Putting Pen to Paper: Writing Commissioned Corps Awards LCDR David Hunter Commissioned Corps Liaison Office of Public Health Preparedness and Response Centers for Disease Control and Prevention 11-20-13 slides with appendix and resources 1 Disclaimer • The content of this presentation is a anecdotally compiled assortment of information, suggestions and tips gathered from officer feedback. • It is not intended to reflect the intent or position of the CDC Commissioned Corps Awards Board. • The purpose of this presentation is to provide officers with suggestions, helpful hints, and general guidance for writing strong awards nominations. • Officers should confer with their awards representative for specific policies, deadlines, and parameters for submitting nominations. 2 One day, your supervisor says, “You deserve an award for this work.” 3 & …and now what? 4 Here is your canvas… 5 2 pages 1” Margins 12 point font Times New Roman 6 Four Sections to the Narrative Introduction Accomplishments Impacts Conclusion 7 Defining “Accomplishment” Answers the question: What did the officer do? 8 Make a List LCDR John Doe did… 1) 2) 3) 4) 5) 6) 9 Writing Guidelines Use action verbs Avoid the passive tense Avoid jargon Avoid technical language Be clear and concise Excise irrelevant details Clearly identify how the officer showed leadership Quantify as much as possible Action Verbs: Led Directed Coordinated Wrote Planned Implemented Performed Provided Established Facilitated Delivered Designed 10 Example Accomplishment LCDR John Doe created a technical assistance program. A1 11 #s and %s For who? LCDR John Doe created a technical assistance program for improving emergency operations activities at local health departments. What activities did this include? How many activities? How many people attended? How did he demonstrate leadership? A1 What other pieces of this project can be counted? 12 #s and %s Conducted 10 webinar trainings Conducted 6 site visits LCDR Doe... Created 4 job aid tools Developed 3 action plans Reviewed 20 project proposals 13 #s and %s Conducted 10 webinar trainings •112 participants •Recorded sessions accessed 73 times LCDR Doe... 14 #s and %s Conducted 6 site visits LCDR Doe... • 60 staff attended • 13 drills observed • 6 recommendation reports written 15 Impacts… (They’re why any of this work matters) 16 Defining “Impact” Answers the question: What happened as a result of the officer’s work? 17 Actions and Effects LCDR John Doe implements a technical assistance program A Health Department Emergency Operations Center functions better. 18 List the Effects of Your Work As a result of this project, the following things happened… A) B) C) D) E) F) 19 Writing Guidelines Do not use future tense Use quantitative information (avoid general terms like “many” and “some”) Common measures that demonstrate impact Lives saved Illnesses reduced or prevented Increased/improved behavior of receiving party/audience Increased accessibility to resources Increased efficiency of operations, actions, interventions Financial savings Staff time and energy savings 20 #’s and %’s As a result of this technical assistance program, local health departments are able to better operate their Emergency Operations Centers. Faster? How do they operate better? Cheaper? More effective? 21 #’s and %’s Faster! Cheaper! HD’s reduced time to assemble key staff after a disaster by 50% to under 1 hour. Elimination of duplicated activities reduced costs by $1K per month. More effective! HD staff demonstrated an knowledge increase of 25% after receiving the training 22 Writing Strong Impact Statements -Broad, grand, or lengthy effects -Quantitative results -Causal link firmly established -Measurable effects of activities -Causal link demonstrated -Vague description -Weak association with activities 23 Accomplishment: LCDR Doe delivered a training course to 100 staff from the state health department. A1 Poor Health department staff completed the training course. Good Between the pre- and post-tests, knowledge increased among the 100 staff from the health department by 25%. Great 75% of staff (n=100) performed the training skill correctly, increasing production of deliverables by 30% during the first quarter. 