CHAP TPI Logic Model.docx

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Community Health Aide Program: Tribal Planning & Implementation
Opportunity number
HHS-2021-IHS-TPI-0001
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Sample Logic Model

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Application Instructions 2021 TPI-0001 New.pdf PDF
HHS-2021-IHS-TPI-0001.pdf PDF

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SAMPLE CHAP Tribal Planning and Implementation (TPI) Grant LOGIC MODEL

Category
Assess
Solution for Implementation
Data

Clinical Supervisor Support

· CHAP integration will require 2 additional clinicians at the largest health care facility

· Supervisory functions will account for 25% of the clinical staff job functions requiring a restructure

· Develop an MOU to share licensed clinicians across the facilities where 1 day a week clinicians serve as clinical supervisors

· Reassess the clinic workload to evenly distribute the clinical supervision load amongst licensed staff

· Develop training for licensed clinician on supervising paraprofessionals

· Number of clinics with eligible clinicians for supervision duties

· Quantify the number of staff working within a care team in primary care, behavioral health, and dental health

· Number of trainings by workforce on care team

Scope of Practice
· Instances of suicide ideation are 4x times higher in the community requiring additional training such as QPR for providers
· Partner with the local IHS facility and the Area office to recommend an additional 30 hours of training in suicide prevention
· Number of appropriate suicide prevention models that are culturally appropriate

· Number of hours for training requirements above National Standards and Procedures

Technology Infrastructure
· Aim to station a behavioral health aide at the local school and a community health aide at the local community center, but there is a lack of internet or mobile technology for field notes
· Develop an MOU with non-clinical sites for space specific to providing health services.

· Purchase tablets for the clinic to assign to health aides so they may enter field notes regardless of where they see patients.

· Number of non-clinical sites appropriate to station a behavioral, community, and dental health aide

· Number of applicable level of health BHA, CHA, and DHA for each identified site

· Projected costs for tablets for health aides

· Projected cost for mobile internet for health aides

Training Infrastrcuture
· Tribe currently operates a training facility that needs to have an updated curriculum to align with the standards and procedures for training

· The closest training facility for EMS is over 200 miles away

· Tribe operates virtual continuing education that can be used for health aides with additional resources

· Develop an updated training curriculum and partnership plan to secure instructors to enhance the Tribe’s current training facility.

· Plan and indicate total costs to develop a local EMS training program through partnership with other Area tribes to share across the region

· Expand the topics for continuing education to make health aides eligible for CEs.

· Number of traditional practices appropriate (as determined by the Tribe) for primary care, behavioral health, and dental health to be including in training

· Number of current training courses in comparison to the standards and procedures identified by either the Alaska CHAP Standards and Procedures or the National Standards and Procedures

· Number of current on demand courses available for CEs

System Integration
· The existing care team is not aware of how to divide responsibilities in standards of care with the integration of CHAP
· Clearly plan and delineate duties with the integration of health aides

· Reassess job duties for care team based on newly hired health aides predicated on scope of work

· Develop on demand training for entire care team on the role of health aides to specify duties/limitations

· List of all the duties by care team members compared to duties for a health aide

· Number of duties that overlap across the team that can be reassigned

Support to Address SDOH
· Students graduating high school have expressed interest in studying oral health but there are no dental training options local to the community.

· The local Tribal College that offers a mental health training associates degree has seen a decline in enrollment due to costs associated with textbooks, lack of childcare, and transportation support

· Begin planning to recruit local students into the field by clearly communicating time commitment for training, salary potential, and benefits

· Develop stipends for childcare

· Partner with the transportation system to provide discounted tickets using identified route to get from town to training

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