Assessment 3 Project Implementation Plan and Logic Model

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OralhealthserviceexpansionOHSESampleimplementationplanpart1.pdf

ORAL HEALTH SERVICE EXPANSION (OHSE) SAMPLE IMPLEMENTATION PLAN

Outline the activities required to provide new and/or expanded oral health services, including hiring/contracting at least 1.0 FTE new, onsite licensed dental provider within 120 days of the Notice of Award. The Implementation Plan WILL count against the page limit. Applicants may choose the focus areas and goals stated below or provide different focus areas and goals based on actions steps necessary for implementation of the proposed OH project.

Goal On separate rows, identify the goals for each focus area. Goals should describe

measureable results.

Key Action Steps Identify the action steps that

must occur to accomplish each goal.

Person/Area Responsible Identify who will be

responsible and accountable for carrying

out each action step.

Time Frame Identify the expected

time frames for carrying out each action step.

Comments As desired, provide

supplementary information.

Focus Area: Create Operational Oral Health Site within 120 Days

Goal A1: Convert unutilized storage space into two dental operatories. 1. Gut storage space 1. Contractor (TBD) 1. 30 days of award

2. Install plumbing and electrical outlets 2. Contractor (TBD) 2. 60 days of award

3. Finish room (drywall, cabinets) 3. Contractor (TBD) 3. 90 days of award

Goal A2: Order dental equipment. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Focus Area: Onboard Dental Providers within 120 Days Goal B1: Create dental provider recruitment plan. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Goal B2: 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

  • ORAL HEALTH SERVICE EXPANSION (OHSE)
  • SAMPLE IMPLEMENTATION PLAN