24 Formatting (It matters more than you think) 25 Two Common Patterns Basic format Background Accomplishments Impact Summary Sequential format Background Accomplishment #1 Impact #1 Accomplishment #2 Impact #2 Accomplishment #3 Impact #3 Summary 26 Organizing Text A2 27 Relating Impacts to Accomplishments Accomplishments Impacts 1 A 2 B 3 C 1 A 2 B 3 C Basic or Sequential Format Basic Format 1 2 3 A Basic Format 28 Putting it All Together • “Chunk” text • Use headers • Do not justify • Group ‘like’ activities • Choose logical order • • • • Concise Plain language Jargon-free Short 29 Building Your Introduction: Cited For… “Cited for” section Rank, Name, PHS number, and award nomination centered at top 30 Leading with a Clear Opening Statement A LCDR John Doe is nominated for the ____________ for ______ ___________________________ from [mm/yyyy] to [mm/yyyy]. B High-level description of the work and impacts achieved 31 For Unit Awards: Naming Your Team Be specific Keep it simple Describe the project purpose “Team” is loosely defined Use the name to separate one award from another 32 Factors that Determine the Appropriate Award Level Level of Achievement Scope of impact A3 Leadership Award Level Length of Time 33 Minimize Background Section Snapshot of landscape Describe the problem Set the stage 34 Cap Your Narrative with a Brief Synopsis Keep it simple Reiterate overarching work Aim for 4-5 lines 35 Timing it right (Wait…but not too long) 36 When do I submit? GO • Activities completed • Impacts visible • Natural break point • Timeframe expiring • Up for promotion HOLD • Additional activities up coming • Can cluster with related activities • Not urgent for promotion 37 Clustering Projects into a Common Theme Project A Project B Project D Project C Project E Project F Time 38 Nominations Can Expire 13 months from the final activity Nominator must sign the 6342 form within timeframe Outbreak response for illness X 9/2011 Protocol for illness X revised END 1/2012 10/2011 2/2013 39 Package it up (the easy stuff) 40 The Complete Packet 1. Forms 2. Narrative 3. Award History 4. Unit award attachments A4 41 Note: blue font just for presentation visibility purposes Earthquake Preparedness Response Team 1 02/2011 OUC 02/2012 2 Outstanding response efforts in the wake of a 7.9 magnitude earthquake in Reno, Nevada 3 4 CAPT Jake Sully LT Brenda Smith Renee Brown 99999 00000 CDC/OPHPR/DX/XB CDC/OPHPR/DX/XB CDR Renee Brown, Associate Director, OPHPR 03.2012 5 Ann Walker, Chief, XB A4 CAPT Joe Smith, Director, DX Dr. Ali Khan, Director, OPHPR 42 “Cited For” Excise the “cited for” section word for word from the narrative and insert into the 6342 form. “Cited for” section 123 characters 43 John Hancocks (Good ole’ blue or black) 44 Getting Signatures Required signatures include: Nominator Branch Chief Division Director EPO Director for EIS Officers Center Director Example: Officer Jones works in his Division OD office; therefore, only division and center signatures would be required Signatures are only required for the officer’s operational unit and above Each Division follows a different process Consult with your Awards Board Rep for specific instructions 45 Nominator Selection Who can be a nominator? Generally, anyone can be a nominator Do not nominate your own supervisor Confer with an officer before nominating them The nominator for a Unit Award cannot also be listed as a participant 46 Endorsement Signatures Nominator’s signature dated first Dates must be in chronological order Two or more sequential dates can be the same CM CM CM 4/8/12 4/8/12 4/11/12 47 Endorsement Challenges PHS 6342 forms have room for 3 endorsements Additional endorsements go in the comments section 1 2 3 4 A4 48 Recognition of Non-Officers on Unit Awards Non-officers must be recognized elsewhere Usually done via CDC awards nominations A4 Lots of red ink (Minimizing revisions) 50 Interpreting Comments from the Board Approved with minor/no edits Return for revisions at same level Approved with minor edits at same level or resubmit at higher level Approved with minor edits at lower level or revise and resubmit at same level Return and resubmit at lower level Return and resubmit next cycle Rejected 51 Avoid this… 52 Common Pitfalls and Challenges Low impact Listing accomplishments as impacts Impacts do not match award level Use of jargon Use of acronyms Officer’s role unclear Impact issues Jargon/acronyms Unclear role 53 Continuum of Acceptability for Special Activities Yes Commissioned Corps collateral duties (committee membership, etc) Mentorship Conference planning No Publication [in an