NOFO OT18-18020301SUPP20 Attachment.pdf

Category A

CIO

Project Plans

Center for State, Tribal, Local, and Territorial Support

National Partnership Branch

FY 20 CIO Project Plan Final

OT18-1802 Cooperative Agreement

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

Edit and save a draft of your plan by clicking the “Save and Continue” or "Save and Close" buttons. You may edit your plan any time prior to submission. Submit the final version by clicking the "Submit" button. You must submit a final version to be considered for the NOFO. You cannot make edits after you click "Submit.”

GENERAL INFORMATION

Recipient Name:

1 Project Title (Please do not use all caps):* 9/10 words maximum

2 CIO:* 3 Division/Branch/Office/Unit:*

4 CIO Point of Contact (POC) name(s):* CIO POC email address(es):*

Separate multiple names, emails, and phone numbers with a semi-colon. CIO POC phone number(es):*

5 Target Population Category to Receive Capacity-Building Assistance (CBA):* Category A

6 Description of the Target Population:* 7/25 words maximum

Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: September 1, 2020 – July 31, 2021

Proposed Project Funding for FY20 Activities:*

(Whole numbers only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for one year.

The CIO will award new funding each budget period for more than one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

Select the program strategies and the program outcomes the project should work toward for the length of the project.

9 CBA Program Strategies (Check one or more):*

Public Health Systems Infrastructure: Activities to improve operational capacity, such as policies and plans, administration and management, and quality improvement Leadership and Workforce Development: Activities to improve leadership and workforce competencies, recruitment, and retention

Data and Information Systems: Activities to improve collection, management, interpretation, and dissemination of data to guide decision-making

Communication and Information Technology: Activities to improve use of communication and information technology to affect health decisions and actions

Partnerships: Activities to improve establishment and maintenance of results-driven partnerships

Laws and Policies: Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health

Programs and Services: Activities to improve the identification of best practices and the implementation of evidence-based/informed programs and services

10 CBA Program Outcomes (Check one or more)*

10.1. Public Health Systems Infrastructure

Short-term

Improved operational capacity to evaluate, manage, and improve public health systems

Intermediate

Increased capability of public health systems to achieve nationally established standards

10.2. Leadership and Workforce Development

Short-term Improved leadership capacity to identify and prioritize public health needs

Strengthened core and discipline-specific public health competencies among the workforce to improve job performance

Big City Health Coalition (BCHC) Deputy to CDC Deputy Project

Senior Deputies in local (BCHC) health departments/agencies

$150,000

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Intermediate

Increased leadership decision-making to address public health needs strategically and systematically

Strengthened capability of public health workforce to deliver essential public health services

10.3. Data and Information Systems

Short-term

Improved capacity of data and information systems to conduct public health monitoring and surveillance

Intermediate

Increased capability to use data to inform decision-making and support evidence-based practices and policies

10.4. Communication and Information Technology

Short-term

Improved communication and information technology capacity to inform the public efficiently and effectively

Intermediate

Strengthened capability to use communication and information technology to affect health decisions and actions

10.5. Partnerships

Short-term

Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health

Intermediate

Strengthened capability to respond to public health priorities collaboratively and strategically

10.6. Laws and Policies

Short-term

Increased capacity to evaluate laws and policies to affect health

Intermediate

Strengthened capability to systematically apply and use laws and policies to improve health

10.7. Programs and Services

Short-term

Improved capacity to identify, prioritize, and customize relevant programs and services to address public health needs

Intermediate

Increased capability to implement evidence-based/informed public health programs, policies, and services to address public health needs

PROJECT DETAILS

State the purpose of the project and provide project details for the length of the budget period (11 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc.) and outcomes (change to occur), and provide sample outcome measures to track progress achieving the outcomes.

11 Project Purpose : * 110/150 words maximum

12 12.2. Leadership and Workforce Development

Activities*

Process

Measures*

Outputs*

Budget Period

Outcomes*

Outcome

Measures*

This project will include the planning, implementation, coordination and convening of a new Deputy to Deputy workgroup. The primary goal is to improve relationships, coordination, program implementation and management practices between local (BCHC) health departments and the CDC’s national centers, institutes and offices (CIOs). The outputs will be clear processes and plans for improving the performance of the public health system. The outcomes will include better working relationships, more frequent and two-way communications, collaborative problem solving and improved public health program implementation. These activities will be conducted via phone and/or webinar technologies with at least one face to face meeting. This workgroup will include an invitiaion to all BCHC senior deputies and all 14 of CDC CIO deputy directors.

