New and competing supplement applicants must upload a detailed operational plan which addresses each of the following focus areas:
- Operational Service Delivery: Show that within 120 days of release of the Notice of Award (NOA) all sites will have the staff and providers you need to begin operating and delivering services. Make sure that sites and services are consistent with Form 5B: Service Sites (PDF - 161 KB) and Form 5A: Services Provided (PDF - 242 KB).
- Contracts and Subawards: Detail plans to hire, contract, and/or establish cooperative arrangements with all providers. Show that you will be able to provide all services at all sites for the stated number of hours within one year of the NoA release.
- Compliance: Demonstrate compliance with Health Center Program requirements for Quality Improvement and Quality Assurance, program monitoring, and data reporting.
- Board Requirements: Meet the Health Center Program requirements related to board authority, board composition, and conflicts of interest.
- Special Medically Underserved Population: If you apply for service areas with special medically underserved population funding, you must include an additional focus area to detail your plans for ensuring that required services are available to each population.
Table 1: Required Components of the Operational Plan
Provide all of the following details for each of the four focus areas of the Operational Plan. If you will serve a special medically underserved population, you will have a fifth focus area and must address the additional the details outlined below.
| Element | Implementation |
|---|---|
| Focus Area | Address each of the four focus areas identified above. Include the Special Medically Underserved Population focus area as appropriate. |
| Objective | For each focus area, provide at least one measurable objective that clearly states the expected result. |
| Key Action Steps | Identify the action steps that must occur to accomplish each goal. |
| Person/Area Responsible | Identify who will be accountable for carrying out each action step. |
| Time-Frame | Identify the expected timeframe for carrying out each action step. |
| Comments | Provide supplemental information as desired. |
Sample Operational Plan
Focus Area: Operational Service Delivery
Objective
|
Key Action Steps
|
Person/Area Responsible
|
Time-Frame
|
Comments
|
|---|---|---|---|---|
| A1: Open primary site within 120 days. | A1. Action Step A1. Action Step |
A1. Person Responsible A1. Person Responsible |
A1. Timeframe A1. Timeframe |
|
| A2. Hire, onboard, and train x providers | A2. Action Step A2. Action Step |
A2. Person Responsible A2. Person Responsible |
A2. Timeframe A2. Timeframe |
Make sure your plan is consistent with:
- Form 2: Staffing Profile (PDF - 179 KB)
- Form 5A: Services Provided (PDF - 242 KB)
- Form 5B: Service Sites (PDF - 161 KB)
- Form 8: Health Center Agreements (PDF - 149 KB)
- Attachment 7: Summary of Contracts and Agreements
Note: Attachment 12 will not count towards the page limit.
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