Appendix B_CIO Project Plans.pdf

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Attached to
FY 2024 Supplement: Strengthening Public Health Systems and Services in Indian Country
Opportunity number
CDC-RFA-TO-23-0001-02SUPP24
Issued by

About this file

This document contains several CIO (Center, Institute, Office) project plans under the FY 2024 Supplement: Strengthening Public Health Systems and Services in Indian Country grant opportunity (CDC-RFA-TO-23-0001-02SUPP24) from the Centers for Disease Control and Prevention (CDC).

The key details are:

  • There are 5 CIO project plans covering the following focus areas: Tribal Alcohol-Impaired Driving Prevention Program, Contributing to the Healthy Native Babies Program, Implementation of Electronic Case Reporting for Work-Related Asthma, and Point-of-Care Hepatitis C Virus Testing.
  • The project plans outline the purpose, activities, process/output/outcome measures, organizational capacity and experience requirements, and collaboration expectations for each project.
  • The eligible applicant types vary by project, including Tribes, Regional Tribally Designated Organizations, and All entity types.
  • The total project period is 5 years, with 12-month budget periods. Proposed funding per recipient ranges from $100,000 to $250,000.
  • The projects align with the Strengthening Public Health Systems and Services in Indian Country strategies, particularly around public health programs/services, data modernization, and workforce development.
  • The projects fall under the Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement (CFDA 93.772).

This contains the five CIO Project Plans CDC is competing under this NOFO.

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National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce Division of Jurisdictional Support

Program Services and Innovation Branch

FINAL

FY 2024 (Year 2) CIO Project Plans

CDC-RFA-TO-23-0001-02SUPP24:

Strengthening Public Health Systems and Services in Indian Country

Entity Type Eligibility: Tribes

• Tribal Alcohol-Impaired Driving Prevention Program

Entity Type Eligibility: Regional Tribally Designated Organizations

• Tribal Alcohol-Impaired Driving Prevention Program

Entity Type Eligibility: All

• Contributing to Healthy Native Babies Program

• Implementation of Electronic Case Reporting for Work-Related Asthma

• Point-of-Care Hepatitis C Virus Testing to Improve the Diagnosis and Treatment of Hepatitis C among AI/AN Persons

CIO Projects: Only Tribes Eligible

National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce

Division of Jurisdictional Support

Program Services and Innovation Branch

Final

Funding Strategy 2: FY 2024 CIO Project Plan

CDC-RFA-TO-23-0001

Strengthening Public Health Systems and Services in Indian Country

Project Plan Template Instructions

GENERAL INFORMATION

Project Title *

Tribal Alcohol-impaired Driving Prevention Program

CIO Lookup *

National Center for Injury Prevention and Control

Division, O�ce, or Unit Lookup *

Division of Unintentional Injury Prevention

CIO Point of Contact(s) (POC) *

Aaron Grober; Bethany West; Alex Philipose

Name of individual serving as Technical Monitor (TM) for the project.

CIO POC Email(s) * xih7@cdc.gov; hzv5@cdc.gov; xkh6@cdc.gov

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

CIO POC Phone Number(s) *

770.488.0787; 770.488.0602; 770.488.3835

Select 1 or more entity types.*

Tribe

Regional Tribally Designated Organization

Geographic Area/Regions for strengthening public health and services work

HHS Region (Select all that apply)*

Regions 1 - 4

Region 5

Region 6

Region 7 https://cdcpartners.sharepoint.com/:w:/s/CSTLTS/COS/OTASA/Ed8FYaVEXOhCtT5PrnnHy3oBDG6c0Vj0Pq7rwouDcEWvEA?e=Wqbmbw

Region 8

Region 9

Region 10

Indian Health Service (IHS) Area (Select all the apply)*

Alaska (HHS Region 10)

Nashville (HHS Region 1-4)

Albuquerque (HHS Regions 6 and 8)

Navajo (HHS Regions 6, 8, & 9 [Navajo Nation only])

Bemidji (HHS Region 5)

Oklahoma City (HHS Region 6 and 7)

Billings (HHS Region 8)

Phoenix (HHS Region 9)

California (HHS Region 9)

Portland (HHS Region 10)

Great plains (HHS Region 7 and 8)

Tucson (HHS Region 9)

Description of the Intended Populations *

Vehicle drivers and future drivers in tribal communities served by any of the following:

· Tribal transportation and injury prevention programs

· Tribal public health organizations

· Community-based organizations

PROJECT FUNDING

TO-23-0001 Period of Performance: August 31, 2023 – August 30, 2028 Budget Period Length: 12-months

Proposed Project Funding Per Recipient *

Whole numbers only

$ 200,000

Approximate Number of Awards *

Expected Length of Project *

The CIO will fund the project for the entire period of performance (5 years). The recipient will submit a continuation application for the project each budget period/year (approximately every 12 months).

The CIO will fund the project for two or more consecutive budget periods. The recipient will submit a continuation application for each budget period (approximately every 12 months).

The CIO will fund the project for one year. The recipient will not submit a continuation application for the next budget period. The CIO will submit a new project plan for solicitation to fund the project for additional budget periods.

