Project Plans.pdf

Center for State, Tribal, Local, and Territorial Support

Division of Program and Partnership Services, Health Department Program Branch

Final

FY 2020 (Year 3) CIO Project Plans

CDC-RFA-OT18-18030301SUPP20

Tribal Public Health Capacity-Building and Quality Improvement

Geographic Category C Eligible:

Accelerating Public Health Data Modernization in Tribal Jurisdictions

Geographic Category B and C Eligible:

Strengthening Vaccine Confidence through Communication, Education, and Outreach

Geographic Category A, B, and C Eligible:

Building Capacity for Surveillance and Prevention of Adverse Childhood Experiences (ACEs) Building Capacity for Tribal Suicide Prevention Through Program Implementation and Evaluation Supporting Environmental Health Response, Recovery, Mitigation, and Other Expenses Related to Declared 2018/2019 Disasters

Geographic Category C Eligible:

Accelerating Public Health Data Modernization in Tribal Jurisdictions

Division of Program and Partnership Services

Health Department Program Branch

Final

FY 2020 (Year 3) CIO Project Plan

CDCRFAOT181803

Tribal Public Health CapacityBuilding and Quality Improvement

Project Plan Instruc!ons

Please complete this form for new projects and poten!al new projects to fund through the 25 Tribal Recipients. New projects can expand on, scale up, or combine exis!ng projects. Please be sure to note this in the addi!onal remarks sec!on at the end of this form. You can edit and save a dra+ of your plan by clicking the "Save and Close" bu.on below. You can edit your plan at any !me before submi/ng it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" bu.on below. You cannot make edits a+er you click "Submit."

Note: If you plan to con!nue mul!year projects at the current or reduced level, you do not need to complete this form.

GENERAL INFORMATION

1 Project Title*

Please do not use all capital le�ers 7/15 words maximum

2 CIO* CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES

3 Division, office, or unit* Office of the Director

4 CIO Point of Contact (POC) name:* Name of individual serving as

Technical Monitor (TM) for the project.

CIO POC email address:*

You may add up to 3 TM names, emails, and phone numbers separated with a semicolon.

CIO POC phone number:*

5 Geographic Category to Receive CapacityBuilding and Quality

Improvement Assistance:* Category C

Category A: HHS Regions 1, 2, 3, and 4

Category B: HHS Regions 5, 6, and 7

Category C: HHS Regions 8, 9, and 10

6 Descrip!on of the Target Popula!on:* (13/25 words maximum)

PROJECT FUNDING

OT181803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2020 – August 30, 2021

7 Proposed Project Funding Amount:* (12month budget period)

(Whole numbers only)

8 Expected Length of Project:*

The CIO will fund the project for the en!re remaining period of performance (3 years). The applicant will submit a con!nua!on applica!on for the project each budget period (every 12 months).

The CIO will fund the project for two or more consecu!ve budget periods. The applicant will submit a con!nua!on applica!on for each budget period (every 12 months).

The CIO will fund the project for one year. The applicant will not submit a con!nua!on applica!on for the next budget period. The CIO will submit a new project plan for solicita!on to fund the project addi!onal budget periods.

PROJECT DETAILS

9 Project Descrip!on (Narra!ve)*– Provide a descrip!on of the project and include a narra!ve of the purpose, proposed ac6vi6es, expected outputs, expected outcomes, and approximate number of awards.

721/1,000 words maximum

Accelera!ng Public Health Data Moderniza!on in Tribal Jurisdic!ons

Vernellia Johnson h+9@cdc.gov

4044982466

Tribal public health departments and workforce segments across tribal public health departments

$1,000,000

10 Approximate Number of Awards:*

TRIBAL PUBLIC HEALTH CAPACITYBUILDING AND QUALITY IMPROVEMENT PROGRAM APPROACH – NOFO LOGIC MODEL

11 Tribal CapacityBuilding and Quality Improvement Program Strategic Areas (Select one):*

Tribal Public Health Systems Infrastructure:

Ac'vi'es to improve tribal public health opera'onal capacity, such as policies and plans, administra'on and management, and quality improvement

In response to a new FY2020 Congressional appropria'on, this funding opportunity will support tribal jurisdic'ons in developing and deploying worldclass data and analy'c capacity that scale rapidly in emergencies, provide forecas'ng capability to iden'fy emerging threats, and ensure bidirec'onal informa'on flow with health informa'on systems. The work focuses on accelera'ng moderniza'on and interoperability through enhancements in data sharing, quality, management, and use. This work will improve the transla'on of data into informa'on to inform public health ac'on and improve health outcomes.

The approach includes:

1. Augmen'ng workforce development and capacity;

2. Support for specific enhancements in public health data and health informa'on systems and processes that complement but do not duplicate those funded by exis'ng coopera've agreements; and

3. Facilita'ng use of shared services across public health.

This project supports tribal jurisdic'ons to maintain, improve, and modernize the approach to acquire, manage, and use data for public health ac'on to more effec'vely detect, respond, prevent, and control diseases and condi'ons to protect the public health and safety.

Background & overview:

Public health relies on 'mely, accurate informa'on to make prompt and insightdriven decisions to inform programs, policies, and investments. These decisions require robust data and health informa'on systems and data science talent and infrastructure. To advance public health and enable 'mely and accurate exchange of data for programs at all levels of government for all diseases and condi'ons, the public health community must modernize its data systems, enhance its workforce, and implement technologies to be7er protect the public's health.

