Activity Progress Report and Work Plan Tool

Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

Y2 APR Instructional Tool 4.2.21_CLEAN

OMB: 0920-1283

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OD2A Annual Progress Report Instructional Tool

Strategy 1

Annual Progress Report (APR)

Surveillance (required)

1 Collect and disseminate timely emergency department (ED) data on suspected all drug, all opioid, heroin, and stimulant overdoses.

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OPTIONAL REPORTING ACTIVITY:

DOES YOUR JURISDICTION AGREE TO REPORT ED VISITS AND HOSPITALIZATIONS INVOLVING SUSPECTED ALL DRUG, ALL OPIOID, HEROIN, AND ALL STIMULANT OVERDOSES FROM BILLING/DISCHARGE DATA TO CDC ON A QUARTERLY BASIS?

Click or tap here to enter text.


OBJECTIVE

(pre-populated from workplan)


MAJOR ACTIVITY

(pre-populated from workplan)


OBJECTIVE DESCRIPTION

(pre-populated from workplan)


OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM



BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)



FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)




OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.


CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.

Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.

DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary





Strategy 2

Year 2 Annual Progress Report

Surveillance (required)

2 Collect and disseminate descriptions of drug overdose death circumstances using death certificates and medical examiner/coroner data

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction)

Was information from this activity disseminated into products? Were resources developed, papers

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned. It should also discuss changes you plan to make based on the lessons that were learned.

Click or tap here to enter text.


OPTIONAL SUDORS ENHANCEMENT:

DOES YOUR JURISDICTION AGREE TO COLLABORATE WITH ME/CS OR A FEW HIGH BURDEN AREAS TO COLLECT PRELIMINARY RAPID COUNT DATA ON SUSPECTED OPIOID OVERDOSE DEATHS (IE. OVERDOSE DEATHS SUSPECTED TO INVOLVE OPIOID(S) BEFORE RECEIPT OF FORENSIC TOXICOLOGY DATA) WITHIN A MONTH OF DEATH, AND PREFERABLY FASTER?

Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)


MAJOR ACTIVITY

(pre-populated from workplan)


OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)









OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO

ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.


CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.



Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.


CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.



Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO

ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


Add additional activities as necessary



Strategy 3

Year 2 Annual Progress Report

Surveillance (required)

3 Implement innovative surveillance to support NOFO interventions

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned. the overall lessons learned from implementing activities for this strategy.

Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)


MAJOR ACTIVITY

(pre-populated from workplan)


OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)

FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.


Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO

ACTIVITY #4:

(pre-populated from the workplan)

ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)

REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


Add additional activities as necessary



Strategy 4 (Base)

Year 2 Annual Progress Report

Prevention

4 Base Prescription Drug Monitoring Programs (PDMPs)

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Strategy 4 Enhanced

Year 2 Annual Progress Report

Prevention

4 Enhanced Prescription Drug Monitoring Programs Funding Activities

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary





Strategy 5

Year 2 Annual Progress Report

Prevention

5 Integration of State and Local Prevention and Response Efforts

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Strategy 6

Year 2 Annual Progress Report

Prevention

6 Establishing Linkages to Care

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Strategy 7

Year 2 Annual Progress Report

Prevention

7 Providers and Health Systems Support

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary





Strategy 8

Year 2 Annual Progress Report

Prevention (Optional)

8 Partnerships with Public Safety and First Responders

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Strategy 9

Year 2 Annual Progress Report

Prevention (Optional)

9 Empowering Individuals to Make Safer Choices

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Strategy 10

Year 2 Annual Progress Report

Prevention (Optional)

10 Prevention Innovation Projects

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary



Peer to Peer Learning Coordinators

Year 2 Annual Progress Report

Prevention (Optional)

Peer to Peer Learning Coordinators

Summary

BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX)

This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success.

Click or tap here to enter text.


BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX)

This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below)

Click or tap here to enter text.

PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED?
(6000-CHARACTER MAX)

This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers?

What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.

OBJECTIVE

(pre-populated from workplan)

MAJOR ACTIVITY

(pre-populated from workplan)

OBJECTIVE DESCRIPTION

(pre-populated from workplan)



OUTCOMES

(pre-populated from workplan)


SHORT-TERM

INTERMEDIATE

LONG-TERM


BARRIERS TO REACHING THIS OBJECTIVE

(pre-populated from the workplan)


FACILITATORS FOR REACHING THIS OBJECTIVE

(pre-populated from the workplan)



OBJECTIVE ACTIVITIES


ACTIVITY #1:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date.

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #2:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #3 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #4:

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)

WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.

MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO


ACTIVITY #5 :

(pre-populated from the workplan)


ACTIVITY DESCRIPTION:

(pre-populated from the workplan)



TIMELINE FOR COMPLETION:

START DATE

(pre-populated from the workplan)

END DATE

(pre-populated from the workplan)

COMPLETION STATUS

This field should reflect the status of the activity at the time of reporting

DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX)

This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date

Click or tap here to enter text.

CHALLENGES (6000-CHARACTER MAX)

Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc.

Click or tap here to enter text.

TARGET POPULATION

(pre-populated from the workplan)


WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX)

This field should describe how you have engaged your target populations (mentioned above) in this activity.

Click or tap here to enter text.


MULTI SECTOR COLLABORATION:

(pre-populated from the workplan)


STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS

(pre-populated from the workplan)


REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX)

This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination.

Click or tap here to enter text.


Technical Assistance Need (6000 CHARACTER MAX)

This field should describe what CDC can do to help you with your activity.


DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN?

YES NO



Add additional activities as necessary





Page 26 of 26


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLueken, James (CDC/DDNID/NCIPC/DOP)
File Modified0000-00-00
File Created2022-01-11

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