• One in-person meeting in Atlanta

• Two webinars

• Convene Senior Deputies Peer Network and CDC Deputy Directors

• Work with Senior Deputies Committee to plan meeting

Conduct quarterly calls or webinars with BCHC and CDC Deputy Directors

• In-person meeting occurred

• 2 webinars implemented

• Meeting between BCHC senior deputies and CDC deputy directors implemented

• Planning meeting occurred

• Clear processes and plans established for improving the performance of the public health system

• A report from the meeting between BCHC senior deputies and CDC deputy directors

• Training information from the webinars

• Increased coordination and communication among BCHC deputies and CDC senior deputies

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ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

13 Applicant Organizational Capacity:* 20/200 words maximum

14 Applicant Program Experience:* 35/200 words maximum

COLLABORATIVE WORK

15 Expectations for Collaboration, as applicable: 26/200 words maximum

16 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 30/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 37/100 words maximum

CIO CERTIFICATION

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my

Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating project activities that involve the collection, generation, or analysis of public health data.

Submission Date: You will be directed to a confirmation screen upon successful save or submission.

• Better working relationships

• Increase in frequency of two-way communications and collaborative problem solving

• Number of public health program implementations

The applicant will need to comply with existing guidelines and processes implemented at CDC for PPHF funding.

The applicant must have ongoing and direct communication and relationships with all local (BCHC) Senior Deputies in the public health department/agencies

Proven working relationship with local (BCHC) Senior Deputies in the public health departments/agencies

The applicant will be expected to collaborate with the CDC/Center for State, Tribal, Local, and Territorial Support's deputy director in coordinating all project activities.

Applicant is permitted to pursue subcontract work as needed with organizations that possess reach, technical knowledge and/or capacity to assist with activities identified in this project plan.

The applicant will need to comply with existing guidelines and processes implemented at CDC funding.

• The use of funds is consistent with stated purposes

• All obligating documents reflect those purposes and describe the specific activities that track to funding

Page 3 of 3FY20 CIO Project Plan - Big City Health Coalition (BCHC) Deputy to...

FY 20 CIO Project Plan Final

OT18-1802 Cooperative Agreement

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

Edit and save a draft of your plan by clicking the “Save and Continue” or "Save and Close" buttons. You may edit your plan any time prior to submission. Submit the final version by clicking the "Submit" button. You must submit a final version to be considered for the NOFO. You cannot make edits after you click "Submit.”

GENERAL INFORMATION

Recipient Name:

1 Project Title (Please do not use all caps):* 10/10 words maximum

2 CIO:* 3 Division/Branch/Office/Unit:*

4 CIO Point of Contact (POC) name(s):* CIO POC email address(es):*

Separate multiple names, emails, and phone numbers with a semi-colon. CIO POC phone number(es):*

5 Target Population Category to Receive Capacity-Building Assistance (CBA):* Category A

6 Description of the Target Population:* 5/25 words maximum Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: September 1, 2020 – July 31, 2021

Proposed Project Funding for FY20 Activities:*

(Whole numbers only) Funded Unfunded

8 Expected Length of Project:* The CIO will fund the project for one year.

The CIO will award new funding each budget period for more than one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

Select the program strategies and the program outcomes the project should work toward for the length of the project.

9 CBA Program Strategies (Check one or more):*

Public Health Systems Infrastructure: Activities to improve operational capacity, such as policies and plans, administration and management, and quality improvement

Leadership and Workforce Development: Activities to improve leadership and workforce competencies, recruitment, and retention

Data and Information Systems: Activities to improve collection, management, interpretation, and dissemination of data to guide decision-making

Communication and Information Technology: Activities to improve use of communication and information technology to affect health decisions and actions

Partnerships: Activities to improve establishment and maintenance of results-driven partnerships

Laws and Policies: Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health

Programs and Services: Activities to improve the identification of best practices and the implementation of evidence-based/informed programs and services

