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UCEDD Program Performance Reporting Template
COVER PAGE
Date of Report
AIDD Project Officer
AIDD Grant Officer
AIDD Grant Number
UCEDD Name
Address
Phone
Period of Performance
Approved Project Period
Project Title
Principal Investigator
Author of this Report
Part 1: Work Plan Progress Report
Part 1.a.
Detailed Work Plan Progress Report (annual report)
Each UCEDD has a ‘work plan’ for the 5-year plan. To this end, application guidance requires the
UCEDD to provide quantitative monthly or quarterly projections of the accomplishments
achieved for each function or activity in such terms as the number of people served and the
number of activities accomplished. Data may be organized and presented as project tasks and
subtasks with their corresponding timelines during the project period. For example, each project
task could be assigned to a row in the first column of a grid. Then, a unit of time could be
assigned to each subsequent column, beginning with the first unit (i.e., week, month, quarter) of
the project and ending with the last. Shading, arrows, or other markings could be used across
the applicable grid boxes or cells, representing units of time, to indicate the approximate
duration and/or frequency of each task and its start and end dates within the project period.
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When accomplishments cannot quantify by activity or function, list in chronological order to
show the schedule of accomplishments and their target dates.
The guidance also requires that the UCEDD provide a list of organizations, cooperating entities,
consultants, or other key individuals who will work on the project, along with a short description
of the nature of their effort or contribution.
This section would provide a progress report on the UCEDD work plan. They would use the work
plan from the 5-year application to provide annual updates along with a narrative report of
progress for each section of the work plan that has activities planned for the time-period.
Activities not planned for during the reporting period can be reported but must be reflected in a
revised work plan or Part 1.b. if the work plan is not revised yet.
UCEDDs would need to tailor this part of the report to the individual work plan style.
UCEDDs should be sure to include information about faculty specialties, their experience with
disabilities, and how their racial, ethnic, and spoken language reflect that of the communities in
which they work. Additionally, discuss the UCEDD’s plan for offering academic credit for
interdisciplinary pre-service training.
Part 1.a.(1) Final Report on UCEDD Accomplishments (final 5-year report)
Describe the extent to which each goal was achieved by providing qualitative and quantitative
information about major accomplishments and outcomes for the five-year time period. It is not
necessary to describe all activities implemented to achieve a goal. Instead, you can describe
major activities over the five-year period. Where possible, describe the use of capacity building,
advocacy, and systemic change activities to achieve a goal.
Part 1.b.
Summary of Evaluation Results (annual report)
The UCEDD provides an evaluation plan in its 5-year core grant application. This section will be
used to provide a summary report of the results of the evaluation for that year. This information
should be different from the information reported in Part 1A and should be a broad/high level
summative report of the progress the UCEDD is making in the implementation of the 5-year
plan. If this type of information is already provided as part of the report in 1A, then it does not
need to be repeated in Part 1B. Since the UCEDD describes the methodology for data collection
in the 5 year application, it is not required in this section of the Annual Report.
Other relevant information not reported elsewhere should also be reported in this section.
UCEDDs should describe how the CAC is involved in an annual review of the 5-year plan, and
also describe how often the CAC meets.
Part 1.b.(1) Final Summary of Evaluation Results (final 5-year report)
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The UCEDD provides an evaluation plan in its 5-year core grant application. Use this section to
provide a summary report of the results of the evaluation for the full 5-year core grant period of
performance.
Part 2. Measures of Improvement and Consumer Satisfaction:
AIDD allows UCEDDs to adapt data collection instruments to ensure accessibility while also
ensuring consistency in the data collection process. The language for the initial outcomes
measures and consumer satisfaction measures identified below may be revised when presenting
these questions to participants or recipients of training, TA, or services.
