Category B CIO Project Plans FY19.pdf

CDC-RFA-OT18-18020201SUPP19

FY19 CIO Project Plans

Category B

Center for State, Tribal, Local, and Territorial Support National Partnership Branch

FY 2019 CIO Project Plan Final

CDC-RFA-OT18-1802

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

Project Plan Instructions

You can edit and save a draft of your plan by clicking the "Save and Close" button below. You can edit your plan at any time before submitting it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" button below. You cannot make edits after you click "Submit."

GENERAL INFORMATION

1 Project Title (Please do not use all caps):* 8/15 words maximum

2 CIO:*

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

3 Division, office, or unit:* Division Of Cancer Prevention And Control

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

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

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

6 Description of the Target Population:* 15/25 words maximum Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023 Budget Period Length: September 1, 2019 – July 31, 2020

Proposed Project Funding Amount:* (11-month budget period)

(Whole numbers only) 8 Expected Length of Project:*

The CIO will award new funding each budget period for the remainder of the period of performance.

The CIO will award new funding each budget period for at least two consecutive years.

The CIO will fund the project for one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

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

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

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

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

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

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

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

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

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

10 CBA Program Outcomes (Check one or more):*

Short-Term

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

Improved leadership capacity to identify and prioritize public health needs

Avatar Simulation for Prostate Cancer Screening and Treatment Decision-Making

State, territorial, and local public health chronic disease directors; health department chronic disease prevention workforce.

$850,000

Page 1 of 5FY19 Project Plan - Avatar Simulation for Prostate Cancer Screening...

4/19/2019https://cdcpartners.sharepoint.com/sites/CSTLTS/COS/COSP/Lists/FY%2019%20Project_...

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

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

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

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

Increased capacity to evaluate laws and policies to affect health

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

Intermediate

Increased capability of public health systems to achieve nationally established standards

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

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

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

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

Strengthened capability to respond to public health priorities collaboratively and strategically

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

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

PROJECT DETAILS

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

1. For the selected program strategies, describe proposed activities and provide sample process measures to track progress implementing the activities.

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

2. Complete the activities, process measures, outputs, budget period outcomes, and outcome measures column for each program strategy selected.

Project Purpose : * 142/150 words maximum

11 Program Strategies Activities Process Measures Outputs Budget Period Outcomes Outcome Measures

Despite recommendations that promote shared-decision making before screening for prostate cancer, informed and shared decision-making rarely occurs before a provider orders a prostate-specific antigen (PSA) test. Additionally, many men with low-risk prostate cancer (disease unlikely to spread) are over-treated and do not understand the tradeoffs between treatment options. There is a need to increase the frequency of shared decision-making and quality of patient decisions. Decision aids have proven helpful in supporting informed and shared decision-making for prostate cancer screening and treatment decisions. Enabling men to make informed decisions about prostate cancer screening and treatment is a DCPC and national priority. This project will create an online avatar decision aid that will help providers and patients navigate prostate cancer screening and treatment decisions. As part of this project, health department staff and healthcare providers will be trained to utilize and disseminate the avatar simulation to improve informed decision-making for men facing prostate cancer decisions.

Communication and Informati on Technology Complete an environmental scan by reviewing peer-reviewed and other literature and meta-analyses. Consult with subject matter experts in the areas of prostate cancer screening and treatment, decision aids, and shared decision-making.

Work with subject matter experts and potential contractor to complete text of script and example avatar renderings.

Complete building of avatar simulation decision aid that will be available online on the CDC and other partner websites and as a mobile app.

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

Document the number of avatar users in the first year after avatar release.

Page 2 of 5FY19 Project Plan - Avatar Simulation for Prostate Cancer Screening...

The recipient will create an online avatar simulation decision aid to help providers and patients navigate decisions related to prostate cancer screening and treatment decisions for low-risk prostate cancer.

The module should include two sub-components: 1) a virtual provider designed to guide the user (a man or his caregiver) through the decisions and 2) a virtual provider that interacts with a virtual patient designed to train providers how to best discuss prostate cancer decisions with their patients. Each sub-component should have two topic areas: 1) prostate cancer screening and 2) treatment decisions for low-risk prostate cancer including active surveillance (“low-risk” indicates disease constrained within the prostate gland with low risk for metastasis, often defined by Gleason score ≤6, serum PSA <10 ng/mL , and clinical stage T1 to T2a).