This funding opportunity supports tribal jurisdic'ons to develop and deploy worldclass data and analy'cal capabili'es that scale rapidly in emergencies, provide predic've ability to iden'fy emerging threats, reduce burden on health care and public health partners repor'ng data, and ensure bidirec'onal informa'on flow, while enhancing data sharing at all levels. This effort also aims to accelerate moderniza'on for data, workforce, and data and health informa'on systems infrastructure through the use of shared services offered via CDC or partner organiza'ons. These improved capabili'es will allow public health to be nimbler in preven'ng, detec'ng, and responding to both known and emerging threats.

Ac'vity 1: Augment workforce development and capacity

As data moderniza'on efforts facilitate increasing availability of more comprehensive, data, the public health workforce must have the capability to use these data.

Strong data science, informa'cs, and informa'on technology capabili'es are needed to effec'vely acquire, manage, and use data, and to translate data into ac'onable informa'on for public health decision making.

example:

• Online Courses

• Collabora'on with academic ins'tu'ons

• Collabora'on with other AI/AN datarelated ac'vi'es

• Costs for staff to be trained at inperson courses

• Par'cipa'on in peertopeer learning

Ac'vity 2: Specific enhancements in public health data and health informa'on systems

Applicants may request support for targeted enhancements that enable interoperability and data exchange between tribal public health and their partners in state and local public health departments and clinical care. Supported enhancements could be projects that can demonstrate more, be7er, and faster data exchange with clear public health uses, including the acquisi'on of new data sources to improve surveillance, situa'onal awareness, and response, for example:

• Tools or equipment to improve public health data collec'on or exchange

• Establishment or strengthening of data linkages with state, local and other tribal public health departments, or with Tribal Epi Centers

• Leverage exis'ng state health department systems or tools that could be shared with tribal jurisdic'ons to improve connec'vity and data exchange with the state public health systems

• Improve flow of laboratory data from important clinical and laboratory partners, including taking advantage of exis'ng electronic laboratory repor'ng (ELR) at state health departments

• Improve exchange and data quality of death records with state government

• Leverage OT181802 AI/AN ac'vi'es that may complement workforce development with tools and/or training

Ac'vity 3: Employ shared services to improve data quality, exchange and management

Improving data quality, exchange, management, and use will require modernizing data and health informa'on systems. Applicants may request support to employ shared services to promote the use of data standards and system interoperability, enable be7er and 'mely exchange and use of data, and allocate resources more efficiently. The shared services may be offered via CDC or other partners, or the applicant could scaleup a service for shared use within and across tribes. The project could involve a proposal to implement a shared service that is currently not in use at the that would address a cri'cal gap.

Applicants are encouraged to request support for shared services, for example:

• Webbased data collec'on and survey tools

• Data exchange and interoperability services

• Analysis and visualiza'on services

• Peertopeer technical assistance supported by other organiza'ons

Tribal Public Health Workforce: Ac�vi�es to improve tribal public health leadership and workforce competencies, recruitment, and reten�on

Tribal Data and Informa�on Systems: Ac�vi�es to increase the use of data and informa�on systems

Tribal Public Health Programs and Services: Ac�vi�es to strengthen the ability to meet public health needs in a comprehensive manner

Tribal Public Health Resources and Communica�on:

Ac�vi�es to improve provision of public health resources that are readily available and accessible throughout Indian Country

Tribal Public Health Partnerships: Ac�vi�es to improve development and maintenance of mul�sector, resultsdriven partnerships at various levels

12 Tribal CapacityBuilding and Quality Improvement Program Outcomes (Check one or more):*

ShortTerm

Increased implementa�on of tools and processes that build opera�onal capacity and effec�veness

Increased use of core and disciplinespecific public health competencies among public health workers

Improved collec�on, maintenance, interpreta�on, and dissemina�on of tribal health data

Transla�on of evidencebased and evidenceinformed prac�ces into culturally appropriate public health programs, policies, and services

Development of culturally relevant public health resources and communica�on tools

Established mul�sector partnerships (e.g., schools, healthcare, public safety, commerce) to address capacity building and quality improvement

Intermediate

Increased use of na�onally established standards, such as those for public health department accredita�on

Increased number of qualified public health workers

Implementa�on of culturally prac�cebased evidence programs and services

Increased coordina�on of mul�sector partnerships to generate collec�ve public health impact

13 Recipient Organiza�onal Capacity:* 96/200 words maximum

Include skills, technology, organiza�on reach, and infrastructure.

14 Recipient Program Experience:* 31/200 words maximum

Include content exper�se and target popula�on rela�onship.

COLLABORATIVE WORK

15 Expecta�ons for Collabora�on, if applicable: 45/200 words maximum

16 Expected Subcontractual/Subawardee Work and Recommended Criteria for Selec�ng Subcontractors/Subawardees, as applicable:

2/200 words maximum

17 Will the proposed capacitybuilding and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 43/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 16/100 words maximum

Compe��ve applicants must have responsibility for the health of the popula�on they serve, a demonstrated ability to execute public health priori�es for their jurisdic�on, authority to collect public health data, and infrastructure to carry out the proposed ac�vi�es.

Successful applicants must have a demonstrated core organiza�onal capacity to effec�vely execute the ac�vi�es outlined by the award. Applicants must demonstrate relevant experience and technical capacity to implement the ac�vi�es and achieve the project outcomes, experience and capacity to implement the evalua�on plan, and a staffing plan and project management structure sufficient to achieve the project outcomes with clearly defined staff roles.

Strong data science, informa�cs, and informa�on technology capabili�es are needed to effec�vely acquire, manage, and use data, and to translate data into ac�onable informa�on for public health decision making.

