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JUSTIFICATION FOR OTHER THAN FULL AND OPEN

COMPETITION (JOFOC)

PART I

1. Identification of Agency, Contracting Activity and Identification of Project:

a. Program Office and Address:

CDC / NCIPC / DUIP / DIR

4770 Buford Highway

Atlanta, GA 30341

b. Project Officer's Name and Telephone Number:

Part A.

Judy Stevens, PhD

(770) 488-4649

Part B.

David Guthrie

(770) 488-1174

c. Contracting Activity:

Centers for Disease Control and Prevention

Procurement and Grants Office

Contracts Management Branch, Room 3000

2920 Brandywine Road

Atlanta, GA 30341

d. Identification of Proj ect:

Part A. A Pilot Implementation of Community -Based Fall Prevention Programs through State Health Departments

Part B. National and State-Level Implementation of the 2006 Field Triage Decision Scheme

2. Nature of Action Being Approved

The purpose of the projects is 1) to determine if it is feasible to implement community-based fall prevention programs through state health departments, as well as learn what essential elements are needed to implement such a program in a community setting; and 2) develop and initiate a nationwide state-level plan for the adoption and implementation of the 2006 Field Triage Decision Scheme.

This project will require that the vendor:

Part A:

•Work with DUIP to identify two pilot states;
•Set up a mechanism to fund one or two programs in each state.
•Develop, organize and deliver a training course to state health department staff in

Atlanta, Georgia. This will require developing new training and support materials.

• Work with the two identified state health departments to oversee implementation of one or two pre-identified falls prevention programs.

• Provide on-going training, monitoring, technical assistance, and coordination to state health department staff who are implementing the program.

•Develop a feasibility assessment tool.
•Provide a report summarizing the technical assistance needs of the state health

departments during this project.

• Provide a report summarizing what has been learned from working with the two health departments, including the process of establishing partnerships, developing program logistics, reaching older adults, and delivering the program.

Part B:

• Identify and collaborate with appropriate national EMS organizations to increase implementation of the 2006 Field Triage Decision Scheme.

• Develop and implement a nationwide implementation plan.

• Develop state-level strategic implementation plans.

• Monitor and communicate successes in the adoption and implementation of the

2006 Field Triage Decision Scheme by all levels of EMS systems.

3. Description of Services and Estimated Contract Value

a. Description of Services:

See attached Statement of Work for Part A and Part B.

b. Estimated Contract Value: $499,151

4. Statutory Authority Permitting Other than Full and Open Competition

41 U.S.C. 253 (c)(l): The property or services needed by the executive agency are available from only one responsible source and no other type of property or services will satisfy the needs of the executive agency.

5. Reasons to Justify Other than Full and Open Competition

a. What unique skills or qualifications does this contractor have and what can this contractor do that other contractors cannot do?

The State and Territorial Injury Prevention Directors Association (STIPDA) is a national non-profit 501(c)(3) organization of professionals whose mission is to strengthen the ability of state, territorial, and local health departments to reduce death and disability associated with injury and violence. STIPDA can provide the extensive range of services needed to successfully complete this project.

• STIPDA has unique and detailed data about the status and capacity of all the state injury programs. STIPDA conducts a biannual survey of all 50 states and publishes the State ofthe States Report that provides a comprehensive picture of the status of the nation's state health department injury programs. These data will allow STIPDA to identify pilot sites that have the capacity and infrastructure to successfully conduct fall prevention programs. STIPDA is the only entity with access to this data set.

• STIPDA has long-term and time-honored relationships with state health department injury prevention and control programs in all of the U.S. states and territories. No other organization has such extensive and well established associations with state health departments. These well recognized relationships will enable STIPDA to work efficiently with state health departments.

• STIPDA also has extensive experience in providing training in areas such as interpreting and presenting data, implementing and evaluating prevention activities, effectively communicating messages, and sustaining injury and violence prevention programs. This makes them highly qualified to develop, organize and deliver training to state health departments in implementing and disseminating fall prevention programs.

• Another key component of this project is providing ongoing technical assistance to state health departments and local community organizations. STIPDA has had prior experience in providing technical assistance to state health departments through the State Technical Assessment Team (STAT) program, which supports the development, implementation and evaluation of injury prevention efforts at the state health department level.

• STIPDA also has extensive experience in reviewing public health injury programs using defined standards. This makes them extremely qualified to monitor and oversee implementation of the falls prevention programs.

