Category A CIO Project Plans_Modified.pdf

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Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health
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CDC-RFA-PW-24-00800101SUPP24
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This document is a set of project plans for a federal grant opportunity from the Department of Health and Human Services. The grant is through the Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health program (CFDA 93.421). The purpose of the grant is to provide funding for organizations to engage in capacity-building assistance (CBA) activities in areas such as organizational capacity, workforce, data modernization, partnerships, and policy.

The project plans cover several initiatives, including providing direct support and technical assistance to state health agencies in Puerto Rico, North Carolina, South Carolina, and Florida related to hurricane recovery efforts. Other plans include developing guidance and training for local health departments on responding to chemical emergencies, enhancing modeling and forecasting capacity of state/local health departments, and embedding disability inclusion into the public health workforce. The total proposed funding across the various project plans is $3.3 million, with expected project lengths of 1 year. Eligible applicants are state governments, non-profits, higher education institutions, and other public health entities. Applications are due by a certain date, with anticipated award dates and project start dates stated.

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Project Title: Hurricane Fiona Recovery: PR Direct Support and TA

Population of Focus: Category A: Governmental Public Health Departments

Population of Focus Description:

State health Agencies

Project Plan Details Project Purpose: The purpose of this project is to provide Direct Support and Technical Assistance to Puerto Rico for capacity building related to the consequences of Hurricanes Fiona and Ian.

CIO: ATSDR

Division/Branch/Office /Unit:

Office of the Director (OD)

Proposed FY24 Project Funding Total:

$1,000,000.00

Funding Appropriation:

75-2324-0943 Consolidated Appropriations Act, 2023

Funding Statutory Authority:

P.L. 117-328

Expected Project Length:

1 Year

Recipient Organizational Capacity:

Applicant organizations must demonstrate sufficient capability and capacity to carry out activities proposed. The applicant organization must have the capacity to effectively and efficiently collaborate with state and territorial environmental health directors and other state level public health staff. This project requires a significant level of staff time and diligence to ensure constant communication.

The applicant organization should possess the capacity to facilitate discussions with assess needs, developing jurisdictional specific support, implementing/executing timely activities, and evaluating impacts. The organization must implement work activities and meet specified objectives with defined deliverables in a time-oriented manner as identified in the work plan for each jurisdiction. Additionally, applicants should provide evidence of past success in organizing, managing, and implementing similar disaster recovery projects with state and territorial environmental health professionals.

Recipient Program Experience:

The applicant must have experience providing similar disaster recovery projects with state/territorial environmental health directors and other state level public health staff. The applicant should have staff that are knowledgeable of environmental health principles. Experience coordinating disaster recovery projects is essential. Additionally, applicants must demonstrate expertise in helping state and territorial public health agencies build capacity to respond to environmental public health challenges, and must serve environmental health directors in state and/or territorial public health agencies. Additionally, applicant must demonstrate past experience with successfully organizing, managing, and implementing disaster recovery projects.

Expectations for Collaboration:

The applicant will be expected to regularly collaborate with state and territorial jurisdictions on their needs, priorities, timelines, and deliverables. The applicant organization should consider their support to the jurisdictions in a manner that is not burdensome to the jurisdiction.

Expected Subcontractual Work and Criteria:

The applicant is expected to subcontract as needed under the activities outlined in this project plan and as determined based on jurisdictional requirements.

Applicant should have successful experience with implementing sub contractual work and required criteria.

General Instructions for Use of Funds:

Disaster recovery support to Environmental Health equities with PR. The recipient is encouraged to maintaining continuity of support from the FY24 partner support to same jurisdictions. Work closely with technical monitor to coordinate support. Applicants should follow all other budget requirement outlined in the NOFO.

Strategic Area: Organizational Capacity and Performance Improvement

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate:

Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: Trainings and Technical Assistance:

• Engage jurisdictional stakeholders to align training requests to post disaster needs, timelines, existing workforce development plans, and other requirements.

• Facilitate and coordinate trainings and/or train the trainer opportunities to build technical competencies and capacity based on consequences of Hurricanes Fiona and Ian, with emphasis on environmental public health preparedness, response, and recovery.

• Provide subcontracting as needed/required by jurisdictions to ensure effective and appropriate training.

• Ensure trainings are provided via in-person and/or remote and language appropriate, while promoting accessibility and equity of all participants based on jurisdictional needs and requirements.

• Evaluate trainings for effectiveness.

