Attachment B_CDM Project Narrative Form.pdf

Attachment B: Project Narrative Form List the SD counties impacted by this proposal:

Identified Need/Problem Statement:

• Include local/systems-level data identifying needs within the service population

• Clearly outline the scope of the issue and the need for intervention

• Identify impacts on rural South Dakotans

(500 words or less)

Project Plan, Component 1:

(500 words or fewer for each section)

Description of Project: Briefly describe what, who, when, where, and why for your proposed project, and include how a gap will be filled, or existing services enhanced or built upon. If applying for Component 2 funding, there must be a connected Remote Patient Monitoring activity in Component 1.

Goals and Objectives: Write clear, measurable goals that address the identified problem, and list 3 to 4 specific activities per goal you will complete within the funding period.

Describe how the proposed activities expand, support, and/or improve upon existing efforts or services currently available.

Describe the target population(s) for this project.

List any potential stakeholders and community partners.

Describe how the proposed activities will create a positive, systems-level impact on chronic disease management.

Describe the supporting evidence or basis for your project. How do you know the project will work as you intend it to? Include reference to any evidence-based programs or protocols, or other basis or research, that support the implementation of your project.

Project Plan, Component 2:

Describe your proposed remote patient monitoring equipment purchase and/or Electronic Health Record updates.

Success Metrics:

You must include any of the three performance measures listed below if they apply to your proposed activities.

Submit 3-5 additional performance measures to track success throughout the funding period. Include baseline measurements and goals for all performance measures.

Performance Measure Baseline Year 4 Goal

Hospital readmission rates for individuals with chronic conditions.

Number of Remote Patient Monitoring patients reporting a change of their blood pressure to controlled (blood pressure readings being in the normal range <140/90, current medication adherence, and no medication changes needed).

Number of patients engaged in Remote Patient Monitoring.

Sustainability Plan:

Explain how the project’s impact will continue beyond the funding period, such as integration into existing programs, use of other sustainable funding, or community partnerships.

Timeline:

Timeline should include detailed milestones through all four (4) years of the funding period, ending in October 2030. This should provide a clear outline of anticipated progress throughout the funding period.

Milestone Target Date Notes

RPM Equipment Order Placed 7/2026 Blood pressure cuffs

Staff Training, SMBP 7/2026-9/2026 Completed by providers and nurses

This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. department of Health and Human Services (HHS) as part of the Rural Health Transformation Project, a financial assistance award totaling $189,477,607.26 with 100% funded by CMS/HHS. The contents are those of the South Dakota DOH and DSS and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

Updated: March 2026