APPROACH: STRATEGIES AND OUTCOMES

All CIO Project Plans must align with the CDC-RFA-TO-23-0001 NOFO

Strengthening Public Health Systems and Services in Indian Country Strategy (ies) that most relate to your proposed project plan (Select up to two): *

No Strategy 1: Foundational Public Health Capabilities implemented to strengthen the ability to conduct assessment/surveillance; prepare for and respond to public health emergencies; develop and support policies, communications, community partnership, organizational competencies, and accountability and performance management.

No Strategy 2: Data Modernization activities to develop and deploy scalable, �exible, and sustainable technologies, policies, and methods to implement data and analytical capabilities to support the Essential Public Health Services.

Yes Strategy 3: Public Health Programs and Services implemented to strengthen the ability to comprehensively meet tribal public health needs.

No Strategy 4: Workforce activities to develop and maintain a diverse workforce with cross-cutting skills and competencies.

Strengthening Public Health Systems and Services in Indian Country Outcome(s) that most relates to your proposed project (Select one or more): *

Yes Improved capacity to develop public health programs and services to address prioritized public health activities in AI/AN communities.

Yes Improved capacity to implement public health programs and services to address prioritized public health activities in AI/AN communities.

Yes Improved capacity to evaluate public health programs and services to address prioritized public health activities in AI/AN communities.

TRIBAL PUBLIC HEALTH CAPACITY-BUILDING AND QUALITY IMPROVEMENT PROGRAM APPROACH –

NOFO LOGIC MODEL

PROJECT DETAILS

https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/Forms/AllItems.aspx?id=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM%2FTO%2D23%2D0001%20Logic%20Model%2Epdf&viewid=72c8641d%2D346a%2D420f%2Dbb73%2Dc30e0ad9dc93&parent=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM

Purpose*

The primary cause of unintentional injury-related death among American Indians and Alaska Natives (AIAN) is motor vehicle crashes. AIAN have a high prevalence of alcohol-impaired driving and the highest alcohol-impaired driving death rates among all racial/ethnic populations. The purpose of this project is to reduce injury and death due to alcohol-impaired driving in the AIAN population by directly funding Tribal Nations (referred to as Tribes in this document) to implement interventions using the Indigenous Evaluation approach and western evidence-based strategies.

Activities

NCIPC recognizes the importance of community-driven approaches that include local culture and Indigenous knowledge in all stages of public health programming (planning, implementation, and evaluation). Recipients will have an opportunity to utilize an Indigenous Evaluation approach to incorporate local values, indigenous knowledge, and traditions in programming to address alcohol-impaired driving. During year 1, recipients will partner with CDC, an Indigenous evaluation consultant, and technical assistance consultants to review and revise the proposed work plan and activities that are submitted as part of this application.

Applicants should propose activities in each of the three intervention components listed below:

Component 1: Indigenous Approaches to Reduce or Prevent Alcohol-Impaired Driving includes community-based cultural interventions to enhance protective factors related to prevention of alcohol-impaired driving and mitigation of risk factors. Activities proposed for Component 1 may include (but are not limited to) the following examples:

Programs to promote healing from historical and intergenerational trauma Activities to promote community and family connectedness Improving Indigenous Social Determinants of Health to mitigate risk factors for alcohol-impaired driving Programs to promote positive experiences within families and/or communities for primary prevention of alcohol-impaired driving Strategies that build upon cultural strengths, tradition, and practices

Optional resources for applicant consideration: Culture is Prevention at https://www.samhsa.gov/sites/default/�les/nc-oy1-task-3-culture-is-prevention-�nal-2018-05-31.pdf

Component 2: Western Strategies to Reduce or Prevent Alcohol-Impaired Driving includes the use of Western evidence-based, culturally tailored interventions within tribal communities. Activities proposed for Component 2 may include (but are not limited to) the following examples:

Improving infrastructure and increasing the Tribe’s capacity to address alcohol-impaired driving. Building capacity may include training on Indigenous evaluation approaches and on injury prevention principles and practices.

Multicomponent Interventions with Community Mobilization: Interventions that can include one or more components (for example, sobriety checkpoints, training in responsible beverage service, education and awareness-raising e�orts, and limiting access to alcohol).

Publicized Sobriety Checkpoint Programs: Programs that involve high visibility enforcement conducted by law enforcement stopping drivers systematically to assess alcohol impairment.

Optional resources for applicant consideration:

1. CDC Tribal Motor Vehicle Injury Prevention Best Practices Guide at https://www.cdc.gov/transportationsafety/pdf/native/TMVIP_Best-Practices_Guide_2016-a.pdf;

2. National Highway Tra�c Safety Administration’s Countermeasures That Work at https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended,problem%20areas%20in%20th eir%20States

3. Community Preventive Services Task Force's Findings for Motor Vehicle Injury at https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=Aug ust%201%2C%202018%20CPSTF%20recommends,risks%20for%20tra�c%2Drelated%20injury

4. National Academies of Sciences, Engineering, and Medicine’s recommendations in Getting to Zero Alcohol-Impaired Driving Fatalities at https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach

Component 3: Public Safety Partnerships and Interventions - Public safety partners (police and law enforcement agencies, courts and corrections, �re and paramedic/emergency services) respond to alcohol-impaired driving-related crashes and should be engaged in prevention e�orts. Activities proposed for Component 3 may include (but are not limited to) the following:

https://www.cdc.gov/transportationsafety/impaired_driving/strategies.html https://www.samhsa.gov/sites/default/files/nc-oy1-task-3-culture-is-prevention-final-2018-05-31.pdf https://www.cdc.gov/transportationsafety/pdf/native/TMVIP_Best-Practices_Guide_2016-a.pdf https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach

Linkages to care and/or harm reduction such as pre-arrest or pre-trial diversion, which use interactions with law enforcement as an opportunity to refer individuals with alcohol use disorder to treatment.

