WISEWOMAN Workplan Template APR 01.22.15.pdf

WISEWOMAN APR Year 1 Page 1 of 8

Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN): Grantee Annual Performance Report January 1, 2014 – June 30, 2014

Awardee:

Awardee Number:

Work Plan Instructions:

Please use the template to report on progress for Year 1 reporting period, Jan. – June, 2014. Information requested can be entered into the text box for each program component. Please be concise but provide context and information that fully describes your successes, challenges, evaluation results/progress, and progress toward meeting performance measures.

Work Plan

• Successes o Awardees must report progress on completing activities outlined in the work plan.

o Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the reporting period.

o Awardees must describe success stories.

• Challenges o Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.

o Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the reporting period.

o Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and completing activities outlined in the work plan.

WISEWOMAN APR Year 1 Page 2 of 8

Evaluation Results – report evaluation progress or results for the work completed (including any data about the effects of the program).

Performance Measures (including outcomes) – Please complete the table at the end of the template for reporting period, Jan. 1, 2014 through June 30, 2014. Under progress, please indicate if the performance measure was met or unmet. Under comments, please briefly describe elements that contributed to meeting the performance measure, challenges to meeting it and strategies to facilitate meeting it.

Spell Check: Before submitting the completed work plan to your Project Officer, please run a spell check by clicking the button below.

Spell Check

Track Changes: You may also use track changes with this document by clicking the buttons below.

Turn Track Changes On/Off

Accept All Changes

WISEWOMAN APR Year 1 Page 3 of 8

Program Management Successes:

- Awardees must report progress on completing activities outlined in the work plan.

- Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.

- Awardees must describe success stories.

Challenges:

- Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.

- Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.

- Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and completing activities outlined in the work plan.

WISEWOMAN APR Year 1 Page 4 of 8

Domain 2: Environmental Approaches: Promote health and support and reinforce healthful behaviors (statewide in schools, worksites, and communities).

Successes:

- Awardees must report progress on completing activities outlined in the work plan.

- Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.

- Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.

- Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.

- Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and completing activities outlined in the work plan.

WISEWOMAN APR Year 1 Page 5 of 8

Domain 3: Health Systems: Improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and mitigate or manage complications.

Successes:

- Awardees must report progress on completing activities outlined in the work plan.

- Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.

- Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.

- Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.

- Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and

WISEWOMAN APR Year 1 Page 6 of 8

Domain 4: Community-Clinical Linkages: Ensure that communities support and clinics refer patients to programs that improve management of chronic conditions. Such interventions ensure those with or at high risk for chronic diseases have access to quality community resources to best manage their conditions or disease risk.

Successes:

- Awardees must report progress on completing activities outlined in the work plan.

- Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.

- Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.

- Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.

- Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and

WISEWOMAN APR Year 1 Page 7 of 8

Evaluation Successes:

- Awardees must report progress on completing evaluation activities or results for the work completed

- Awardees must describe any challenges to completing evaluation activities.

- Awardees must describe how CDC could help them overcome challenges

WISEWOMAN APR Year 1 Page 8 of 8

Performance Measures

Performance Measure Progress Comments

1. Program submits minimum data elements files on schedule and with no more than a 5% error rate. (Calculated from final MDE submission for each period and provided in a final validation report.)

Select status

2. Program has actively engaged with a minimum of two public or private partner organizations to promote and support environmental changes for increased physical activity, access to healthy food choices, smoking cessation and elimination of exposure to secondhand smoke. (Data source is information provided in the annual performance reports (APRs).

Select status

3. Program has met or exceeded 95% of its CDC approved screening goals. Screening goals include baseline and rescreenings.

(Calculated using MDEs.)

Select status

4. Program delivers risk reduction counseling to 100% of women screened. Risk reduction counseling includes appropriate referral to health coaching, community resources or lifestyle programs.

(Calculated using MDEs and APRs.)

Select status

5. Program follows-up with 100% of women with abnormal blood pressure values. Follow-up parameters should be determined by WISEWOMAN guidelines and facility medical protocol. (Calculated using MDEs and APRs.)

Select status

6. Program ensures that 80% of women referred to a lifestyle program or health coaching participate in the program.

Participation is defined as attendance at a minimum of one lifestyle program or coaching session. (Calculated using MDEs.)

Select status

7. Program ensures that 60% of women who participate in a lifestyle program or health coaching complete the program. Completion is defined as the number of sessions that the evidence base for the program has determined to be required for behavior change.

(Calculated using MDEs and APRs.)

Select status