Applicants are encouraged to collaborate with exis�ng and new partners, including state health departments and CDCfunded partners under OT181802, to advance the proposed projects described within the applica�on to advance core elements of their data and health informa�on systems infrastructure and processes.

N/A

This project will support tribal jurisdic�ons to maintain, improve, and modernize the approach to acquire, manage, and use data for public health ac�on to more effec�vely detect, respond, prevent, and control diseases and condi�ons to protect public health and safety.

CIO CERTIFICATION

19 I cer�fy that my CIO currently does not maintain a comparable NOFO related to the tribal public health capacitybuilding and quality improvement program.*

Submission Date:

You will be directed to a confirma�on screen upon successful save or submission.

02/21/2020

No additional requirements *Funding will support 10-15 awards with a floor of $50,000 and a ceiling of $250,000.

Geographic Category B and C Eligible:

Strengthening Vaccine Confidence through Communication, Education, and Outreach

Health Department Program Branch

Final

FY 2020 (Year 3) CIO Project Plan

CDCRFAOT181803

Tribal Public Health CapacityBuilding and Quality Improvement

Project Plan Instruc!ons

Please complete this form for new projects and poten!al new projects to fund through the 25 Tribal Recipients. New projects can expand on, scale up, or combine exis!ng projects. Please be sure to note this in the addi!onal remarks sec!on at the end of this form. You can edit and save a dra+ of your plan by clicking the "Save and Close" bu.on below. You can edit your plan at any !me before submi/ng it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" bu.on below. You cannot make edits a+er you click "Submit."

Note: If you plan to con!nue mul!year projects at the current or reduced level, you do not need to complete this form.

GENERAL INFORMATION

1 Project Title*

Please do not use all capital le�ers 7/15 words maximum

2 CIO* NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES

3 Division, office, or unit* Immuniza!on Services Division

4 CIO Point of Contact (POC) name:* Name of individual serving as

Technical Monitor (TM) for the project.

CIO POC email address:*

You may add up to 3 TM names, emails, and phone numbers separated with a semicolon.

CIO POC phone number:*

5 Geographic Category to Receive CapacityBuilding and Quality

Improvement Assistance:* Categories B and C

Category A: HHS Regions 1, 2, 3, and 4

Category B: HHS Regions 5, 6, and 7

Category C: HHS Regions 8, 9, and 10

6 Descrip!on of the Target Popula!on:* (16/25 words maximum)

PROJECT FUNDING

OT181803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2020 – August 30, 2021

7 Proposed Project Funding Amount:* (12month budget period)

(Whole numbers only)

8 Expected Length of Project:*

The CIO will fund the project for the en!re remaining period of performance (3 years). The applicant will submit a con!nua!on applica!on for the project each budget period (every 12 months).

The CIO will fund the project for two or more consecu!ve budget periods. The applicant will submit a con!nua!on applica!on for each budget period (every 12 months).

The CIO will fund the project for one year. The applicant will not submit a con!nua!on applica!on for the next budget period. The CIO will submit a new project plan for solicita!on to fund the project addi!onal budget periods.

PROJECT DETAILS

9 Project Descrip!on (Narra!ve)*– Provide a descrip!on of the project and include a narra!ve of the purpose, proposed ac6vi6es, expected outputs, expected outcomes, and approximate number of awards.

297/1,000 words maximum

Strengthening Vaccine Confidence through Communica!on, Educa!on, and Outreach

Jillian DossWalker; Achal Bha.; Denise Rogers gvc4@cdc.gov (Jillian); zgv8@cdc.gov (Achal); dqr2@cdc.gov (Denise)

5052031351 (Jillian); 404.639.8588 (Achal); 4046398313 (Denise)

Tribal governments, tribal Health Departments, and organiza!ons working with medical providers who serve AI/AN communi!es and tribes.

$150,000

11 Tribal CapacityBuilding and Quality Improvement Program Strategic Areas (Select one):*

Tribal Public Health Systems Infrastructure:

Ac'vi'es to improve tribal public health opera'onal capacity, such as policies and plans, administra'on and management, and quality improvement

Tribal Public Health Workforce: Ac'vi'es to improve tribal public health leadership and workforce competencies, recruitment, and reten'on

Tribal Data and Informa-on Systems: Ac'vi'es to increase the use of data and informa'on systems

Tribal Public Health Programs and Services: Ac'vi'es to strengthen the ability to meet public health needs in a comprehensive manner

Tribal Public Health Resources and Communica-on:

Ac'vi'es to improve provision of public health resources that are readily available and accessible throughout Indian Country

Tribal Public Health Partnerships: Ac'vi'es to improve development and maintenance of mul'sector, resultsdriven partnerships at various levels

12 Tribal CapacityBuilding and Quality Improvement Program Outcomes (Check one or more):*

ShortTerm

Increased implementa'on of tools and processes that build opera'onal capacity and effec'veness

Increased use of core and disciplinespecific public health competencies among public health workers

Improved collec'on, maintenance, interpreta'on, and dissemina'on of tribal health data

Transla'on of evidencebased and evidenceinformed prac'ces into culturally appropriate public health programs, policies, and services

Development of culturally relevant public health resources and communica'on tools

Established mul'sector partnerships (e.g., schools, healthcare, public safety, commerce) to address capacity building and quality improvement

Intermediate

Increased use of na'onally established standards, such as those for public health department accredita'on

Increased number of qualified public health workers

Implementa'on of culturally prac'cebased evidence programs and services

Increased coordina'on of mul'sector partnerships to generate collec've public health impact

13 Recipient Organiza'onal Capacity:* 175/200 words maximum

Include skills, technology, organiza'on reach, and infrastructure.

