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				Instructions | 
		
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				The
				Project Plan form is divided into two sections: (1) Project
				Overview and (2) Innovation Tables. 
				 
					In
					the Project Overview section, provide information that applies
					to the entire project including: project name, problem
					statement, project goals, population of focus, and barriers
					summary. 
					In
					the Innovations Tables section, describe each proposed
					innovation(s) in detail. 
					 Align
				all sections of the Project Plan with your responses provided in
				the Project Narrative. | 
		
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				Project
				Overview 
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				Project
				Name Provide
				a brief title for your entire project. | 
		
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				Problem
				Statement Provide
				a brief, broad description of the disparities your proposed
				innovation(s) will address.  
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				Goal Provide
				a brief description of the overarching goal(s) your proposed
				innovation(s) will achieve. Goals should be realistic, reflect
				input from health center patients who
				have experienced maternal health barriers, and correspond to
				improved maternal health and reduced
				racial and ethnic maternal health disparities in the population
				of focus. | 
		
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				Population
				of Focus Briefly
				describe your population of focus for all of the proposed
				innovation(s). The description should align with the information
				provided in the NEED section of the Project Narrative. 
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				Barriers
				Summary Below,
				select the broad categories your project will address. Responses
				should be aligned with the most significant disparities described
				in the NEED section of the Project Narrative. 
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				Which
				of the following categories of barriers will your project and
				corresponding innovation(s) address? (select all that apply) | 
				□ Access and affordability □
				Clinical quality and safety □
				Continuity of care □
				Health outcomes □
				Patient experience | 
		
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				Which
				of the following categories of health related social needs will
				your project and corresponding innovation(s) address? (select all
				that apply) | 
				□ Language access challenges □
				Cultural barriers □
				Housing insecurity □
				Food insecurity □
				Financial strain □
				Geographic barriers □
				Transportation barriers □
				Intimate partner violence | 
		
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				Innovation
				Tables Provide
				a detailed description of each innovation in a separate entry.
				For each innovation entry, include: 
					
						A
						narrative description of the innovation, 
						Which
						stage of maternal health it will address, and 
						A
						complete activity table with the following information: the
						specific barriers the innovation will address, the activities
						you will implement to carry out the innovation, and the
						evaluative measures you will use to assess the success of the
						innovation. 
						 Descriptions
				should align with responses provided in the Project Narrative and
				with the information above. | 
		
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				Innovation | 
				
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				Innovation
				Proposal Provide
				a brief narrative overview of the proposed innovation. | 
		
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				Which
				stage(s) of maternal health will be the focus of your proposed
				innovation? (select all that apply) | 
				□ Preconception □
				Prenatal □
				Intrapartum □
				Postpartum | 
		
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				Barriers List
				the specific barriers to optimal maternal health for your
				population of focus that the proposed innovation will address.
				Specific barriers listed below should align with the broad
				categories of barriers selected in the Project Overview section
				of this form and with the descriptions of barriers included in
				the Project Narrative. | 
				Innovative
				Activities List
				and describe the activities you will implement to address the
				identified barriers and achieve your project goals. | 
				Evaluative
				Measures List
				the evaluative measures you plan to use to assess the success of
				your innovation. 
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