The screening module content should include discussion of groups at high risk for developing prostate cancer (per US Preventive Services Task Force 2018 guidelines): men with a family history of prostate cancer and African American men. In preparation for creating the avatar, the recipient will complete an environmental scan and consult with subject matter experts in prostate cancer screening, prostate cancer treatment, and decision aids. The recipient will build upon previous CDC-funded work using avatar simulations, such as Talk to Someone:

Triple-Negative Breast Cancer.

Partnerships Train health department staff to deliver the prostate cancer decision aid modules to providers, men and their caregivers making prostate cancer screening and treatment decisions. Deliver the modules by public health entities like state health departments, professional groups, and advocacy organizations. A communications plan for dissemination will include social media, outreach to men and caregivers, outreach to health department staff (using CDC Comprehensive Cancer Control Programs) and outreach to primary care providers for screening and treatment providers (urologists, radiation therapists, and medical oncologists).

Contact health departments, professional groups, and advocacy organizations to discuss dissemination of avatar product.

Train individuals at health departments and other organizations to disseminate avatar to patients, providers, and caregivers.

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

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

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

Document the number of individuals at health departments who have been trained to discuss avatar use.

Document the number of providers, provider and other organizations, patients, and patient caregivers who were introduced to the avatar.

Program and Services

Page 3 of 5FY19 Project Plan - Avatar Simulation for Prostate Cancer Screening...

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

12 Applicant Organizational Capacity:* 152/200 words maximum

13 Applicant Program Experience:* 149/200 words maximum

COLLABORATIVE WORK

14 Expectations for Collaboration, as applicable: 112/200 words maximum

15 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 172/200 words maximum

Test and evaluate the modules with providers, men, and caregivers who are the ultimate end users. Develop outcome measures to fit the needs of this evaluation.

Develop communication roll-out plan to assist the state, territorial, and tribal health departments get the word out to assist providers and patients making prostate cancer screening and treatment decision.

The intervention delivered by state, territorial, and tribal health departments will be evaluated to ensure that problems are found and fixed as the intervention is being developed and deployed.

DCPC would like to scale up the intervention to other entities if successful.

Consult with health departments to help develop a realistic communications plan and method for evaluating avatar success.

Develop an online platform where users can access the avatar.

Evaluation of the avatar. This evaluation may involve use of web metrics. Build a tool for documenting the ability to find and use the avatar, and evaluate the avatar’s effect on knowledge and intent to change behavior. For example, past evaluations of similar tools have measured prostate cancer knowledge before and after an intervention.

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

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

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

Document a measure of the patients,' caregivers,' and providers' ability to use the avatar without technical difficulty.

Document an outcome measure of providers using the avatar to evaluate any change in understanding of how to describe prostate cancer screening and treatment principles, including understanding of prostate cancer screening recommendations.

Document provider intention to discuss screening and treatment decisions pre-and post-intervention.

Document an outcome measure of patients and caregivers using the avatar to evaluate any change in understanding of prostate cancer screening and treatment decisions.

Document intention to get screened pre- and post-intervention. Document pre-and post-intervention changes regarding treatment decisions.

Proposed project staff should have a general knowledge of shared decision-making, decision aids, prostate cancer screening recommendations, and decision considerations for treatment of low-risk prostate cancer. Some of the proposed project staff should have expertise in working with innovative health communication developers of avatar simulations to engage patients, caregivers, and providers. The applicant will need to have the ability to perform environmental scans to determine the state of the evidence before beginning work and developing tools. Given the short timeline of the project, a well-done literature review or meta-analysis completed in the past 1-3 years may be sufficient. Some of the proposed staff should have the ability to conduct rigorous evaluations of the intervention once the avatar is completed. The evaluation of all tools developed is a critical ability of the project staff. Lastly, some of the staff should have the ability to train health department staff to deliver the intervention to the community. Skills learned in this project will translate to other health department projects.

To effectively conduct the work described under the project description, the applicant should have general knowledge of prostate cancer epidemiology, screening and treatment recommendations, shared-decision making, and the use of decision aids and their influence on behavioral change. The applicant or its contractors should be able to translate these principles and recommendations into avatar simulations for use by those facing prostate cancer screening and treatment decisions. The applicant should also have experience in developing patient and provider educational materials and using traditional and non-traditional channels to get those messages and materials out to the target audiences, especially working with state health departments. The applicant should have experience with conducting usability testing and rigorous evaluations of public health communications materials. To maximize the utility of the project, the applicant should have ongoing relationships with public health and provider groups that address prostate cancer. The applicant should have a deep knowledge and experience of working with health departments, especially providing educational programs and evaluating those programs.