14 Recipient Program Experience:* 119/200 words maximum

Include content exper'se and target popula'on rela'onship.

The purpose of this project is to iden'fy and develop strategies, educa'onal materials, and communica'on messages that can be used to engage medical providers

(physicians, nurses, medical assistants and pharmacists) and tribal community members (parents, grandparents, elders, etc.) in conversa'ons to address vaccine hesitancy , including vaccine safety concerns within American Indian and Alaska Na've (AI/AN) communi'es. This project will help healthcare providers feel more confident addressing vaccine hesitancy by improving the delivery of effec've educa'on regarding the importance and safety of vaccines, through the use of culturally appropriate and sensi've messages and materials. Community members will feel more informed and will iden'fy an increased level of trust and confidence regarding administra'on of vaccines and the immuniza'on services offered in clinics.

Specific Aims

1. Conduct at least 23 focus groups with healthcare providers to iden'fy educa'onal materials and communica'on messages that would strengthen pa'ent provider conversa'ons related to vaccine hesitancy

2. Conduct at least 23 listening sessions or mee'ngs with tribal community members to iden'fy concerns and myths around vaccine hesitancy.

3. U'lize findings from the focus groups to develop educa'onal materials, a toolkit, and/or a mul'media campaign for providers and community members. These materials will be wri=en in a culturally and socially acceptable format.

4. Recruit at least 46 pilot sites to par'cipate in tes'ng developed materials.

5. Develop training workshops for clinical staff, using a peertopeer model to teach them how to use the educa'on materials and to strengthen their knowledge and communica'on skills related to delivering educa'on for allage appropriate immuniza'ons, specifically childhood immuniza'ons.

6. Evaluate the acceptance of the developed educa'on messages among community members and the u'liza'on of the developed materials and techniques among clinical staff at pilot sites.

7. Disseminate findings from this project to strengthen vaccine confidence among providers and community members, and broadly share and disseminate at na'onal public health tribal conferences or mee'ngs.

The recipient should be a regional tribally designated organiza'on located in either Category B, HHS Region 5 and/or Category C, HHS Region 9 or 10. The recipient should provide evidence of sufficient organiza'onal capacity to manage and implement objec'ves. If addi'onal staff or partners are needed to achieve the objec'ves, provide a statement to explain how and when essen'al staff will be hired. The recipient must be able to demonstrate exper'se in childhood immuniza'ons/vaccine preventable diseases and prior experience iden'fying and addressing barriers to vaccine uptake among AI/AN children and reducing vaccine hesitancy in AI/AN communi'es. Recipient should provide evidence of strong partnerships with IHS/Tribal/Urban health facili'es and medical providers who serve AI/AN communi'es, Indian Health Service area office, Tribal Epidemiology Centers (if applicable), and other tribes and tribal organiza'ons in their HHS region, as well as collabora'on with state and local departments of health. These collabora'ons will be cri'cal to achieving program objec'ves including recruitment of pilot sites, educa'on, training, and development of culturallyappropriate educa'onal materials. Recipient should have capability to assess acceptability of culturally appropriate educa'on materials and improvements in vaccina'on coverage among AI/AN children.

COLLABORATIVE WORK

15 Expecta ons for Collabora on, if applicable: 113/200 words maximum

16 Expected Subcontractual/Subawardee Work and Recommended Criteria for Selec ng Subcontractors/Subawardees, as applicable:

20/200 words maximum

17 Will the proposed capacitybuilding and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 44/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc ons on any limita ons or parameters for expenditure or use of funds, if applicable: 94/100 words maximum

CIO CERTIFICATION

19 I cer fy that my CIO currently does not maintain a comparable NOFO related to the tribal public health capacitybuilding and quality improvement program.*

Submission Date:

You will be directed to a confirma on screen upon successful save or submission.

The recipient program should show strong partnerships with IHS/Tribal/Urban healthcare facili es and medical providers that serve AI/AN communi

es. They should have exis ng collabora ons with the Indian Health Service Area Office, Tribal Epidemiology Center (if applicable), and CSTLTS Office of Tribal Affairs Strategic Alliances

(OTASA) partners who have knowledge of the immuniza on vaccina on rates and vaccine refusals among AI/AN children through the medical record system and data collec on systems in their respec ve area. They should also have experience with clinical knowledge of vaccines and the ACIP/CDC recommended vaccine schedule, program evalua on, biosta s cs/data analysis, physician educa on and training, community engagement, communica on, and development of educa onal materials.

In addi on, previous experience iden fying barriers or challenges to childhood immuniza ons among AI/AN communi es to determine the culturally appropriate educa on and training needs and materials to be developed.

The recipient will be expected to collaborate with IHS/Tribal/Urban facili es and medical providers that serve AI/AN communi es in their region (HHS region 5, 9, 10), the IHS area office, Tribal Epi Center (if applicable), CSTLTS Office of Tribal Affairs Strategic Alliances (OTASA) partners, tribes, and tribal organiza ons, as well as collabora on with state and local departments of health to iden fy and develop culturally appropriate and sensi ve communica on messages to address vaccine hesitancy and strengthen uptake of childhood immuniza ons. They will collaborate to develop culturally and socially acceptable messages to be included in educa onal materials that can be u lized by community members and other health care organiza ons serving tribes and develop relevant educa on and training for clinical providers addressing childhood immuniza ons and communica on.

