INDGEN-PY: Individual Prior Year

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

Select whether status/employment data are available for the individual 1-year post graduation/completion	Select Individual's Current Training/Employment Status	Select Whether Your Organization Hired this Individual - PY	Select Whether a Partner Organization Hired this Individual - PY	Select Employment Location - PY	Enter Zip Code PY	City PY	State PY
(13) Block 23	(14) Block 23a	(16)	(17)	(18)	(18a)	(18b)	(18c)

Figure 1. INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

Select whether status/employment data are available for the individual 1-year post graduation/completion: Select whether current training/employment data are available for each individual who received a BHW-funded financial award and completed their training program one year prior to this reporting period by clicking on the drop-down menu in Column 13 (Block 23) and choosing one of the following options:

Select Individual's Current Training/Employment Status:

Select the individual’s current training/employment status by clicking on the drop-down menu in Column 14 choosing one of the options below. If employment data are not available for the individual, select “N/A.”

Individual is currently employed or is pursuing employment as a CHW/HSW
Individual is currently employed or is pursuing further training in a medically underserved community
Individual is currently employed or is pursuing further training in a primary care setting
Individual is currently employed or is pursuing further training in a rural setting
Individual is employed at a NHSC-approved site
Individual is employed in a public health/prevention setting
Individual is not currently employed
Individual is providing behavioral health services
Individual is providing maternal health care
Individual is serving individuals with OUD/SUD
None of the above
N/A

Select Whether Your Organization Hired this Individual - PY:

Select whether your organization hired this individual following training program completion by clicking on the drop-down menu under Column 16 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”

Select Whether a Partner Organization Hired this Individual - PY:

Select whether a partner organization hired this individual following training program completion by clicking on the drop-down menu under Column 17 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”

Select Employment Location - PY:

Select the type of employment location where the individual was hired following training program completion by clicking on the drop-down menu under Column 18 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”

Academic Institution
Academic Medical Center
Area Health Education Center
Certified Community Behavioral Health Clinic (CCBHC)
Community Behavioral Health/Mental Health Center
Community Health Center (CHC)
Critical Access Hospital
Federal Government
FQHC or Look-Alike
Health Department (local/state/tribal)
Hospital (non-academic)
Indian Health Service (IHS)/Tribal/Urban Indian Health Center
Nursing Home
Other Clinical Health Setting
Other Community-Based Organization
Other Long-term Care Facility
Other Specialty Clinic
Private Industry
Private Practice
Residential Living Facility (including independent and assisted living)
Rural Health Clinic
School-based Clinic
State or Local Government
US Armed Forces
Veterans Affairs Healthcare (e.g. VA hospital or clinic)
Pursuing Additional Education or Training
Not Currently Employed
N/A

Enter Zip Code PY: If ‘Yes’ was selected in column 13, enter the zip code (5 digits) of the employment site.
If ‘No’ was selected, leave column 18a blank.
City PY: Employment City (column 18b) will auto-populate based on Employment Location Zip Code (column 18c) after you save and validate the form.

State PY: Employment State (column 18c) will auto-populate based on Employment Location Zip Code (column 18a) after you save and validate the form.

Warning
“None of the above” and “N/A” cannot be selected in combination with any other option

Note
If the employment site zip code is unknown, column 18a can be left blank for the AY 2023-2024 APR. This data will be required starting in AY 2024-2025.

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform.

INDGEN-PY - Selecting Individual's Role(s) at Employment Setting

Select Individual’s Primary Role at Employment Setting PY	Select Individual's Other Role(s) at Employment Setting PY
(21)	(22)

Figure 2. INDGEN-PY - Selecting Individual's Role(s) at Employment Setting

Select Individual’s Primary Role at Employment Setting PY:

Address social determinants of health
Advocacy - individual and community
Assessment - individual and community
Capacity building - individual and community
Case management
Collect data and relay information to stakeholders to inform programs and policies
Conduct outreach
Create connections between vulnerable populations and healthcare providers
Determine eligibility and enroll individuals in health insurance plans
Educate healthcare providers and stakeholders about community health needs
Ensure cultural competence among healthcare providers serving vulnerable populations
Help patients navigate healthcare and social service systems
Manage care and care transitions for vulnerable populations
Participate in research and evaluation
Provide coaching and/or informal counseling
Provide cultural mediation among individuals / communities / health and social service systems
Provide culturally appropriate health education
Provide interpretation and translation services
Provide referrals
Provide some direct services such as first aid and blood pressure screening
Reduce social isolation among patients
Not employed as CHW/HSW
N/A

Select Individual's Other Role(s) at Employment Setting PY:

Address social determinants of health
Advocacy - individual and community
Assessment - individual and community
Capacity building - individual and community
Case management
Collect data and relay information to stakeholders to inform programs and policies
Conduct outreach
Create connections between vulnerable populations and healthcare providers
Determine eligibility and enroll individuals in health insurance plans
Educate healthcare providers and stakeholders about community health needs
Ensure cultural competence among healthcare providers serving vulnerable populations
Help patients navigate healthcare and social service systems
Manage care and care transitions for vulnerable populations
Participate in research and evaluation
Provide coaching and/or informal counseling
Provide cultural mediation among individuals / communities / health and social service systems
Provide culturally appropriate health education
Provide interpretation and translation services
Provide referrals
Provide some direct services such as first aid and blood pressure screening
Reduce social isolation among patients
Not employed as CHW/HSW
None of the Above
N/A

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INDGEN-PY: Individual Prior Year

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

INDGEN-PY - Selecting Individual's Role(s) at Employment Setting

INDGEN-PY - Selecting Individual's Role(s) at Employment Setting

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