The applicant will be expected to collaborate with the technical monitor (TM), CDC project team, the subject matter experts and consultants, and any contractors on all aspects of the project, including compiling evidence for barriers and facilitators to informed decision-making for prostate cancer screening and treatment decisions. All material developed will be reviewed and approved by TM and CDC project staff to ensure messages are consistent with CDC’s prostate cancer messaging. The applicant is also expected to work with state health department staff to implement and evaluate the educational intervention and partner with professional organizations and advocacy groups. The applicant should describe a plan for engaging health departments, professional organizations, and advocacy groups and for consulting with the CDC project team.

Page 4 of 5FY19 Project Plan - Avatar Simulation for Prostate Cancer Screening...

16 Will the proposed CBA benefit governmental public health agencies?* Yes No

Briefly describe how. : * 139/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 90/100 words maximum

CIO CERTIFICATION

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to a CBA. I understand my CIO is responsible for overseeing the Data Management Plans, ensuring adherence to the Paperwork Reduction Act (PRA), and obtaining Office of Management and Budget (OMB) Clearance. I will discuss the project with my Associate Director for Science (ADS) and initiate the appropriate clearance prior to funding.

Final

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

Contractor to develop the avatar module: $500,000 for the entire funding period to create the online avatar simulation program with apps for iOS and Android. The contractor will need skills in developing interactive online life-like avatar simulations and working with subject matter experts to create the desired content, especially specific to decision-making and behavioral change.

Marketing subcontractor: $50,000, for the entire funding period, for disseminating the multicomponent modular simulated conversations, and may need to utilize dissemination strategies to target high-risk groups (especially men with a family history of prostate cancer and African American men). Recommend the contractor to have experience with online media, and working with health departments, professional organizations, and prostate cancer advocacy groups.

The applicant may also need to secure a subcontractor with expertise in developing and deploying digital campaigns and getting messages out to the public in unique ways, such as social media and webinars.

Contractors needed to support rigorous evaluation of the traditional and nontraditional channels used to disseminate messages consistent with the project design, objectives, and project plans: $50,000, for the entire funding period. Expertise in performance metrics and health behavior evaluation is suggested.

Many times state health departments are given tasks to complete without being given the skills needed to complete these tasks. We propose creating an educational tool to educate providers, patients, and their caregivers about complicated prostate cancer screening and treatment decisions. The current project will create an online and app-based tool and train public health department staff to implement the interventions. The skills learned in this project will be applicable to delivering many public health interventions. Though the state health department will be the locus of delivering the educational intervention, regional and local health departments will be critical to improving informed decisions regarding prostate cancer among affected men. All of these government agencies will benefit from the tools developed in this project. Many of the state, regional, and local health departments work closely with primary care providers. Therefore they serve as a perfect conduit for dissemination of the avatar simulation.

The funds provided for this project should be used to directly assess the goals outlined in the project plan. Use of funds may include, but is not limited to, costs related to personnel time, accessing peer-reviewed journal articles and materials, securing meeting space and audiovisual equipment, producing meeting materials, paying for travel, providing modest honoraria for non-Federal meeting participants, developing public service announcements and digital media campaigns, conducting review and revisions, conducting usability testing, and evaluating the materials. Any travel-related expenses to be paid using project funds should be consistent with per diem rates established by US GSA.

03/14/2019

Page 5 of 5FY19 Project Plan - Avatar Simulation for Prostate Cancer Screening...

FY 2019 CIO Project Plan Final

CDC-RFA-OT18-1802

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

Project Plan Instructions

You can edit and save a draft of your plan by clicking the "Save and Close" button below. You can edit your plan at any time before submitting it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" button below. You cannot make edits after you click "Submit."

