Document

NAP Implementation Plan

ICR 201608-0915-003 · OMB 0915-0285 · Object 67273401.

Document Viewer [doc]

Status: Original and derived artifacts are available for this document.

Download: doc | pdf | html

Primary: htmlSource: application/msword
Loading document viewer…

Document Metadata

Record metadata
application/msword
NAP Implementation Plan
NAP Implementation Plan
HRSA, Health Centers, New Access Point, NAP Implementation Plan
HRSA
Writer
2016-04-11
2026-10-04
complete

Extracted Text

NAP Implementation Plan

The Implementation Plan outlines the applicant’s planned activities required to bring the organization into operational readiness and compliance with all 19 Health Center Program requirements within 120 days of the Notice of Award (NoA). See Appendix C of the FOA for instructions.  Applicants may choose focus areas based on the list below and in Appendix C or provide different focus areas and goals based on the action steps necessary to achieve the required operational and compliance status. Goals must be specific to the proposed NAPproject.
OMB No.: 0915-0285. Expiration Date: XX/XX/20XX
Goal
On separate rows, identify the goals for each focus area.  Goals should describe measureable results.
Key Action Steps
Identify the action steps that must occur to accomplish each goal.
Person/Area Responsible
Identify who will be responsible and accountable for carrying out each action step.
Time Frame
Identify the expected time frames for carrying out each action step.
Comments
As desired, provide supplementary information.
Focus Area: Operational Service Delivery Program
Goal  A1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  A2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    1. Action Step
    2. Person Responsible
    2. Time Frame

Goal  A3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Key Management Staff/Systems/Arrangements
Goal  B1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  B2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  B3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Operational NAP Site(s) within 120 Days
Goal  C1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  C2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  C3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Implementation of Sliding Fee Discount Program and Billing and Collections System
Goal  D1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  D2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  D3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Quality Improvement/Quality Assurance (QI/QA) Program
Goal  E1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  E2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  E3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Governing Board 
Goal  F1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  F2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  F3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Focus Area: Other
Goal  G1
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  G2
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame

Goal  G3
    1. Action Step
    1. Person Responsible
    1. Time Frame


    2. Action Step
    2. Person Responsible
    2. Time Frame


Public Burden Statement: 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 project is 0915-0285. Public reporting burden for this collection of information is estimated to average 3 hours 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 14N-39 Rockville, Maryland, 20857