became a reportable condition and part of the newborn blood spot screening testing.
    • Planned activities that support the CO-AAP’s plans to advance screening practices for cCMV.
    • Reviewed continuous hearing screening plan.
    • Facilitated Virtual Site Visits with birthing facilities to review screening practices.
  • Activities for diagnostics: [Complete]
    • Explored teleaudiology options in rural areas.
    • Worked to encourage audiologists to enter data in the HIDS database to ensure accurate data is available.
    • Updated the EHDI-PALS list to provide an accurate list of pediatric audiologists.
  • Activities for early intervention: [Complete]
    • Conducted statewide meetings with stakeholders about structure, strengths, and needs with EI programming.
    • Worked with family-to-family support organizations to increase referrals to early intervention.
    • Reviewed and aligned resources shared with families to educate them about the importance of early intervention.

2025 milestones

  • Overall COEHDI system:
    • Continue participating in the Interagency Steering Committee.
    • Work to identify system gaps, priorities, and plans to address gaps.
    • Submit an Infrastructure plan to HRSA by August.
    • Explore sustainability options in case federal funding is lost.
  • Planned activities for screening:
    • Explore support options for technical assistance and follow-up to system audiologists and birthing facility screening programs.
    • Review additional cCMV testing that potentially impacts cCMV support/activities that need to happen.
    • Update the list of midwives.
    • Explore support for midwives outside of the metro Denver/Colorado Springs area.
    • Review continuous hearing screening plan.
    • Continue Virtual Site Visits with birthing facilities to review screening practices.
    • Work with LEND fellows to develop training resources for screeners.
    • Create COEHDI scripts for screeners to use to ensure families are receiving accurate information that emphasize the importance of follow-up.
    • Explore options for newborn hearing screening curricula for screeners.
  • Planned activities for diagnostics:
    • Review access for rural, Spanish-speaking families.
    • Work to encourage audiologists to enter data in the HIDS database to ensure accurate data is available.
    • Update EHDI-PALS.
  • Planned activities for early intervention:
    • Collaborate with CSDB and CDEC to analyze and align services and service coordination.
    • Work with family-to-family support organizations to increase referrals to early intervention.
    • Review and align resources shared with families to educate them about the importance of early intervention.
    • Contract with CU Boulder to support assessment of language outcomes in DHH children as well as identify MCHB health disparities.

2026 milestones

  • Overall COEHDI system:
    • Ensure a system is in place to follow up with families after screening to reduce loss to follow up rates.
    • Sustainability plan in place that does not rely on federal funding for COEHDI activities.
  • Planned activities for screening:
    • Provide technical assistance by the COEHDI-contracted audiologist to all birthing facility screening programs.
    • Work with partners to determine what, if any, procedural changes need to happen related to cCMV screening.
    • Update the list of midwives.
    • Review continuous hearing screening plan.
    • Continue Virtual Site Visits with birthing facilities to review screening practices.
    • Work with LEND fellows to develop resources for screeners.
  • Planned activities for diagnostics:
    • Explore teleaudiology options in rural areas.
    • Review access for rural, Spanish-speaking families.
    • Work to encourage audiologists to enter data in the HIDS database to ensure accurate data is available.
    • Update EHDI-PALS.
    • Work with LEND fellows to develop resources for audiologists.
  • Planned activities for early intervention:
    • Work with family-to-family support organizations to increase referrals to early intervention.
    • Review and align resources shared with families to educate them about the importance of early intervention.
    • Contract with CU Boulder to support assessment of language outcomes in DHH children as well as identify MCHB health disparities.
    • Analyze health disparities data to identify barriers for families to enroll in EI services.

By December 2024

  • 97.5% of infants will be screened; 46% of failed screens will be evaluated, and 53% of infants will be enrolled in early intervention. [Complete]

By December 2025

  • 98% of infants will be screened; 48% of failed screens will be evaluated, and 55% of infants will be enrolled in early intervention.

By December 2026

  • 98.5% of infants will be screened; 50% of failed screens will be evaluated, and 57% of infants will be enrolled in early intervention.

