State Activity Submission Review Rubric Criteria Excellent 4-5 points Satisfactory 2-3 points Unsatisfactory 0-1 point Points Description of Dental Public Health Activity Detailed with clear, vivid description of activity Provides clarity on who is involved with the activity Provides information on why those persons/entities are involved Provides limited description of activity Limited description on who is involved with the activity Limited description on why those persons/entities are involved Lacks clear description of activity Lacks information on who is doing the activity Lacks information on why those persons/entities are involved Objectives / Rationale The submission addresses the following: HP 2020 objectives , responds to the Surgeon General’s Report on Oral Health, and/or builds basic infrastructure and capacity for state/territorial/community oral health programs Clear rationale is provided, Provides measurable objectives Provides limited information on how the practice addresses at one of the following: HP 2020 objectives, Surgeon General’s Report on Oral Health, Builds basic infrastructure and capacity for state/territorial/community oral health programs Rationale for activity described Measurable objectives Does not discuss how the practice addresses any of the following: HP2020 objectives, Surgeon General’s Report on Oral Health, Builds basic infrastructure and capacity for state/territorial/community oral health programs Rationale for activity Measurable objectives Impact/Effectiveness/Efficiency Describes benefit to the oral health and well-being of populations or communities Describes activity achievements by including number served or impacted Describes costs associated with activity, including resource efficiency Expenses are appropriate to benefits Discusses staffing and time requirements that are realistic and reasonable Limited description of benefit to the oral health and of populations or communities Limited description of activity achievements such as number served or impacted Limited description of cost associated with activity Limited description of staffing and time requirements Benefits poorly identified Activity achievements not identified cost information Lacks information on staffing and time requirements Collaboration/Integration Describes how the practice builds, or involves, effective partnerships among various organizations Describes how the practice integrates oral health with Limited description of how practice builds, or involves, effective partnerships Limited description of how the practice integrates oral health with other health projects and issues Lacks information on how the practice builds, or involves, effective partnerships Lacks description of how the practice integrates oral health with other health projects and issues
other health projects and issues Demonstrated Sustainability Describes how program is sustainable Describes how program benefits are sustainable Limited description of program sustainability Limited description of how program benefits are sustainable Lacks information on program sustainability Lacks information on how program benefits are sustainable Evaluation Measures/Outcome Indicators Describes at least one evaluation measure Describes at least one achievable outcome Evaluation mentioned but not clearly defined Anticipated outcome mentioned but not clearly defined Lacks evaluation component feasible outcome Lessons Learned Elaborates on both positive and negative lessons learned Provides information on field lessons Provides some input on lessons learned Provides some input on field lessons Lacks lessons learned input Lacks input on field lessons