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EXHIBIT A Health Equity and Literacy (HEAL) Project: University of California, Irvine Scope of Work The Evaluation and QI core at UCI (an MSI) will used mixed methods approaches (quantitative and qualitative) to assess process (adherence to DIS framework and National CLAS Standards; group dynamics; alignment with community priorities), reach (number of units of service offered or individuals reached; changes in knowledge and attitudes), and outcomes (COVID-19 resource access, HP2030 indicators). Evaluation leads Tanj asiri and Billimek are experts in National CLAS Standards adherence and will develop, with input from the TAG, Program Manager and CSB, a logic model for the Population Health and CHC Tracks of Implementation. UCI will establish a dedicated Data Coordination Center led by an experienced data manager to collect and manage all evaluation data from partners and public sources using the REDCap data management platform. Key outcomes of COVID-19 testing and vaccination rates and adults with vaccination records in an information system (HP2 - will e collected at the local area level (zip code or census tract, when available) from State and County datasets that the UCI team is already receiving and compiling on a weekly basis. These values will be mapped to SVI categories for analysis of gap reductions between high and lower SVI areas (Outcome 3). Appropriate, validated measures of HP2030 objectives HC/HIT-01, HC/HIT-02 and HC/HIT-03 will be identified from existing HRSA Health Center Patient Survey and Medical Expenditure Panel Survey items and collected on a monthly basis by CHCs participating in the Health Literacy Working Group as an augmentation to their routine Patient Experience Survey data collection, supported with a promotional campaign and small incentives to patients to increase participation in the surveys. CHC Track interventions will be implemented on a phased schedule to allow for comparisons of change in UP2030 measures in CHCs with and without active intervention for health literacy objectives; we will survey n=500 project participants annually. Analysis of the reduction in the gap between baseline values and the HP2030 national target value across a WG CHCs will be conducted at Month 18 (Outcome 6). Qualitative assessment of process and reach, including interorganizational dynamics and alignment with community priorities, will be led by expert community engaged researchers at UCI, Drs. Alana LeBron and Salvador Zarate, in collaboration with community interviewers identified by RADIATE, OCAPICA and LHA. LeBron and Zarate will oversee development and implementation of in-depth interviews (n=40 in year 1; n=35 in year 2) and focus groups (n=10 focus groups per year, stratified by ethnicity/race, language and age) to assess and analyze interview transcripts to generate recommendations tbr the Partnership. As part of the QI process, all process, reach and outcome measures will be shared quarterly with the Program Manager, CSB and Implementation Core leaders. Data will be stratified y key demographic characteristics including race/ethnicity, zip code, language, gender and age group to support targeted adaptation of approaches in the rapid cycle QI processes.