AIRS Data Collection Instrument

Asthma Information Reporting System (AIRS)

10 Attachment 4 AIRS Data Collection Instrument (web) 20130423

AIRS Interim and End of Year Report

OMB: 0920-0853

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NCEH AIRS INFORMATION SYSTEM (IS)

TABLE OF CONTENTS
LOGIN ........................................................................................................................................... 3
SELECT CORE / EXPANDED COMPONENT ....................................................................... 4
FOA LIST ...................................................................................................................................... 4
PRROGRAM INFORMATION .................................................................................................. 5
Program Information – Contact Information ........................................................................... 5
Program Information – Program Summary ............................................................................. 6
RESOURCES ................................................................................................................................ 7
Resources - Personnel .............................................................................................................. 7
Resources – Add Personnel (details) ....................................................................................... 8
Resources - Contracts .............................................................................................................. 9
Resources – Partners .............................................................................................................. 10
Resources – Statewide Partnership ........................................................................................ 11
Resources – State Plan ........................................................................................................... 12
Resources – Program Documents .......................................................................................... 13
SURVEILLANCE ....................................................................................................................... 14
Surveillance – Data Sources .................................................................................................. 14
Surveillance – Measures ........................................................................................................ 15
Sureveillance – Discharge data .............................................................................................. 16
Surveillnace - report .............................................................................................................. 17
Surveillnace – Data Gaps & Barriers..................................................................................... 18
WORK PLAN.............................................................................................................................. 19
Work plan summary – Add a goal ......................................................................................... 19
Work plan – work plan SUMMARY - edit an objective ....................................................... 20
work plan - WORK plan summary – add an activity ............................................................ 21
work plan – work plan – add a progress ................................................................................ 22
EVALUTION .............................................................................................................................. 23
evaluation – edit strategic evaluation .................................................................................... 23
Evaluation - Individual Program Evaluation ......................................................................... 24
REPORTS .................................................................................................................................... 25
reports – interim report .......................................................................................................... 25
reports – interim report (Cont….) .......................................................................................... 26
reports – annual report ........................................................................................................... 27
reports – annual report (cotn….) ........................................................................................... 28

Page 2 of 28

LOGIN

Page 3 of 28

SELECT CORE / EXPANDED COMPONENT

FOA LIST

Page 4 of 28

PRROGRAM INFORMATION
PROGRAM INFORMATION – CONTACT INFORMATION

Page 5 of 28

PROGRAM INFORMATION – PROGRAM SUMMARY

Page 6 of 28

RESOURCES
RESOURCES - PERSONNEL

Page 7 of 28

RESOURCES – ADD PERSONNEL (DETAILS)

Page 8 of 28

RESOURCES - CONTRACTS

Page 9 of 28

RESOURCES – PARTNERS

Page 10 of 28

RESOURCES – STATEWIDE PARTNERSHIP

Page 11 of 28

RESOURCES – STATE PLAN

Page 12 of 28

RESOURCES – PROGRAM DOCUMENTS

Page 13 of 28

SURVEILLANCE
SURVEILLANCE – DATA SOURCES

Page 14 of 28

SURVEILLANCE – MEASURES

Page 15 of 28

SUREVEILLANCE – DISCHARGE DATA

Page 16 of 28

SURVEILLNACE - REPORT

Page 17 of 28

SURVEILLNACE – DATA GAPS & BARRIERS

Page 18 of 28

WORK PLAN
WORK PLAN SUMMARY – ADD A GOAL

Page 19 of 28

WORK PLAN – WORK PLAN SUMMARY - EDIT AN OBJECTIVE

Page 20 of 28

WORK PLAN - WORK PLAN SUMMARY – ADD AN ACTIVITY

Page 21 of 28

WORK PLAN – WORK PLAN – ADD A PROGRESS

Page 22 of 28

EVALUTION
EVALUATION – EDIT STRATEGIC EVALUATION

Page 23 of 28

EVALUATION - INDIVIDUAL PROGRAM EVALUATION

Page 24 of 28

REPORTS
REPORTS – INTERIM REPORT

Page 25 of 28

REPORTS – INTERIM REPORT (CONT….)

Page 26 of 28

REPORTS – ANNUAL REPORT

Page 27 of 28

REPORTS – ANNUAL REPORT (COTN….)

Page 28 of 28


File Typeapplication/pdf
File TitleProject Charter Template
Subject
AuthorDaniel Vitek MBA, PMP - Consultant to CDC NCPHI
File Modified2013-04-15
File Created2013-04-15

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