Phase VI: Develop a Local Public Health Improvement Plan Objective B: (Create a SMART objective from the short term outcomes in your logic model here. Add sections, as Lead: (Enter necessary, to accommodate the number of objectives required. You may have more than one objective per strategy or name of person outcome.) responsible) Target Population: (Name the group(s) you are directly impacting through the above objective. For state-level objectives, the target population may be local/community public health, schools, medical professionals, partner organizations, etc.) Criteria for Success: As Indicated by: (Briefly describe what will be observed if the objective is met successfully) (Describe how criteria will be measured) Strategy Milestones/Key Activities Target Responsible Monitoring Completion Persons/Group Plan Date (Enter the strategy from your (Describe the high level activities you will conduct in order to achieve the targeted (Enter responsible (Briefly describe logic model that addresses objective. Add additional rows, as necessary.) due date for party) how you will Objective B) this activity) monitor progress on this activity) Progress Updates (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) Appendix 6.3b CHAPS Action Plan Template (continued) VI: Develop a Local Public Health Improvement Plan
Phase VI: Develop a Local Public Health Improvement Plan Objective B: (Create a SMART objective from the short term outcomes in your logic model here. Add sections, as necessary, to accommodate the number of objectives required. You may have more than one objective per strategy or outcome.) Lead: (Enter name of person responsible) Target Population: (Name the group(s) you are directly impacting through the above objective. For state-level objectives, the target population may be local/community public health, schools, medical professionals, partner organizations, etc.) Criteria for Success: (Briefly describe what will be observed if the objective is met successfully) As Indicated by: (Describe how criteria will be measured) Strategy Milestones/Key Activities Target Completion Date Responsible Persons/Group Monitoring Plan (Enter the strategy from your logic model that addresses Objective B) (Describe the high level activities you will conduct in order to achieve the objective. Add additional rows, as necessary.) targeted due date for this activity) (Enter responsible party) (Briefly describe how you will monitor progress on this activity) Progress Updates (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) (enter date) (briefly describe accomplishments to date) Appendix 6.3b CHAPS Action Plan Template (continued) VI: Develop a Local Public Health Improvement Plan
CHAPS2_PhaseVI-Action-Plan-Templates.docx