Supplies/Printing:

• Provide direct support to state and territorial health agencies for printing of materials and procurement of supplies related to the consequences of Hurricanes Fiona and Ian (up to $20K).

Process Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Trainings and Technical Assistance:

• Status of trainings planned and conducted

• Percent of trainings conducted

• Cost per training, by jurisdiction and number of participants

• Evaluation of training content, impact, quality, relevance, usefulness by trainees

Supplies/ Printing:

• Status of requesting list of need for supplies and licensing

• Percent procured

Outputs: Trainings and Technical Assistance:

• Training Materials

• Training Evaluation Plan

• List of trainings, categorized by environmental public health competencies and capabilities

• Training Evaluation Report Supplies/ Printing:

• List of supplies and licensing by jurisdiction

• Delivery of supplies and licensing to each jurisdiction

Budget Period Outcomes:

Trainings and Technical Assistance:

• Increased competencies for public health staff in support of environmental health emergencies

• Enhanced jurisdictional workforce development programs

• Improved quality, effectiveness and efficiency of EH preparedness and response activities.

Supplies/ Printing:

Increased capacity and improved performance of environmental health programs as a result of direct support of materials provided.

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Trainings and Technical Assistance:

• Enhanced decision making of disaster response leadership during emergencies

• Increased productivity, effectiveness, and job satisfaction among workforce

• Enhanced capacity for public health workforce to implement environmental health emergency capabilities

• Improved comprehensive curriculum for environmental health emergency management

• Strengthened workforce with improved technical competencies for environmental health emergency capabilities

• Change in knowledge acquired, attitude changed, and behavioral skills used (acquisition of skills/ modification of existing activities, and uptake of new skills).

• Intent and opportunity for application of knowledge, skills, expertise via actionable steps

• Perceived benefits to the organization relative to the training

• Increase in confidence level and capabilities to carry out roles and responsibilities as it pertains to EH preparedness and response

• Impact of trainings on overall preparedness for future hurricanes and related storms.

Supplies/ Printing:

Explanation of how the supplies will be utilized for hurricane recovery work.

Improved efficiency and productivity as a result of use of supplies and/or licenses.

Strategic Area: Workforce

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas

Activities: • Provide direct environmental health related staffing support, financial support (e.g., subaward), and technical assistance to state and territorial health agencies for capacity building related to the consequences of Hurricanes Fiona and Ian.

This includes support to address the specific jurisdictional needs of hiring, which could include: conducting the interviewing and hiring process; providing appropriate on-boarding and payroll services; procuring needed equipment to perform their duties; travel; developing workplans and resolving any direct staffing related issues.

• Regular communication, follow-ups, and updates to jurisdictions.

• Evaluate the impact of direct staffing support to the jurisdictions.

Process Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

• Status of engaging jurisdictions to scope program development needs

• Status of engaging key partners

• Status of program development guidance for jurisdictions

• Status of supporting jurisdictions to develop workplans

• Status of supporting jurisdictions to develop jurisdictional environmental health emergency planning

• Status of scoping additional technical assistance needs

Outputs: • List of jurisdictional needs

• Program development guidance materials

• Workplans with deliverables and timelines

• Technical assistance to jurisdictions

• Evaluation report

Budget Period Outcomes:

• Increased effectiveness of environmental health emergency coordinators

• Enhanced capacity for environmental health emergency planning

• Strengthened jurisdictional emergency environmental health capabilities

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

• Improved effectiveness and efficiency of environmental health programs and services

• Enhanced role of environmental public health in protecting communities

• Improved implementation of evidence-based emergency operations standards

• Increased capacity for jurisdictions to build emergency environmental health capabilities

• Projects completed/ executed in priority areas of EH recovery and hurricane preparedness for jurisdiction.

• Increase in jurisdiction’s abilities to prepare for and recover from future hurricanes.

Project Title: Local Health Official Chemical Emergency Guide

Population of Focus Description:

Local health departments

Project Plan Details Project Purpose: The purpose of this project is to utilize knowledge gained to further develop guidance and training opportunities for local health departments to engage in low probability/high risk incidents within their jurisdiction. This will be accomplished to further continue efforts to improve upon and socialize the LHO Chemical Emergency Guide through tabletop exercises and feedback from federal partners in order to help local health departments to be plan for and respond to low probability/high risk chemical events.

