Instructions
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The
Project Plan form is divided into two sections: (1) Project
Overview and (2) Innovation Tables.
In
the Project Overview section, provide information that applies
to the entire project including: project name, problem
statement, project goals, population of focus, and barriers
summary.
In
the Innovations Tables section, describe each proposed
innovation(s) in detail.
Align
all sections of the Project Plan with your responses provided in
the Project Narrative.
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Project
Overview
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Project
Name
Provide
a brief title for your entire project.
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Problem
Statement
Provide
a brief, broad description of the disparities your proposed
innovation(s) will address.
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Goal
Provide
a brief description of the overarching goal(s) your proposed
innovation(s) will achieve. Goals should be realistic, reflect
input from health center patients who
have experienced maternal health barriers, and correspond to
improved maternal health and reduced
racial and ethnic maternal health disparities in the population
of focus.
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Population
of Focus
Briefly
describe your population of focus for all of the proposed
innovation(s). The description should align with the information
provided in the NEED section of the Project Narrative.
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Barriers
Summary
Below,
select the broad categories your project will address. Responses
should be aligned with the most significant disparities described
in the NEED section of the Project Narrative.
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Which
of the following categories of barriers will your project and
corresponding innovation(s) address? (select all that apply)
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□ Access and affordability
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Clinical quality and safety
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Continuity of care
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Health outcomes
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Patient experience
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Which
of the following categories of health related social needs will
your project and corresponding innovation(s) address? (select all
that apply)
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□ Language access challenges
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Cultural barriers
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Housing insecurity
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Food insecurity
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Financial strain
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Geographic barriers
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Transportation barriers
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Intimate partner violence
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Innovation
Tables
Provide
a detailed description of each innovation in a separate entry.
For each innovation entry, include:
A
narrative description of the innovation,
Which
stage of maternal health it will address, and
A
complete activity table with the following information: the
specific barriers the innovation will address, the activities
you will implement to carry out the innovation, and the
evaluative measures you will use to assess the success of the
innovation.
Descriptions
should align with responses provided in the Project Narrative and
with the information above.
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Innovation
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Innovation
Proposal
Provide
a brief narrative overview of the proposed innovation.
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Which
stage(s) of maternal health will be the focus of your proposed
innovation? (select all that apply)
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□ Preconception
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Prenatal
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Intrapartum
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Postpartum
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Barriers
List
the specific barriers to optimal maternal health for your
population of focus that the proposed innovation will address.
Specific barriers listed below should align with the broad
categories of barriers selected in the Project Overview section
of this form and with the descriptions of barriers included in
the Project Narrative.
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Innovative
Activities
List
and describe the activities you will implement to address the
identified barriers and achieve your project goals.
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Evaluative
Measures
List
the evaluative measures you plan to use to assess the success of
your innovation.
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