10 CBA Program Outcomes (Check one or more)*

10.1. Public Health Systems Infrastructure

Short-term Improved operational capacity to evaluate, manage, and improve public health systems

Intermediate Increased capability of public health systems to achieve nationally established standards

10.2. Leadership and Workforce Development

Short-term Improved leadership capacity to identify and prioritize public health needs

Strengthened core and discipline-specific public health competencies among the workforce to improve job performance

Customized Systems and Performance Improvement Technical Assistance for Small Health Departments

Small local health departments

$250,000

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Strengthened capability of public health workforce to deliver essential public health services

10.3. Data and Information Systems

Short-term

Improved capacity of data and information systems to conduct public health monitoring and surveillance Intermediate

Increased capability to use data to inform decision-making and support evidence-based practices and policies

10.4. Communication and Information Technology

Short-term

Improved communication and information technology capacity to inform the public efficiently and effectively Intermediate

Strengthened capability to use communication and information technology to affect health decisions and actions

10.5. Partnerships

Short-term Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health

Intermediate Strengthened capability to respond to public health priorities collaboratively and strategically

10.6. Laws and Policies

Short-term

Increased capacity to evaluate laws and policies to affect health Intermediate

Strengthened capability to systematically apply and use laws and policies to improve health

10.7. Programs and Services

Short-term Improved capacity to identify, prioritize, and customize relevant programs and services to address public health needs

Intermediate Increased capability to implement evidence-based/informed public health programs, policies, and services to address public health needs

PROJECT DETAILS

State the purpose of the project and provide project details for the length of the budget period (11 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc.) and outcomes (change to occur), and provide sample outcome measures to track progress achieving the outcomes.

11 Project Purpose : * 134/150 words maximum

12 12.1. Public Health Systems Infrastructure Activities*

The goal of this project is to provide customized systems and performance improvement technical assistance (TA) to small local health departments across the United States that are oftem limited in resources and capacity. Eligible local health departments must be small (defined by serving <49,000 population, and/or having <5 full time health department staff), Health department pursuit of accreditation does not impact eligibility and is not required in order to receive customized TA from the funded national partner and CSTLTS.

This customized TA can increase the capacity of HDs and the public health system to deliver the 10 essential public health services in 3 core areas of public health and meet national public health standards. This increased capacity can lead to increased access and delivery of public health services to communities and improved health outcomes.

In collaboration with key national partners, CSTLTS will provide funding and customized support to small health departments to 1) complete projects to help improve their performance and cultivate an agency-wide culture of performance improvement, and/or 2) complete systems improvement projects to help foster, develop, and support collaboration/partnership between public health and other sectors that address the social determinants of health.

This project is intended to run for at least two years for each awardee health department. The first 3-6 months of the first year should be focused on developing a detailed project and action plan with support from the funded national partner. This time should be spent refining the project focus, ensuring that the right teams and partnerships are in place, ensuring and receiving the right level and amount of training, detailing the action plan on what activities will take place, who owns those activities, and how they will be carried out on a more granular level, and firming up any other relevant components identified as critical to success. The remainder of the 2 year period after the project and action planning period will be spent on active implementation with support and TA from funded national partner. Consideration for year 2 support is contingent upon satisfactory completion of year 1 activities.

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Process Measures*

The funded national partner will lead efforts to support performance and systems improvement activities focusing on these 8 categories:

• Develop and implement CSPITA cohorts project for small health departments including recruiting communities, developing programming, evaluating the project

• Delivering customized training, guidance, tools, resources, technical assistance, and support plans for small health department employees, focusing on the planning and implementation of systems and performance improvement activities

• Organizing, facilitating and supporting peer-to-peer connection, networking opportunities, and activities amongst awardee health departments in the focus areas of systems and performance improvement (training workshops, tailored activities/assignments, online communities, facilitated conference/virtual calls, one-on-one sessions, in-person meetings, etc…)

• Provide and track on-demand TA

• Collect information on performance improvement and systems improvement implementation

• Other relevant or alternative activities developed in collaboration with CDC that address systems and performance improvement

Category 1 Community Health Assessments and/or Improvement Plans

Projects that work toward developing, implementing or revising community health assessments and/or improvement plans. Support for cross-sector CHA/CHIP approaches (e.g., MAPP) will be prioritized.

