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BARS <br />Activity <br />Increase(+) <br />Funds to provide FPHS in: <br />FPHS-LHJ-PROVISO (YR1) 99202111 N/A 336.04.25 01/01/22 06/30/22 <br />Note: TotalYRI allocation is for SFY22 07/01/21-06/30/22 <br />0 <br />605,000 <br />605,000 <br />FPHS-LHJ-PROVISO (YR2) 99202112 N/A 336.04.25 07/01/22 06/30/23 <br />0 <br />605,000 <br />605,000 <br />Tasks / Activities / Short Description <br />0 <br />0 <br />0 <br />SFY23 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />TOTALS <br />0 <br />1,210,000 <br />1,210,000 <br />BARS <br />Activity <br />Deliverables/Outcomes <br />Funds to provide FPHS in: <br />Payment Information <br /># <br />21-23 <br />and/or Amount <br />Expenditure. <br />FPHS <br />Tasks / Activities / Short Description <br />Your <br />Other <br />SFY22 <br />SFY23 <br />BIENNIUM <br />Code 562.xx <br />increase delivery of FPHS services statewide asmeasured <br />jurisdictions <br />10-17, <br />All — CD, <br />_jurisdiction <br />data compiled and analyzed by contractors, DOH and Subject <br />20, 21, 23-29 <br />EPH, CCC, <br />Reinforcing Capacity (Assessment, CD, EPH, CCC) <br />X <br />For SFY22 (07/01/21— <br />213,000 <br />213,000 <br />426,000 <br />40-53,93 <br />Assessment <br />payment will be disbursed <br />available here. <br />DOH) <br />upon completion of the <br />10 <br />Assessment <br />CHA/CHIP <br />X <br />FPHS Annual Report. <br />30,000 <br />30,000 <br />60,000 <br />20, 21,23-29, <br />93 <br />CD <br />Communicable Disease (CD) <br />X <br />152,000 <br />152,000 <br />304,000 <br />40-53,93 <br />EPH <br />Environmental PublicHeahh(EPH) <br />X <br />210,000 <br />210,000 <br />420,000 <br />TOTAL <br />j $605,000 <br />j $605,000 <br />j $1,210,000 <br />Task <br />Activity <br />Deliverables/Outcomes <br />Due Date/Time Frame <br />Payment Information <br /># <br />and/or Amount <br />Incoordination with FPHS Steering Committee and Subject <br />Routine reporting of spending and <br />TBD <br />Matter Expert (SME) workgroups FPHS funds are to be used to <br />spending projections. Process and <br />increase delivery of FPHS services statewide asmeasured <br />reporting template TBD and provided by <br />through FPHS annua I reporting, indicators, metrics and other <br />the FPHS Steering Committee via DOH. <br />data compiled and analyzed by contractors, DOH and Subject <br />Matter Expert (SME) Workgroups. Resuts are published in the <br />FPHS annualreporting (template provided <br />For SFY22 (07/01/21— <br />Each year, the July <br />annualFPHS Investment Report. FPHS indicator metrics <br />by the FPHS Steering Committee via <br />06/30/22) due by 08/15/22 <br />payment will be disbursed <br />available here. <br />DOH) <br />upon completion of the <br />For SFY23 (07/01/22— <br />FPHS Annual Report. <br />06/30/23) due by 08/15/23 <br />1 <br />Reinforcing Capacity — These funds are to each LHJ to deliver FPHS in their own jurisdiction — In coordination with the FPHS Steering Committee and Subject <br />Matter Expert (SME) Workgroups, provide FPHS Communicable Disease (CD), Environmental Public Health (EPH), Assessment (Surveillance & Epidemiology) and/ <br />or any or all of the other FPHS Cross -cutting Capabilities (CCC) as defined in the most current version of the FPHS definitions. <br />Suggested BARS expenditure codes: 652.xx - 10-17, 20, 21, 23-29,40-53. <br />2 <br />Assessment — CHA/CHIP (FPHS definitions G.3) — These funds are to each LHJ to deliver FPHS in their own jurisdiction — In coordination with the FPHS Steering <br />Committee and Subject Matter Expert (SME) Workgroups, conduct and complete a comprehensive community health assessment and identify health priorities arising <br />from that assessment, including analysis of health disparities and the social determinants of health as defined in the most current version of the FPHS definitions. <br />Exhibit A, Statement of Work Page 2 of 5 Contract NumberCLH31015 <br />