GENERAL INFORMATION

1 Project Title (Please do not use all caps):* 11/15 words maximum

2 CIO:*

OFFICE OF THE ASSOCIATE DIRECTOR FOR POLICY AND STRATEGY

3 Division, office, or unit:* Other Enter other division, office, or unit:*

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

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

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

6 Description of the Target Population:* 10/25 words maximum Note: Proposals should not build capacity for CDC or other federal agencies

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023 Budget Period Length: September 1, 2019 – July 31, 2020

Proposed Project Funding Amount:* (11-month budget period)

(Whole numbers only) 8 Expected Length of Project:*

The CIO will award new funding each budget period for the remainder of the period of performance.

The CIO will award new funding each budget period for at least two consecutive years.

The CIO will fund the project for one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

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

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

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

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

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

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

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

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

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

10 CBA Program Outcomes (Check one or more):*

Short-Term

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

Building a culture of health in communities to accelerate population health priorities

Chronic disease staff within state and local health departments.

$300,000

Page 1 of 5FY19 Project Plan - Building a culture of health in communities...

Improved leadership capacity to identify and prioritize public health needs

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

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

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

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

Increased capacity to evaluate laws and policies to affect health

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

Intermediate

Increased capability of public health systems to achieve nationally established standards

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

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

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

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

Strengthened capability to respond to public health priorities collaboratively and strategically

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

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

PROJECT DETAILS

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

1. For the selected program strategies, describe proposed activities and provide sample process measures to track progress implementing the activities.

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

2. Complete the activities, process measures, outputs, budget period outcomes, and outcome measures column for each program strategy selected.

Project Purpose : * 150/150 words maximum

11 Program Strategies Activities Process Measures Outputs Budget Period Outcomes Outcome Measures

Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group," where the "group" in question may differ by shared attribute. Stakeholders from within business, healthcare, health plan, public health, government, and community-based service organizations increasingly recognize that joint efforts to create a culture of health is important but often lack access to resources to implement evidence-based interventions.

This project has two objectives:

1. Utilize subject matter expertise in working with stakeholders from across the public and private employer, health plan, public health, community-based service organization, and state/local government communities to help these sectors understand the health and economic impacts of chronic conditions/health behaviors (beginning with the 6|18 and HI5 interventions)

2. Create resources for these sectors to collaboratively work together to utilize evidence-based population health interventions as part of providing value/ positively impacting the economic costs of chronic conditions and health behaviors in communities.

Partnerships Complete a summary report that summarizes critical gap areas and makes recommendations for partnership engagement

Change package containing a set of recommendations and curated resources to help build public health, healthcare, community-based service providers , policy makers, and business leaders’ capacity for intersecting, engaging, and addressing community factors that may affect access to health services

Improved multi-sector understanding of how to interface with each other as community stakeholders in order to support a healthier US workforce, improved community health, and improved productivity

Improved ability of participating stakeholders from a multi-sector employer or business, health plan, community service, and to begin a collective action framework for action that will accelerate improved community health and productivity

Page 2 of 5FY19 Project Plan - Building a culture of health in communities...

12 Applicant Organizational Capacity:* 196/200 words maximum

Assist the CDC in the development of products and deliverables that fill critical gap areas initially identified by the results of the 6|18 Initiative's 2018- 2019 outreach to employers/business sector as well as feedback from previous HI-5 community stakeholder convenings

Engage in activities to build chronic disease staff capacity to work with stakeholders from across public and private employers/businesses, healthcare, health plans, state and local public health, state and local government, and community-based service providers.

Laws and Policies

Convening of stakeholders from the employer/ business health collaborative, public health, community based service provider organization, state/local government, and health plan communities to identify policy barriers and facilitators that impact the health of a community’s workforce and access to health services

A minimum 50% of convening participants that are able to articulate both policy barriers and facilators at the conclusion of the convening

Post-convening report that summarizes stakeholder identified issues and barriers

Improved ability of CDC and participating stakeholders to articulate the effect of these policy issues on community health and productivity

Increased number of policies that support improved population health

Program and Services

Identify, with CDC’s assistance, specific chronic conditions and health behaviors, initially from within the 6|18 and HI-5 population health portfolio and assess the workforce and community levers that may impact the implementation of evidence-based prevention interventions, eg medical costs, healthcare utilization, access to health services, economic and productivity costs

At least two health conditions or health behaviors and the potential health and cost impact on the various stakeholder sectors is identified

Deliverables to include but are not limited to the production of webinars, scorecards and/or dashboards that include specific action items, sections, materials for each of the business, health, community, and public government (i.e. public health and state government)

Improved ability by community stakeholders (including but not limited to community organizations, state and local policy makers, employers and their associated employer-sponsored health plans) to benchmark their current experience with 6|18 and HI-5 Initiative interventions

Improved ability of participating stakeholders from the business, health, community and public sectors to improve the health and cost outcomes of workers in their communities

Page 3 of 5FY19 Project Plan - Building a culture of health in communities...

