1. Title Program(s) Presenter(s)
Great Plains Area Chronic Disease Data Roundtable
South Sioux City, NE – June 13, 2018

2. Program Information [Program 1] [Program 2] Funding Source
Director Name
Contact Info
Staff (include photos if possible)
Funding Source
Director Name
Contact Info
Staff (include photos if possible)

3. Community Information
Tribe(s)/community(ies) served by grant(s)/program(s)/service(s)
Size of community (include maps or photos if possible)
Demographics (include data if possible)
Unique or notable aspects of the community(ies)

4. Program Goals & Objectives

5. Collaboration
Describe any existing partnerships or collaborative activities (within community/tribe or with external partners)
Who are they with?
How did they form?
What have been the benefits?
What have been the challenges?
Describe any areas of interest for additional partnership/collaboration

6. Data & Findings
Any program data to share (not required, any you feel comfortable sharing)
Current data collection and management practices
Current data sharing practices
Data needs/interests

7. Spotlighting Success Highlight any successes/ best practices
Provide example activity(ies) where success was seen
Describe community/programmatic improvement due to success/activity
(Include pictures at right if possible)

8. Challenges Describe major barriers or challenges to program success
Provide example activity(ies) where challenges occurred
Describe any potential or tried solutions
Describe any challenges specific to data (sharing, collection, management)

9. Program(s) Presenter Name(s) Address(es) Phone(s) Email(s)
Website/Social Media