of itself] 54 Strategy Start Early Track Share List Count Draw A5 55 The process (Yes, it really takes that long) 56 Timeline for Awards Example Nominations due to CDC Board Final due to OCCO Award appears in OPF CDC Board Meets Revisions Center/ Office Board Review Jan Feb Mar Apr May June July OCCO Board Meets Aug Sep Oct Nov Dec 57 Award Review Feedback Loops 1 Officer A6 3 2 Award Rep Center Awards Board 4 Agency Awards Board 58 Why do all of this? A6 59 Why do all of this? Advancement Recognition A6 60 ? Contact info: LCDR David Hunter dhunter@cdc.gov 404.639.7021 61 Appendix 1: Writing the narrative 62 Example Accomplishments CDR Smith designed and conducted a longitudinal study of illness X among high-risk populations. CAPT Ryan led a workgroup that developed treatment recommendations for children exposed to a water source containing high concentrations of chemical X. LT Davis developed and conducted a process and outcome evaluation of intervention Y at community health centers. Back 63 #’s and %’s LCDR John Doe created a technical assistance program. assistance program for improving EOC activities at local health departments. LCDR Doe… Reviewed 20 project proposals • 17 recommendations made Back Conducted 6 site visits • 60 staff attended • 13 drills observed • 6 recommendation reports written Conducted 10 webinar trainings • 112 participants • Recorded sessions accessed 73 times Created 4 job aid tools • Distributed to 27 HDs • Downloaded from web 241 times 64 Making Impact Statements Great, cont. Accomplishment: LCDR Doe conducted 10 trainings to improve the quality of medical packet reviews of arriving immigrants Weak Impact: Dozens of immigrants received prompt medical care for active, noninfectious TB as a result of screening their medical packets at the port of entry. Strong Impact: Back The number of immigrants identified with TB and referred for prompt medical care improved from 50 to 60 (20% increase) during the 6 months before and after the training. 65 Appendix 2: Formatting 66 Paragraphs vs. Bullets Paragraphs tell a story through narration Bullets create lists Both are acceptable Use paragraph with qualitative data and when context and explanation of events is critical Use bullets for listing a series of accomplishments and for organizing numerous pieces of data Acceptable to use in combination Back 67 Appendix 3: Award Levels 68 Individual Awards PHS Citation Achievement Medal Commendation Medal Outstanding Service Medal Back 69 PHS Citation (CIT) Citations recognize an Officer’s achievement of accomplishing a program/project objective Reflects an “atta-boy” accomplishment Usually a single achievement Work spans a short timeframe 1 week to a few months Scope is local or limited in affect Achievement has low or limited impact Back 70 PHS Citation Examples Development and distribution of communications materials to increase awareness of animal importation restrictions Crafting a database for a scientific study Managing an unusual response action during on-call duty Conducting an evaluation of a local, short-duration intervention Back 71 Achievement Medal (AM) AM’s reflect sustained, above-average accomplishment or superior performance above that of the average officer Timeframe is longer than a CIT 1-2 years Scope is broader than a CIT in affect Officer must demonstrate leadership in achieving the goals cited Can reflect a collection of smaller accomplishments Requires demonstration of impact Quantitative measures are important Back 72 Achievement Medal Examples Leading the response team to investigate and control an outbreak of E. Coli in Reno, NV Expanding internal occupational health services for CDC laboratory staff Exemplary performance in facilitating a number of epidemiologic investigations Leading the Informatics Team in developing and implementing improved mobile systems for data collection Development and implementation of a training Back 73 Commendation Medal (CM) CM’s reflect high quality achievements Application of unique skill Noteworthy technical and professional contributions that are significant to a limited area Timeframe: generally 2 years or longer Scope of work is generally regional or national (statewide in some cases) Demonstration of substantial leadership Requires demonstration of large-scale impact Back Quantitative measurements are crucial Often includes policy-level effects 74 Commendation Medal Examples Improving