BHPr Performance Measures Forms

BHPr Performance Report for Grants and Cooperative Agreements

CcDNPH Mapping 2015

BHPr Performance Measures Forms

OMB: 0915-0061

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Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Behavioral Health Workforce
Education and Training (BHWET)

Grant Purpose Form
Training Program Setup
PC-1
PC-4
PC-7
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2

Columns
1
2
6-13
3-10
3-10
1-13,13a,22,26-29,3-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3

Grant Purpose*
1-3
1,2
2
1

1,2

3

*Grant Purposes
BHWET-1: Professional Track- Add to existing, expand, and/or foster the development of (a) pre-degree internships for psychology
doctoral students (PhD/PsyD), or (b) field placement/practicum slots for graduate–level behavioral health students.
BHWET-2: Paraprofessional Track- Add to existing, expand, and/or foster the development of paraprofessional certificate programs for
students in behavioral health training programs
BHWET-3: Curriculum Development and Enhancement

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Leadership in Public Health Social
Work Education (LPHSWE)

Training Program Setup
Faculty Development Setup
PC-1
PC-9
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-2a
FD-2b

Columns
2
n/a
6-13
4,5
1-13,22,26-29,31-34,36-39,44-45
13,14
1-4,8-11
1,2,5,7
1-5
1-7,7a,8,9
9,10
1-3
1-7
1-3

Grant Purpose*

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Mental and Behavioral Health
Education and Training (MBHET)

Form

Columns

Grant Purpose*

Grant Purpose Form

1

1-4

Training Program Setup

2

2-4

3-10
3-10
1-13,22,26-29,31-34,36,37,39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1-6,8-12
1-3

2
3,4

PC-4
PC-7
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
CE-1
CE-2

2-4

1

*Grant Purposes
MBHET-1: Develop and implement interdisciplinary training.
MBHET-2: Add to existing, expand, and/or foster the development of new pre-degree internship slots for psychology doctoral students
(PhD/PsyD) and provide stipend support for such slots.
MBHET-3: Add to existing, expand, and/or foster the development of field placement slots for Masters of Social Work (MSW) students
and provide stipend support for such placements.
MBHET-4: Add to existing, expand, and/or foster the development of practica slots for psychology doctoral students (PhD/PsyD) and
provide stipend support for such slots.

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Graduate Psychology Education
(GPE)

Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-4
PC-6
PC-7
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
CE-1
CE-2
FD-1a
FD-1b
FD-2a
FD-2b

Columns
1
2
n/a
3-10
3-10
3-10
1-13,22,26-29,31-34,36,37,39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1-6,8-12
1-3
1,1a,2-11
1-3
1-7
1-3

*Grant Purposes
GPE-1: Faculty Development
GPE-2: Curricula & Instructional Design/ Program Enhancement
GPE-3: Practica
GPE-4: Internships
GPE-5: Postdoctoral Fellowships

Grant Purpose*
1-5
3-5
1
4
5
3

3-5

2

1

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Public Health Training Centers
(PHTC)

Advanced Education Nurse
Traineeship (AENT)

Form
Training Program Setup
Faculty Development Setup
PC-7
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
FD-3
CE-1
CE-2
Training Program Setup
PC-1
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3

Columns
2
n/a
3-10
1-13,22,26-29,31-37,39
13,14
1-4,8-11
1,2,5,7
1-5
1,1a,2-8
1-6,8-12,14
1-3
2
6-13
1-12,14,22,26,28,29,3134,36,37,39
13,14
1-4,8-11
1,2,5,7
1-5

Grant Purpose*

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Advanced Nursing Education (ANE)

Form
Training Program Setup
Faculty Development Setup
PC-1
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
CE-1
CE-2
FD-1a
FD-1b
FD-2a
FD-2b
FD-4a
FD-4b

Columns
2
n/a
6
2,5,7,8
3,6,8,11
3,6,8,11
2,3,8,9
2,5
1-13,22,27,36-44
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1-6,8-12
1-3
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3

Grant Purpose*

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Advanced Nursing Education
Expansion (ANEE)

Faculty Development Integrated
Technology into Nursing Education
and Practice (ITNEP)

Nurse Anesthetist Traineeship
(NAT)

Nurse Faculty Loan Program (NFLP)

