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[null,"CDC-RFA- PS-24-0003: Support and Scale Up of HIV Prevention Services in Sexual Health Clinics"]
[null,"WORK PLAN TEMPLATE"]
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[null,"The following navigation bar is available on all worksheets. Click a tab to jump to the corresponding sheet."]
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[null,"Instructions"]
[null,"Please use this template to plan the specific sub-activities that correspond to the activities in the NOFO. Use the corresponding \"Activity A\" and \"Activity B\" tabs to enter the specific activities and progress associated with each activity."]
[null,"Please type your response in the yellow cells."]
[null,"Please select an option from the dropdown menu for the orange cells."]
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[null,"Contact & Background  Information"]
[null,"Name of jurisdiction/agency submitting plan: "]
[null,"Mailing address:"]
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[null,"Jurisdiction/Agency E-mail: "]
[null,"Jurisdiction/Agency Phone:"]
[null,"Point of Contact:"]
[null,"Point of Contact E-mail: "]
[null,"Point of Contact Phone:"]
[null,"Date proposal submitted:"]

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[null,"CDC-RFA- PS-24-0003: Support and Scale Up of HIV Prevention Services in Sexual Health Clinics"]
[null,"BACKGROUND"]
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[]
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[null,"Purpose"]
[null,"This work plan template is used to thoughtfully describe what activities you are planning, how you will accomplish those activities, and how these activities will contribute to your success. Content in this template should focus on the sub-activities you plan to tackle during the first year of the cooperative agreement only. The work plan can be used as a planning tool for you and as a resource as you continue to implement project activities. This will also be used by your Project Officer to help monitor the progress towards the planned activities/sub-activities and provide technical assistance for any anticipated challenges."]
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[null,"Activities","Sub-activities"]
[null,"A: Strengthen clinic infrastructure and improve service delivery to address syndemic of HIV & other STIs (Required)","A1: Implement an action plan to address clinic infrastructure gaps"]
[null,null,"A2: Implement evidence-based or evidence-informed approaches  "]
[null,null,"A3: Assess patient clinic experience and needs"]
[null,null,"A4: Adopt a whole-person approach to HIV prevention and care in clinic "]
[null,"B: Foster strategic partnerships in support of the EHE Initiative (Required)","B1: Foster action-oriented, strategic partnerships with community providers, CBOs, health departments and other entities"]
[null,null,"B2: Participate in local HIV planning activities"]
[null,null,"B3: Build active and meaningful engagements with priority populations affected by HIV and STIs"]

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[null,null,"CDC-RFA- PS-24-0003: Support and Scale Up of HIV Prevention Services in Sexual Health Clinics"]
[null,null,"STRATEGY A"]
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[null,null,"Instructions"]
[null,null,"Content in this template should focus on the sub-activities you plan to tackle during the first year of the cooperative agreement only. Please use this page to list the specific activities and progress for sub-activities associated with Activity A. Type your responses in the yellow cells, and select the best option on the dropdown menu for the orange cells. For each of the sub-activities, there is space to type up to five corresponding tasks. There is no minimum required number of tasks. More does not necessarily mean better. While you may add tasks as desired, please TRY NOT TO EXCEED 10 tasks per activity in this template. In general, try to keep narrative responses to 500 characters or less."]
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["A","Strengthen clinic infrastructure and improve service delivery to address syndemic of HIV & other STIs (Required)"]
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[null,null,"Applicants must affirm that the proposed sexual health clinic has the following services available onsite or provide a detailed plan to have these services available onsite within six (6) months of award: \n(1) HIV testing,\n(2) STI testing at relevant anatomical sites,\n(3) Timely STI treatment, including onsite treatment for gonorrhea, chlamydia, and syphilis as recommended in CDC’s STI Treatment Guidelines (e.g., penicillin G benzathine, ceftriaxone),\n(4) Recommended vaccinations (i.e., hepatitis A virus [HAV], hepatitis B virus [HBV], human papillomavirus [HPV], mpox), and\n(5) Comprehensive in-house PrEP and nPEP services, including follow-up care and required laboratory tests."]
[null,"A1","Implement an action plan to address clinic infrastructure gaps"]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"Which clinic infrastructure services have been identified for enhancement or addition?"]
[null,null,"Why were these services selected for focus?"]
[null,null,"What sub-activities do you plan to conduct in year one to either enhance or add clinic infrastructure services? (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point of focus. Ex: we have 20 QCS services in existence]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to add two services this year]","What challenges/barriers do you anticipate while completing the activity? ","How do you plan to address these challenges?"]