CORE FUNCTION Interdisciplinary Pre-Service Preparation
Instructional program offered by the UCEDD that: (1) integrates knowledge and methods from
two or more distinct disciplines; (2) integrates direct contributions to the field made by people
with disabilities and family members; (3) examines and advances professional practice,
scholarship and policy that impacts the lives of people with developmental and other disabilities
and their families; (4) is designed to advance an individual’s academic or professional
credentials; and (5) takes place in an academic setting or program.
It may: (1) lead to the award of an initial academic degree, professional certificate, or advanced
academic credential; and (2) contribute to a discipline-specific course of study offered by the
UCEDD or by another academic department.
Output Measures Number and type (discipline, intermediate, long-term) of UCEDD
(annual report)
trainees trained in the DD field
Total number of UCEDD trainees
Number of UCEDD interdisciplinary training programs
o List of interdisciplinary training programs
Number of UCEDD discipline specific training programs
o List of discipline specific training programs
Diversity of UCEDD trainees (e.g., gender, person w/disability, family
member, race/culture/language spoken)
Regarding pre-service preparation trainings conducted outside the
UCEDD:
Number of training events
Number of hours for each training event
Number of students trained
Initial Outcome
Percent of UCEDD long-term trainees reporting an increase in
Measure
knowledge or skills and/or change in attitude
(annual report)
Intermediate
Percent of UCEDD long term trainees who report they applied
Outcome
knowledge and skills one time or more
Measure (final 5- Percent of former UCEDD long-term trainees working in areas of
year report)
high need
Percent of individuals with DD receiving services from former
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UCEDD long-term trainees
Percent of former UCEDD long-term trainees in leadership positions
Cumulative numbers for output & initial outcomes measures over
all 5 years
Percentage of trainees who reported satisfaction with the knowledge
and skills gained to promote quality assurance activities for IWDD.
Consumer
Satisfaction
Measure
(annual report)
CORE FUNCTION: Continuing Education
Seminars or courses of instruction offered by the UCEDD that: (1) serve to maintain professional
credentials; (2) encourage professionals to expand their knowledge base and stay up-to-date on
new developments; and (3) offer certificates of completion or CEUs (or their equivalents).
Output Measures
(annual report)
Number of professionals participating in UCEDD continuing education
programs
Number of UCEDD continuing education programs
Length (amount of course time) of CE program
Intermediate
Outcome
Measure (final 5year report)
Consumer
Satisfaction
Measure
(annual report)
Cumulative numbers for output & initial outcomes measures over all 5
years
Percentage of continuing education participants who reported
satisfaction with the knowledge and skills gained to serve as a resource
for achieving the developmental and educational goals of IWDD from
birth to 22 years of age
CORE FUNCTION: Community Services: Training
Training provided by UCEDD faculty/staff to enhance knowledge of a variety of community
members (individuals with developmental and other disabilities, their families, professionals,
paraprofessionals, policy-makers, students or others in the community).
Output Measures
(annual report)
Initial Outcome
Measure
(annual report)
Number of people trained by participant type (e.g., individuals with
D/OD, family members, Service providers, professionals,
paraprofessionals, Policy makers, Community members IN AREA OF
EMPHASIS
Number of discrete training events and/or training series IN AREA OF
EMPHASIS
For recipients of regular, on-going trainings, percent reporting an increase
in knowledge gained:
in area of emphasis OR
in training topic in area of emphasis
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Intermediate
Outcome
Measure (final 5year report)
Consumer
Satisfaction
Measure
(annual report)
Cumulative numbers for output & initial outcomes measures over all 5
years
Percentage of individuals in the community who reported satisfaction
with the knowledge and skills gained related to appropriate child care
for CWDD and serving as a resource for family members/caregivers of
CWDD to access and use appropriate child care.
CORE FUNCTION: Community Services: Technical Assistance
Direct problem-solving services provided by UCEDD faculty/staff to assist programs, agencies, or
other entities in improving their outcomes, services, management, and/or policies. This includes
TA provided to self-advocacy organizations, family support groups, and other organizations.