CIO: ATSDR

Division/Branch/Office /Unit:

Office of the Director (OD)

Proposed FY24 Project Funding Total:

$165,000.00

Funding Appropriation:

75-23-0944; ATSDR

Funding Statutory Authority:

CERCLA

Expected Project Length:

1 Year

Recipient Organizational Capacity:

Organization needs the capacity to identify and access participants in small, medium, and large local health departments with jurisdictions representing various chemical industries, transportation hubs and agricultural economies.

Ability to engage with variety of jurisdictions and select appropriate jurisdictions to participate in the project. Ability to identify low-cost training options to cross train local staff members in working with hazardous substances, engaging with first responders and first receivers reviewing environmental data and acting as a support agency to risk managers. Ability to conduct tabletop exercises for jurisdictions and incorporate feedback into additional training opportunities. Ability to produce and publish tabletop exercises and communication templates related to chemical emergencies.

Recipient Program Experience:

Recipient should have appropriate subject matter experts with experience in chemical emergency response, environmental health, and the aftermath of such incidents. Recipient should also have knowledge and experience in interagency preparedness and response activities: including emergency or contingency planning, exercise planning and execution, incident management systems.

Expectations for Collaboration:

Collaborations with other organizations that can expand the outreach to the target professional to contribute to the understanding of the issues of public health response to chemical emergencies in a community. Such emergencies for most communities are low probability events that can have significant consequence.

Expected Subcontractual Work and Criteria:

The applicant is expected to subcontract as needed under the activities outlined in this project plan and as determined based on requirements. Applicant should have successful experience with implementing sub contractual work and required criteria.

Recipient should be prepared to conduct tabletop exercises with local health departments using the local health department chemical emergency guide and other relevant resources during the project period. The health departments should differ in size of population, rural versus urban domain, and risks to hazards identified. The tabletop exercises should be conducted in person and should include all relevant state, local, and federal health partners and organizations, such as the state and regional response teams, etc. as appropriate.

Strategic Area: Organizational Capacity and Performance Improvement

Strategic Area Details

Outcomes: Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate: Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: - Publish and promote 3-5 finalized tabletop exercise toolkit (e.g. templates, instructions, and guidance materials) for self-administration by Local Health Departments to prepare for low probability/high risk chemical events

- Coordinate with Subject Matter Experts and jurisdictions that have experienced chemical emergencies to develop communication materials (e.g. fact sheets, frequently asked questions, and templates) and resources that could be used by local health departments during and after a chemical emergency

Process Measures: - Number of published tabletop exercises toolkits

- Number of published Communication materials

- Number of promotional outreach and/or communication materials for tabletop exercises

- Number of tabletop exercises conducted

Outputs: - Tabletop exercise toolkit

- Communication materials and templates

- Revision of the Local Health Officials Chemical Emergency Guide to include updated information and materials based off tabletop exercises conducted.

Budget Period Outcomes:

- Enhanced capability and understanding at local health departments in how to respond to chemical emergencies

- Increased partnerships with local, state, and federal partners and organizations local health departments can utilize to respond successfully to chemical emergencies.

- Increased awareness of tools and resources available for local health departments to respond to chemical emergencies.

Outcome Measures: - Increase capability of local health departments to engage in low probability/high risk chemical emergencies through the development of at minimum of the creation and publication of one fact sheet regarding frequently or commonly asked questions from communities before, during and after chemical emergencies and the development of at least three communication templates for jurisdictions to use to communication shelter in place, evacuation and returning to a home after a chemical emergency.

- Increased availability of training and resources to respond to for low probability/high risk chemical emergencies by publishing on recipient or comparable website.

- Increase in partnerships at the local health department to respond to low probability/high risk chemical emergencies by adding at least one new partner and/or increasing awareness of additional partners at the local, state, or federal level when respond to chemical emergencies.

Strategic Area: Partnership Development and Engagement

Strategic Area Details

Outcomes: Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: - Engage with state and federal partners who respond to chemical emergencies to enhance understanding, capacity, and coordination at local health departments.

- Establish a community of federal, state and local health jurisdictions to discuss and identify areas, practices and skills by which Local Health Departments can engage with partners before, during, and after incidents.

Process Measures: - Number of Federal and state partners engaged

- Number of presentations to federal and state partners

- Number of facilitated sessions between local, state and federal partners

Outputs: - Promotion of community and engagement of partners

- Notes and summaries from the facilitated meetings

- Publishing of best practices gathered from community

Budget Period Outcomes:

Increased awareness of how all partners work in the chemical emergencies space and resources available to local health jurisdictions before, during and after a chemical emergency

Outcome Measures: Increased communication and collaboration between local health departments, state health departments and federal partners before, during and after a chemical emergency. At least one presentation to a federal group of partners about the Local Health Officials Chemical Emergency Guide.

