Goal: The planning and implementation of cluster activities will be strengthened through a PCA governance structure with significant representation by a group of clinicians with active practices in health centers or NHSC sites, a cluster steering committee composed of cluster PCAs, multidisciplinary CNs, health center senior leaders and clinicians, Health Resources Services Administration (HRSA) Field Office clinician, and appropriate partners.

Performance Expectations
PCA and CN:

1. Complete at least twice yearly cluster steering committee strategic planning sessions. Cluster strategic planning sessions must include lead cluster PCA and CN, HRSA Field Office, cluster directors and IS specialist, other PCA CNs, representation from TOTs PCAs and key external partners. The CN will be multidisciplinary or present plan and time- line to become multidisciplinary within 12-18 months.
2. Develop a cluster mission statement and strategic plan, including plan for sustaining and spread of collaborative work, which forms the basis for the lead PCA and CN proposal to BPHC. The strategy shall align PCA and CN activities with BPHC national activities and collaborative goals and purposely foster partnerships at the State and cluster level.
3. Prepare a semi-annual report (SAR) summarizing Health Disparity Collaborative activities and accomplishments, including learning collaborative activities and accomplishments, performance data, and lessons learned. This report should be submitted with the grant SAR to the BPHC and be shared with all cluster PCAs, CNs, HRSA Field Offices and appropriate cluster partners.
4. Develop and implement an on-going communication strategy for the cluster and a process for decision-making within the cluster.
5. In partnership with the BPHC, continue to utilize the roles document as a guide to strengthen partnerships and resolve issues. Continue the current management structure, and include a full-time cluster director in each cluster. The executive coordinating committee at the national level will continue its current role.
6. Utilize National CN coordinators as faculty and partners to strengthen the infrastructure, spread the collaborative work, and maximize oral health and health outcomes in migrant and homeless populations.
7. Have or plan to have clinicians in the PCA governance structure in the next 12 to 18 months.

Goal: By July 2001 each lead cluster will have one full-time IS coordinator, one cluster director and one additional coordinator and the TOTs coordinators based in their clusters to help support health center teams. There will also be an asthma director housed in one of the clusters responsible for conducting the asthma II collaborative. National CN coordinators will be available to support collaboratives in all clusters.

Performance Expectations:
PCA and CN

1. Each cluster steering committee will develop a strategy, in partnership with the BPHC to train and utilize the national CN coordinators additional cluster coordinator and the TOTs coordinators to support current and post collaborative teams.
2. 2. Shall ensure 100 percent full-time employee capacity for cluster directors, cluster coordinators
   (including TOTs), and IS specialists to work on BPHC-funded collaboratives.