Subawards or subcontracts are permissible as long as the objec ve is within the scope of the ac vi es supported in the workplan.

The proposed project is meant to reduce vaccine hesitancy among AI/AN communi es and increase childhood vaccine uptake. The training and educa onal materials developed will strengthen the ability to meet public health needs in a comprehensive manner and protect AI/AN children from vaccinepreventable diseases.

Funds can be u lized for the hiring of necessary personnel, the crea on and dissemina on of educa onal materials, travel, mee ng supplies, prin ng, recruitment of pilot sites, and convening of mee ngs related to the development of the educa onal materials and provider training. Addi onal personnel may be required, and funds can be used to hire personnel with exper se in developing cultural educa onal materials and messaging, developing communica on training skills for providers and evalua on of the project.

*Funding will support 12 awards with a floor of $75,000 and a ceiling of $150,000 each, per year for 2 or more years. Future funding is not guaranteed.

02/14/2020

Geographic Category A, B, and C Eligible:

Building Capacity for Surveillance and Prevention of Adverse Childhood Experiences (ACEs) Building Capacity for Tribal Suicide Prevention Through Program Implementation and Evaluation Supporting Environmental Health Response, Recovery, Mitigation, and Other Expenses Related to Declared 2018/2019 Disasters

Health Department Program Branch

Final

FY 2020 (Year 3) CIO Project Plan

CDCRFAOT181803

Tribal Public Health CapacityBuilding and Quality Improvement

Project Plan Instruc!ons

Please complete this form for new projects and poten!al new projects to fund through the 25 Tribal Recipients. New projects can expand on, scale up, or combine exis!ng projects. Please be sure to note this in the addi!onal remarks sec!on at the end of this form. You can edit and save a dra+ of your plan by clicking the "Save and Close" bu.on below. You can edit your plan at any !me before submi/ng it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" bu.on below. You cannot make edits a+er you click "Submit."

Note: If you plan to con!nue mul!year projects at the current or reduced level, you do not need to complete this form.

GENERAL INFORMATION

1 Project Title*

Please do not use all capital le�ers 11/15 words maximum

2 CIO* NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

3 Division, office, or unit* Division of Violence Preven!on

4 CIO Point of Contact (POC) name:* Name of individual serving as

Technical Monitor (TM) for the project.

CIO POC email address:*

You may add up to 3 TM names, emails, and phone numbers separated with a semicolon.

CIO POC phone number:*

5 Geographic Category to Receive CapacityBuilding and Quality

Improvement Assistance:* All Categories

Category A: HHS Regions 1, 2, 3, and 4

Category B: HHS Regions 5, 6, and 7

Category C: HHS Regions 8, 9, and 10

6 Descrip!on of the Target Popula!on:* (23/25 words maximum)

PROJECT FUNDING

OT181803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2020 – August 30, 2021

7 Proposed Project Funding Amount:* (12month budget period)

(Whole numbers only)

8 Expected Length of Project:*

The CIO will fund the project for the en!re remaining period of performance (3 years). The applicant will submit a con!nua!on applica!on for the project each budget period (every 12 months).

The CIO will fund the project for two or more consecu!ve budget periods. The applicant will submit a con!nua!on applica!on for each budget period (every 12 months).

The CIO will fund the project for one year. The applicant will not submit a con!nua!on applica!on for the next budget period. The CIO will submit a new project plan for solicita!on to fund the project addi!onal budget periods.

PROJECT DETAILS

9 Project Descrip!on (Narra!ve)*– Provide a descrip!on of the project and include a narra!ve of the purpose, proposed ac6vi6es, expected outputs, expected outcomes, and approximate number of awards.

790/1,000 words maximum

Building Capacity for Surveillance and Preven!on of Adverse Childhood Experiences (ACEs)

Phllis Hoditch Niolon euh2@cdc.gov

7704881362

The purpose is to build capacity within tribal public health departments to access, collect, and analyze ACEs data and conduct preven!on planning.

$180,000

11 Tribal CapacityBuilding and Quality Improvement Program Strategic Areas (Select one):*

Tribal Public Health Systems Infrastructure:

Ac'vi'es to improve tribal public health opera'onal capacity, such as policies and plans, administra'on and management, and quality improvement

Tribal Public Health Workforce: Ac'vi'es to improve tribal public health leadership and workforce competencies, recruitment, and reten'on

Tribal Data and Informa-on Systems: Ac'vi'es to increase the use of data and informa'on systems

Tribal Public Health Programs and Services: Ac'vi'es to strengthen the ability to meet public health needs in a comprehensive manner

Tribal Public Health Resources and Communica-on:

Ac'vi'es to improve provision of public health resources that are readily available and accessible throughout Indian Country

Tribal Public Health Partnerships: Ac'vi'es to improve development and maintenance of mul'sector, resultsdriven partnerships at various levels

12 Tribal CapacityBuilding and Quality Improvement Program Outcomes (Check one or more):*

ShortTerm

Increased implementa'on of tools and processes that build opera'onal capacity and effec'veness

Increased use of core and disciplinespecific public health competencies among public health workers

Improved collec'on, maintenance, interpreta'on, and dissemina'on of tribal health data

Transla'on of evidencebased and evidenceinformed prac'ces into culturally appropriate public health programs, policies, and services

Development of culturally relevant public health resources and communica'on tools