Strategic Area: Workforce

Strategic Area Details

Outcomes: Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate: Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: - Design, plan, and publish 3-5 tabletop exercises using the Local Health Officials Chemical Emergency Guide, with an emphasis on improving chemical preparedness, planning, and response under jurisdictional variations of governance structures (home rule and centralized decision making), chemical scenarios, and population levels (urban, suburban, and rural)

- Conduct tabletop exercises with a mixture of both rural and urban jurisdictions, to build technical competencies, capacity for public health emergency capabilities during chemical emergencies and to help local health departments understand their roles and responsibilities in a low probability/high risk chemical emergency.

- Collaborate with key partners to design tabletop exercises with best practices, lessons learned, and new information and guidance related to chemical emergencies.

- Ensure exercises are provided via in-person and language appropriate, while promoting accessibility and equity of all participants based on jurisdictional needs. Locations could be at local health departments or at national conference.

- Engage jurisdictional stakeholders to align tabletop exercise to existing emergency planning, workforce development, and other requirements.

- Evaluate trainings for effectiveness.

Process Measures: - At minimum, conduct monthly meetings with ATSDR partners

- Status of exercises designed, planned, and conducted on a routine bases (or monthly, etc.)

- Percent of exercises conducted

- Percent of exercise evaluated

Outputs: - Exercise Materials for in person tabletop exercises

- Exercise Evaluation Plan

- Published tabletop exercises for jurisdictions to use to prepare for chemical emergencies.

Budget Period Outcomes:

- Enhanced jurisdictional planning for and responding to chemical emergencies

- Enhanced coordination with and understanding of local, state and federal roles in chemical emergencies

Outcome Measures: - Enhanced decision making of disaster response leadership during chemical emergencies

- Enhanced capacity for public health workforce to implement environmental health emergency capabilities through the publication of tabletop exercises dealing with low probability/high risk chemical emergencies that jurisdictions may use to enhance training and capability.

- Improved comprehensive curriculum for environmental public health emergency management, which includes the development and implementation of tabletop exercises for jurisdictions dealing with chemical emergencies.

- Strengthened workforce capacity with improved technical competencies for environmental health emergency capabilities which will be demonstrated through the evaluation of the chemical emergency tabletop exercises.

Project Title: Hurricane Ian Recovery: NC/SC Direct Support and TA

Population of Focus Description:

State health Agencies

Project Plan Details Project Purpose: The purpose of this project is to provide Direct Support and Technical Assistance to North Carolina and South Carolina for capacity building related to the consequences of Hurricanes Fiona and Ian.

CIO: ATSDR

Division/Branch/Office /Unit:

Office of the Director (OD)

Proposed FY24 Project Funding Total:

$800,000.00

Funding Appropriation:

75-2324-0943 Consolidated Appropriations Act, 2023

Funding Statutory Authority:

P.L. 117-328

Expected Project Length:

1 Year

Recipient Organizational Capacity:

Applicant organizations must demonstrate sufficient capability and capacity to carry out activities proposed. The applicant organization must have the capacity to effectively and efficiently collaborate with state and territorial environmental health directors and other state level public health staff. This project requires a significant level of staff time and diligence to ensure constant communication.

The applicant organization should possess the capacity to facilitate discussions with assess needs, developing jurisdictional specific support, implementing/executing timely activities, and evaluating impacts. The organization must implement work activities and meet specified objectives with defined deliverables in a time-oriented manner as identified in the work plan for each jurisdiction. Additionally, applicants should provide evidence of past success in organizing, managing, and implementing similar disaster recovery projects with state and territorial environmental health professionals.

Recipient Program Experience:

The applicant must have experience providing similar disaster recovery projects with state/territorial environmental health directors and other state level public health staff. The applicant should have staff that are knowledgeable of environmental health principles. Experience coordinating disaster recovery projects is essential. Additionally, applicants must demonstrate expertise in helping state and territorial public health agencies build capacity to respond to environmental public health challenges, and must serve environmental health directors in state and/or territorial public health agencies. Additionally, applicant must demonstrate past experience with successfully organizing, managing, and implementing disaster recovery projects.

