Optional Standardized_Work_Plan-V1.0.pdf

PDF 50 KB Posted Jun 21, 2023

Attached to: Health Equity Leadership Development Initiative
Opportunity number: MP-CPI-23-001
Issued by: Department of Health and Human Services Public Health Service

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Optional Standardized_Work_Plan-V1.0.pdf

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FAQs Health Equity Leadership Development Initiative_07062023.pdf	PDF	Jul 10, 2023
HELDI TECHNICAL ASSISTANCE WEBINAR_For Posting_07062023_.pptx	PPTX presentation	Jul 7, 2023
OMH MLDP Program Overview & Curriculum Draft_Final .pdf	PDF	Jun 29, 2023
NOFO MP-CPI-23-001 Full Announcment.pdf	PDF	Jun 21, 2023

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Standardized Work Plan (SWP) Standardized Work Plan (SWP) D:20061129145407- 05'00' D:20061129145407- 05'00' Information Analysis, Inc.

OMB Number: 0906-0049 Expiration Date: 02/29/2024 Standardized Work Plan (SWP) Organization Name:

Project Title:

Budget Period:

Goal # :

Goal # , Objective # :

Goal # , Objective # , Sub-Objective # :

Organizational Priorities:

Other Priority Linkage:

Milestone Activity Delete Activity: Click to delete this Activity.

Description Delete Activity: Click to delete this Activity.

Outcomes/Deliverable(s) Delete Activity: Click to delete this Activity.

Staff Responsible Delete Activity: Click to delete this Activity.

Target Quarter/Frequency Standardized Work Plan (SWP) Guidance The Standardized Work Plan (SWP) organizes and documents project elements including goals, objectives, sub-objectives, activities, and deliverables. By aligning the Bureau of Health Workforce’s program goals and outcomes to the grant or cooperative agreement’s project objectives and activities, project and BHW program staff will be better equipped to execute operational strategies, monitor project progress, and improve program outcomes. Identification of key activities and their target completion time and/or frequency provides a blueprint for implementation and a benchmark for evaluating progress. This form highlights project elements throughout the length of the grant or cooperative agreement. Please read the Notice of Funding Opportunity (NOFO) thoroughly for any additional instructions.

The SWP must be completed according to the following instructions:

1. Organization Name: Enter the legal name of the applicant. This name must be the same name that appears in box 5 of the SF-424 R&R form.

2. Project Title: Insert the project title. This title must be the same title that appears in box 11 of the SF-424 R&R form. This project title is used in the application and throughout the entire length of the project.

3. Budget period: The Standardized Work Plan must be organized by budget year. For example, if the funding opportunity has a project/budget period of two years, insert all of year 1's goals, objectives, sub-objectives, and activities; then click ‘Add Budget Period’ to complete the goals, objectives, sub-objectives, and activities for budget period 2. The same goals, objectives, and sub-objectives will be auto-populated into subsequent budget periods.

4. Project Goals: The project goal(s) should correspond and mirror the program’s goal(s) located in the Notice of Funding Opportunity. The BHW programmatic goals are statements/general guidelines describing what the project aims to achieve.

5. Objectives and if applicable, sub-objectives: Include your project’s objectives/sub-objectives as stated in your project narrative. If the Notice of Funding Opportunity has specific program objectives, the program’s objectives must be used. Once all activities corresponding to the objectives are entered, click ‘Add Objective’ or ‘Add Sub-Objective’ to start a new objective/sub-objective for the same budget period. The same objectives should be stated for all budget periods. For example, a two year project with three objectives will have the SWP organized as such:

a. Budget Period 1: Objective 1, Objective 2, Sub-Objective 2.1, Objective 3

b. Budget Period 2: Objective 1, Objective 2, Sub-Objective 2.1, Objective 3

6. Organizational Priority: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or BHW priority that best fits. Use the checkmark tool to select the priority. If a department or agency priority is not listed, please select “other” and document the priority. If an objective or sub-objective does not associate with a priority, choose “N/A”.

7. Other Organizational Priority: Document other or an additional organizational priority. If applicable, other priority linkage options will be listed in the Notice of Funding Opportunity Instructions.

For electronic submission of your application, please review the NOFO and the SF-424 R&R Application Guide. Note the following additional guidance for completing the SWP:

8. Milestone Activities: Milestone Activities are key project activities needed to successfully achieve each objective. It is likely that more than one Milestone Activity will be needed in order to produce deliverables. A maximum of 25 Milestone Activities may be listed for each objective.

9. Description: Briefly describe the activity. Because multiple Milestone Activities may result in a single output, activities should be listed chronologically to demonstrate the connection between activities and objectives.

10. Outcomes and Deliverables: Provide outcome(s) for the activities. If applicable, provide deliverable(s). Deliverables are the direct, tangible results of activities. Deliverables may include but are not limited to the following:

a. Documents produced, curricula or education materials developed, research, etc.

b. The number of classes taught, meetings held, or materials produced and distributed; program participation rates; or

c. Hours of each type of service provided

11. Responsible Staff: List all staff roles/members directly working on an activity. For example, if the Project Director is involved with the activity, simply document: “Project Director (Dr. John Doe)” If the staff member’s name is not available due to projected hiring, list the staff role.

12. Target Quarter/Frequency: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place.

Note: A budget year (period) is divided into four quarters and starts at the beginning of the project. For example, if a program’s project and budget year starts July 1, the first quarter for that program starts July 1 (i.e., Q1: Jul-Sep, Q2: Oct-Dec, Q3: Jan-Mar, Q4: Apr-Jun).