national preparedness through formulating action plans and building stronger partnerships at U.S. airports Developing and implementing plans for a national evaluation of infection control procedures in healthcare settings For sustained leadership, steadfast dedication, and outstanding service in design and establishment of a national surveillance system Back 75 Outstanding Service Medal (OSM) OSM are awarded for continuous outstanding leadership Time frame: generally 2-4 years Scope of work is national or international Demonstration of exceptional leadership required Requires national or international level impact Nearly always requires policy-related impact Quantitative measures of impact crucial Results in a measured reduction in mortality and morbidity Back 76 Outstanding Service Medal Examples Enhancing vaccine delivery through the development and release of CDC recommendations adopted by ACIP Leading an interagency workgroup to establish a policy that leads to a structural intervention to reduce occupational exposure to infectious diseases among vulnerable populations in long term care facilities Developing and implementing a national communicable disease prevention program in 10 African nations that is attributed with large scale Back reductions in morbidity and mortality 77 Higher Level Awards Distinguished Service Medal Meritorious Service Medal Surgeon General’s Exemplary Service Medal Back 78 Unit Awards Unit Commendation Outstanding Unit Citation • • • • Back Non-officers may be included on UCs and OUCs Non-officers must be recognized elsewhere also Unit awards may be submitted with only 1 officer listed Officers listed on unit awards may also be nominated for individuals awards if their work significantly exceeded that of the group’s 79 Unit Commendation (UC) Awards a team* for above average contributions to a programmatic goal Timeframe varies from weeks to years Impacts must be clearly measureable *Team is defined as a collection of officers and non-officers that are working toward a common goal. It does not necessary connote the official designation of a team. Back 80 Unit Commendation Examples Exceptional performance, leadership, and teamwork in a nationwide healthy living message campaign Exemplary teamwork, dedication, and scientific excellence in their investigation of an outbreak of Hepatitis C at tattoo parlors Exemplary collaborative performance to provide public health leadership and guidance of the Q Fever Treatment Program Excellence in rapidly responding to an earthquake disaster in California Back 81 Outstanding Unit Citation (OUC) Awards a team* for exceptional contributions to the mission of the agency Timeframe varies from weeks to years Impact must be measureable and demonstrate significant prevention of loss of life or property *Team is defined as a collection of officers and non-officers that are working toward a common goal. It does not necessary connote the official designation of a team. Back 82 Outstanding Unit Citation Examples Rapidly and effectively investigating and containing an outbreak of pneumonia and severe neurological disease caused by Mycoplasma pneumoniae Agency-wide response to H1N1 pandemic influenza Establishing safety guidelines for a specific industry that results in significant reduction in on-the-job injuries and deaths Investigating and controlling an interstate outbreak of food borne illness eliciting a large-scale food recall Back 83 Appendix 4: Forms 84 Individual Award Documents 6342-2 form (Rev. 9/11) Award history print out from Direct Access 2-page narrative Back 85 Unit Award Documents 6342-1 form (Rev. 9/11) Awards history print out from Direct Access for each officer included 2-page narrative Attachment with nonofficers listed Back 86 Completing the Forms Dates Correct Format Example MM/YYYY 03/2009-07/2010 Endorsement Names Rank First Last, Title, Organization CAPT Joan Walker, Director, DX Award names Use abbreviations CIT, AM, OUC, etc. Professional Category Leave off “Officer” Health Services, Environmental Health, Medical, etc. • Maximum of 180 characters • Should complete the sentence: Cited for… • Omit officers’ name • Omit dates from this field Expanding communicable disease surveillance capacity through new technology at 15 ports of entry Cited for Back 87 Walker, Terry O-4 1 CDC/OPHPR/DX/XB Medical 4 2 06/2005 3 99999 Medical Epidemiologist 12/2009 CM 3/2012 5 6 Enhancing