Expectations for Collaboration:

The applicant will be expected to regularly collaborate with state and territorial jurisdictions on their needs, priorities, timelines, and deliverables. The applicant organization should consider their support to the jurisdictions in a manner that is not burdensome to the jurisdiction.

Expected Subcontractual Work and Criteria:

The applicant is expected to subcontract as needed under the activities outlined in this project plan and as determined based on jurisdictional requirements.

Disaster recovery support to Environmental Health equities with NC/SC. The recipient is encouraged to maintaining continuity of support from the FY24 partner support to same jurisdictions. Work closely with technical monitor to coordinate support. Applicants should follow all other budget requirement outlined in the NOFO.

Strategic Area: Organizational Capacity and Performance Improvement

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate:

Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: Trainings and Technical Assistance:

• Engage jurisdictional stakeholders to align training requests to post disaster needs, timelines, existing workforce development plans, and other requirements.

• Facilitate and coordinate trainings and/or train the trainer opportunities to build technical competencies and capacity based on consequences of Hurricanes Fiona and Ian, with emphasis on environmental public health preparedness, response, and recovery.

• Provide subcontracting as needed/required by jurisdictions to ensure effective and appropriate training.

• Ensure trainings are provided via in-person and/or remote and language appropriate, while promoting accessibility and equity of all participants based on jurisdictional needs and requirements.

• Evaluate trainings for effectiveness.

Supplies/ Printing:

• Provide direct support to state and territorial health agencies for printing of materials and procurement of supplies related to the consequences of Hurricanes Fiona and Ian (up to $20K).

Process Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Trainings and Technical Assistance:

• Status of trainings planned and conducted

• Percent of trainings conducted

• Cost per training, by jurisdiction and number of participants

• Evaluation of training content, impact, quality, relevance, usefulness by trainees Supplies:

• Status of requesting list of need for supplies and licensing

• Percent procured

Outputs: Trainings and Technical Assistance:

• Training Materials

• Training Evaluation Plan

• List of trainings, categorized by environmental public health competencies and capabilities

• Training Evaluation Report Supplies:

Trainings and Technical Assistance:

• Increased competencies for public health staff in support of environmental health emergencies

• Enhanced jurisdictional workforce development programs

• Improved quality, effectiveness and efficiency of EH preparedness and response activities Supplies:

Increased capacity and improved performance of environmental health programs as a result of direct support of materials provided.

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Trainings and Technical Assistance

• Enhanced decision making of disaster response leadership during emergencies

• Increased productivity, effectiveness, and job satisfaction among workforce

• Enhanced capacity for public health workforce to implement environmental health emergency capabilities

• Improved comprehensive curriculum for environmental health emergency management

• Strengthened workforce with improved technical competencies for environmental health emergency capabilities

• Change in knowledge acquired, attitude changed, and behavioral skills used (acquisition of skills/ modification of existing activities, and uptake of new skills).

• Intent and opportunity for application of knowledge, skills, expertise via actionable steps

• Perceived benefits to the organization relative to the training

• Increase in confidence level and capabilities to carry out roles and responsibilities as it pertains to EH preparedness and response

• Impact of trainings on overall preparedness for future hurricanes and related storms.

Supplies:

Explanation of how the supplies will be utilized for hurricane recovery work.

Improved efficiency and productivity as a result of use of supplies and/or licenses.

Strategic Area: Workforce

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas

Activities: • Provide direct environmental health related staffing support, financial support (e.g., subaward), and technical assistance to state and territorial health agencies for capacity building related to the consequences of Hurricanes Fiona and Ian.

This includes support to address the specific jurisdictional needs of hiring, which could include: conducting the interviewing and hiring process; providing appropriate on-boarding and payroll services; procuring needed equipment to perform their duties; travel; developing workplans and resolving any direct staffing related issues.

Some overarching measures include:

• Status of engaging jurisdictions to scope program development needs

• Status of engaging key partners

• Status of program development guidance for jurisdictions

• Status of supporting jurisdictions to develop workplans

• Status of supporting jurisdictions to develop jurisdictional environmental health emergency planning

• Status of scoping additional technical assistance needs

Outputs: • List of jurisdictional needs

• Program development guidance materials

• Workplans with deliverables and timelines

• Technical assistance to jurisdictions

• Evaluation report

Budget Period Outcomes:

• Increased effectiveness of environmental health emergency coordinators

• Enhanced capacity for environmental health emergency planning

• Strengthened jurisdictional emergency environmental health capabilities

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

• Improved effectiveness and efficiency of environmental health programs and services

• Enhanced role of environmental public health in protecting communities

• Improved implementation of evidence-based emergency operations standards

• Increased capacity for jurisdictions to build emergency environmental health capabilities

• Projects completed/ executed in priority areas of EH recovery and hurricane preparedness for jurisdiction.