• Finally, having networking opportunities will greatly enhance state health departments' ability to exchange information about strategies for implementing and disseminating fall prevention programs. STIPDA has established the STIPDA Exchange, a membership service designed to facilitate networking, relationship building, and information exchange between all STIPDA members.

Supporting this networking function is the STIPDA Knowledge Center, an online library of resources, information, and tools.

• One key component of this project is helping state health departments and local community organizations identify gaps in Field Triage and strategize around opportunities to address these gaps. STIPDA has had prior experience in working with state health departments through the State Technical Assessment Team (STAT) program, which supports the development, implementation and evaluation of injury prevention efforts at the state health department level.

• STIPDA has extensive experience in working with national health organizations as a neutral convener and a facilitator; for Field Triage implementation, with many disparate EMS-related organizations working to address their own agendas, having an organization that is not beholden to any particular position is critical to creating a collaborative environment.

b. Why is this contractor the only one that can perform all of your requirements?

Only STIPDA has detailed data about the status and capacity of injury programs within U.S. state health departments, as well as experience in training, providing technical assistance, and evaluating programs. All these skills will be required for this project. For this reason, and in the interest of economy and efficiency, we are requesting that this order be issued on a sole-source basis.

STIPDA also has the unique experience working at state and local levels on injury issues, and yet has a standing of a neutral convener and facilitator.

c. What other contractors or products were considered, and why did they not meet the need?

The following potential contractors were considered:

1. The Association of State and Territorial Organizations (ASTHO), a SOI(c) (3) non-profit membership association that represents the chiefs of state and territorial health agencies. ASTHO provides expertise to Federal policy makers when developing policy, drafting legislation, and disseminating regulations.

ASTHO does not have direct experience in implementing or evaluating injury prevention programs.

2. The National Association of City and County Health Officials (NACCHO) is a national organization representing local health departments. NACCHO provides resources, tools, and assistance to local health departments to promote health and prevent disease.

NACCHO does not work directly with state health departments.

3. The American Public Health Association (APHA) promotes evidence-based public health practice and policy. They compete for and manage scientific grants and cooperative agreements.

APHA does not have a relationship with state health departments or experience in implementing injury prevention programs.

4. The Fall Prevention Center of Excellence (FPCE), based in Los Angeles, has extensive experience in both fall prevention research and programs. They are a public-private interdisciplinary partnership drawn from five organizations:

the University of Southern California's Andrus Gerontology Center; the Center for Successful Aging at California State University, Fullerton; the VA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center; the University of California Los Angeles, School of Medicine; and the California Department of Public Health, State and Local Injury Control Section. FPCE is only associated with the CA Department of Health.

5. A national EMS-related organization- American College of Emergency Physicians- is focused on education and advocacy for its members. It does not have established relationships with most state health departments, nor could it act as a neutral convener given its dependency on emergency physicians only.

6. A national EMS-related organization- National Association of Emergency Medical Technicians- works to provide education, advocacy, and research for its emergency medical technician members. It would be unable to act as a neutral convener, nor does it have established relationships with most state health departments.

FAR 6.302(a)(2) states, "when supplies or services are available from only one responsible source, full and open competition need not be provided for." As stated above, the State and Territorial Injury Prevention Directors Association (STIPDA) is the only organization that can provide the services to meet all of the program requirements including cost and time constraints.

6. Program Office Efforts to Identify Potential Sources

An Internet search was conducted of national organizations that have the necessary relationships with state health departments injury programs, appropriate data about state health department capacity, experience in fall prevention programs, or national organizations that focus on public health.

An Internet search was conducted to identify potential organizations that work in injury prevention and control at the multi-state level, have a national presence, and could collaborate with all EMS organizations

7. Actions that will be Taken in the Future to Remove Barriers to Competition for Subsequent Acquisitions of this Type

This project will identify the essential elements are needed by state health departments to implement a fall prevention program in a community setting. The results will be publically released so that all state health departments may learn from these efforts and may choose to expand their capabilities in order to compete for future procurements related to fall prevention program implementation.

8. Identification of Interested Sources

Point of Contact: Amber N. Williams Company Name: The State and Territorial Injury Prevention Directors

Association Address: 2200 Century Parkway, Suite 700

Atlanta, Georgia 30345 Telephone Number: (770) 690-9000

(770) 690-8996 - FAX

E-mail: Amber.williams@stipda.org

Other than the State and Territorial Injury Prevention Directors Association (STIPDA), no other organization has expressed an interest in this acquisition.

We hereby certify that the above information is accurate and complete.

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