Category 2 Strategic Plan

Projects that work toward the development, implementation or revision of a health department strategic plan.

Category 3 Workforce Development

Projects that advance workforce development efforts, including workforce assessment and development/implementation of a workforce development plan

Category 4 Performance Management System

Projects that develop or implement a performance management system

Category 5 Quality Improvement Activity/Project

Projects that improve organizational efficiency and effectiveness through quality improvement activities. This may include quality improvement projects, quality improvement training, and/or development /support of an agency-wide quality improvement plan

Category 6 General PHAB Accreditation Readiness

Projects that encompass focused accreditation readiness efforts not specified above, such as: agency readiness assessment, cross-agency convening, staff engagement and orientation, gathering PHAB documentation, support of PHAB initial accreditation fees (up to 50% can be supported through this award)

Category 7 Health Equity/Social Determinants of Health Activity/Project

Projects that address health equity or social determinants of health (SDOH) in a community.

Category 8 System Improvement/Cross-Sector Activity/Project

Projects that improve the coordination, collaboration, connection and efficiency of the public health system and service delivery.

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Outputs*

Budget Period Outcomes*

Outcome Measures*

12.2. Leadership and Workforce Development

Activities*

Process Measures*

• Number of sites/communities selected for CSPITA cohort

• Number of webinars, 1:1 calls, in-person meeting attendees, cohort calls

• Percent satisfaction with capacity building assistance provided through CSPITA

• Number of promising practices and other products developed during budget period

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

• RFP or other mechanism/documentation for cohort recruitment, application selection criteria, cohort applications

• A Pre- and Post- Project Assessment, as designed by the funded national partner, that clearly shows how customized TA was able to impact knowledge, skills, capacity, abilities, collaboration, peer-to-peer connection, and other relevant indicators for small and rural health departments related to systems and performance improvement.

• Detailed project/action plans from awardee health departments developed with support of funded national partner.

• Detailed implementation and TA plan from funded national partner.

• Products, plans, and documents generated as a result of implementation from the 8 categories of work.

• Final report that details lessons learned, barriers, challenges, facilitators of success, promising practices, recommendations for improvement and other relevant information

• Systems and performance improvement plans, products, guidance, materials, and related resources specifically tailored to small health departments

• Narrative on the impact this project had/will/can have on the public health agency, public health system, public health workforce, and community/population

• Communication and dissemination plan for final products

• Notes from conversations with cohort members and partners implementing PI and SI efforts

• TA/Training curriculum-TA package development

• Notes/agendas from calls and in-person meetings with cohort members

• TA tracking spreadsheet with information on TA provided

• Other relevant or alternative outputs developed in collaboration with CDC

• Increased knowledge and skills among the small public health department workforce related to public health systems and performance improvement

• Increased ability among the small public health department workforce to implement systems and performance improvement activities

• Increase peer-to-peer connection, support, communication, resource and skill sharing among the small public health department workforce related to systems and performance improvement

• Movement along the partnership and collaboration spectrum for awardee health departments (Improved cross-sector collaboration)

• Improved health department efficiency, effectiveness, strategic direction and operational capacity

• Other relevant outcomes developed in collaboration with CDC

• Increased number of small local health departments that report operating with improved efficiency, effectiveness, strategic direction, and operational capacity

• Increased number of small local health departments and cross-sector partners that report an increased awareness and foundational knowledge of performance improvement and systems improvement

• Increased number of tools, resources, and promising practices in performance improvement and systems improvement available

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

Activities can include:

• Support health department leaders and performance improvement staff attendance at relevant performance improvement training opportunities, such as the Public Health Improvement Training, community health assessment and improvement planning training, etc.

• Coordinate relevant advisory groups/workgroups/roundtables/conversations comprised of health department leadership and relevant staff to inform action in addressing gaps and opportunities, including but not limited to emerging issues, new resources, cross-sector partnerships, and innovative training focused on PI and SI.