Project Title: Hurricane Ian Recovery: FL Direct Support and TA

Population of Focus Description:

State health Agencies

Project Plan Details Project Purpose: The purpose of this project is to provide Direct Support and Technical Assistance to Florida for capacity building related to the consequences of Hurricanes Fiona and Ian.

CIO: ATSDR

Division/Branch/Office /Unit:

Office of the Director (OD)

Proposed FY24 Project Funding Total:

$850,000.00

Funding Appropriation:

75-2324-0943 Consolidated Appropriations Act, 2023

Funding Statutory Authority:

P.L. 117-328

Expected Project Length:

1 Year

Recipient Organizational Capacity:

Applicant organizations must demonstrate sufficient capability and capacity to carry out activities proposed. The applicant organization must have the capacity to effectively and efficiently collaborate with state and territorial environmental health directors and other state level public health staff. This project requires a significant level of staff time and diligence to ensure constant communication.

The applicant organization should possess the capacity to facilitate discussions with assess needs, developing jurisdictional specific support, implementing/executing timely activities, and evaluating impacts. The organization must implement work activities and meet specified objectives with defined deliverables in a time-oriented manner as identified in the work plan for each jurisdiction. Additionally, applicants should provide evidence of past success in organizing, managing, and implementing similar disaster recovery projects with state and territorial environmental health professionals.

Recipient Program Experience:

The applicant must have experience providing similar disaster recovery projects with state/territorial environmental health directors and other state level public health staff. The applicant should have staff that are knowledgeable of environmental health principles. Experience coordinating disaster recovery projects is essential. Additionally, applicants must demonstrate expertise in helping state and territorial public health agencies build capacity to respond to environmental public health challenges, and must serve environmental health directors in state and/or territorial public health agencies. Additionally, applicant must demonstrate past experience with successfully organizing, managing, and implementing disaster recovery projects.

Expectations for Collaboration:

The applicant will be expected to regularly collaborate with state and territorial jurisdictions on their needs, priorities, timelines, and deliverables. The applicant organization should consider their support to the jurisdictions in a manner that is not burdensome to the jurisdiction.

Expected Subcontractual Work and Criteria:

The applicant is expected to subcontract as needed under the activities outlined in this project plan and as determined based on jurisdictional requirements.

Disaster recovery support to Environmental Health equities with FL. The recipient is encouraged to maintaining continuity of support from the FY24 partner support to same jurisdictions. Work closely with technical monitor to coordinate support.

Applicants should follow all other budget requirement outlined in the NOFO.

Strategic Area: Organizational Capacity and Performance Improvement

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate:

Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: Training and Technical Assistance:

• Engage jurisdictional stakeholders to align training requests to post disaster needs, timelines, existing workforce development plans, and other requirements.

• Facilitate and coordinate trainings and/or train the trainer opportunities to build technical competencies and capacity based on consequences of Hurricanes Fiona and Ian, with emphasis on environmental public health preparedness, response, and recovery.

• Provide subcontracting as needed/required by jurisdictions to ensure effective and appropriate training.

• Ensure trainings are provided via in-person and/or remote and language appropriate, while promoting accessibility and equity of all participants based on jurisdictional needs and requirements.

• Evaluate trainings for effectiveness.

Supplies/ Printing:

• Provide direct support to state and territorial health agencies for printing of materials and procurement of supplies related to the consequences of Hurricanes Fiona and Ian (up to $20K).

Process Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Training and Technical Assistance:

• Status of trainings planned and conducted

• Percent of trainings conducted

• Cost per training, by jurisdiction and number of participants

• Evaluation of training content, impact, quality, relevance, usefulness by trainees.

Supplies/ Printing:

• Status of requesting list of need for supplies and licensing

• Percent procured

Outputs: Training and Technical Assistance:

• Training Materials

• Training Evaluation Plan

• List of trainings, categorized by environmental public health competencies and capabilities

• Training Evaluation Report Supplies/ Printing:

Training and Technical Assistance:

• Increased competencies for public health staff in support of environmental health emergencies

• Enhanced jurisdictional workforce development programs

• Improved quality, effectiveness and efficiency of EH preparedness and response activities.