preparedness plans to increase impact of program activities 7 Brett Johnson 8 CDR Brett Johnson, Team Lead Theresa White , Chief, XB CAPT Molly Quinn, Director, DX Dr. Ali Khan, Director, OPHPR Back 03/2012 Additional Endorsements: Example 1 Branch Chief 2 Division Director 3 Center Director 4 Additional Endorsements Back Recognition of Civil Service Unit Award Contributors Options for recognition Nomination for Center, Office, or CDC awards Letter of Commendation for personnel file Nomination for external awards and recognition Back Time off or cash award 90 Appendix 5: Strategy 91 Strategy Track List Keep detailed records Monitor actions and results I did…1)______________ 2)______________ 3)______________ Activity Draw Back Activity Activity Impact 92 Strategy, cont. Back Count Numbers carry weight Start Early Allow plenty of time Anticipate many revisions Share Get feedback 93 Appendix 6: Process 94 Procedural Steps • Officer: 1 – – – – Writes narrative Completes form and attaches all documents Gets supervisory approval Submits to Awards Rep by deadline • Awards Rep: 2 Back – Reviews forms and narrative for clerical accuracy – Provides feedback, edits, recommendations, and suggestions on narrative to officer – Submits to Center/Office Board for review – Votes as a member on the Center/Office Board 95 Procedural Steps, cont. • Center/Office Board: 3 – Reviews all award nominations – Determines disposition of all awards nominations – Returns nominations to officer for revisions and signatures Upon satisfactory revisions, submits awards to Agency Board • Agency Board: 4 Back – – – – – Reviews forms and narrative Determines disposition of awards Returns those for revisions Sends high-level awards to OSG for final review Submits to OCCO for inclusion in OPF 96 Final Authority for Approval Agency Approvals PHS Citation Achievement Medal Commendation Medal Outstanding Service Medal Unit Commendation Back Office of the Surgeon General Meritorious Service Medal Distinguished Service Medal Outstanding Unit Citation Surgeon General’s Medallion Surgeon General’s Exemplary Service Medal 97 Awards Contribute to an Officer’s Performance Precept Small percentage of promotion score, but many times can be the determining factor for getting promoted Expectation of achieving benchmarks based on promotion rank Not a hard and fast rule Back Rank Award level LCDR Achievement Medal CDR Commendation Medal CAPT Outstanding Service Medal Individual and Unit Award equivalents AM = UC OSM = OUC 98 Appendix 7: Knowledge Checks 99 Completing the “Cited For” Section Which of the following is correct? 1 LT Gerry Brown is nominated for outstanding management of programmatic resources. 2 outstanding management of programmatic resources from 12/2009 to 11/2011. 3 outstanding management of programmatic resources. 100 Quiz #1 Awards G Crisis Response Service Award ___ Ribbons A. F Outstanding Unit Citation ___ B. H Commendation Medal ___ C. C Foreign Duty ___ D. E Unit Commendation ___ E. D Training Ribbon ___ F. A Isolated Duty ___ G. B ___Outstanding Service Medal H. 101 Quiz #2: Checking PHS 6342-2 Instructions: Review the form on the next slide. What errors on this form can you see? How would you correct those errors? 102 1 Victoria Stone 0-5 4 3 2 06/1998 Environmental Health Officer CDC/OPHPR/DX/XB Team Lead 01/2006 Outstanding Service Medal 08/2010 Enhancing inventory shelf-life and effective processes for resource management Chris Gregory CAPT Chris Gregory, Chief, XB 5 Dr. Florence Ritter, Director, DX Dr. Ali Khan, Director, OPHPR 02/2012 Quiz #3 1. How long does an officer have to submit an award after the last activity to be included has been concluded? 2. What are the four sections to be included in an award narrative? 3. When is it inappropriate to nominate another officer for an award? 4. What are three key tips for writing a good narrative? 5. What are the four principal factors that determine the appropriate level of an award? 104 Quiz #4: True or False TRUE FALSE These awards are listed from highest to lowest: OSM, CM, AM, CIT T F It is not possible to receive a unit award and an individual award for the same activity T F The nominator may also be in the supervisory chain and can endorse a nomination. T F Civil Service employees can be included on unit awards. T F Great narratives demonstrate leadership of activities leading to measurable impacts to improve public health T F 105