• Other relevant or alternative activities developed in collaboration with CDC that address systems and performance improvement

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Outcomes*

Outcome Measures*

12.5. Partnerships

Activities*

Process Measures*

Outputs*

Budget Period Outcomes*

Outcome Measures*

12.7. Programs and Services

Activities*

• Recruitment and number of CSPITA participants attending national performance and systems improvement trainings

• Recruitment and number of CSPITA participants and other partners, SMEs, etc…participating in advisory group/workgroup/convening

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

• Meeting/convening/group development and action plan

• Data on CSPITA participants attending national performance and systems improvement training

• Other relevant or alternative outputs developed in collaboration with CDC

• Improved capacity to identify, prioritize, and customize relevant programs and services to address public health needs

• CSPITA and other partners commitment to participate in advisory group/workgroup/convening

• CSPITA participants attending national performance and systems improvement trainings

• Other relevant outcomes developed in collaboration with CDC

• CSPITA participants reporting increased knowledge, skills, network as a result of attending national national performance and systems improvement trainings

• Meeting/group/convening participants and partners developing shared action plans and next steps

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

• Collaborating with national partners, subject matter experts, and other relevant partners and sectors to ensure coordination and implementation of strategies that will assist small health department employees in planning and implementing systems and performance improvement activities

• Present systems and performance improvement related CBA work relevant and connected to CSPITA during at least two relevant conferences

• Other relevant or alternative activities developed in collaboration with CDC that address systems and performance improvement

• Number of presentations delivered

• Number of abstracts submitted

• Number of meetings, calls held with national partners

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

• Copies of abstracts

• Call and meeting notes

• Other relevant or alternative outputs developed in collaboration with CDC

• Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health

• Increased understanding of characteristics that support collaborative responses to address public health priorities

• Other relevant outcomes developed in collaboration with CDC

• Strengthened capability to respond to public health priorities collaboratively and strategically

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

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Process Measures*

Outputs*

Budget Period Outcomes*

Outcome Measures*

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

13 Applicant Organizational Capacity:* 46/200 words maximum

14 Applicant Program Experience:* 74/200 words maximum

• Develop a success story and/or case study of what worked well and why when implementing systems and performance improvement activities to be shared with the broader public health field

• Develop a lessons learned story of what didn't work well and why when implementing systems and performance improvement activities to be shared with the broader public health field

• Conduct one to three national webinars on CSPITA systems and performance improvement work, activities, impacts, opportunities, success, progress, results, promising practices, relevance, emerging issues, timely topics, etc…to benefit the broader public health field,

• Dissemination of products, tools, guidance, documents, promising practices, and resources resulting from project activities to the broader public health field via webinars, podcast, blogs, briefs, presentations, publications, online communities, focused discussions/engagements, etc…

• Other relevant or alternative activities developed in collaboration with CDC that address systems and performance improvement

• Number of participants registered and participating live on webinars

• Percent satisfaction with webinars

• Tools, products, resources, promising practices actively shared with broader public health field via different forms of media, forums, communication channels, etc…

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

Outputs can include:

• Communication and dissemination plan for final products

• Success Stories

• Lessons Learned Stories

• Other relevant or alternative outputs developed in collaboration with CDC

• Increased knowledge, skills, awareness, access to resources, support, and peer-to-peer connection for broader public health field on systems and performance improvement

• CDC has increased knowledge, documentation, awareness, and feedback on how to better support small health departments

• Other relevant outcomes developed in collaboration with CDC

• Feedback from broader public health field on use, satisfaction, and application of CSPITA developed tools, resources, promising practices, etc…to their programs, systems, workforce, communities.

• Other measures to be developed and revised in collaboration between awarded national partner and CDC

Successful applicant should have capacity to support public health infrastructure and capacity building activities for local governmental public health departments and systems, in particular, systems and performance improvement. Applicant should have broad reach and a high level of expertise to engage local governmental public health departments nationwide and across jurisdictions.

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COLLABORATIVE WORK

15 Expectations for Collaboration, as applicable: 91/200 words maximum

16 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 23/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 0/100 words maximum

CIO CERTIFICATION

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating project activities that involve the collection, generation, or analysis of public health data.

Submission Date: You will be directed to a confirmation screen upon successful save or submission.

Successful applicants will have in depth knowledge and experience working with local governmental public health agencies, departments, and systems. They will have a history of positive engagement with local governmental public health and local public health systems. Applicants are encouraged to give specific examples illustrating their expertise in supporting infrastructure and capacity building activities, in particular, systems and performance improvement. In addition, successful applicants will have an ability and interest in proactively collaborating with other national partners funded under this cooperative agreement.