Supplies/ Printing:

Increased capacity and improved performance of environmental health programs as a result of direct support of materials provided.

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

Training and Technical Assistance:

• Enhanced decision making of disaster response leadership during emergencies

• Increased productivity, effectiveness, and job satisfaction among workforce

• Enhanced capacity for public health workforce to implement environmental health emergency capabilities

• Improved comprehensive curriculum for environmental health emergency management

• Strengthened workforce with improved technical competencies for environmental health emergency capabilities

• Change in knowledge acquired, attitude changed, and behavioral skills used (acquisition of skills/ modification of existing activities, and uptake of new skills).

• Intent and opportunity for application of knowledge, skills, expertise via actionable steps

• Perceived benefits to the organization relative to the training

• Increase in confidence level and capabilities to carry out roles and responsibilities as it pertains to EH preparedness and response

• Impact of trainings on overall preparedness for future hurricanes and related storms.

Supplies/ Printing:

Explanation of how the supplies will be utilized for hurricane recovery work.

Improved efficiency and productivity as a result of use of supplies and/or licenses.

Strategic Area: Workforce

Strategic Area Details

Outcomes: Short-term: Increased availability of and access to CBA services and products that address the strategic areas;Short-term: Increased use of CBA services and products by populations of focus;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas

Activities: • Provide direct environmental health related staffing support, financial support (e.g., subaward), and technical assistance to state and territorial health agencies for capacity building related to the consequences of Hurricanes Fiona and Ian.

This includes support to address the specific jurisdictional needs of hiring, which could include: conducting the interviewing and hiring process; providing appropriate on-boarding and payroll services; procuring needed equipment to perform their duties; travel; developing workplans and resolving any direct staffing related issues.

Some overarching measures include:

• Status of engaging jurisdictions to scope program development needs

• Status of engaging key partners

• Status of program development guidance for jurisdictions

• Status of supporting jurisdictions to develop workplans

• Status of supporting jurisdictions to develop jurisdictional environmental health emergency planning

• Status of scoping additional technical assistance needs

Outputs: • List of jurisdictional needs

• Program development guidance materials

• Workplans with deliverables and timelines

• Technical assistance to jurisdictions

• Evaluation report

Budget Period Outcomes:

• Increased effectiveness of environmental health emergency coordinators

• Enhanced capacity for environmental health emergency planning

• Strengthened jurisdictional emergency environmental health capabilities

Outcome Measures: Work closely with your CDC/ATSDR Technical Monitor(s) to determine specific measures once needs of jurisdictions have been defined.

Some overarching measures include:

• Improved effectiveness and efficiency of environmental health programs and services

• Enhanced role of environmental public health in protecting communities

• Improved implementation of evidence-based emergency operations standards

• Increased capacity for jurisdictions to build emergency environmental health capabilities

• Projects completed/ executed in priority areas of EH recovery and hurricane preparedness for jurisdiction.

Project Title: Disaster Recovery Support through a Community of Practice for jurisdictions impacted by Hurricane Ian and Fiona

Population of Focus: Category A: Governmental Public Health Departments

Population of Focus Description:

State health Agencies

Project Plan Details Project Purpose: The purpose of this project is to provide a platform for jurisdictions impacted by

Hurricanes Fiona and Ian to share best practices and resources for recovery and future preparedness.

CIO: ATSDR

Division/Branch/Office /Unit:

Office of the Director (OD)

Proposed FY24 Project Funding Total:

$200,000.00

Funding Appropriation:

75-2324-0943 Consolidated Appropriations Act, 2023

Funding Statutory Authority:

P.L. 117-328

Expected Project Length:

1 Year

Recipient Organizational Capacity:

Applicant organizations must demonstrate sufficient capability and capacity to carry out activities proposed. The applicant organization must have the capacity to effectively and efficiently collaborate with state and territorial environmental health directors and other state level public health staff. This project requires a significant level of staff time and diligence to ensure constant communication.

The applicant organization should possess the capacity to facilitate discussions and assess needs, develop jurisdictional specific support, implement and /execute timely activities, and evaluate impacts. The organization must implement work activities and meet specified objectives with defined deliverables in a time-oriented manner as identified in the work plan for each jurisdiction.

Additionally, applicants should provide evidence of past success in organizing, managing, and implementing similar disaster recovery projects with state and territorial environmental health professionals.