Promote and improve data sharing between public safety and public health partners.

Implement promising practices that have demonstrated some impact on alcohol-impaired driving and associated risk factors and may include post arrest outreach programs and links to care and support services.

Progress reports every six months:

Reports may include project updates, including sharing progress on outcome and process measures that recipients developed for their programs, and progress on indigenous evaluation.

Process Measures

Recipients will work with local tribal communities and CDC personnel and a�liates to develop process measures. Status updated on these measures will be shared via progress reports.

Reports should include project updates, including sharing progress on process measures that communities developed for their programs, progress on indigenous evaluation.

Outputs

Year 1:

• Create actionable plan to address alcohol-impaired driving with measurable objectives by the end of year 1 in partnership with CDC sta�, Indigenous Evaluation consultant, and technical assistance consultants.

Buy in, commitment, and support from stakeholders

Years 2-3:

• Implement interventions and strategies to reduce or prevent alcohol-impaired driving• Prepare one summary document that describes the implemented interventions and Indigenous evaluation approaches.

Year 4:

Close out activities

Outcome(s)

Improved capacity in use of culturally-driven and/or western strategies in prevention and programmatic decision-making

• Increased capacity to utilize the Indigenous Evaluation approach.

• Increased understanding of Tribal alcohol-impaired driving prevention best practices

Outcome(s) Measures

Recipients will work with local tribal communities and CDC personnel and a�liates to develop outcome measures. Status updated on these measures will be shared via progress reports.

Progress reports every six months:

Reports may include project updates, including sharing progress on outcome and process measures that recipients developed for their programs, and progress on indigenous evaluation.

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

Expected Recipient Organizational Capacity

Applicant should demonstrate reach and collaborative opportunities with public health entities in tribal communities. Given the complexity of alcohol-impaired driving prevention, it is important that applicants are primed for success through e�ective collaborations between tribal and other entities in transportation, behavioral health, law enforcement, and judicial systems. Applicant should have a mixture of the following organizational and institutional capacities: ability to develop and implement strategic public health approaches that are culturally relevant and appropriate, ability to partner with tribal and other entities commensurate with planned outcomes, data collection capacity, evaluation capacity, and strong ability to collaborate with other public health partners and resources.

Include skills, technology, organization reach, and infrastructure.

Expected Recipient Program Experience

Applicant should have strong experience with AIAN public health programs and experience implementing e�ective public health action through a multi-pronged approach (a plus if the applicant has experience with transportation safety and behavioral health programs addressing excessive alcohol use). Applicant should be knowledgeable of strategic planning, building partnerships, and e�ective community interventions. Applicant should have/gain knowledge of the National Highway Tra�c Safety Administration’s Countermeasures that Work and CDC’s recommended strategies to reduce or prevent alcohol-impaired driving.

Applicant should have/gain experience or willingness to work with tribal programs designed to address protective factors related to prevention of alcohol-impaired driving and mitigate risk factors.

Include content expertise and target population relationship.

COLLABORATIVE WORK

Expectations for Collaboration, if applicable

Applicant is expected to have or to develop meaningful collaborations with groups/partners most directly involved with alcohol-impaired driving prevention. These meaningful collaborations may include organizations that: (1) have experience with alcohol-impaired driving prevention and law enforcement programs and experience implementing e�ective action through a multi-agency approach; (2) have experience bringing together personnel from agencies and organizations across sectors; and (3) have experience tailoring health and community interventions for cultural appropriateness. In addition, recipients will collaborate with Technical Assistance and Indigenous Evaluation Consultants in strategic planning, program implementation, and evaluation activities. Additional technical assistance support will be available to recipients by IHS injury prevention specialists in the �eld.

Expected contractual/consultant work and recommended criteria for identifying or selecting contractors/consultants, if applicable

The applicant may contract (or acquire consultant services) as needed, to assist in the development and implementation of the community-based cultural interventions and western evidence-based strategies.

BUDGET INSTRUCTIONS

Provide general instructions on any restrictions, limitations, or parameters on the use of funds, if applicable

Each applicant may submit a project plan for between $160,000 and $200,000.

Funds from this cooperative agreement can be used to connect to care, however, funds cannot provide the care itself. Program budget should include travel to an annual workshop.

CIO CERTIFICATION

By submitting this project plan as “Final”, I certify the following:

1. The project plan describes the proposed project and related activities my CIO expects to be completed during the budget period.

2. The proposed project is not designed to acquire goods or services to bene�t CDC or its mission. For example, the project will not be used to develop materials on behalf of CDC or its programs, or to conduct surveys and submit the data to CDC for its use.

3. My CIO’s O�ce of General Counsel representative(s) has/have reviewed the proposed project plan and found no legal or statutory limitations to what has been proposed.

4. I understand my CIO is responsible for conducting the objective/technical reviews and submitted funding packages to the DJS/PSIB Tribal Team.

5. Any conference or meeting will be ancillary to the project (i.e., the convening is not the primary goal or activity of the project).

6. I understand my CIO is responsible for adhering to all applicable scienti�c policies and securing requisite clearances in the Scienti�c Tracking and Reporting System (STARS) prior to initiating project activities that involve the collection, generation, or analysis of public health data.

ADMINISTRATIVE USE ONLY

Admin Update?

Yes No

Form Type

New CIO Project

Funding Year

FY24 (Year 2)

Submission Date

3/20/2024 4:00:00 AM

Used In

Submit form as *

Final

Use this “Submit form as Draft" �eld until you are ready to submit the �nal version. Then change this �eld to "Final" and click the "Submit" button when ready to submit as �nal. You cannot make edits after you submit as “Final.”

CIO Projects: Only Regional Tribally Designated Organizations Eligible

Program Services and Innovation Branch

Final

Funding Strategy 2: FY 2024 CIO Project Plan

CDC-RFA-TO-23-0001

Strengthening Public Health Systems and Services in Indian Country

Project Plan Template Instructions

GENERAL INFORMATION

Project Title *

Tribal Alcohol-impaired Driving Prevention Program

CIO Lookup *

National Center for Injury Prevention and Control

Division, O�ce, or Unit Lookup *

Division of Analysis, Research, and Practice Integration

CIO Point of Contact(s) (POC) *

Aaron Grober; Bethany West; Alex Philipose

Name of individual serving as Technical Monitor (TM) for the project.

CIO POC Email(s) * xih7@cdc.gov; hzv5@cdc.gov; xkh6@cdc.gov

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

CIO POC Phone Number(s) *

770-488-0787; 770-488-0602 https://cdcpartners.sharepoint.com/:w:/s/CSTLTS/COS/OTASA/Ed8FYaVEXOhCtT5PrnnHy3oBDG6c0Vj0Pq7rwouDcEWvEA?e=Wqbmbw

Region 8 Region 9 Region 10

Vehicle drivers and future drivers in tribal communities served by any of the following:

· Tribal transportation and injury prevention programs

· Tribal public health departments/programs

PROJECT FUNDING

TO-23-0001 Period of Performance: August 31, 2023 – August 30, 2028 Budget Period Length: 12-months

Proposed Project Funding Per Recipient *

Whole numbers only

$ 200,000

Approximate Number of Awards *

Expected Length of Project *

The CIO will fund the project for the entire period of performance (5 years). The recipient will submit a continuation application for the project each budget period/year (approximately every 12 months).

The CIO will fund the project for two or more consecutive budget periods. The recipient will submit a

The CIO will fund the project for one year. The recipient will not submit a continuation application for the next budget period. The CIO will submit a new project plan for solicitation to fund the project for additional budget periods.

Strengthening Public Health Systems and Services in Indian Country Strategy (ies) that most relate to your

No Strategy 1: Foundational Public Health Capabilities implemented to strengthen the ability to conduct assessment/surveillance; prepare for and respond to public health emergencies;

develop and support policies, communications, community partnership, organizational competencies, and accountability and performance management.

No Strategy 2: Data Modernization activities to develop and deploy scalable, �exible, and sustainable technologies, policies, and methods to implement data and analytical capabilities to support the Essential Public Health Services.

Yes Strategy 3: Public Health Programs and Services implemented to strengthen the ability to comprehensively meet tribal public health needs.

No Strategy 4: Workforce activities to develop and maintain a diverse workforce with cross-cutting skills and competencies.

Strengthening Public Health Systems and Services in Indian Country Outcome(s) that most relates to your proposed project (Select one or more): *

Yes Improved capacity to develop public health programs and services to address prioritized public health activities in AI/AN communities.

Yes Improved capacity to implement public health programs and services to address prioritized public health activities in AI/AN communities.

Yes Improved capacity to evaluate public health programs and services to address prioritized public health activities in AI/AN communities.

TRIBAL PUBLIC HEALTH CAPACITY-BUILDING AND QUALITY IMPROVEMENT PROGRAM APPROACH –

NOFO LOGIC MODEL

PROJECT DETAILS

Purpose*

The primary cause of unintentional injury-related death among American Indians and Alaska Natives (AIAN) is motor vehicle crashes. AIAN have a high prevalence of alcohol-impaired driving and the highest alcohol-impaired driving death rates among all racial/ethnic populations. The purpose of this project is to reduce https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/Forms/AllItems.aspx?id=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM%2FTO%2D23%2D0001%20Logic%20Model%2Epdf&viewid=72c8641d%2D346a%2D420f%2Dbb73%2Dc30e0ad9dc93&parent=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM injury and death due to alcohol-impaired driving in the AIAN population by directly funding Tribal Nations (referred to as Tribes in this document) to implement interventions using the Indigenous Evaluation approach and western evidence-based strategies.

Activities

NCIPC recognizes the importance of community-driven approaches that include local culture and Indigenous knowledge in all stages of public health programming (planning, implementation, and evaluation). Recipients will have an opportunity to utilize an Indigenous Evaluation approach to incorporate local values, indigenous knowledge, and traditions in programming to address alcohol-impaired driving. Recipients will partner with CDC, an Indigenous evaluation consultant, and technical assistance consultants to review and revise the proposed work plan and activities that are submitted as part of this application.

Applicants should propose activities in each of the three intervention components listed below:

Component 1: Indigenous Approaches to Reduce or Prevent Alcohol-Impaired Driving includes community-based cultural interventions to enhance protective factors related to prevention of alcohol-impaired driving and mitigation of risk factors. This would include the recipient supporting, collaborating, or providing technical assistance or funding to Tribes. Activities proposed for Component 1 may include (but are not limited to) the following examples:

Collaborating with Tribes in activities to promote community and family connectedness Providing Tribes technical assistant in improving Indigenous Social Determinants of Health to mitigate risk factors for alcohol-impaired driving Supporting Tribes in promoting positive experiences within families and/or communities for primary prevention of alcohol-impaired driving Collaborating with Tribes to develop, implement, and evaluate strategies that build upon cultural strengths, tradition, and practices

Optional resources for applicant consideration: Culture is Prevention at https://www.samhsa.gov/sites/default/�les/nc-oy1-task-3-culture-is-prevention-�nal-2018-05-31.pdf.

Component 2: Western Strategies to Reduce or Prevent Alcohol-Impaired Driving includes the use of Western evidence-based, culturally tailored interventions within tribal communities. This would include the recipient supporting, collaborating, or providing technical assistance or funding to Tribes. Activities proposed for Component 2 may include (but are not limited to) the following examples:

Providing technical assistance to Tribes improving their tribal public health infrastructure to increase their capacity to address alcohol-impaired driving. Building capacity may include training on Indigenous evaluation approaches and on injury prevention principles and practices.

Collaborating with Tribes on developing, implementing, and evaluating multicomponent interventions with community mobilization. These interventions can include sobriety checkpoints, training in responsible beverage service, education and awareness-raising e�orts, and limiting access to alcohol.

Optional resources for applicant consideration:

1. CDC Tribal Motor Vehicle Injury Prevention Best Practices Guide at https://www.cdc.gov/transportationsafety/pdf/native/TMVIP_Best-Practices_Guide_2016-a.pdf;

2. National Highway Tra�c Safety Administration’s Countermeasures That Work at https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended,problem%20areas%20in%20their %20States

3. Community Preventive Services Task Force's Findings for Motor Vehicle Injury at https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August %201%2C%202018%20CPSTF%20recommends,risks%20for%20tra�c%2Drelated%20injury

4. National Academies of Sciences, Engineering, and Medicine’s recommendations in Getting to Zero Alcohol-Impaired Driving Fatalities at https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach

Component 3: Public Safety Partnerships and Interventions would include the recipient supporting, collaborating, or providing technical assistance or funding to Tribes. Activities proposed for Component 3 may include (but are not limited to) the following:

Support Tribes in improving data sharing between public safety and public health partners Provide Tribes technical assistance with implementing and evaluating promising practices that have demonstrated some impact on alcohol-impaired driving and associated risk factors and may include post arrest outreach programs and links to care and support services.

Progress reports every six months:

Reports may include project updates, including sharing progress on outcome and process measures that recipients developed for their programs, and progress on indigenous evaluation.

https://www.cdc.gov/transportationsafety/impaired_driving/strategies.html https://www.samhsa.gov/sites/default/files/nc-oy1-task-3-culture-is-prevention-final-2018-05-31.pdf https://www.cdc.gov/transportationsafety/pdf/native/TMVIP_Best-Practices_Guide_2016-a.pdf https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.nhtsa.gov/book/countermeasures/countermeasures-that-work#:~:text=Countermeasures%20That%20Work%20is%20intended%2cproblem%20areas%20in%20their%20States.

https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://www.thecommunityguide.org/topics/motor-vehicle-injury.html#:~:text=Community%20Preventive%20Services%20Task%20Force%20Findings&text=August%201%252C%202018%20CPSTF%20recommends%2crisks%20for%20traffic-related%20injury https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach https://nap.nationalacademies.org/catalog/24951/getting-to-zero-alcohol-impaired-driving-fatalities-a-comprehensive-approach

Process Measures

Recipients will work with local tribal communities and CDC personnel and a�liates to develop process measures. Status updated on these measures will be shared via progress reports.

Reports should include project updates, including sharing progress on process measures that communities developed for their programs, progress on indigenous evaluation.

Outputs

Year 1:

• Create actionable plan to address alcohol-impaired driving with measurable objectives by the end of year 1 in partnership with CDC sta�, Indigenous Evaluation consultant, and technical assistance consultants.

Buy in, commitment, and support from stakeholders

Years 2-3:

• Implement interventions and strategies to reduce or prevent alcohol-impaired driving• Prepare one summary document that describes the implemented interventions and Indigenous evaluation approaches.

Year 4:

Close out activities

Outcome(s)

• Improved capacity in use of culturally-driven and/or western strategies in prevention and programmatic decision-making

• Increased capacity to utilize the Indigenous Evaluation approach.

• Increased understanding of Tribal alcohol-impaired driving prevention best practices

Outcome(s) Measures

Recipients will work with local tribal communities and CDC personnel and a�liates to develop outcome measures. Status updated on these measures will be shared via progress reports.

Progress reports every six months:

Reports may include project updates, including sharing progress on outcome and process measures that recipients developed for their programs, and progress on indigenous evaluation.

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

Expected Recipient Organizational Capacity

Applicant should demonstrate reach and collaborative opportunities with public health entities in tribal communities. Given the complexity of alcohol-impaired driving prevention, it is important that applicants are primed for success through e�ective collaborations between tribal and other entities in transportation, behavioral health, law enforcement, and judicial systems. Applicant should have a mixture of the following organizational and institutional capacities: ability to develop and implement strategic public health approaches that are culturally relevant and appropriate, ability to partner with tribal and other entities commensurate with planned outcomes, data collection capacity, evaluation capacity, and strong ability to collaborate with other public health partners and resources.

Include skills, technology, organization reach, and infrastructure.

Expected Recipient Program Experience

Applicant should have strong experience with AIAN public health programs and experience implementing e�ective public health action through a multi-pronged approach (a plus if the applicant has experience with transportation safety and behavioral health programs addressing excessive alcohol use). Applicant should be knowledgeable of strategic planning, building partnerships, and e�ective community interventions.

Applicant should have/gain knowledge of the National Highway Tra�c Safety Administration’s Countermeasures that Work and CDC’s recommended strategies to reduce or prevent alcohol-impaired driving.

Applicant should have/gain experience or willingness to work with tribal programs designed to address protective factors related to prevention of alcohol-impaired driving and mitigate risk factors.

Include content expertise and target population relationship.

COLLABORATIVE WORK

Expectations for Collaboration, if applicable

Recipients are expected to have or to develop meaningful collaborations with Tribes and groups/partners most directly involved with alcohol-impaired driving prevention. These meaningful collaborations may include organizations that: (1) have experience with alcohol-impaired driving prevention and law enforcement programs and experience implementing e�ective action through a multi-agency approach; (2) have experience bringing together personnel from agencies and organizations across sectors; and (3) have experience tailoring health and community interventions for cultural appropriateness. In addition, recipients will collaborate with Technical Assistance and Indigenous Evaluation Consultants in strategic planning, program implementation, and evaluation activities. Additional technical assistance support will be available to recipients by IHS injury prevention specialists in the �eld.

Expected contractual/consultant work and recommended criteria for identifying or selecting contractors/consultants, if applicable

Recipients may contract with Tribes to strengthen tribal public health infrastructure and increase Tribes’ capacity to address alcohol-impaired driving.

Recipients may contract (or acquire consultant services) as needed, to assist in the development and implementation of the community-based cultural interventions and western evidence-based strategies.

BUDGET INSTRUCTIONS

Provide general instructions on any restrictions, limitations, or parameters on the use of funds, if applicable

Funding is subject to availability.

Each applicant may submit a project plan for between $160,000 and $200,000.

Funds from this cooperative agreement can be used to connect to care, however, funds cannot provide the care itself. Program budget should include travel to an annual workshop.

CIO CERTIFICATION

By submitting this project plan as “Final”, I certify the following:

1. The project plan describes the proposed project and related activities my CIO expects to be completed during the budget period.

2. The proposed project is not designed to acquire goods or services to bene�t CDC or its mission. For example, the project will not be used to develop materials on behalf of CDC or its programs, or to conduct surveys and submit the data to CDC for its use.

3. My CIO’s O�ce of General Counsel representative(s) has/have reviewed the proposed project plan and found no legal or statutory limitations to what has been proposed.

4. I understand my CIO is responsible for conducting the objective/technical reviews and submitted funding packages to the DJS/PSIB Tribal Team.

5. Any conference or meeting will be ancillary to the project (i.e., the convening is not the primary goal or activity of the project).

6. I understand my CIO is responsible for adhering to all applicable scienti�c policies and securing requisite clearances in the Scienti�c Tracking and Reporting System (STARS) prior to initiating project activities that involve the collection, generation, or analysis of public health data.

ADMINISTRATIVE USE ONLY

Admin Update?

Yes No

Form Type

New CIO Project

Funding Year

FY24 (Year 2)

Submission Date

4/1/2024 4:00:00 AM

Used In

Submit form as *

Final

Use this “Submit form as Draft" �eld until you are ready to submit the �nal version. Then change this �eld to "Final" and click the "Submit" button when ready to submit as �nal. You cannot make edits after you submit as “Final.”

CIO Projects: All Entity Types Eligible

Program Services and Innovation Branch

Final

Funding Strategy 2: FY 2024 CIO Project Plan

CDC-RFA-TO-23-0001

Strengthening Public Health Systems and Services in Indian Country

Project Plan Template Instructions

GENERAL INFORMATION

Project Title *

Contributing to the Healthy Native Babies Program

CIO Lookup *

National Center for Chronic Disease Prevention and Health Promotion

Division, O�ce, or Unit Lookup *

Division of Reproductive Health

CIO Point of Contact(s) (POC) *

Jordan Vandjelovic; Renee De Shay; Tai Baker

Name of individual serving as Technical Monitor (TM) for the project.

CIO POC Email(s) * jep7@cdc.gov; qkg0@cdc.gov; guz1@cdc.gov

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

CIO POC Phone Number(s) *

770-488-4060 https://cdcpartners.sharepoint.com/:w:/s/CSTLTS/COS/OTASA/Ed8FYaVEXOhCtT5PrnnHy3oBDG6c0Vj0Pq7rwouDcEWvEA?e=Wqbmbw

The intended population is tribal elders, leaders, and other community members including birthing persons and other caregivers interested in infant health.

PROJECT FUNDING

TO-23-0001 Period of Performance: August 31, 2023 – August 30, 2028 Budget Period Length: 12-months

Proposed Project Funding Per Recipient *

Whole numbers only

$ 250,000

Approximate Number of Awards *

Expected Length of Project *

The CIO will fund the project for the entire period of performance (5 years). The recipient will submit a continuation application for the project each budget period/year (approximately every 12 months).

The CIO will fund the project for two or more consecutive budget periods. The recipient will submit a

The CIO will fund the project for one year. The recipient will not submit a continuation application for the next budget period. The CIO will submit a new project plan for solicitation to fund the project for additional budget periods.

Strengthening Public Health Systems and Services in Indian Country Strategy (ies) that most relate to your

Yes Strategy 1: Foundational Public Health Capabilities implemented to strengthen the ability to conduct assessment/surveillance; prepare for and respond to public health emergencies;

develop and support policies, communications, community partnership, organizational competencies, and accountability and performance management.

No Strategy 2: Data Modernization activities to develop and deploy scalable, �exible, and sustainable technologies, policies, and methods to implement data and analytical capabilities to support the Essential Public Health Services.

No Strategy 3: Public Health Programs and Services implemented to strengthen the ability to comprehensively meet tribal public health needs.

No Strategy 4: Workforce activities to develop and maintain a diverse workforce with cross-cutting skills and competencies.

Strengthening Public Health Systems and Services in Indian Country Outcome(s) that most relates to your proposed project (Select one or more): *

Yes Improved capacity to develop public health programs and services to address prioritized public health activities in AI/AN communities.

No Improved capacity to implement public health programs and services to address prioritized public health activities in AI/AN communities.

No Improved capacity to evaluate public health programs and services to address prioritized public health activities in AI/AN communities.

TRIBAL PUBLIC HEALTH CAPACITY-BUILDING AND QUALITY IMPROVEMENT PROGRAM APPROACH –

NOFO LOGIC MODEL

PROJECT DETAILS

Purpose*

In 2023 the National Institutes of Health (NIH)- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) forged a partnership with CDC's Division of Reproductive Health to transfer the Healthy Native Babies Program (HNBP) to CDC. The HNBP o�ers community-informed training to local providers https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/Forms/AllItems.aspx?id=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM%2FTO%2D23%2D0001%20Logic%20Model%2Epdf&viewid=72c8641d%2D346a%2D420f%2Dbb73%2Dc30e0ad9dc93&parent=%2Fsites%2FCSTLTS%2FCOS%2FOTASA%2FShared%20Documents%2FTM and community health and outreach workers on reducing the risk for SIDS and other sleep-related causes of infant death using approaches speci�c to AI/AN cultures. In FY23, CDC began working with tribal recipients to review HNBP program materials and provide input and feedback on any needed updates to HNBP. In FY24, CDC will continue this work by expanding tribal input to include up to 1 additional tribal recipient. The recipient will bring together tribal leaders, elders, and other community members and work directly with CDC and CDC’s contractor to review all HNBP program materials and provide feedback. The recipient, along with previously funded recipients, will assist in developing and implementing a plan to pilot updated campaign materials and share lessons learned for future implementation with other tribes or tribal groups. Recipients currently funded under the Healthy Native Babies project are not eligible to apply.

Activities

· Bring together Tribal leaders, elders, and other leaders in AI/AN communities

· Provide feedback on HNBP materials

· Pilot updated HNBP materials

· Participate in developing a plan for implementation of the HNBP updated materials

Process Measures

· Number of tribal leaders, elders, and other community members engaged

· Number of people who review materials

· Survey of pilot program participants

· Number of people who have the opportunity to contribute to the implementation plan

Outputs

· Meetings held

· Documentation of feedback received

· Documentation of pilot activities, successes, challenges

· Documentation of development of an implementation plan to be completed in subsequent project years

Outcome(s)

· Meetings held

· Participants review the body of HNBP materials, including revised materials through pilot testing, and have an opportunity to provide feedback

· Participants have the opportunity to contribute to an implementation plan, and engage in implementation in future years

Outcome(s) Measures

85% of participants:

· Attend and engage in meetings

· Have the opportunity to provide feedback on materials

· Have the opportunity to contribute to a plan for later implementation

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

Expected Recipient Organizational Capacity

The recipient organization should have the ability to engage tribal leaders, elders and community participants to provide feedback on a body of public health training materials designed to provide community-informed training to local providers and community health and outreach workers on reducing the risks for SIDS and other sleep-related causes of infant death using approaches speci�c to AI/AN communities and cultures. The organization would need to convene meetings, share materials, and thoroughly document any discussions about needed updates to the current HNBP and accompanying materials. The organization should have experience in health communications, meeting organization and facilitation, and planning listening sessions.

Include skills, technology, organization reach, and infrastructure.

Expected Recipient Program Experience

Experience in understanding maternal child health issues is preferred but not required. Existing relationships with key tribal members who have the knowledge and ability to speak for other members and contribute to the further development of the materials is needed.

Include content expertise and target population relationship.

COLLABORATIVE WORK

Expectations for Collaboration, if applicable

The recipient will be expected to collaborate with CDC and CDC’s contractor on every aspect of the project.

The recipient should also collaborate with organizations that serve urban American Indian populations especially on the implementation planning.

Expected contractual/consultant work and recommended criteria for identifying or selecting contractors/consultants, if applicable

Not applicable.

BUDGET INSTRUCTIONS

Provide general instructions on any restrictions, limitations, or parameters on the use of funds, if applicable

Tribal organizations funded in FY23 under TO23-0001 for the HNBP project are ineligible for this FY24 opportunity.

CIO CERTIFICATION

By submitting this project plan as “Final”, I certify the following:

1. The project plan describes the proposed project and related activities my CIO expects to be completed during the budget period.

2. The proposed project is not designed to acquire goods or services to bene�t CDC or its mission. For example, the project will not be used to develop materials on behalf of CDC or its programs, or to conduct surveys and submit the data to CDC for its use.

3. My CIO’s O�ce of General Counsel representative(s) has/have reviewed the proposed project plan and found no legal or statutory limitations to what has been proposed.

4. I understand my CIO is responsible for conducting the objective/technical reviews and submitted funding packages to the DJS/PSIB Tribal Team.

5. Any conference or meeting will be ancillary to the project (i.e., the convening is not the primary goal or activity of the project).

6. I understand my CIO is responsible for adhering to all applicable scienti�c policies and securing requisite clearances in the Scienti�c Tracking and Reporting System (STARS) prior to initiating project activities that involve the collection, generation, or analysis of public health data.

ADMINISTRATIVE USE ONLY

Admin Update?

Yes No

Form Type

New CIO Project

Funding Year

FY24 (Year 2)

Submission Date

3/22/2024 4:00:00 AM

Used In

Submit form as *

Final

Use this “Submit form as Draft" �eld until you are ready to submit the �nal version. Then change this �eld to "Final" and click the "Submit" button when ready to submit as �nal. You cannot make edits after you submit as “Final.”

Program Services and Innovation Branch

Final

Funding Strategy 2: FY 2024 CIO Project Plan

CDC-RFA-TO-23-0001

Strengthening Public Health Systems and Services in Indian Country

Project Plan Template Instructions

GENERAL INFORMATION

Project Title *

Implementation of Electronic Case Reporting for Work-Related Asthma

CIO Lookup *

National Institute for Occupational Safety and Health

Division, O�ce, or Unit Lookup *

Respiratory Health Division

CIO Point of Contact(s) (POC) *

Katelynn Dodd

Name of individual serving as Technical Monitor (TM) for the project.

CIO POC Email(s) * yla8@cdc.gov

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

CIO POC Phone Number(s) *

304-285-6305 https://cdcpartners.sharepoint.com/:w:/s/CSTLTS/COS/OTASA/Ed8FYaVEXOhCtT5PrnnHy3oBDG6c0Vj0Pq7rwouDcEWvEA?e=Wqbmbw

The intended population for this project includes American Indian and Alaska Native working adults with work-related asthma.

PROJECT FUNDING

TO-23-0001 Period of Performance: August 31, 2023 – August 30, 2028 Budget Period Length: 12-months

Proposed Project Funding Per Recipient *

Whole numbers only

$ 100,000

Approximate Number of Awards *

Expected Length of Project *

The CIO will fund the project for the entire period of performance (5 years). The recipient will submit a continuation application for the project each budget period/year (approximately every 12 months).

The CIO will fund the project for two or more consecutive budget periods. The recipient will submit a

The CIO will fund the project for one year. The recipient will not submit a continuation application for the next budget period. The CIO will submit a new project plan for solicitation to fund the project for additional budget periods.

Strengthening Public Health Systems and Services in Indian Country Strategy (ies) that most relate to your

Yes Strategy 1: Foundational Public Health Capabilities implemented to strengthen the ability to conduct assessment/surveillance; prepare for and respond to public health emergencies;

develop and support policies, communications, community partnership, organizational competencies, and accountability and performance management.

Yes Strategy 2: Data Modernization activities to develop and deploy scalable, �exible, and sustainable technologies, policies, and methods to implement data and analytical capabilities to support the Essential Public Health Services.

No Strategy 3: Public Health Programs and Services implemented to strengthen the ability to comprehensively meet tribal public health needs.

No Strategy 4: Workforce activities to develop and maintain a diverse workforce with cross-cutting skills and competencies.

Strengthening Public Health Systems and Services in Indian Country Outcome(s) that most relates to your proposed project (Select one or more): *

No Improved capacity to develop public health programs and services to address prioritized public health activities in AI/AN communities.

Yes Improved capacity to implement public health programs and services to address prioritized public health activities in AI/AN communities.

No Improved capacity to evaluate public health programs and services to address prioritized public health activities in AI/AN communities.

TRIBAL PUBLIC HEALTH…

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