APPLETREE Annual Performance Report (APR)

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RFA-TS-23-0001 
ATSDR’s Partnership to Promote Local Efforts to Reduce Environmental Exposure (APPLETREE)

Annual Performance Report (APR)



Name of Jurisdiction/Agency Submitting Plan: Click to enter text
Point of Contact for Correspondence: Click to enter text
Email: Click to enter text
Phone: Click to enter text








Executive Summary
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Performance Measures
Performance Measures:
Table 1. Process Performance Measures
Performance Measure
Component/
Strategy
Quantitative and/or Qualitative Results
Target, if applicable
Proportion of activities completed from work plan
1/A
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80% (standard)
Proportion of site-specific assessments completed from work plan
1/A
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Number of internal and/or external capacity building opportunities engaged to expedite release of assessments and educational products
1/A
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Assessment that defines the childcare landscape and identifies needs
1/B

N/A
Number of partnerships identified to help prevent exposure
1/B

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Choose Safe Places for Early Care and Education Pilot Plan
1/B

N/A
Number of memorandum of understandings (MOUs) and/or letters of intent from partners demonstrating long-term commitment to program
1/B

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Completion of sustainability plan
1/B

N/A
Identification of key implementation barriers, facilitators, and lessons learned
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N/A


Table 2. Outcome Performance Measures
Performance Measure
Component/
Strategy
Quantitative and/or Qualitative Results
Target, if applicable

Number of health education and/or community involvement activities completed to disseminate information to partners, stakeholders, and community members.
1/A
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Number (and percentage) of public health recommendations made by recipients that are accepted by stakeholders
1/A
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Number (and percentage) of public health recommendations made by recipients that are adopted (implemented) by stakeholders within performance period
1/A
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Number (and percentage) of sites with decreased or eliminated exposures based on recommendations that are adopted (implemented) by stakeholders
1/A
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Number of partners indicating commitment to help prevent exposures in early care and education centers (ECEs) 
1/B

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Identified barriers, facilitators, and lessons learned from pilot process
1/B

N/A
Execution of enhanced/expanded program
1/B

N/A
Number of infrastructure enhancements implemented
1/B

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Number (and percentage) of ECEs referred to program that make changes because of identified issues
1/B

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Number of policy, systems, and/or environment changes to support prevented exposures
1/B

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Description of effective practices, policies, and processes for preventing exposures
1/B

N/A
Recipients should use the above measures that apply to their program. 



Table 3. State-Specific Performance Measures
Performance Measure
Component/
Strategy
Quantitative and/or Qualitative Results
Target, if applicable
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Evaluation

Table 4. Evaluation Design and Data Collection: 
Component: Click here to enter text
Strategy: Click here to enter text
Activity (What activity is in the logic model?): Click here to enter text
Describe the activity in less than 200 words: Click here to enter text
Evaluation Question
What do we want to know?
Indicator
How can we measure the answer?
Data Source(s)
Where do we get the data?

Data Collection & Analysis Methods
How do we get the data?
Question: 
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Select one:
☐Process question
☐Outcome question

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Select at least one:
☐Data already exist
☐Collecting new data
     If collecting new data:
     ☐Survey
     ☐Interview or focus group
     ☐Observation
     ☐Other_____________

When will data be collected:
☐At one point in time (cross-sectional)
☐Baseline/follow-up format
☐Retrospective post
☐Pre/mid/post
☐Other, specify:______

How are you analyzing data:

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    • Description of results for reporting period considered significant: Click to enter text
    • Changes to Evaluation Plan: Click to enter text
    • Barriers during reporting period: Click to enter text
    • Facilitators during reporting period: Click to enter text
    • Conclusions: Click to enter text

*Copy Table 4 and bullets for to report out on each component/strategy as necessary.








Successes
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Work Plan
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Challenges
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CDC Program Support to Awardee
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