Recipient Program Experience:

The applicant must have experience providing similar disaster recovery projects with state/territorial environmental health directors and other state level public health staff. The applicant should have staff that are knowledgeable of environmental public health principles. Experience coordinating disaster recovery projects is essential. Additionally, applicants must demonstrate expertise in helping state and territorial public health agencies build capacity to respond to environmental public health challenges and must serve environmental health directors in state and/or territorial public health agencies. Additionally, applicant must demonstrate past experience with successfully organizing, managing, and implementing disaster recovery projects.

Expectations for Collaboration:

The applicant will be expected to regularly collaborate with state and territorial jurisdictions on their needs, priorities, timelines, and deliverables. The applicant organization should consider their support to the jurisdictions in a manner that is not burdensome to the jurisdiction.

Expected Subcontractual Work and Criteria:

The applicant is expected to subcontract as needed under the activities outlined in this project plan and as determined based on jurisdictional requirements.

Disaster recovery support to Environmental Health equities with jurisdictions impacted by Hurricanes Ian and Fiona, includes: Florida, North Carolina, Puerto Rico, and South Carolina. Maintaining continuity of support from FY24 partner support to same jurisdictions.

Strategic Area: Partnership Development and Engagement

Strategic Area Details

Outcomes: Short-term: Increased awareness of best/promising practices and/or tools by populations of focus of CBA services and products;Intermediate: Increased awareness and understanding of recommended processes, policies, programs, and practices within the strategic areas;Intermediate: Enhanced skill and ability to support decision-processes, policies, programs, and practices within the strategic areas;Intermediate: Increased implementation and sharing of recommended processes, policies, programs, and practices within the strategic areas

Activities: • Facilitate a community of practice among disaster impacted jurisdictions

• Coordinate subject matter expertise in support of and based on needs determined by community of practice

• Create a platform of shared learning

• Coordinate a Community of Practice based on needs determined by impacted jurisdictions

• Coordinate a monthly community of practice with at least one in-person meeting at a location TBD, including taking care of logistics, notetaking, presenters and format of meetings.

Process Measures: • Level of participation and engagement (number of community members, frequency of interactions, attendance at events or meetings, Number of facilitated sessions, Number of needs identified)

Outputs: • Community of Practice Meetings

• Formal/informal Peer to Peer Support

• Formal/informal Subject Matter Expert Support

• Sharing of evidence-based practices (e.g. trainings, workshops, exercises, plans, etc)

• Sharing of resources

• Compilation of resources and best-practices that can be used by Community of practice

• Presentations on the hurricane supplemental related efforts in jurisdictions

• Dialogue among jurisdictions, partners and public health collaborators on ways to strengthen support, opportunities to collaborate.

Budget Period Outcomes:

• Increased awareness of environmental health practice

• Enhanced capabilities by jurisdictions

• Strengthened networks and opportunities for new collaborations.

• Built long-term connections across jurisdictions, so they can reach out to one another for support and coordination on common disasters or other environmental health emergency preparedness & response topics

Outcome Measures: • Frequency of engagement/ active participation in community of practice

• Increase in capabilities to improve EH practice during preparedness, response and recovery.

• Increase in collaborations/ connections established through the community of practice.

• Increase in knowledge-sharing, networking

• Examples of resources/ ideas shared across jurisdictions

• Examples of opportunities to collaborate discussed.

• Examples of support offered among participants.

Project Title: Enhancing modeling and forecasting capacity of state health departments utilizing CFA resources

Population of Focus: Category A: Governmental Public Health Departments

Population of Focus Description:

State health departments as well as the public health decision makers these entities support (e.g. elected officials, and those with decision -making authority).

Project Plan Details Project Purpose: The project builds upon previous (and recent) efforts funded by the Center for

Forecasting and Outbreak Analytics (CFA) through the CDC Partnership Cooperative Agreement: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. The goal of this project is to provide capacity building assistance to STLT jurisdictions and the public health professionals working within such in the awareness of, CFA resources and the ability to shape the development and dissemination of such to support utilization of these resources and enhance understanding of and appropriate application of disease forecasting and modeling resources. Earlier efforts have focused on needs assessments analyzing the interest in and ability of STLT entities to engage in disease forecasting and modeling efforts as well as the extent to which results can be easily understood and utilized as actionable decision making support, especially in times of public health response to outbreaks. Through these needs assessments, it was determined that while there is great interest in and recognition of the need to utilize disease forecast and modeling analytics, both the capacity to develop as well as the ability (particularly among public health decision makers without a public health background) to appropriately interpret and understand the results of which are significantly lacking.

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