Form
Training Program Setup
PC-1
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
Faculty Development Setup
IND-GEN
FD-1a
Fd-1b
FD-2a
FD-2b
FD-4a
FD-4b
Training Program Setup
PC-1
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
Training Program Setup
PC-1
IND-GEN
INDGEN-PY

Columns
2
6-13
1-12,14,22,26,28,29,31-34,36,37,39
13,14
1-4,8-11
1,2,5,7
1-4
n/a
2-13,27,36,37
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3
2
6-13
1-12,14,22,26,28,29,31-34,36,37,39
13,14
1-4,8-11
1,2,5,7
1-5
2
7-13
1-12,16,22,26,36-39
13,14,15

Grant Purpose*

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Nursing Education, Practice,
Quality and Retention Veterans
Bachelor of Science Nursing (VBSN)

Training Program Setup
Faculty Development Setup
PC-1
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Columns
2
n/a
6-13
1-13,22,26-28,31,33,36-44
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2,3,4,5,6,7,8,9,10,11
1,2,3
1,2,3,4,5,6,7
1,2,3

Grant Purpose*

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Nursing Workforce Diversity
(NWD)

Form
Grant Purpose Form
Training Program Setup
PC-1
PC-2
PC-3
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3

Columns
1
2
6-13
4-6
4-9
2,5-8
3,6-8,11,12
3,6-8,11,12
2,3,8-11
2,5,6
1-13,15,22,26,28-29,31-34,3637,39
13,14
1-4,8-11
1,2,5,7
1-5

Grant Purpose*

1-3

*Grant Purposes
NWD 1: Assist underrepresented students throughout the educational pipeline to become registered nurses
NWD 2: Facilitate diploma or associated degree registered nurses becoming baccalaureate prepared registered nurses
NWD 3: Prepare practicing registered nurses for advanced nursing education

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Nursing Education, Practice,
Quality and Retention (NEPQR)

Grant Purpose Form
Training Program Setup
PC-1
PC-3
PC-4
PC-7
PC-8
LR-1a
LR-2
DV-1
DV-2
DV-3
EXP-1
EXP-2
EXP-3
CE-1
CE-2

Columns
1
2
6
4,5,9
3
3
4
2,5-8
3 6-8,11,12
3 6-8,11,12
2,3,8-11
2,5,6
1-4,8-11
1,2,5,7
1-5
1-6,8-12
1-3

Grant Purpose*
E1-2, P1-4, R1-2
E1,R1
E2,P4
R2
P1-3
R-2

E1-2, P1-3

E2,P2-4,R4

*Grant Purposes
E1: Expanding the enrollment in baccalaureate nursing programs
E2: Providing education in the new technologies, including distance learning methodologies
P1: Establishing or expanding nursing practice arrangements in non-institutional settings (Nurse Managed Centers) to demonstrate methods to
improve access to primary health care in medically underserved communities
P2: Providing care for underserved populations and other high-risk groups such as the elderly, individuals with HIV/AIDS, substance abusers, the
homeless, and victims of domestic violence
P3: Providing quality coordinated care, and other skills needed to practice in existing and emerging organized health care systems
P4: Developing cultural competencies among nurses
R1: Career Ladder Program to promote career advancement for individuals, including licensed practical nurses, licensed vocational nurses,
certified nurse assistants, home health aides, diploma degree or associate degree nurses, to become baccalaureate prepared registered nurses
or advanced education nurses in order to meet the needs of the registered nurse workforce
R2: Developing and implementing internships and residency programs in collaboration with an accredited school of nursing to encourage
mentoring and the development of specialties
R4: Enhancing patient care delivery systems through improving the retention of nurses and enhancing patient care that is directly related to
nursing activities

Nursing, Behavioral and Public Health Programs’ Applicable Measures
Program Name

Form

Nursing Education, Practice,
Quality and
Retention:Interprofessional
Collaborative Practice (IPCP)

Training Program Setup
Faculty Development Setup
PC-3
LR-1a
LR-2
DV-1
DV-2
DV-3
EXP-1
EXP-2
EXP-4
FD-1a
FD-1b
FD-2a
FD-2b

Columns
2
n/a
4,5,9
2.6-8
3,7,8,12
3,7,8,12
2,3,10,11
2,6
1-4,8-11
1,2,5,7
1-4
1,1a,2-11
1-3
1-7
1-3

Grant Purpose*


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