Success Story Submission

Please provide a point of contact who can respond to questions about your success story.

• Describe the action performed that prompted change or improvement.

• How did this action result in this improvement?

• Over what period was the action performed? Include dates.

• A problem that adversely affects either a specific disparate population or the program/clinic partner’s ability to meet an objective.

• Use data to support and frame the challenge.

• Specify the disparate population.

• Goals met/progress made

• What has changed because of this effort? (Compare the period before implementation to the period after implementation of the action)

• What are the measurable outcomes (i.e., qualitative and quantitative data – numbers and/or percentages)? Show how you know the action taken was successful.

• What impact did this have on the people involved? (Program staff, clients, providers, patients, health care system, etc.)

• What are your plans for sustainability?

• Information for peers interested in adopting or adapting practices in their setting.

• Lessons learned and next steps (e., replicating your actions/practices with another partner or disparate population)

Please also provide any quotes, pictures, and data to support your success story.