Expanding the work of addressing disproportionality and continuing improvements involves a cross systems approach. Many families receiving services from one agency or program may be receiving services from other programs. Therefore, eliminating disproportionality and disparities calls for the reform and in depth look at all programs that serve our vulnerable citizens, including health care, education, juvenile justice, and housing. This approach cuts across every system that contributes to disproportionality and disparities for the same populations. The Center for Elimination of Disproportionality and Disparities will serve as a vehicle in addressing and eliminating disproportionality and disparities in the Texas Health and Human Services System as well as other systems that serve children, families, and vulnerable populations. Success is dependent on mutual accountability at every level so that the end result is equity and fairness in all health and human services delivery.