Output Measures
(annual report)
Initial Outcome
Measures
(annual report)
Intermediate
Outcome
Measure (final 5year report)
Number of hours of technical assistance provided in the areas of
emphasis
Number of hours of technical assistance per type of organization
For TA recipients with a sustained relationship with the UCEDD, percent
reporting an increase in any of the identified or requested item(s) below:
Enhanced resources
Enhanced services
Strengthened networking of public and private entities across
communities
Increased awareness of evidence-based practices
Enhanced capacity to assess current practices in relation to evidencedbased approaches
Identification of policy changes needed within the areas of emphasis
Impact statement(s) for at least one TA project/activity over the 5
years. Impact statements briefly summarize, in lay terms, the
difference the project’s teaching/learning, research/discovery, and
extension and outreach/engagement efforts have made. They state
accomplishments and create strong support for programs. (Narrative)
Cumulative numbers for output & initial outcomes measures over all 5
years
Consumer
Percentage of individuals in the community who reported satisfaction
Satisfaction
with the knowledge and skills gained related to the health care needs
Measure
of IWDD.
(annual report)
CORE FUNCTION: Community Services: Model Services
Specialized services delivered with the intention to enhance the well being and status of the
recipient and not for testing new practices and may be integrated with training, research,
and/or dissemination functions. Includes direct problem-solving services provided by UCEDD
faculty/staff to assist individuals with developmental and other disabilities and their families.
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Output measure
(annual report)
Number of specialized services offered by the UCEDD to enhance the
well being and status of the recipient
Initial Outcome
Measure
(annual report)
Intermediate
Outcome
Measure (final 5year report)
Number of individuals who received specialized services from the
UCEDD to enhance the well being and status of the recipient
Impact statement(s) for at least one model service over the 5 years.
Impact statements briefly summarize, in lay terms, the difference
the project’s teaching/learning, research/discovery, and extension
and outreach/engagement efforts have made. They state
accomplishments and create strong support for programs.
Cumulative numbers for output & initial outcomes measures over
all 5 years.
Consumer
Percentage of individuals in the community who reported satisfaction
Satisfaction
with the services and/or supports received related to employment, job
Measure
choice, and career opportunities for IWDD.
(annual report)
CORE FUNCTION: Community Services: Demonstration Services
Services that field test promising or exemplary practices and may be integrated with training,
research, and/or dissemination functions.
Output Measures
(annual report)
Initial Outcome
Measure
(annual report)
Intermediate
Outcome
Measure (final 5year report)
Consumer
Satisfaction
Measure
(annual report)
Number of services offered solely by the UCEDD that are being field
tested as promising or exemplary/best practices
Number of services offered in partnership with others that are being
field tested as promising or exemplary/best practices
UCEDD and/or partnering agency adopts findings from field test to
make at least one modification to the UCEDD services being field
tested (Y/N)
Impact statement(s) for at least one demonstration service over the
5 years. Impact statements briefly summarize, in lay terms, the
difference the project’s teaching/learning, research/discovery, and
extension and outreach/engagement efforts have made. They state
accomplishments and create strong support for programs.
Cumulative numbers for output & initial outcomes measures over
all 5 years.
Percentage of individuals in the community who reported satisfaction
with the services and/or supports received related to IWDD choosing
where and with whom they will live and to facilitate the level of
services needed to support those choices.
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CORE FUNCTION: Research
Implementation of basic and applied research, program evaluation, and analysis of public policy
on issues impacting individuals with developmental disabilities
Output Measure
(annual report)
Number of active research activities
Intermediate
Outcome
Measure (final 5year report)
Impact statement, describing at least one instance of UCEDDgenerated research findings:
• Leading to changes in systems, practice, policy at any level
(e.g., local, state, regional, tribal, territorial, national)
• Translated into practice and/or policy
• Leading to adoption of evidence-based practices
Cumulative numbers for output & initial outcomes measures over
all 5 years.