[null,null,null,"1. "]
[null,null,null,"2. "]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
[null,null,"Which major milestones do you intend to achieve in Y2-5 related to A1? Provide high level milestones here. You will submit more detailed tasks each year."]
[null,null,"Are there training, technical assistance, and/or capacity-building events planned to support progress on Activity A1 during this reporting period?\n","Please describe the topic of the training, TA or capacity building activity.","Purpose","How many sessions? Will this be one-time or multiple sessions?","Description of participants",null,"Will your assigned PTC be involved in this training, TA, or capacity building activity? If yes, how will your assigned PTC be involved?"]
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[null,"A2","Implement evidence-based or evidence-informed approaches  "]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"What are the evidence-based or evidence-informed approaches you plan to implement to satisfy activity A2?"]
[null,null,"What resources do you plan to use to ensure the approaches are evidence-based or evidence-informed? How do you know this approach is grounded in evidence?"]
[null,null,"Which sub-activities do you plan to conduct in year one to implement evidence-based or evidence-informed approaches? Please note that you must implement/expand an express service model as a requirement under A2. As such, some of your tasks should relate to standing up or expanding an express service model. (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: the avg. patient wait time is 20 mins]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to reduce patient wait time to 10 minutes within the year]","What challenges/barriers do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
[null,"A3","Assess patient clinic experience and needs"]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"What method(s) will your clinic use to assess patient satisfaction and experience? ",null,null,"How often do you plan to use this method to assess patient satisfaction and experience?"]
[null,null,null,"Surveys"]
[null,null,null,"Focus groups"]
[null,null,null,"Individual Interviews"]
[null,null,null,"Other (please specify)",null,"If other, please specify."]
[null,null,"How do you plan to use patient satisfaction data to improve the patient experience?"]
[null,null,"Which sub-activities do you plan to conduct in year one to assess patient clinic experience and needs?  (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: 70% of surveyed patients agree or strongly agree that our clinic staff is welcoming]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: In our next annual survey, we hope that at least 85% of surveyed patients will either either agree or strongly agree that our clinic staff is welcoming]","What challenges/barriers do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
[null,"A4","Adopt a whole-person approach to HIV prevention and care in clinic "]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"Does your clinic have and maintain a linkage/referral roster? The roster may hold information about HIV treatment and PrEP/nPEP services, mental health and substance use disorder services, harm reduction services, family planning and reproductive health services, housing, transportation, and other services associated with improved sexual health outcomes.","If applicable, please describe how you established the roster.",null,"If applicable, please describe how you maintain the roster.",null,"If applicable, please describe how you share roster content with your patient population."]
[null,null,"Yes, we currently have and maintain a referral/linkage roster"]
[null,null,"Which sub-activities do you plan to conduct in year one to adopt a whole-person approach to HIV prevention and care in clinic ?  (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: we do not currently link patients to harm reduction services]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to begin linking patients to harm reduction services within the year]","What challenges/barriers do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
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[null,null,"A Note on the Express Services Model"]
[null,null,"Clinics are expected to implement or expand an express service model. Express services have the potential to play a key role in increasing access to HIV & STI testing and treatment, and adherence to recommended follow-up labs for individuals on PrEP, by optimizing clinic efficiency. In express services, asymptomatic patients are routed to a less intensive testing-only experience through standing orders and no physical examination. While express service models vary, there are several core elements seen across models:"]
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[null,null,"(A) Triage to route patients to either an express visit or a traditional provider visit"]
[null,null,"(B) No physical examination during an express visit"]
[null,null,"(C) Patient self-collects specimens, including swabs and urine, while a nurse, DIS or phlebotomist collects blood"]
[null,null,"(D) Aided by technology/automation for triaging, faster lab turnaround times, and notification of results"]
[null,null,"(E) Reliance on diverse staffing to allow healthcare professionals to work at the top of their licenses (i.e. task-shifting)"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down Menu"]
[null,null,"CDC-RFA- PS-24-0003: Support and Scale Up of HIV Prevention Services in Sexual Health Clinics",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"EHE Advisory Group or Committee"]
[null,null,"STRATEGY B",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HIV Care Continuum Consortium"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ryan White HIV/AIDS program planning council/body"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PrEP coalition"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Rapid Start Collaboratives (for PrEP and/or HIV care)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other (please explain)"]
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[null,null,"Instructions"]
[null,null,"Content in this template should focus on the sub-activities you plan to tackle during the first year of the cooperative agreement only. Please use this page to list the specific activities and progress for sub-activities associated with Activity A. Type your responses in the yellow cells, and select the best option on the dropdown menu for the orange cells. For each of the sub-activities, there is space to type up to five corresponding tasks. There is no minimum required number of tasks. More does not necessarily mean better. While you may add tasks as desired, please TRY NOT TO EXCEED 10 tasks per activity in this template. In general, try to keep narrative responses to 500 characters or less."]