13. Administrative Activities: The following Administrative Activities should be included under applicable objectives and should be listed after all Milestone Activities:

a. Rapid Cycle Quality Improvement

1. Once you fill out the SF-424 R&R with the official title of your project, insert the same title to the Standardized Work Plan “Project Title” field.

2. All open fields are required and an error message will pop up for fields left blank in the form. Please use N/A in fields that are not applicable.

3. Applicants should add only one activity at a time. If the applicant adds many activity fields without filling in the information, there will be multiple error messages due to incomplete fields.

4. The SWP should be organized by budget period, not objectives. For example, if your project has three objectives for three years than you should organize your SWP listing all of year 1’s objectives; then start on year 2, and complete the form with the same objectives from year 1.

5. When you add a Budget Period to the form, your goals and objectives from the previous year will transfer to the new budget period. Applicants will have the ability to edit and delete these objectives and objective statements if they are not necessary for the work plan in a subsequent budget period.

Organization Name: The legal name of the applicant. This field is required.

Project Title: This project title is used in the application and throughout the entire length of the project. This field is required.

XDPFirstField:

View Burden Statement:

The information to be collected in the SWP will be used by BHW to determine if an applicant has a feasible implementation plan from which to carry out a proposed project. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-0049 and it is valid until 02/29/2024. This information collection is required to evaluate applications for financial assistance and determine the relative merits of projects for which such assistance is requested, as set forth in Sections 796 and 802 of the Public Health Service Act (42 U.S.C. §§ 295n-1, 296a). Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov.:

Mandatory:

TextField1:

Organization Name: The legal name of the applicant. Pre-populated from the R&R SF424. This field is required.:

Project Title: Pre-populated from the R&R SF424. This project title is used in the application and throughout the entire length of the project. This field is required.:

BudgetPeriodNumber:

Delete Budget Period: Click to delete this Budget Period.:

GoalNumber:

Goal: Enter each project goal that is included in your grant application. This field is required.:

Delete Goal: Click to delete this Goal.:

ObjectiveNumber:

Objective: Enter each project objective that is included in your grant application. This field is required.:

Delete Objective: Click to delete this Objective.:

SubObjectiveNumber:

Sub-Objective: Enter each project sub-objective that is included in your grant application.:

Delete Sub-Objective: Click to delete this Sub-Objective.:

Organizational Priorities - A. Telehealth/Telemedicine: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - B. Childhood Obesity: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - C. Behavioral Health: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - D. Opioids / Substance Use Disorder: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - E. Intimate Partner Violence: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - F. Rural Health: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - G. Health Insurance Reform: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - H. Drug Pricing: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - I. Value-Based Care: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - J. N/A: If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Organizational Priorities - K. Other ("Other" options will be listed in Notice of Funding Opportunity Instructions): If applicable, link project objectives to a Department of Health & Human Services (HHS), Health Resources and Services Administration (HRSA), or Bureau of Health Workforce (BHW) priority that best fits. Select all that apply. If a department or agency priority is not listed, please select “other” and document the priority. If the objective links to an additional priority, type in the "Other Organizational Priority" text box. If an objective or sub-objective does not associate with a priority, choose "N/A".:

Other Organizational Priority: Document other or additional organizational priority. "Other" options will be listed in the Notice of Funding Opportunity Instructions.:

Delete Activity: Click to delete this Activity.:

ActivityLetter:

Milestone Activities: Enter key project activities needed to successfully achieve each objective and/or sub-objective. It is likely that more than one Milestone Activity will be needed in order to produce deliverables. This field is required.:

Description: Briefly describe the activity. Because multiple Milestone Activities may result in a single output, activities should be listed chronologically to demonstrate the connection between activities and objectives. This field is required.:

Outcomes and Deliverable: Provide outcome(s) for the activities. If applicable, provide deliverable(s). Deliverables are the direct, tangible results of activities. Deliverables may include but are not limited to the following:

a. Documents produced, curricula or education materials developed, research, etc.

b. The number of classes taught, meetings held, or materials produced and distributed; program participation rates; or

c. Hours of each type of service provided:

Staff Responsible: List all staff members directly working on an activity. This field is required.:

Target Quarter/Frequency is required: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place.:

Target Quarter/Frequency - Q1: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place. One selection is required.

Note: A budget year (period) is divided into quarters (one quarter = three months). The first quarter starts at the beginning of that budget year. For example, if a program’s project and budget year starts July 1, the first quarter for that program starts July 1 (i.e., Q1: Jul-Sep, Q2: Oct-Dec, Q3: Jan-Mar, Q4: Apr-Jun).:

Target Quarter/Frequency - Q2: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place. One selection is required.

Target Quarter/Frequency - Q3: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place. One selection is required.

Target Quarter/Frequency - Q4: Identify realistic target quarters within the budget period when work on each activity will occur. If work on the activity spans across multiple quarters, please mark each quarter that the activity takes place. One selection is required.

Insert Activity: Click to insert an Activity after the current row.:

Add Activity: Click to add an Activity.:

Add Sub-Objective: Click to add a Sub-Objective.:

Add Objective: Click to add an Objective.:

Add Goal: Click to add a Goal.:

Add Budget Period: Click to add a Budget Period.:

LastField:

File details come from the government source that posted it. Updated Jun 22, 2023.