Green dollar sign icon

Strategy #2

SNAP Timeliness

CDHS will ensure that Coloradans receive food and nutrition benefits in a timely manner, not only compliant with federal regulation, but in time to feed their families and support their well-being. CDHS will improve the application processing timeliness of eligibility determinations for the Supplemental Nutrition Assistance Program (SNAP) to empower Coloradans with low incomes to have access to healthy food and the ability to make their own food choices. Extensive research has documented the connection between food insecurity and chronic physical health conditions and reduced mental health outcomes. For children, food insecurity has significant implications for human development and school experience.

Produce at grocery store

Communities prioritized by this strategy:

  • Low-income communities
  • Communities of color
  • LGBT+ communities
  • People living with disabilities 
  • Housing cost-burdened communities
  • Historically marginalized communities
  • Cumulatively impacted communities
  • Rural communities 
  • Tribal lands
  • Mobile Home Communities

Areas of impact

This strategy will impact Coloradans statewide. 

Map of Colorado counties, all counties are highlighted

2024 milestones

  • Improve the application processing timeliness of eligibility determinations for the Supplemental Nutrition Assistance Program (SNAP). [Complete]

2025 milestones

  • Continue intensive work with counties to improve business processes, focus on state system improvements for meaningful improvement of the Supplemental Nutrition Assistance Program (SNAP).

2026 milestones

  • Implement and continue practices for long term sustainability of improvements in the application processing timeliness of eligibility determinations for the Supplemental Nutrition Assistance Program (SNAP).

By December 2024

  • SNAP Timeliness will be improved from 71.5% to 91%. [Complete]

By December 2025

  • SNAP Timeliness will be improved from 91% to 95%.

By December 2026

  • SNAP Timeliness will be sustained at 95%.

Yellow people icon

Strategy #3

Expand Eligible CDHS Applicant Pool

CDHS employs over 6000 individuals across the state in various facilities and offices. CDHS is improving our employee recruitment and hiring processes to ensure every eligible applicant, regardless of the identities they hold or are perceived to hold, is treated fairly. People who work are more likely to have positive health outcomes. A diverse workforce of direct care staff and decision-makers that is representative of the communities we serve minimizes disparate impacts and increases positive programming and health outcomes for community members. A workforce of diverse colleagues and leaders is shown to improve the sense of belonging and success of all employees.

Note: We recognize that this effort includes many aspects of lived experiences and identities. CDHS tracks the demographic data collected in the State of Colorado employment application system (race/ethnicity, gender, and veteran status). Gender and Veteran status of our eligible applicant pool are above the state demographic year to year average. We hope to also incorporate geographic information as well. There is an opportunity to bridge the representation of the staff/employees to more closely reflect that of our clients/patients.  

Black woman shakes hand of job interviewer

Communities prioritized by this strategy:

  • Low-income communities
  • Communities of color
  • LGBT+ communities
  • People living with disabilities 
  • Linguistically isolated communities
  • Historically marginalized communities
  • Cumulatively impacted communities
  • Rural communities 

Areas of impact

This strategy will impact Coloradans statewide. 

Map of Colorado counties, all counties are highlighted

2024 milestones

  • Expand the pool of eligible applicants by increasing partnerships with more variety of organizations, diversifying hiring pipelines, translation of materials to Spanish, and participating in more job fairs across the state. [Complete]

2025 milestones

  • Expand the pool of eligible applicants by incorporating more inclusive language in postings, accessibility skills in job descriptions and hiring processes, and add accessibility skills related questions to the bank of skills test questions.

2026 milestones

  • Expand the pool of eligible applicants by simplifying and establishing more consistency with job posting templates, removing cover letter and resume requirements whenever possible, using plain language and more clarity in supplemental questions, and sharing How to best apply for State of Colorado positions resources.

By December 2024

  • 50.2% of eligible applicants (up from 47.5%) will be self-identified/reported through their application as: Hispanic or Latine, Black or African American, Two or More Races, Asian, American Indian or Alaskan Native, or Native Hawaiian and Pacific Islander. [Complete]

By December 2025

  • 52.3% of eligible applicants (up from 50.2%) self-identified/reported through their application as: Hispanic or Latine, Black or African American, Two or More Races, Asian, American Indian or Alaskan Native, or Native Hawaiian and Pacific Islander.

By December 2026

  • Reach target goal of 54.4% of eligible applicants (up from 52.3%) self-identified/reported through their application as: Hispanic or Latine, Black or African American, Two or More Races, Asian, American Indian or Alaskan Native, or Native Hawaiian and Pacific Islander.