Data Source and Evaluation Methodology: Comments (optional): Process Objective 9: (Agency Name) will provide the following services either directly or through a documented referral process with a verification feedback mechanism at the CHR site in (Name of Jurisdiction) between July 1, 2017 and June 30, 2018: Service Expected Expected Data Sources Title of number of number of Responsible And Evaluation Methodology participants to participants to Person(s) be referred for be referred for this service this service that will be successfully linked, and whom linkage verification is available Overdose prevention education and kits that include naloxone Social services (housing, food, family services, etc.) Testing for HBV Testing for TB Testing for sexually
Data Source and Evaluation Methodology: Comments (optional): Process Objective 9: (Agency Name) will provide the following services either directly or through a documented referral process with a verification feedback mechanism at the CHR site in (Name of Jurisdiction) between July 1, 2017 and June 30, 2018: Service Expected number of participants to be referred for this service Expected number of participants to be referred for this service that will be successfully linked, and whom linkage verification is available Data Sources And Evaluation Methodology Title of Responsible Person(s) Overdose prevention education and kits that include naloxone Social services (housing, food, family services, etc.) Testing for HBV Testing for TB Testing for sexually
CHR-Program-Work-Plan-Template.docx