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Center for State, Tribal, Local and Territorial Support (proposed) National Partnership Branch
YEAR 1 WORK PLAN
NOTICE OF FUNDING OPPORTUNITY (NOFO) CDC-RFA-OT18-1802
Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health
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| Recipient POC Phone Number |
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| Recipient POC Email Address |
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| Recipient POC Mailing Address |
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| Recipient POC Backup Name |
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| Recipient POC Backup Email Address |
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| Recipient Target Population Category |
YEAR 1 PROJECT INFORMATION*
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| Work Plan Type |
| Funding Strategy 1 (Initial Application) |
Funding Strategy 2 (Response to CIO Project Plan)
Project ID (read only)
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| Is this project partially funded by opioid funding?* |
| Yes |
No
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| Opioid funding amount* |
Non-opioid funding amount*
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| CDC primary POC/TM Name: |
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| CDC primary POC/TM Phone Number: |
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| CDC primary POC/TM Email address: |
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| Target Population Description |
(25 word max)
(250 word max)
(Select all that apply) |_| Accreditation |_| Chronic Disease(s) Please specify: ____ |_| Disability |_| Preparedness & Response |_| Environmental Health |_| Global Health |_| Health Equity |_| Health Systems Transformation |_| Immunization/Vaccines |_| Infectious Disease(s) Please specify:______ |_| Informatics/Health Information Exchange/Electronic Health Records |_| Injury & Violence Prevention |_| Laws and Policies |_| Leadership Development |_| Maternal & Child Health |_| Mental & Behavioral Health |_| Minority Health |_| Nutrition |_| Physical Activity |_| Program Evaluation |_| Rural Health |_| Sexual & Reproductive Health |_| Social Determinants of Health |_| Substance Use and Prevention Please specify:______ |_| Surveillance |_| Systems & Infrastructure |_| Tribal Health |_| Workforce Development |_| Other Please specify:______
(Select 1 or more) |_| Public Health Systems Infrastructure: Activities to improve operational capacity, such as policies and plans, administration and management, and quality improvement |_| Leadership and Workforce Development: Activities to improve leadership and workforce competencies, recruitment, and retention |_| Data and Information Systems: Activities to improve collection, management, interpretation, and dissemination of data to guide decision-making |_| Communication and Information Technology: Activities to improve use of communication and information technology to affect health decisions and actions |_| Partnerships: Activities to improve establishment and maintenance of results-driven partnerships |_| Laws and Policies: Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health |_| Programs and Services: Activities to improve the identification of best practices and the implementation of evidence-based/informed programs and services
(Select 2 or more) Short-Term |_| Improved operational capacity to evaluate, manage, and improve public health systems |_| Improved leadership capacity to identify and prioritize public health needs |_| Strengthened core and discipline-specific public health competencies among the workforce to improve job performance |_| Improved capacity of data and information systems to conduct public health monitoring and surveillance |_| Improved communication and information technology capacity to inform the public efficiently and effectively |_| Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health |_| Increased capacity to evaluate laws and policies to affect health |_| Improved capacity to identify, prioritize, and customize relevant programs and services to address public health needs
Intermediate |_| Increased capability of public health systems to achieve nationally established standards |_| Increased leadership decision-making to address public health needs strategically and systematically |_| Strengthened capability of public health workforce to deliver essential public health services |_| Increased capability to use data to inform decision-making and support evidence-based practices and policies |_| Strengthened capability to use communication and information technology to affect health decisions and actions |_| Strengthened capability to respond to public health priorities collaboratively and strategically |_| Strengthened capability to systematically apply and use laws and policies to improve health |_| Increased capability to implement evidence-based/informed public health programs, policies, and services to address public health needs
Describe the overall project approach, including the activities, outputs, performance measures (process and outcome), and outcomes related to the selected NOFO strategies and NOFO outcomes. (5,000 words max). Please use bullets.
CDC-RFA-OT18-1802 LOGIC MODEL
Activities and Outputs Please use bullets (2,000 words max)
Budget Period Outcomes Please use bullets (1,000 words max)
Process Measures
Outcome Measures
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| ORGANIZATIONAL CAPACITY* |
Describe your capacity to successfully complete this project. Include your organization’s relevant staffing, systems, and resources. (1,000 words max)
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| ORGANIZATIONAL EXPERIENCE* |
Describe your experience as it relates to this project. Include products developed; services, training and technical assistance provided; and relevant target populations supported. (1,000 words max)
Describe your plan for collaboration as it relates to this project. Include specific organizations or entities as applicable. (1,000 words max)
Describe your plan for sub-contractual work. Include recommended criteria for identifying and selecting subcontractors. (1,000 words max)
BUDGET BREAKDOWN*
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| PERSONNEL SALARIES AND WAGES TOTAL* |
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| FRINGE BENEFITS TOTAL* |
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| CONSULTANT BENEFITS TOTAL* |
OPIOID FUNDED BUDGET INFORMATION*
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| PERSONNEL SALARIES AND WAGES TOTAL* |
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| FRINGE BENEFITS TOTAL* |
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| CONSULTANT BENEFITS TOTAL* |
NON-OPIOID FUNDED BUDGET INFORMATION*
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| PERSONNEL SALARIES AND WAGES TOTAL* |
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| FRINGE BENEFITS TOTAL* |
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| CONSULTANT BENEFITS TOTAL* |
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