Form Approved OMB 0920-xxxx Exp. 0x/xx/2027
Office of Readiness and Response - Regional Centers for Public Health Preparedness and Response:
Five-Year Regional Work Plan Template
FY2024-2030
Centers for Disease Control and Prevention (CDC), Office of Readiness and Response (ORR, Division of Readiness and Response Science (DRRS)
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Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).
HHS Region Number |
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Funded Institution: |
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Point of Contact |
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Period of Performance |
Start Date: MM/DD/YYYY |
End Date: MM/DD/YYYY |
Date of Completion |
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Section 1 - Focus Area, Priorities, Multi-Year Objectives and Activities
Section 2- Partner, Roles, and Resources Needed to Accomplish Objectives
Section 3- General Questions
A Five-Year Regional Work Plan should include:
priority areas and objectives, and at least 3 focus areas within those priority areas on ways State, Tribal, Local, and Territorial (STLT) and relevant partners can benefit from use of new or enhanced public health preparedness and response (PHPR) evidence-based strategies or interventions (EBSIs).
prioritized EBSIs to implement.
capability and capacity of STLT health departments and relevant partners to implement and evaluate activities to meet objectives.
sustainability plan for implementation of evidence-based practice in the region beyond the five- year period.
Identify at least 3 regional STLT focus area(s) that would benefit from translation, dissemination, and evaluation of promising research findings or evidence-informed or evidence- based practices. The focus areas should remain consistent throughout the performance period.
Regional STLT PHPR focus areas may range from public health emergency type, Public Health Emergency Preparedness (PHEP) capability domain, and target population.
The workplan should also cover known strategies or interventions, plans to implement each strategy or intervention, or the development and evaluation of new approaches.
Establish minimum of 3 multi-year objectives per focus area and provide a detailed description of the objective supported by key data, policy, and/or literature findings.
Ensure objectives meet the SMART criteria.
Identify activities to meet objectives in Five-Year Regional Work Plans.
Incorporate health equity and population-specific considerations and how it will be addressed within each focus area. If the objective does not include these specifications, please indicate why.
Section 1. Focus Area, Priorities, Multi-Year Objectives and Activities (*Repeat for each focus area) |
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Regional STLT Focus Area 1: [Include text here] - e.g., Incident Management Regional Topic 1: [Include text here] - e.g., Operations and Resources |
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Objective 1: |
Describe the objective in detail and how it will impact the focus area supported by data, policy, or other literature findings. |
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Domain |
Select the domain category the objective applies to. *For cross-cutting topics, select all that apply.
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Implementation Timeframe |
State Date: MM/DD/YYYY |
End Date: MM/DD/YYYY |
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Activities |
Activity 1: Describe activities to achieve Objective 1. |
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Activity 2: |
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Activity 3: |
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Target date |
Responsible Position or Party |
Progress or Process Measure(s) |
Status |
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Activity 1 |
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Activity 2 |
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Activity 3 |
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Category |
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Purpose: |
Select the purpose of each identified activity. *If cross-cutting, select all that apply.
Activity 1:
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Activity 2:
Activity 3:
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Setting |
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Collaboration and Coordination |
For EACH activity, describe collaboration and coordination activities (e.g., partnerships) with applicable state, territorial, local, and tribal health department and officials, health care facilities, and health care coalitions to improve public health preparedness and response. |
Population Focus |
Activity 1: Describe and justify the population focus for this objective. (*Repeat for each activity)
Sub-population considered (select all that apply):
☐American Indian or Alaska Native ☐ Asian ☐ Black or African American ☐ Hispanic or Latino ☐ Middle Eastern or North African ☐ Native Hawaiian or Pacific Islander ☐ White |
Health Equity Considerations |
Activity 1: (*Repeat for each activity)
☐ Yes ☐No ☐Not Applicable |
Section 2. Partners, Roles, and Resources Needed to Accomplish Objectives (*Repeat for each objective) |
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Regional STLT Focus Area 1: [Include text here] - e.g., Incident Management Regional Topic 1: [Include text here] - e.g., Operations and Resources |
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Note: For each activity, complete the following information. If same as activity 1, please state. |
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Activity 1 |
Partners/Stakeholders: Describe potential partners/stakeholders who can support necessary activities to accomplish the objective. |
Roles and responsibilities: Describe potential roles and responsibilities for each partner/stakeholder to accomplish the objective.
For example: For each entity or individual, consider how they are involved in the problem, what their position or motivation is, how may they be engaged in meeting the objective, and what constraints might keep them from helping to address the problem. In addition, determine if a Memoranda of Agreement (MOA) would be established between involved parties. |
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Resources needed to implement objectives: Describe administrative, financial, or technical support resources needed to accomplish the objective. |
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Resources available through partners/stakeholder: Describe potential resources that may be provided by the partner/stakeholder to accomplish the objective. |
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Potential barriers/issues that may be encountered: Describe potential barriers or issues that may be encountered in accomplishing the objective. |
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Potential strategies to overcome barriers/issues: Describe potential strategies to overcome potential barriers or issues to accomplish the objective. |
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Technical Assistance: Describe any potential technical assistance required and by whom to accomplish the objective. |
Section
3.
General
Questions
Within the HHS region, which organizations or groups, if any, currently support activities in the focus area of interest?
What search strategy was used to identify these organizations or groups?
Do the organizations or groups have dedicated funds to expand activities in the future for the focus area?
Who participated in the development of the objectives? Please refer to the Statement of Work: Task 2 for potential list of members and complete the table below.
Steering Committee Member Type |
Affiliation |
Geographical Location |
Area of Expertise |
e.g., Public Health Information Officer |
e.g., Local HD |
e.g., King County, Washington |
Cross-jurisdictional communication strategies |
e.g., Urban healthcare facility representative |
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How will progress towards achieving each objective be monitored and evaluated?
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kothari, Mimi (CDC/DDPHSS/CSELS/DLS) |
File Modified | 0000-00-00 |
File Created | 2024-07-20 |