Example of Start Up Documentation

Organization Name:	County of Multnomah
Name of Primary Contact:	Mr. Steven Bardi
Department/Division:	Multnomah County Health Department
Address:	426 SW Stark Street, 2nd Floor Portland, OR 97204-2347

Name	Project/Job Title	Phone	Fax	Email
Mr. Steven Bardi	Project Director	503-988-4424	503-988-4464	steven.c.bardi@co.multnomah.or.us
Ms. Colleen Russell	Medicaid Eligibility Screening Manager	503-988-3056	503-988-3015	colleen.m.russell@co.multnomah.or.us
Ms. Jill Daniels	SBHC Program Clinical Systems Manager	503-988-4424	503-988-4464	jill.a.daniels@co.multnomah.or.us
Ms. Valerie Whittlesey	SBHC Program Administrator	503-988-4424	503-988-4464	valerie.l.whittlesey@co.multnomah.or.us
Ms. Consuelo Saragoza	Neighborhood Health Division Director	503-988-3674	503-988-3676	consuelo.c.saragoza@co.multnomah.or.us
Mr. Tim Rowan	Information Services Manager	503-988-3056	503-988-3015	tim.n.rowan@co.multnomah.or.us
Mr. Tom Fronk	Strategic Officer	503-988-3674	503-988-3676	tom.r.fronk@co.multnomah.or.us
Mr. Mike Stark	Principal Investigator	503-731-4291	503-731-8602	mike.j.stark@state.or
Ms. Debbi Patton	Network Analyst	503-988-3749	503-988-5009	debbi.a.patton@co.multnomah.or.us

Partner Organization	Name of Primary Contact	Organization Type	Address Info (Show All)
Portland Public Schools	Mr. R. Patrick Burk	K-12 school or school system	Click Here
Parkrose School District	Mr. Michael Taylor	K-12 school or school system	Click Here
David Douglas School District	Mr. Robert Chudek	K-12 school or school system	Click Here
Multnomah Education Service District	Ms. Barbara Neely	Other education	Click Here
Oregon Community Health Information Network	Mr. Michael Leahy	Other nonprofit organization	Click Here
Multnomah County Information Services Division	Mr. Rick Jacobson	County goverment agency	Click Here
Outside In	Ms. Kathy Oliver	Health Care Organizations	Click Here
National Assembly on School-Based Health Care	Mr. John Schlitt	Association	Click Here

Project Outcome:	Improved utilization of services and programs offered by school-based health centers.
Evidence	Measurement of school based health center utilization will be based on the use of specific services provided. Improvement will be measured by comparison of utilization rates before and after implementation of the network technologies. Separately, use of advanced telecommunications technology will be measured by demonstrating the numbers of hits to the web site and the numbers of new students who access the web site. Utilization, defined as how often students are using SBHC and its services, will be measured as accessed by use of advanced telecommunications technology and compared to utilization of services accessed through traditional means. Specifically, we propose collecting utilization information in order to: Assess the numbers and demographic characteristics of students who access SBHC. Assess the numbers of services which are used by students accessing SBHC as shown by the dates of the visits and reasons for each visit; measure the increase in use of the following specific services: A. immunization programs, including the Hepatitis B, measles, mumps, and rubella, and tetanus and diphtheria B. Health guidance in the areas of tobacco and substance use, dental health, injury prevention, exercise, growth and development, and nutrition; C. Mental health services as provided by the mental health consultant (MHC) including diagnostic evaluations, therapy, crisis management, and community referrals related to issues such as depression, school performance, stress, and self esteem; D. Counseling on violence and safety issues; E. Age-appropriate reproductive health services ranging from education and counseling to annual reproductive health examination and birth control prescriptions; F. HIV counseling and testing G. Diagnosis and treatment of STDs.

Project Outcome:	Increased student participation in the design and implementation of the school-based health services.
Evidence	During the formative stages of the project, the project evaluator will conduct interviews with students who are serving to assist in the design and implementation of the project. In these interviews data will be collected about students’ perceptions of their ideas being listened to and the extent of their contribution to project development and implementation. The evaluator will also solicit students’ sense of satisfaction with the process of project design and implementation. In addition, interviews will be conducted with these same students during the first project year and once each year thereafter as the project progresses. The evaluator would also participate in the meetings in which student input is solicited, to assist in guiding discussions as well as focusing responses in order to assimilate information gathered in a way that could be measured and later analyzed.

The geographic distribution of the project's intended end users

In a single city, town, or county

The geographic distribution of the project's intended indirect beneficiaries

In a single city, town, or county

Congressional District in which the grant recipient organization is located

The population characteristics of the area(s) affected by your project

Predominately urban (communities of 25,000 or more)

All direct end users who will be using the project's equipment or resources

	Disadvantaged or underserved populations (specify)	under-insured and un-insured students/youth
	Providers of a community service (specify)	health care providers
	Consumers of a community service (specify)	students/youth
	General public or community at large (specify)	any youth that has access to the Internet
	Other (specify)	public health officials

	Disadvantaged or underserved populations (specify)	family members of students/youth
	Providers of a community service (specify)	enhance overall safety net provider network
	Consumers of a community service (specify)	youth receiving services from community organizations
	General public or community at large (specify)

Activity / Milestone:	Anticipated Completion Date:
Recruit and hire Technical Coordinator and Health Educator.	12 / 2001
Finalize the project evaluation plan.	01 / 2002
Plan and design layout of the WAN.	03 / 2002
Collect and organize baseline client satisfaction data.	03 / 2002
Negotiate agreements for access to network equipment at school sites.	04 / 2002
Initiate the website planning process.	04 / 2002
Purchase, install and test WAN equipment.	06 / 2002
Establish connention with AT&T Broadband Service.	07 / 2002
Initiate the web page design process.	07 / 2002
Initiate the collection and analysis of evaluation data.	07 / 2002
Activate the web page in two phases.	08 / 2002
Conduct an assessment of school-based staff to determine the extent and intensity of their training needs.	08 / 2002
Create and integrate databases associated with clinic operations into the practice management system.	02 / 2003
Assure project implementation.	09 / 2004
Convene “Student Empowerment Team."	09 / 2004
Convene "Project Advisory Team.”	09 / 2004
Coordinate activities with project partners and contractors.	09 / 2004
Near-term and long-term maintenance services are in place.	09 / 2004
Design and initiate an advertising and promotion campaign.	09 / 2004
Secure Webmaster for ongoing site maintenance.	09 / 2004
Secure on-going training and technical support for staff.	09 / 2004
Technical Coordinator and Health Educator serve as in-house experts for practice management system.	09 / 2004
Project Director and evaluator will attend the National Assembly of School-Based Health Centers to present project.	06 / 2005

Goal	Major Goal	Minor Goal	Not a Goal
Improve quality/efficiency of social services
Increase employment
Reduce poverty
Promote economic/community development
Improve the quality of (or access to) health care
Improve the effectiveness of public safety services
Improve adult training and learning opportunities
Enhance k-12 educational performance
Enhance post-secondary educational performance

	Project staff
	An outside individual or group (specify)	Program Design and Evaluation Services
	Combination of project staff and an outside individual or group (specify)

	Surveys (e.g., of staff associated with the project)
	User satisfaction surveys
	Site visits/case studies
	Participant observation
	Interviews
	Focus groups
	Document review
	Website monitoring
	Monitoring of information requests
	Tabulated information from existing databases (e.g., crime statistics)
	Pre/post-testing
	Other (specify):

Example Start Up Documentation submitted by grantee