All activities will be conducted in collaboration with CDC to develop and refine strategies and activities of the workplan, as well as work with other national partners, subject matter experts, and stakeholders as appropriate. Regular check-in calls, review of materials, and more will occur. Awardee will disseminate findings to national partners and other stakeholders. Applicants funded under this cooperative agreement will be expected to proactively collaborate, coordinate, and synergize activities with other national partners where and when it makes sense to advance mutual goals, project objectives, and to provide coordinated support to governmental public health departments and their cross-sector partnerships.

None explicitly required, but applicants may propose sub-contract work as appropriate to advance the project objectives.

02/28/2020

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FY 20 CIO Project Plan Final

OT18-1802 Cooperative Agreement

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

Edit and save a draft of your plan by clicking the “Save and Continue” or "Save and Close" buttons. You may edit your plan any time prior to submission. Submit the final version by clicking the "Submit" button. You must submit a final version to be considered for the NOFO. You cannot make edits after you click "Submit.”

GENERAL INFORMATION

Recipient Name:

1 Project Title (Please do not use all caps):* 10/10 words maximum

ION

CIO:* 3 Division/Branch/Office/Unit:*

4 CIO Point of Contact (POC) name(s):* CIO POC email address(es):*

Separate multiple names, emails, and phone numbers with a semi-colon. CIO POC phone number(es):*

5 Target Population Category to Receive Capacity-Building Assistance (CBA):* Category A

6 Description of the Target Population:* 12/25 words maximum

Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: September 1, 2020 – July 31, 2021

Proposed Project Funding for FY20 Activities:*

(Whole numbers only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for one year.

The CIO will award new funding each budget period for more than one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

Select the program strategies and the program outcomes the project should work toward for the length of the project.

9 CBA Program Strategies (Check one or more):* Public Health Systems Infrastructure: Activities to improve operational capacity, such as policies and plans, administration and management, and quality improvement

Leadership and Workforce Development: Activities to improve leadership and workforce competencies, recruitment, and retention Data and Information Systems: Activities to improve collection, management, interpretation, and dissemination of data to guide decision-making

Communication and Information Technology: Activities to improve use of communication and information technology to affect health decisions and actions

Partnerships: Activities to improve establishment and maintenance of results-driven partnerships

Laws and Policies: Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health

Programs and Services: Activities to improve the identification of best practices and the implementation of evidence-based/informed programs and services

10 CBA Program Outcomes (Check one or more)*

10.1. Public Health Systems Infrastructure

Short-term Improved operational capacity to evaluate, manage, and improve public health systems

Intermediate

Increased capability of public health systems to achieve nationally established standards

10.2. Leadership and Workforce Development

Short-term

Improved leadership capacity to identify and prioritize public health needs

Strengthened core and discipline-specific public health competencies among the workforce to improve job performance

Determining smoking status in Medicaid and linking to Medicaid claims data

State health departments

$350,000

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Strengthened capability of public health workforce to deliver essential public health services

10.3. Data and Information Systems

Short-term Improved capacity of data and information systems to conduct public health monitoring and surveillance

Intermediate Increased capability to use data to inform decision-making and support evidence-based practices and policies

10.4. Communication and Information Technology

Short-term

Improved communication and information technology capacity to inform the public efficiently and effectively

Intermediate

Strengthened capability to use communication and information technology to affect health decisions and actions

10.5. Partnerships

Short-term

Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health

Intermediate

Strengthened capability to respond to public health priorities collaboratively and strategically

10.6. Laws and Policies

Short-term

Increased capacity to evaluate laws and policies to affect health

Intermediate

Strengthened capability to systematically apply and use laws and policies to improve health

10.7. Programs and Services

Short-term

Improved capacity to identify, prioritize, and customize relevant programs and services to address public health needs

Intermediate

Increased capability to implement evidence-based/informed public health programs, policies, and services to address public health needs

PROJECT DETAILS

State the purpose of the project and provide project details for the length of the budget period (11 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc.) and outcomes (change to occur), and provide sample outcome measures to track progress achieving the outcomes.