UCEDD adopts research findings by modifying activities in the other
core functions (Y/N)
Initial Outcome
Measure
(annual report)
CORE FUNCTION: Information Dissemination
Distribution of knowledge-based information through UCEDD developed products and activities
Output Measure
(annual report)
Number of products developed
Number of products disseminated
Number of conferences and conference presentations
Intermediate
Discuss how information dissemination plan, as outlined in the 5Outcome
year application, was implemented over the 5 years.
Measure (final 5- Cumulative numbers for output & initial outcomes measures over
year report)
all 5 years.
Consumer
Percent of people satisfied with the information on the UCEDD's
Satisfaction
website
Measure
(annual report)
Leveraging
Efforts to leverage funds for carrying out the core functions (proposal writing and submission,
partnership development)
Output Measure
Number of grants and contracts and other sources of funds leveraged
(annual report)
Total amount of funds leveraged
Source of funding (e.g., federal, state, local, other)
Intermediate
Total amount of funds leveraged over the course of the 5- year grant using
the following categories:
Outcome
o
Federal
Measure (final 5o State
year report)
o
o
Local
Private Sources (Foundation/Donation/Corporate)
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o Fee-for Services
o Other
Average dollar amount leveraged per core dollar across the five-year period.
Part 3. Measures of Collaboration:
1. (annual report) Identify the critical issues/barriers affecting individuals with developmental
disabilities and their families in your State that the DD Network (The State DD Council,
Protection and Advocacy Agency, and UCEDD) has jointly identified:
2. (annual report) Describe the strategies collaboratively implemented by the DD Network for
at least one of the issues/barriers identified above:
a. Issue/Barrier:
b. Provide a brief description of the collaborative strategies to address issue/barrier
and expected outcome(s):
c. Check applicable areas of emphasis:
___Quality Assurance
___Education and Early Intervention
___Child Care
___Health
___Employment
___Housing
___Transportation
___Recreation
___Quality of Life
___Other – Assistive Technology
___Other – Cultural Diversity
___Other - Leadership
___Other – please specify:
d. Describe the UCEDD’s specific role and responsibilities in this collaborative effort.
Include any technical assistance expertise you can provide to other States in this
area:
e. Briefly identify problems encountered as a result of this collaboration, and technical
assistance, if any, desired:
f. Describe any unexpected benefits of this collaborative effort:
3. (annual report) Describe your collaborations with non-DD Act funded programs:
a. List, which disability populations benefited from your collaborations.
b. Estimate the number of individuals with disabilities, other than developmental
disabilities, affected by your collaborations with non-DD Act funded programs.
Information provided on an optional basis.
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c. Estimate the number of individuals with developmental disabilities affected by your
collaborations with non-DD Act funded programs.
4. (final 5-year report) Provide a summary of one or more collaborative effort(s) across the
five-year period, including a narrative focused on major outcomes resulting from the
collaboration(s).
In this narrative, be sure to clarify the impact, or outcomes, of collaborations among DD
Network and other partners.
Part 4. UCEDD Government Performance and Results Act (GPRA) Measures:
1. (annual report) Percent of individuals with developmental disabilities who are receiving
services through activities in which UCEDD-trained professionals are involved.
Survey question at 2, 5, and 10 years: What is the number of individuals with
developmental disabilities who are receiving direct services through activities in which you
are involved?
2. (annual report) Percent of UCEDD trainees who demonstrate leadership in the
developmental disabilities field at 2, 5, and 10 years after completion of UCEDD training.
Survey question at 2, 5, and 10 years: Are you in a leadership position in the field of
developmental disabilities?
Public Burden Statement:
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such
collection displays a valid OMB control number (OMB 0985-0030). Public reporting burden for this collection of information
estimated to average 1462 hours per response, including time for gathering and maintaining the necessary data, completing and
reviewing the collection of information. The obligation to respond to this collection is required to retain or maintain benefits
under the statutory authority Section 104 (a) (42 USC 15004) of the Developmental Disabilities Assistance and Bill of Rights Act
of 2000 (DD Act).
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File Modified | 2020-05-14 |
File Created | 2020-05-14 |