| Contact Person | Templates & Instructions | Examples | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Contacts for Admin, Data, Contracts, EHR System, Communications, CHCs | NA | Contacts List | ||||||||
| 2 | Implementation PlanHuman Centered Design Foundation Document (and facilitators guide)
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| 3 | Implementation Plan | Human Centered Design Project Design Template (Implementation Plan) | AllianceChicago HIV CDS Y2 CDS Implementation Plan ) | 3- HIV Prevention - Confluence (atlassian.net) | |||||||
| 4 | Shared Goal Statement | ||||||||||
| 5 | Personas - Develop patient & provider personas and provide updates if requested during and at close of project. | Instructions for creating a Use Case and Persona *use material from slide deck | Human Centered Design Personas Examples Page | ||||||||
| 6 | Use Case Stories | Julia Skapik (Deactivated) | Instructions for creating a Use Case and Persona *use material from slide deck | ||||||||
| 4 | Personas - Develop patient & provider personas and provide updates if requested during and at close of project. | Human Centered Design Personas Examples Page | |||||||||
| 5 | 7 | Measures and Outcomes | |||||||||
| 8 | Data Dictionary
| These are customized for the project. Partners will receive the appropriate template from NACHC. | COVID-19 Data Extract Template for Monthly Data Pulls 2021 2020-12-02 Data Dictionary and Templates - UCSF and Post Partum Combined.xlsx | 6||||||||
| 9 | Pre- and post- Clinical and Data Workflows | Template Clinical and DataFlows in .PPT Partners may work in PowerPoint, Word, Vizio, Excel or other program to create the Workflows *use material from slide deck | Clinical Workflow - Denver Contraceptive in Excel Clinical Workflow - Generic Outreach and Enrollment in graphic format CHC Pharmacy Immunization Workflow in Word * COVID Phone Screening Workflow in PowerPoint UCSF COVID-19 Workflow Ambulatory Patients w/Respiratory Illness in graphic format | ||||||||
| 10 | Data Extracts
| These are customized for the project. Partners will receive the appropriate template from NACHC. | NA | ||||||||
| 711 | Data Validation Report (Quality Assurance (QA) Template) AKA Data Feasibility Assessment | These are customized for the project. Partners will receive the appropriate template from NACHC. | Quality Assurance Template for UCSF Women's Health Contraception Julia Skapik (Deactivated | 8 | Pre- and post- Clinical and Data Workflows | Template Clinical and DataFlows in .PPT Partners may work in PowerPoint, Word, Vizio, Excel or other program to create the Workflows | UCSF | Workflow Ambulatory Patients w/Respiratory Illness in graphic format | 9 | ||
| 12 | Lessons Learned/Evaluation | Template for Lessons Learned | Example AllianceChicago Women's Health UCSF Contraception* | ||||||||
| 1013 | Participation in Monthly TA Calls, All Partner Calls, Harvest Meetings - Documentation: minutes | See the Monthly Meeting notes on your Confluence page. | NA | ||||||||
| 1014 | Presentations: local, conferences/webinars, etc. - Documentation: slide deck | These are customized for the project. Partners will receive the appropriate template from NACHC. | |||||||||
| 15 | Quality Improvement Interoperability Challenge | Julia Skapik (Deactivated) | COVID-19 QI Interoperability Challenge | ||||||||
| 16 | Clinical Decision Support (CDS) One Pager Worksheet | 872 HIV CDS One Pager Worksheet | Example Partner CDS Worksheet 872 HIV Project.docx | ||||||||
| 17 | Final Report Template for Partners | Julia Skapik (Deactivated) | 2021-04-29 Final Report Template For Partners.docx | 854-03 UCSF Year 3 Final Report Template | |||||||
| 18 | Health Information Technology Capacity Assessment | Qualtrics survey | |||||||||
| 19 | Data Dashboards | Colorado AIM Dashboard by Jen Du Mond | |||||||||
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