11 Project Purpose : * 143/150 words maximum

12 12.1. Public Health Systems Infrastructure

Activities*

Process

Measures*

Outputs*

Budget Period

Outcomes*

Outcome

Measures*

Cigarette smoking remains the leading cause of disease, disability and death in the US. A number of population groups are known to have a disproportionately higher prevalence of smoking, including those covered by Medicaid. The purpose of this project is for state health agencies' medicaid programs to identify adults who are state Medicaid enrollees who currently smoke cigarettes. This project seeks to determine the ability to assess smoking status among Medicaid enrollees who have a smoking related chronic disease. Finally, this project aims to retrospectively (annually) assess the smoking status of Medicaid enrollees in order to determine if these individuals have made an attempt to quit smoking or have relapsed. Once the feasibility of this is demonstrated, a potential next phase would be for state health agencies' Medicaid programs to strengthen their infrastructure and date systems to determine ways to provide covered cessation supports and services to individuals identified as current smokers who are Medicaid enrollees.

Determine if state health agencies and Medicaid programs infrastructure and data systems can identify current smoking status is collected by each state

Medicaid program on enrollees (e.g., within enrollment, EHRs, etc).

For states that do not collect smoking status in state Medicaid data, make a recommendation on how this information could be collected.

Number of state health agencies and Medicaid programs that can demonstrate how the above activity (i.e., determination of smoking status) is made within each state Medicaid programs to obtain the above information.

Provide an account of smoking indicators that are collected by state Medicaid programs.

Provide a written report on availability of smoking status information or indicators, that includes a listing of all indicators, how the information is collected and maintained by state Medicaid programs or their designee.

Increased understanding and awareness of the methods of data collection and availability of applicable datasets to determine current smoking status within state Medicaid programs.

Improved the capacity to measure current smoking status within the Medicaid enrollee population through facilitating or enhancing partnerships and collaborations among different state entities.

Improved state health agenices and Medicaid programs's infrastructure to evaluate, manage and improve standards for identifying current smokers

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12.3. Data and Information Systems

Activities*

Process

Measures*

Outputs*

Budget Period*

Outcomes

Outcome

Measures*

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

13 Applicant Organizational Capacity:* 80/200 words maximum

14 Applicant Program Experience:* 84/200 words maximum

Percentage of increase in understanding and awareness of methods of data collection

Percentage of increase availability of applicable data sets on current smoking status

Number of state health agencies and Medicaid programs that have capacity to measure current smoking status with the Medicaid enrollees

Number of partnerships and collaborations among different state entities facilitated or enhanced

Obtain access to state level Medicaid claims data for up to 4-5 states (to be further determined in collaboration with CDC) that collect smoking status.

Determine if a link can be provided between smoking status indicators that have been collected by the state Medicaid program and the Medicaid claims data.

For states that do not collect smoking status in their Medicaid data, determine if this information is available within other sources (e.g., provider or insurer under contract with Medicaid)

For the states that collect smoking status within their Medicaid data, determine if other entities in the state health departments (e.g., cancer division) also identify smoking status among Medicaid enrollees.

For the states in which the data can be linked to Medicaid claims data, perform a descriptive analysis to describe the characteristics of current smokers

(e.g., demographic and health care utilization).

Determine if Medicaid enrollees who are current smokers and have a smoking related chronic condition (e.g., cancer diagnosis and treatment, as determined through analysis of Medicaid claims data) are trying to quit.

Determine if smoking status and quit attempts can be assessed in prior years in order to ascertain cessation history and relapse.

In working with the previously identified states, develop a method to ascertain smoking prevelance within the state Medicaid population using the data previously obtained and identified.

Demonstrate ability to access and analyze state level Medicaid data.

Demonstrate ability to work with state health departments focusing on chronic disease prevention (e.g., cancer).

Draft a process roadmap of how Medicaid data is obtained, analyzed, and the indicators that are used.

Develop a document showing where and how smoking status can be identified in select state level Medicaid data.

Provide a written summary of other entities in state health deparments that also collect smoking status among Medicaid enrollees.

Provide the prevalence estimates of current smoking statusstratified by Medicaid eligibility.

Provide a written summary recommendation on how smoking status could be collected for Medicaid enrollees for entities that don't already collect it.

For up to 4-5 states (determined in collaboratin with CDC), ascertain current smoking status among Medicaid enrollees who also have a cancer diagnosis, and provide a written summary of results.

For at least two states, provide a written summary quantifying smoking cessationamong this population.

Improve the capacity of existing data insfrastructure to help conduct public health monitoring by measuring the prevalence of current smoking in the previously determined states within each state's Medicaid population.

Improve knowledge of potential methods to assess current smoking status within the Medicaid enrollee population through different datasources (e.g., Medicaid data, EHR, etc).

Number of states that have the capacity of existing data infrastructure to conduct public health monitoring

Percentage of increase in knowledge of methods to assess current smoking status through different data sources

Provide a written summary recommendation on how smoking status could be collected for Medicaid enrollees for entities that don't already collect it.

For up to 4-5 states (determined in collaboratin with CDC), ascertain current smoking status among Medicaid enrollees who also have a cancer diagnosis, and provide a written summary of results.

For at least two states, provide a written summary quantifying smoking cessation among this population.

The recipient should have the demonstrated ability to reach and engage with state health departments and be able to partner with appropriate states to access state level Medicaid data to ascertain current smoking status. The recipient should be knowledgable of tobacco control indicators, including how to best measure smoking status and smoking attributable chronic diseases. The recipient should have the expertise to understand the nuances of administrative data (including claims data) and the limitations and challenges that accompany them.

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COLLABORATIVE WORK

15 Expectations for Collaboration, as applicable: 88/200 words maximum

16 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 21/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 25/100 words maximum

CIO CERTIFICATION

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my

Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating project activities that involve the collection, generation, or analysis of public health data.

Submission Date: You will be directed to a confirmation screen upon successful save or submission.

The recipient should be experienced in working across different state level health departments, including a variety of different subentitites. For example, the recipient should have experience working with the division that manages data on Medicaid enrollees, as well as other divisions working on chronic diease prevention. The recipient should also have the ability to either conduct the appropriate data analyses, or subcontract the analytic capacity with the appropriate individuals or be able to work with individuals in the Medicaid program to analyze the data to obtain the needed measures.

The recipient should be able to facilitate collaboration among different entities in the state health departments in order to determine the availability of the necessary information; the recipient should also be able to collaborate with relevant subject matter experts in the area of state level Medicaid programs and associated data as well as state tobacco control programs. In addition, the recipient should plan to collaborate closely with CDC

NCCDPHP/Office on Smoking and Health during the life of the project, including decisions regarding which states to work with.

Recipient may need to determine if subcontractual relationships will be required with individual states due to limiations on data sharing.

The recipient should plan to budget for 1 trip to Atlanta for 2 days for up to 2 staff for a reverse site visit.

02/28/2020

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FY 20 CIO Project Plan Final

OT18-1802 Cooperative Agreement

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

Edit and save a draft of your plan by clicking the “Save and Continue” or "Save and Close" buttons. You may edit your plan any time prior to submission. Submit the final version by clicking the "Submit" button. You must submit a final version to be considered for the NOFO. You cannot make edits after you click "Submit.”

GENERAL INFORMATION

Recipient Name:

1 Project Title (Please do not use all caps):* 6/10 words maximum

2 CIO:* 3 Division/Branch/Office/Unit:*

4 CIO Point of Contact (POC) name(s):* CIO POC email address(es):*

Separate multiple names, emails, and phone numbers with a semi-colon. CIO POC phone number(es):*

5 Target Population Category to Receive Capacity-Building Assistance (CBA):* Category A

6 Description of the Target Population:* 6/25 words maximum Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: September 1, 2020 – July 31, 2021

Proposed Project Funding for FY20 Activities:*

(Whole numbers only) Funded Unfunded

8 Expected Length of Project:* The CIO will fund the project for one year.

The CIO will award new funding each budget period for more than one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

Select the program strategies and the program outcomes the project should work toward for the length of the project.

9 CBA Program Strategies (Check one or more):* Public Health Systems Infrastructure: Activities to improve operational capacity, such as policies and plans, administration and management, and quality improvement Leadership and Workforce Development: Activities to improve leadership and workforce competencies, recruitment, and retention

Data and Information Systems: Activities to improve collection, management, interpretation, and dissemination of data to guide…