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["B","Foster strategic partnerships in support of the EHE Initiative (Required)"]
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[null,"B1","Foster action-oriented, strategic partnerships with community providers, CBOs, health departments and other entities"]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"Please list details about the key partners you plan to work with for the EHE initiative","Name of partner","Level of previous partnership experience/collaboration:",null,null,"Type of Partner","If \"Other,\" please specify.","What role does this partner play? What type of services do they provide?",null,"How will you collaborate with this partner and what do you hope to accomplish together? How will this partnership help your clinic reach/engage priority populations?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3."]
[null,null,null,"4."]
[null,null,null,"5."]
[null,null,"What plans do you have for strengthening or maintaining partnerships described above?"]
[null,null,"What challenges/barriers do you anticipate in working with partners?"]
[null,null,"What sub-activities do you plan to conduct in year one to foster action-oriented, strategic partnerships with community providers, CBOs, health departments and other entities? (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: we have 1 active partnership currently]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to establish 3 additional partnerships within the year; 1 with a harm reduction organization, 1 with an HIV care organization, and 1 with a mental health organization]","What challenges/problem do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1. "]
[null,null,null,"2. "]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
[null,"B2","Participate in local HIV planning activities"]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"In which of the following local HIV planning activities do you plan to participate? ","EHE Advisory Group or Committee"]
[null,null,null,"HIV Care Continuum Consortium"]
[null,null,null,"Ryan White HIV/AIDS program planning council/body"]
[null,null,null,"Rapid Start Collaboratives (for PrEP and/or HIV care)"]
[null,null,null,"Other (please explain)",null,null,"If other, please explain."]
[null,null,"What sub-activities do you plan to conduct in year one to participate in local HIV planning activities?  (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: we do not currently attend rapid start collaborative meetings]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to actively participate in at least 3 rapid start collaborative meetings this year]","What challenges/problem do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]
[null,"B3","Build active and meaningful engagements with priority populations affected by HIV and STIs"]
[null,null,"Please provide a brief narrative description of the historical context of your clinic related to this strategy (in 500 characters or less):"]
[null,null,"Who are your priority populations for your community engagement efforts? How were these populations identified?"]
[null,null,"Which of the following community engagement activities do you plan to conduct to obtain community voice 1-2 times per year to inform clinic sexual health service delivery and advance health equity?","Surveys"]
[null,null,null,"Focus Groups"]
[null,null,null,"Discussions/Town Halls"]
[null,null,null,"Community Advisory Groups"]
[null,null,null,"Community Needs Assessments"]
[null,null,null,"Other (please specify)",null,null,"If other, please explain."]
[null,null,"How do you plan to disseminate and/or use findings from the community engagement activities? "]
[null,null,"What community outreach activities do you plan to conduct to promote the availability of comprehensive sexual health services?","Health Education Events"]
[null,null,null,"Community Events"]
[null,null,null,"Virtual Engagements using social media"]
[null,null,null,"Informal listening sessions"]
[null,null,null,"Other (please specify)",null,null,"If other, please explain."]
[null,null,"What sub-activities do you plan to conduct in year one to build active and meaningful engagements with priority populations affected by HIV and STIs?  (You may add tasks if needed, but please do not exceed 10 tasks on this template.)","Sub-activity","Description of Sub-activity","Start Date","End Date","Assigned to/person or team responsible","Where are you starting from? What is baseline for this activity? [try to think of at least one quantifiable start point. Ex: we do not currently have a community advisory group]","Where would you like to go? What is the goal for this activity within the year? [try to think of at least one quantifiable goal for the year. Ex: We wish to standup a community advisory group within 6 months and hold our first meeting within 9 months]","What challenges/problem do you anticipate while completing these sub-activities? ","How do you plan to address these challenges?"]
[null,null,null,"1."]
[null,null,null,"2."]
[null,null,null,"3. "]
[null,null,null,"4. "]
[null,null,null,"5. "]

{"sheet":"Sheet1","index":4,"n_rows":4,"n_cols":2,"rows_kept":4,"cut":false,"hidden":true,"merged":[]}
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[null,"Yes, we currently have and maintain a referral/linkage roster"]
[null,"No, we do not currently have and maintain a referral/linkage roster"]
[null,"We have plans to establish a referral/linkage roster"]