American Indian/Alaska Na've (AI/AN) peoples experience a dispropor'onate burden of ACEassociated health outcomes, including opioid misuse and overdose, suicide a3empts, diabetes, and sexual assault. Adverse Childhood Experiences, or ACEs, are preventable, poten'ally trauma'c events that occur in childhood (017 years) such as neglect, experiencing or witnessing violence, and having a family member a3empt or die by suicide.1,2 Also included are aspects of the child's environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with substance misuse, mental health problems, or instability due to parental separa'on or incarcera'on of a parent, sibling or other member of the household.. Studies examining racial/ethnic differences in the US find that AI/AN peoples have significantly higher ACE scores than nonHispanic whites. Research on ACEs among this popula'on needs to examine both posi've childhood experiences (PCEs; see Narayan, Rivera, Bernstein, Harris, & Liberman, 2018), including cultural protec've factors (Henson et al., 2017), and ACEs, including be3er measurement among AIAN peoples of ACEs and PCEs. Measurement of ACEs among this popula'on may also need to be expanded to include culturally specifc ACEs, such as dependence on commodity foods, death in the immediate family, boarding school a3endance, measure of historical/intergenera'onal trauma).

The purpose of this funding is to conduct a pilot project to build capacity among tribes/tribal organiza'ons to assess, collect, and analyze ACEs and PCEs surveillance data within their communi'es and to use that data to iden'fy and plan for ACEs preven'on/PCEs Promo'on strategies. Project ac'vi'es and expected outcomes are:

1. Iden'fy any available sources of data on ACEs and PCEs within their community, access this data, and summarize it for use in planning preven'on strategies.

2. Add ACEs and PCEs ques'ons to exis'ng surveillance systems with youth (ages 1418), such as the Youth Risk Behavioral Survey (YRBS) or other similar systems.

The addi'onal ques'ons for the youth survey include 8 core ACE ques'ons, 3 core PCE ques'ons, and an addi'onal 5 ACEs or PCEs ques'ons chosen by the funded recipient(s). Addi'onal ques'ons may be drawn from addi'onal ques'ons iden'fied by CDC or may be culturally sensi've and adapted ACE and PCE ques'ons.

3. Analyze ACE and PCE surveillance data and addi'onal data sources (if available) to iden'fy at least 1 ACE primary preven'on/PCE promo'on strategies and approaches that could be implemented in the community. Strategies should be drawn from CDC's ACEs preven'on resource tool, Preven'ng Adverse Childhood

Experiences: Leveraging the Best Available Evidence. If the recipient iden'fies only one strategy, it must be a primary preven'on strategy, one that aims to prevent ACEs from occurring in the first place. The final strategy, rela'ng to lessening harms from ACEs, is not a primary preven'on strategy, so this strategy should be iden'fied only as an addi'onal strategy to a primary preven'on strategy. CDC can provide technical assistance in using data and the recipients's knowledge of specific cultural context of their tribal communi'es to help iden'fy preven'on strategies that will be appropriate and feasible. Recipients should develop and share a short (2 page) ACE preven'on plan based on above informa'on.

4. Provide a report to CDC (no more than 10 pages) covering: process evalua'on of collec'ng ACE/PCE data among tribal youth (e.g., lessons learned during collec'on of ACE and PCE data, considera'ons for dissemina'on including parameters and informa'on around sharing within and outside the community, relevant informa'on for other tribes considering and/or implemen'ng ACE and PCE surveillance, considera'ons for CDC to ensure a thoughEul, culturally appropriate surveillance of ACE and PCE data), iden'fy addi'onal poten'al ACE/PCE data sources, summary of findings, ACE preven'on/PCEs promo'on strategy(ies) iden'fied. As applicable, a memorandum of understanding should be established between recipient and CDC to set parameters around informa'on shared in the CDC report, par'cularly the summary of findings, and issues relevant to sharing/not sharing that informa'on (e.g., may that informa'on be shared outside the CDC internal team, how would the funded recipient like to be no'fied/permission granted if sharing is requested, may tribe be iden'fied or only broad IHS region, etc.).

5. If appropriate, a3end a public health conference to share informa'on from this project with the AI/AN community (e.g., Na'onal Na've Health Research

Training Conference). Sample presenta'on topics may include: capacity building for ACE/PCE surveillance, culturally adapted ACE/PCE items, implementa'on of

ACE/PCE survey, development of violence preven'on plan related to ACEs preven'on and PCE strengthening/support, or findings.

Outcomes of this project are to:

1. Build capacity for ACE and PCE surveillance;

2. Build capacity to use ACE and PCE data to inform selec'on of appropriate ACEs preven'on/PCE promo'on strategies.

3. Explore the feasibility of conduc'ng ACE and PCE surveillance among tribal youth; and

4. Share capacity building process, lessons learned, findings and informa'on related to ACE/PCE preven'on with the community, CDC, and beyond.

CDC shall be available to provide technical assistance on data analysis, violence preven'on and other relevant areas.

Established mul�sector partnerships (e.g., schools, healthcare, public safety, commerce) to address capacity building and quality improvement

Intermediate

Increased use of na�onally established standards, such as those for public health department accredita�on

Increased number of qualified public health workers

Implementa�on of culturally prac�cebased evidence programs and services

Increased coordina�on of mul�sector partnerships to generate collec�ve public health impact

13 Recipient Organiza�onal Capacity:* 49/200 words maximum

Include skills, technology, organiza�on reach, and infrastructure.

14 Recipient Program Experience:* 25/200 words maximum

Include content exper�se and target popula�on rela�onship.

