Form Approved
OMB NO: 0920-xxxx
Exp. Date: X/XX/XXXX
•Public reporting burden of this collection of information is estimated at 11 hours per response, including the time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-xxxx).
Cross-Cutting Indicators | Edit Status | Last Check-Out | |
Manage Cross-Cutting Indicators | Available |
Strategy Description | Edit Status | Last Check-Out | |
1 | Engage in Robust Data/Surveillance for Public Health Action | Available | |
A. Identify and use data sources to create occupant injury reports for use by stakeholders (example) | |||
+Add Activity | |||
Rubric | |||
2 | Strengthen Strategic Collaborations and Partnerships for Public Health Action | Available | |
+Add Activity | |||
Rubric | |||
3 | Conduct Assessment and Evaluation for Public Health Action | Available | |
+Add Activity | |||
Rubric | |||
4. | Success Stories | Available | |
+Add Success Story | |||
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Strategy Description | Edit Status | Last Check-Out | |
1 | Engage in Robust Data/Surveillance for Public Health Action | Available | |
A. Identify and use data sources to create occupant injury reports for use by stakeholders | |||
+Add Activity | |||
Rubric | |||
2 | Strengthen Strategic Collaborations and Partnerships for Public Health Action | Available | |
+Add Activity | |||
Rubric | |||
3 | Conduct Assessment and Evaluation for Public Health Action | Available | |
+Add Activity | |||
Rubric | |||
4 | Success Stories | ||
Strategy Description | Edit Status | Last Check-Out | |
1 | Implementation and Enhanced Evaluation | Available | |
+Add Activity | |||
Enhanced component – to be structured similar as Base, but with additional fields to reflect the enhanced requirements
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Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan |
•identifying populations at risk
•responding to outbreaks, clusters, and emerging threats
•facilitating strategic collaborations and partnerships
•examining the relationship between injuries and other public health issues
•guiding interventions
•identifying, reducing, and preventing injury risks and hazards
•improving the public health basis for policymaking
•informing policy-makers, communities, and/or individuals regarding potential injury health risks
•disseminating the best scientifically available prevention strategies
Other (write-in, 500 characters)
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Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan |
Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan |
Success Stories | Document Upload |
INSTRUCTIONAL TEXT (from template)
The Problem -
•Describe the topic area related problem the program, initiative, or activity is addressing.
•Explain why the problem was important to address.
•Describe which population was affects by the problem.
•Note the data sources or systems used to describe the extent of the problem.
The Narrative
•Describe how your program, initiative or activity aimed to address the problem.
•What program, initiative, or activity are you highlighting?
•Who (e.g., state/local health department and/or local/state/ partners) was involved in developing, supporting, or leading the program, initiative, or activity?
•Describe how the activity is innovative.
•Include references, if applicable.
•Identify in simple terms the methods used, if applicable.
Outcomes and Impact
•Describe the evaluation of the activity.
•Identify the measurable short-term outcomes (e.g., early results of the process), intermediate outcomes (e.g., results of the short-term outcomes, and/or long-term outcomes that demonstrate how the activity addressed the problem (e.g., change in prevention policy, programs, or practices; increased funding).
•The first year of success stories can focus on short-term outcomes.
•Avoid stories lacking an outcome (e.g., “A fact sheet was created and distributed to stakeholders.”) Be more specific and provide details (e.g., describe what was included in the factsheet, why it was relevant to specific stakeholders, and how stakeholders used the fact sheet).
Lessons Learned
•If applicable, share any lessons learned from your program, initiative, or activity highlighted in the success story.
•Provide a conclusion that effectively wraps up the story.
•Summarize the problem, activity, and outcomes.
•Discuss barriers overcome or facilitators that contributed to success.
•Avoid using broad statements like, “There was a noticeable decrease.” Be specific and reference data.
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STRATEGY 1 | ||||
A. Plan includes description of how the plan was developed | ||||
Item not addressed at all (worth 1 pt.) | Poorly addressed in plan - item is mentioned but little to no detail or low-quality information provided (2 pts.) | Moderately addressed in plan - includes information to some degree, but occasionally lacks detail (3 pts.) | Adequately addressed in plan - key information may be missing but is satisfactory (4 pts.) | Strongly addressed in plan - includes in depth and detailed information throughout (5 pts.) |
B. Plan describes efforts to increase stakeholder inclusion in the development of the plan | ||||
Item not addressed at all (worth 1 pt.) | Poorly addressed in plan - item is mentioned but little to no detail or low-quality information provided (2 pts.) | Moderately addressed in plan - includes information to some degree, but occasionally lacks detail (3 pts.) | Adequately addressed in plan - key information may be missing but is satisfactory (4 pts.) | Strongly addressed in plan - includes in depth and detailed information throughout (5 pts.) |
Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan | Deliverables |
Examples of PHAs from NOFO:
•Identify populations either experiencing disproportionate impact of injuries or whom are at disproportionately higher risk for injuries
•Respond to outbreaks, clusters, and emerging injury threats
•Facilitate strategic collaborations and partnerships across a wide range of multi-sectoral partners
•Use data to examine the intersections and relationships between injuries and other public health issues
•Use data to guide selection of interventions to address identified injury prevention issues
•Identify, reduce, and prevent injury risks and hazards
•Educate policy makers about public health approaches to injury prevention
•Inform policy makers, communities, and/or other stakeholders about potential injury health risks
•Disseminate of the best available evidence around successful strategies for injury prevention
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Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan | Deliverables |
Overview | Indicators | Previous Year Progress | Mid-Year Progress | Next Year Workplan | Deliverables |
Examples of PHAs from NOFO:
•Identify populations either experiencing disproportionate impact of injuries or whom are at disproportionately higher risk for injuries
•Respond to outbreaks, clusters, and emerging injury threats
•Facilitate strategic collaborations and partnerships across a wide range of multi-sectoral partners
•Use data to examine the intersections and relationships between injuries and other public health issues
•Use data to guide selection of interventions to address identified injury prevention issues
•Identify, reduce, and prevent injury risks and hazards
•Educate policy makers about public health approaches to injury prevention
•Inform policy makers, communities, and/or other stakeholders about potential injury health risks
•Disseminate of the best available evidence around successful strategies for injury prevention
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File Type | application/vnd.openxmlformats-officedocument.presentationml.presentation |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |