Appendix B CIO Projects.pdf

Center for State, Tribal, Local, and Territorial Support Division of Partnership and Program Services

Health Department Program Branch

FINAL

FY 2021 (Year 4) CIO Project Plans

CDC-RFA-OT18-18030401SUPP21

Tribal Public Health Capacity-Building and Quality Improvement Umbrella

Geographic Category A Eligible:

• Accelerating Public Health Data Modernization in Tribal Jurisdictions

Geographic Category B Eligible:

• Accelerating Public Health Data Modernization in Tribal Jurisdictions

Geographic Category C Eligible:

• The Implementation of Tele-Education for ACEs and Violence Prevention among the AI/AN population through Project ECHO

Geographic Categories A, B, and C Eligible:

• Building the Tribal Public Health Workforce Through Student Engagement

• Cultural Adaptation of the National Diabetes Prevention Program Prevent T2 Curriculum for Native

Programs

• Electronic Case Reporting for Tribes

• Enhance support for culturally appropriate early identification of children with developmental delays and disabilities

• Improving Tribal Data Sharing Capacity

CIO Projects: Geographic Category A Eligible Only

Division of Program and Partnership Services

Health Department Program Branch Final

FY 2021 CSTLTS Proposal for New Project

CDC-RFA-OT18-1803

Tribal Public Health Capacity-Building and Quality Improvement: Year 4 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 semi-colon.

CIO POC phone number:*

5 Geographic Category to Receive Capacity-Building and Quality Improvement Assistance:* Categories A and B

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:* (8/25 words maximum)

PROJECT FUNDING

OT18-1803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2021 – August 30, 2022

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

(Whole numbers only)

CSTLTS Comple�on (Internal Use Only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for the en�re remaining period of performance (2 years). The recipient will submit a con�nua�on applica�on for the project each budget period (every 12 months).

The CIO will fund the project for one year. The recipient 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 ac�vi�es, expected outputs, expected outcomes, and approximate number of awards.

751/1,000 words maximum

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

Rachel Kossover-Smith gvb7@cdc.gov

4046394352

Tribal Public Health Departments, Tribal Epidemiology Centers

$250,000

In response to a new FY2020 Congressional appropria�on, this funding opportunity will support tribal jurisdic�ons in developing and deploying world-class 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 insight-driven 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 d t f t ll l l f t f ll di d di� th bli h lth it t d i it d t t h it kf https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/CIO/Project%20Plan%20Template%20Instructions%20FY21.pdf

10 Approximate Number of Awards:*

TRIBAL PUBLIC HEALTH CAPACITY-BUILDING AND QUALITY IMPROVEMENT PROGRAM APPROACH – NOFO LOGIC MODEL 11 Tribal Capacity-Building 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, results-driven partnerships at various levels

12 Tribal Capacity-Building and Quality Improvement Program Outcomes (Check one or more):*

Short-Term

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

Increased use of core and discipline-specific public health competencies among public health workers

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

Transla�on of evidence-based and evidence-informed prac�ces into culturally appropriate public health programs, policies, and services 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 be�er protect the public’s health.

This funding opportunity supports tribal jurisdic�ons , who have data sovereignty over their own public health data, to develop and deploy world-class 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 authori�es, including tribal juirisdic�ons and associated tribal epidemiology centers, 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.

Examples:

• Online Courses

• Collabora�on with academic ins�tu�ons

• Collabora�on with other AI/AN data-related ac�vi�es

• Costs for staff to be trained at in-person courses

• Par�cipa�on in peer-to-peer 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, be�er, 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 ; and reduce AI/AN racial misclassifica�on in surveillance data, 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 OT18-1802 AI/AN ac�vi�es that may complement workforce development with tools, 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 be�er 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 scale-up 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:

• Web-based data collec�on and survey tools

• Data exchange and interoperability services

• Analysis and visualiza�on services

• Peer-to-peer technical assistance supported by other organiza�ons https://partner.cdc.gov/Sites/OSTLTS/COS/OTASA/Shared%20Documents/CIO/Logic%20Model.pdf

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�ce-based evidence programs and services

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

13 Recipient Organiza�onal Capacity:* 100/200 words maximum Include skills, technology, organiza�on reach, and infrastructure.

14 Recipient Program Experience:* 34/200 words maximum Include content exper�se and target popula�on rela�onship.

COLLABORATIVE WORK

15 Expecta�ons for Collabora�on, if applicable: 72/200 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 capacity-building and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 41/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 4/100 words maximum

CIO CERTIFICATION

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

ADMINISTRATIVE USE ONLY

Recipient Name:

Submission Date:

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

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 funded for data moderniza�on ac�vi�es under CK19- 1904 – Epidemiology and Laboratory Capacity Coopera�ve Agreement, and CSTLTS funded partners under OT18-1802, 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. Applicants are also encouraged to collaborate with Indian Health Services as appropriate.

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.

No addi�onal requirements.

02/26/2021

CIO Projects: Geographic Category B Eligible Only

Health Department Program Branch Final

FY 2021 CSTLTS Proposal for New Project

CDC-RFA-OT18-1803

Tribal Public Health Capacity-Building and Quality Improvement: Year 4 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 semi-colon.

CIO POC phone number:*

5 Geographic Category to Receive Capacity-Building and Quality Improvement Assistance:* Categories A and B

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:* (8/25 words maximum)

PROJECT FUNDING

OT18-1803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2021 – August 30, 2022

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

(Whole numbers only)

CSTLTS Comple�on (Internal Use Only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for the en�re remaining period of performance (2 years). The recipient will submit a con�nua�on applica�on for the project each budget period (every 12 months).

The CIO will fund the project for one year. The recipient 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 ac�vi�es, expected outputs, expected outcomes, and approximate number of awards.

751/1,000 words maximum

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

Rachel Kossover-Smith gvb7@cdc.gov

4046394352

Tribal Public Health Departments, Tribal Epidemiology Centers

$250,000

In response to a new FY2020 Congressional appropria�on, this funding opportunity will support tribal jurisdic�ons in developing and deploying world-class 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 insight-driven 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 d t f t ll l l f t f ll di d di� th bli h lth it t d i it d t t h it kf https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/CIO/Project%20Plan%20Template%20Instructions%20FY21.pdf

11 Tribal Capacity-Building 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, results-driven partnerships at various levels

12 Tribal Capacity-Building and Quality Improvement Program Outcomes (Check one or more):*

Short-Term

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

Increased use of core and discipline-specific public health competencies among public health workers

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

Transla�on of evidence-based and evidence-informed prac�ces into culturally appropriate public health programs, policies, and services 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 be�er protect the public’s health.

This funding opportunity supports tribal jurisdic�ons , who have data sovereignty over their own public health data, to develop and deploy world-class 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 authori�es, including tribal juirisdic�ons and associated tribal epidemiology centers, 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.

Examples:

• Online Courses

• Collabora�on with academic ins�tu�ons

• Collabora�on with other AI/AN data-related ac�vi�es

• Costs for staff to be trained at in-person courses

• Par�cipa�on in peer-to-peer 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, be�er, 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 ; and reduce AI/AN racial misclassifica�on in surveillance data, 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 OT18-1802 AI/AN ac�vi�es that may complement workforce development with tools, 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 be�er 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 scale-up 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:

• Web-based data collec�on and survey tools

• Data exchange and interoperability services

• Analysis and visualiza�on services

• Peer-to-peer technical assistance supported by other organiza�ons

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�ce-based evidence programs and services

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

13 Recipient Organiza�onal Capacity:* 100/200 words maximum Include skills, technology, organiza�on reach, and infrastructure.

14 Recipient Program Experience:* 34/200 words maximum Include content exper�se and target popula�on rela�onship.

COLLABORATIVE WORK

15 Expecta�ons for Collabora�on, if applicable: 72/200 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 capacity-building and quality improvement go towards tribal public health departments?* Yes No

Briefly describe how. : * 41/200 words maximum

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 4/100 words maximum

CIO CERTIFICATION

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

ADMINISTRATIVE USE ONLY

Recipient Name:

Submission Date:

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

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 funded for data moderniza�on ac�vi�es under CK19- 1904 – Epidemiology and Laboratory Capacity Coopera�ve Agreement, and CSTLTS funded partners under OT18-1802, 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. Applicants are also encouraged to collaborate with Indian Health Services as appropriate.

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.

No addi�onal requirements.

CIO Projects: Geographic Category C Eligible Only

Health Department Program Branch Final

FY 2021 CSTLTS Proposal for New Project

CDC-RFA-OT18-1803

Tribal Public Health Capacity-Building and Quality Improvement: Year 4 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 15/15 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 semi-colon.

CIO POC phone number:*

5 Geographic Category to Receive Capacity-Building 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:* (9/25 words maximum)

PROJECT FUNDING

OT18-1803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2021 – August 30, 2022

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

(Whole numbers only)

CSTLTS Comple�on (Internal Use Only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for the en�re remaining period of performance (2 years). The recipient will submit a con�nua�on applica�on for the project each budget period (every 12 months).

The CIO will fund the project for one year. The recipient 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 ac�vi�es, expected outputs, expected outcomes, and approximate number of awards.

618/1,000 words maximum

The Implementa�on of Tele-Educa�on for ACEs and Violence Preven�on among the AI/AN popula�on through Project ECHO

Kimberly Taylor k�4@cdc.gov

404.498.6892

Behavioral health specialists in tribal and rural communi�es, including reserva�ons.

$300,000

American Indian/Alaska Na�ve (AI/AN) popula�ons experience a dispropor�onate burden of adverse childhood experiences (ACEs)-associated health outcomes and sexual assault. ACEs include poten�ally trauma�c experiences that can impact children and youth, including youth violence, da�ng violence, sexual violence, and community violence. When studied, AI/AN popula�ons have significantly higher ACE scores than non-Hispanic whites. Sexual violence towards women and young girls is especially prevalent in tribal and rural communi�es (Breiding et al., 2014; Lewis, 2003) with high numbers of AI/AN women and girls trafficked. Currently, li�le informa�on is available to behavioral health specialists that provide educa�on on the shared risk and protec�ve factors between ACEs and sexual violence against AI/AN women and girls. These outcomes are interconnected and preven�on strategies that address the shared root causes and bolster shared protec�ve factors can provide innova�ve opportuni�es for comprehensive preven�on strategies. Partnering with Project ECHO will allow NCIPC to explore an innova�ve training pla�orm, proven to be effec�ve in reaching providers in underserved areas. This project addresses key priority and cross-cu�ng areas including ACEs and tribal peoples and aligns with the Injury Center priori�es and DVP's strategic vision.

Project ECHO (Extension for Community Healthcare outcomes) was originally intended to train and mentor primary care physicians on a variety of health issues using videoconferencing for case-based learning, ideal for reaching rural and underserved areas (Komaromy et al., 2016), key places for outreach and educa�on of behavioral health specialists. This proposal seeks to explore Project ECHO as a poten�al educa�on and outreach mechanism and leverage past NCIPC and DVP investments in tribal work, e.g., Eagle Books (FY18), DVP Tribal Listening sessions (FY19), and other past projects (e.g., AAIP partnership to prevent ACEs and summer 2018 ICRC intern's systema�c review of AIAN violence preven�on programs). Collec�vely, this work has verified the need for culturally specific and tailored materials.

Through a coopera�ve agreement with a Project ECHO Ins�tute Partner a telemodule or "echo" on the interconnec�ons between ACEs (including child abuse and https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/CIO/Project%20Plan%20Template%20Instructions%20FY21.pdf

11 Tribal Capacity-Building 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, results-driven partnerships at various levels

12 Tribal Capacity-Building and Quality Improvement Program Outcomes (Check one or more):*

Short-Term

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

Increased use of core and discipline-specific public health competencies among public health workers

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

Transla�on of evidence-based and evidence-informed 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�ce-based evidence programs and services

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

13 Recipient Organiza�onal Capacity:* 197/200 words maximum

Through a coopera�ve agreement with a Project ECHO Ins�tute Partner, a telemodule or echo on the interconnec�ons between ACEs (including child abuse and neglect, sexual violence, partner violence, and youth violence) and sexual violence preven�on will be developed, implemented, and evaluated for efficacy with behavioral health specialists. Behavioral health specialists may also benefit from the training by using a comprehensive approach to create cross-sectoral partnerships as everyone has a role in preven�on. Tele-educa�on and mentoring represents an important opportunity to engage with tradi�onal and non-tradi�onal public health partners to create comprehensive approaches to violence preven�on, especially in Indian Country where rural loca�ons and other issues affect training opportuni�es.

This project provides a cross-cu�ng approach to injury preven�on and provides evalua�on for the efficacy of Project ECHO as an effec�ve tool for injury preven�on to use when reaching underserved areas. Project ECHO is also uniquely posi�oned as a virtual/distance learning pla�orm.

Proposed ac�vi�es and outcomes include:

a. Develop the content for a training module on the preven�on of sexual violence and the interconnec�ons to adverse childhood experiences (ACEs) and other forms of violence. The module will cover the preven�on of mul�ple forms of violence, sectors involved, cross-sectoral connec�ons, connec�ons to AI/AN communi�es, iden�fying preven�on resources and programs in the community, and connec�ng people to services (both federal, state, regional and local).

b. The recipient will suggest module length, iden�fy key learning objec�ves, delivery, and the key audience (behavioral health specialists).

c. Pilot the module with (9) behavioral health specialists working within the AI/AN communi�es.

d. Evaluate the module for efficacy as an effec�ve tool for behavioral health specialists to reach underserved areas.

Project ECHO began in 2003, offers low-cost, scalable solu�on that increased the capacity of health workers in underserved communi�es to provide best-prac�ce care to their pa�ents. The ECHO model is not tradi�onal "telemedicine" where the specialist assumes care of the pa�ent, but is instead telementoring, a guided prac�ce model where the par�cipa�ng clinician retains responsibility for managing the pa�ent. Tele-educa�on and mentoring represents an important opportunity to engage with tradi�onal and non-tradi�onal public health partners to create comprehensive approaches to violence preven�on, especially in Indian Country where rural loca�ons and other issues affect training opportuni�es. Project ECHO is also uniquely posi�oned as a virtual/distance learning pla�orm.

The Project ECHO team trains and supports hub partners around the world on how to use the ECHO model for priority social challenges. ECHO partners in 40 countries operate more than 860 ECHO networks, which have trained more than 140,000 professionals in their field.

Project ECHO is based at the University of New Mexico Health Sciences Center in Albuquerque, New Mexico, USA, and across the globe by forming and suppor�ng partnerships with over 250 organiza�ons The key to our success has been ini�a�ves focused on specific challenges and supported by strong partners

14 Recipient Program Experience:* 181/200 words maximum

15 Expecta�ons for Collabora�on, if applicable: 88/200 words maximum

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

24/200 words maximum

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

BUDGET INSTRUCTIONS

18 Provide general instruc�ons on any limita�ons or parameters for expenditure or use of funds, if applicable: 66/100 words maximum

CIO CERTIFICATION

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

ADMINISTRATIVE USE ONLY

Recipient Name:

Submission Date:

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

partnerships with over 250 organiza�ons. The key to our success has been ini�a�ves focused on specific challenges and supported by strong partners.

The ECHO Ins�tute collaborates with various partners across Indian Country to deliver HCV, HIV and tuberculosis (TB) exper�se to rural and underserved areas by linking Indian Health Service (IHS), tribal health and Urban Indian Health (I/T/U) providers with a panel of mul�-disciplinary experts as well as their peers. ECHO collaborates with the IHS to provide expert advice on the management of HCV pa�ent cases during our Indian Country HCV TeleECHO sessions.

ECHO, IHS, Gallup Indian Medical Center and the New Mexico regional partner site of South Central AIDS Educa�on and Training Center collaborate to provide a mul�disciplinary team of HIV experts during our Indian Country HIV TeleECHO sessions. The IHS TB TeleECHO serves the Navajo Na�on through a collabora�on with New Mexico, Arizona and Navajo Na�on departments of health, and the IHS to support a comprehensive TB case management approach for the pa�ent care teams.

These partnerships, through the use of the ECHO model, build a community of learning and prac�ce among the I/T/U providers and increase access to high quality specialty care in areas where pa�ents may not otherwise have access.

The objec�ve of this project is to develop a training module on the interconnec�ons on ACEs (including child abuse and neglect, sexual violence, partner violence, and youth violence) and sexual violence preven�on and train behavioral health specialists on a comprehensive approach to violence preven�on for the tribal community. The module covers the role of primary preven�on, sectors, cross-sectoral connec�ons, connec�ons to AI/AN communi�es, iden�fying primary preven�on resources and programs in the community, connec ng people to services (both federal, state, regional and local), importance of cross-sectoral services, and coali�on building.

The proposed mechanism is a coopera�ve agreement with the Northwest Portland Indian Health Board – an ECHO ins�tute partner.

There could be barriers if the Project Echo partner are not prepared to take on this work, however, we are making prepara�ons to inform them of the work in advance. The budget is comparable to past Project Echo “echo” developments and efficacy evalua�ons. Further, the module would be piloted with current behavioral health employed by the federal government via Indian Health Service and/or Bureau of Indian Affairs.

03/10/2021

CIO Projects: Geographic Category A,B, and C Eligible

Health Department Program Branch Final

FY 2021 CSTLTS Proposal for New Project

CDC-RFA-OT18-1803

Tribal Public Health Capacity-Building and Quality Improvement: Year 4 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 8/15 words maximum

2 CIO* NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

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 semi-colon.

CIO POC phone number:*

Improvement Assistance:* All Categories

Category C: HHS Regions 8, 9, and 10

6 Descrip�on of the Target Popula�on:* (4/25 words maximum)

PROJECT FUNDING

OT18-1803 Period of Performance Length: August 1, 2018 – July 31, 2023

Budget Period Length: August 31, 2021 – August 30, 2022

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

(Whole numbers only)

CSTLTS Comple�on (Internal Use Only) Funded Unfunded

8 Expected Length of Project:*

The CIO will fund the project for the en�re remaining period of performance (2 years). The recipient will submit a con�nua�on applica�on for the project each budget period (every 12 months).

The CIO will fund the project for one year. The recipient 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 ac�vi�es, expected outputs, expected outcomes, and approximate number of awards.

564/1,000 words maximum

Building the Tribal Public Health Workforce Through Student Engagement

Mary Hall; Shannon Saltclah moh4@cdc.gov; oqk8@cdc.gov

770-488-5309; 678.296.2788

American Indian/ Alaska Na�ve Students

$200,000

The purpose of this award is to increase the number of young people interested in becoming part of the public health workforce in Indian country.

Recruitment and reten�on of healthcare professionals, par�cularly in remote and rural areas, is a persistent challenge. (1) This challenge has led to the designa�on of groups of federally recognized Na�ve American tribes as Health Professional Shortage Area popula�on groups. (2) It is therefore important that youth, early in their educa�onal path, consider public health in tribal communi�es as a career choice. O�en, youth in rural and tribal communi�es are not aware of public health as a possible profession, and therefore they do not pursue the coursework and experien�al opportuni�es necessary for pursuing a career in public health. Mentorship, in par�cular by professionals with similar cultural backgrounds and experiences, is an important means of encouraging youth to consider public health as a career choice. Finally, opportuni�es that can provide hands-on experiences in tribal communi�es and tribal organiza�ons, can provide youth both an understanding of the needs and context of working in these communi�es, as well as a sense for their poten�al role in the public health workforce.

We will fund a single Tribe/ Tribal organiza�on to conduct the following proposed ac�vi�es:

1. Establish or enhance rela�onships with educa�onal ins�tu�ons at mul�ple levels, including middle school, high schools and Tribal Colleges and Universi�es, focused on iden�fying students poten�ally interested in public health as a career op�on

2. Partner with educa�onal ins�tu�ons, and other American Indian Alaska Na�ve educa�on-related organiza�ons, such as American Indian Science and Engineering Society (AISES), to further develop knowledge, skills, and a�ributes of students interested in public health, and barriers to pursuing public health as a https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/OTASA/Shared%20Documents/CIO/Project%20Plan%20Template%20Instructions%20FY21.pdf

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, results-driven partnerships at various levels

12 Tribal Capacity-Building and Quality Improvement Program Outcomes (Check one or more):*

Short-Term

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

Increased use of core and discipline-specific public health competencies among public health workers

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

Transla�on of evidence-based and evidence-informed 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�ce-based 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.

g g y ( ), p g , , p , p g p career choice.

3. Conduct outreach in a variety of educa�onal se�ngs (middle schools, high schools, colleges, youth groups, 4H clubs, sports clubs, etc) to educate students about public health and the value of considering public health as a career choice.

4. Establish or enhance partnerships with a variety of public health organiza�ons (clinics, health departments, non-profit organiza�ons, tribal epidemiology centers, etc.) in tribal communi�es to develop hands-on opportuni�es for students to engage in public health ac�vi�es.

5. Develop or enhance guidance for culturally-appropriate and suppor�ve mentoring of students engaged in hands-on public health experiences;

6. Pilot, with at least 3 students at middle school, high school and/or college level, hands-on public health experiences to encourage considera�on of public health as a career op�on.

7. Develop a set of lessons learned and recommenda�ons, based on project experiences, for other tribes/ tribal organiza�ons in: developing rela�onships with educa�onal ins�tu�ons; developing partnerships with public health organiza�ons to create hands-on student opportuni�es; developing mentorship for students working in tribal communi�es; and conduc�ng a pilot…