COLLABORATIVE WORK

15 Expecta�ons for Collabora�on, if applicable: 76/200 words maximum

16 Expected Subcontractual/Subawardee Work and Recommended Criteria for Selec�ng Subcontractors/Subawardees, as applicable:

2/200 words maximum

17 Will the proposed capacitybuilding and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 73/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 29/100 words maximum

CIO CERTIFICATION

19 I cer�fy that my CIO currently does not maintain a comparable NOFO related to the tribal public health capacitybuilding and quality improvement program.*

Submission Date:

You will be directed to a confirma�on screen upon successful save or submission.

Organiza�ons should be prepared to:

1. Add ACEs/PCEs survey ques�ons to an exis�ng surveillance survey (e.g., YRBS) among tribal youth with a representa�ve sample to make generaliza�ons to the greater youth within the community.

2. Iden�fy staff to support the surveying, data analysis, ACE/PCE strategies iden�fica�on and plan development, and CDC report

Past experience in surveillance among tribal youth, quan�ta�ve data analysis, and report wri�ng are cri�cal to success.

Recipient organiza�ons may need to partner with organiza�ons who conduct surveillance of youth (e.g., YRBS) or have other iden�fied ACEs data in order to add

ACEs/PCEs ques�ons to surveillance survey. They may also need to partner with other en��es either within or external to their tribal organiza�on who may already be conduc�ng ACEs preven�on and PCE promo�on strategies or whose coopera�on may be cri�cal to planning for and implemen�ng ACES preven�on/PCEs promo�on strategies

N/A

Buidling capacity of tribes and tribal organiza�ons to conduct surveillance of ACEs/PCEs and to analyze and use such data will help them beAer iden�fy appropriate public health approaches to ACEs preven�on/PCEs promo�on, especially among youth. Public health departments benefit from beAer data to more costeffec�vely align program resources. Ul�mately this work will help tribes and tribal organiza�on effec�vely prevent ACEs and promote PCEs, therby improving the public health of their communi�es.

*Funding will support 12 awards with a floor of $90,000 and a ceiling of $150,000 each, per year for 2 or more years. Future funding is not guaranteed.

02/28/2020

Health Department Program Branch

Final

FY 2020 (Year 3) CIO Project Plan

CDCRFAOT181803

Tribal Public Health CapacityBuilding and Quality Improvement

Project Plan Instruc!ons

Please complete this form for new projects and poten!al new projects to fund through the 25 Tribal Recipients. New projects can expand on, scale up, or combine exis!ng projects. Please be sure to note this in the addi!onal remarks sec!on at the end of this form. You can edit and save a dra+ of your plan by clicking the "Save and Close" bu.on below. You can edit your plan at any !me before submi/ng it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" bu.on below. You cannot make edits a+er you click "Submit."

Note: If you plan to con!nue mul!year projects at the current or reduced level, you do not need to complete this form.

GENERAL INFORMATION

1 Project Title*

Please do not use all capital le�ers 10/15 words maximum

2 CIO* NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

3 Division, office, or unit* Division of Injury Preven!on

4 CIO Point of Contact (POC) name:* Name of individual serving as

Technical Monitor (TM) for the project.

CIO POC email address:*

You may add up to 3 TM names, emails, and phone numbers separated with a semicolon.

CIO POC phone number:*

5 Geographic Category to Receive CapacityBuilding and Quality

Improvement Assistance:* All Categories

Category A: HHS Regions 1, 2, 3, and 4

Category B: HHS Regions 5, 6, and 7

Category C: HHS Regions 8, 9, and 10

6 Descrip!on of the Target Popula!on:* (10/25 words maximum)

PROJECT FUNDING

OT181803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2020 – August 30, 2021

7 Proposed Project Funding Amount:* (12month budget period)

(Whole numbers only)

8 Expected Length of Project:*

The CIO will fund the project for the en!re remaining period of performance (3 years). The applicant will submit a con!nua!on applica!on for the project each budget period (every 12 months).

The CIO will fund the project for two or more consecu!ve budget periods. The applicant will submit a con!nua!on applica!on for each budget period (every 12 months).

The CIO will fund the project for one year. The applicant will not submit a con!nua!on applica!on for the next budget period. The CIO will submit a new project plan for solicita!on to fund the project addi!onal budget periods.

PROJECT DETAILS

9 Project Descrip!on (Narra!ve)*– Provide a descrip!on of the project and include a narra!ve of the purpose, proposed ac6vi6es, expected outputs, expected outcomes, and approximate number of awards.

444/1,000 words maximum

Building Capacity for Tribal Suicide Preven!on Through Program Implementa!on and Evalua!on

Audrey AaronMoffi.; Asha Ivey Stephenson; Alex Crosby hin4@cdc.gov; iym9@cdc.gov;aec1@cdc.gov

4046398088

Workforce segments across tribal public health departments and nongovernmental components.

$530,000

11 Tribal CapacityBuilding and Quality Improvement Program Strategic Areas (Select one):*

Tribal Public Health Systems Infrastructure:

Ac'vi'es to improve tribal public health opera'onal capacity, such as policies and plans, administra'on and management, and quality improvement

Tribal Public Health Workforce: Ac'vi'es to improve tribal public health leadership and workforce competencies, recruitment, and reten'on

Tribal Data and Informa-on Systems: Ac'vi'es to increase the use of data and informa'on systems

Tribal Public Health Programs and Services: Ac'vi'es to strengthen the ability to meet public health needs in a comprehensive manner

Tribal Public Health Resources and Communica-on:

Ac'vi'es to improve provision of public health resources that are readily available and accessible throughout Indian Country

Tribal Public Health Partnerships: Ac'vi'es to improve development and maintenance of mul'sector, resultsdriven partnerships at various levels

