Select Local Health Department from drop down menu to the right. Identify the NPM and/or SPM that aligns with the data identified in the MCH priorities from question 1. Select the NPM or SPM on the pull down menus below, OR, specify the LMP defined measure. Use a separate table for each NPM, SPM or LMP selected. Copy and paste this page for as many work plan tables as needed. Use a separate work plan for each NPM/SPM/LMP Measure selected. NPM or SPM: LMP Defined Measure (specify): Please select the appropriate service by pyramid level. See Appendix for definitions and examples. Stakeholders/ Data Required Objectives Activities/Strategies Anticipated Outputs Final Reporting Final Progress Reporting Responsible List local MCH-specific data used (note: Objectives should Describe activities and Describe outputs. What is your Indicate if objectives and Provide a brief description of Person to identify the priority be SMART: specific, strategies that will be used to evaluation method to determine outcomes were met or not met. any challenges and successes NPM/SPM/LMP identified measureable, assignable, directly impact the identified if you have met your objectives? Provide brief summary of FY 17 that were experienced. above. realistic and time-related) NPM/SPM/LMP activity and outcomes achieved with MCH funds.
Select Local Health Department from drop down menu to the right. Identify the NPM and/or SPM that aligns with the data identified in the MCH priorities from question 1. Select the NPM or SPM on the pull down menus below, OR, specify the LMP defined measure. Use a separate table for each NPM, SPM or LMP selected. Copy and paste this page for as many work plan tables as needed. Use a separate work plan for each NPM/SPM/LMP Measure selected. NPM or SPM: LMP Defined Measure (specify): Please select the appropriate service by pyramid level. See Appendix for definitions and examples. Data List local MCH-specific data used to identify the priority NPM/SPM/LMP identified above. Required Objectives (note: Objectives should be SMART: specific, measureable, assignable, realistic and time-related) Activities/Strategies Describe activities and strategies that will be used to directly impact the identified NPM/SPM/LMP Stakeholders/ Responsible Person Anticipated Outputs Describe outputs. What is your evaluation method to determine if you have met your objectives? Final Reporting Indicate if objectives and outcomes were met or not met. Provide brief summary of FY 17 activity and outcomes achieved with MCH funds. Final Progress Reporting Provide a brief description of any challenges and successes that were experienced.