12 Tribal CapacityBuilding and Quality Improvement Program Outcomes (Check one or more):*

ShortTerm

Increased implementa'on of tools and processes that build opera'onal capacity and effec'veness

Increased use of core and disciplinespecific public health competencies among public health workers

Improved collec'on, maintenance, interpreta'on, and dissemina'on of tribal health data

Transla'on of evidencebased and evidenceinformed prac'ces into culturally appropriate public health programs, policies, and services

American Indians and Alaska Na'ves (AI/AN) are at higher risk of dying by suicide compared with other Americans. In 2018, nonHispanic AI/AN popula'ons had a rate of suicide 60% greater than the general popula'on. A variety of suicide preven'on strategies and approaches with the best available evidence has been iden'fied by

CDC in its Preven�ng Suicide: A Technical Package of Policy, Programs, and Prac�ces h7ps://www.cdc.gov/violencepreven'on/pdf/suicideTechnicalPackage.pdf ), yet the effec'veness of these strategies and approaches in tribal popula'ons has not yet been demonstrated.

Recognizing that tribal popula'ons have varied environments, governments, cultures, and capacity for public health ac'on, the purpose of this funding opportunity is to increase capacity to adapt, implement, and evaluate suicide preven'on programs in tribal popula'ons in order to reduce suicide morbidity and mortality. Mul' sectoral partnerships are strongly encouraged (e.g., school system, business sector, criminal jus'ce, state health departments, state Violent Death Repor'ng System, tribal epidemiology centers, Indian Health Service, Bureau of Indian Affairs, University) in order to leverage preven'on resources and expand the reach of preven'on ac'vi'es.

Proposed Ac-vi-es:

Tribes will be supported to:

1. Review exis'ng data (e.g., school surveys, epidemiology reports, vital sta's'cs, emergency department data) to a) describe the general suicide problem, b) iden'fy a subgroup(s)/subpopula'on(s) at increased risk of suicide compared to the general tribal popula'on.

2. Inventory exis'ng suicide preven'on programs directed at this subgroup(s) and those aimed at the general popula'on in order to iden'fy gaps and opportuni'es to complement exis'ng programs.

3. Select at least one approach from CDC's technical package (See page 12) or at least one evidencebased program outside of the technical package (see for example, To Live to See the Great Day that Dawns: h7ps://store.samhsa.gov/product/ToLiveToSeetheGreatDayThatDawnsPreven'ngSuicideby

AmericanIndianandAlaskaNa'veYouthandYoungAdults/SMA104480, to fill iden'fied preven'on gaps and/or to complement exis'ng programs.

4. Adapt the selected approach/program to fit the cultural context of the tribe (see for example, h7ps://vetoviolence.cdc.gov/apps/adapta'onguidance/ or h7ps://vetoviolence.cdc.gov/apps/violencepreven'onprac'ce/#!/ ), implement, and evaluate the selected approach(es)/program(s) for impact on suicide risk and protec've factors and/or suicide a7empts and/or suicide

5. Disseminate results (e.g., success stories/lessons learned) to stakeholders

6. Conduct listening sessions to obtain input during the project to adapt approach/program

Expected Outputs:

• Mul'sectoral partnership plan (e.g., partners iden'fied, roles/responsibilites described)

• Inventory of exis'ng suicide preven'on programs targe'ng iden'fied subgroup(s) and general popula'on

• Adapta'on/program implementa'on and evalua'on plans, including process and outcome evalua'on (see for example, h7ps://www.cdc.gov/eval/framework/index.htm )

• Quarterly reports

• Final report (including program evalua'on outcomes and success stories)

Expected Outcomes:

Shortterm

• Increased engagement and coordina'on with partners

• Increased use of data for decision making

• Increased awareness of exis'ng tribal suicide preven'on ac'vi'es, gaps, and opportuni'es

• Increased number of culturally adapted and implemented evidencebased preven'on strategies used

Mediumterm

• Improved ability to sustain suicide preven'on strategies/programs through partnerships

• Decreased risk and increased protec've factors for suicide

Longterm

• Reduc'on in suicide numbers and/or rates

• Reduc'on in suicide a7empt numbers and/or rates

Development of culturally relevant public health resources and communica�on tools

Established mul�sector partnerships (e.g., schools, healthcare, public safety, commerce) to address capacity building and quality improvement

Intermediate

Increased use of na�onally established standards, such as those for public health department accredita�on

Increased number of qualified public health workers

Implementa�on of culturally prac�cebased evidence programs and services

Increased coordina�on of mul�sector partnerships to generate collec�ve public health impact

13 Recipient Organiza�onal Capacity:* 103/200 words maximum

Include skills, technology, organiza�on reach, and infrastructure.

14 Recipient Program Experience:* 73/200 words maximum

Include content exper�se and target popula�on rela�onship.

COLLABORATIVE WORK

15 Expecta�ons for Collabora�on, if applicable: 108/200 words maximum

16 Expected Subcontractual/Subawardee Work and Recommended Criteria for Selec�ng Subcontractors/Subawardees, as applicable:

2/200 words maximum

17 Will the proposed capacitybuilding and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 25/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 58/100 words maximum

CIO CERTIFICATION

19 I cer�fy that my CIO currently does not maintain a comparable NOFO related to the tribal public health capacitybuilding and quality improvement program.*

Submission Date:

You will be directed to a confirma�on screen upon successful save or submission.

Recipient must have strong rela�onships and capacity working with tribal governments to advance suicide preven�on and have the organiza�onal…