13 Applicant Program Experience:* 176/200 words maximum

COLLABORATIVE WORK

14 Expectations for Collaboration, as applicable: 115/200 words maximum

15 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 48/200 words maximum

16 Will the proposed CBA benefit governmental public health agencies?* Yes No

Briefly describe how. : * 82/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 73/100 words maximum

CIO CERTIFICATION

The applicant should have the demonstrated capacity to engage with, and coordinate project activities across multiple stakeholder entities, including employer/business, healthcare, health plan, state and local public health chronic disease programs, state/local government, and community-based service providers who are working on the 6|18 and the HI-5 Initiative health behaviors and chronic disease conditions at a minimum. This capacity may be internal, or it may be demonstrated through existing documented partnerships with other entities that reach these key stakeholders.

In addition, the applicant should have demonstrated capacity to oversee and manage all aspects of the project so that

1. Deliverables simultaneously maintain fidelity to the underlying science while also packaged in a way that is most appropriate for varied end users (i.e employer/business collaboratives, health plan, governmental, and community-based service sectors)

2. Deliverables to the identified stakeholders is available in a timely fashion and via modalities that appropriately balance cost considerations and employer/business, health, governmental, and community based service provider sectors);

3. Meeting discussions and material development/testing processes are iterative and mutually reinforcing. Speficially, project management and structure ensure that key issues or areas of agreement from meeting discussions inform materials development/testing activities, and lessons learned from materials development/testing are brought to meetings for discussion.

The applicant should have experience that demonstrates the requisite organizational capacities outlined above—as well as should have a clear plan for engaging partners/sub-contractors who have demonstrated experience/expertise in these areas. Specifically, the applicant should have experience coordinating and managing projects that involve iterative engagements across multiple employer/business stakeholders, health plan, state/local chronic disease programs, state/local government, and community based service provider stakeholder groups. The applicant (and/or any proposed partners and subcontractors) should also have demonstrated experience translating and packaging public health science and promising practices for employer/business stakeholders, health plans, state/local chronic disease programs, state/local government, and community based service provider stakeholder groups. Finally, the applicant should have experience providing technical assistance to entities (e.g, employer/business, health plan, state/local chronic disease programs, state/local government, and community based service provider stakeholder groups), pursuing health systems transformation efforts, particularly those directed towards identifying innovative ways to address population health determinants that affect improved health and cost outcomes of population health, including but not limited to community workforce health and productivity in their communities.

It is expected that the awardee will collaborate with CDC to plan a least one meeting with employer/business stakeholders, health plans, state/local chronic disease programs and their leadership, state/local government representatives, and community based service provider stakeholder groups . The awardee is also expected to collaborate with CDC and the identified target audiences to create CDC’s identified deliverable materials to meet the needs of these groups.

Finally, depending on project needs, the awardee may be asked to engage and collaborate with organizations and individuals that represent other important, stakeholder perspectives, including potential service providers (e.g., community based organizations) and recipients.

The awardee is strongly encouraged if needed to subcontract with entities that have demonstrated and documented previous experience with all of the identified target audiences of this proposal. The identified subcontractors should enhance the applicant's capacity to meet project objectives and produce high quality deliverables within the allocated budget.

This project would inform and fill a critical gap area for OADPS/PHHO, CDC programs who support state public health chronic disease program leadership, associated CDC programs and state/local governmental programs (including state/local public health leadership) who support multi-sector community engagement. These programs and organizations have asked for CDC’s help to better understand how to interface with healthcare purchasers/employers in particular in order to support a healthier US workforce but have also asked for support to better conduct multi-sector engagements that support improved health and cost outcomes in their communities.

As a co-host for a potential in-person convening, CDC expects to cover most of the costs associated with meeting space for attendees. If an in-person convening is being proposed, applicants should not include any costs for meeting venue, set-up (e.g. technology) or supplies as part of the convening budget;

accordingly applicants should only include travel for up to 2 additional meeting attendees (including subcontracted experts if needed).

Page 4 of 5FY19 Project Plan - Building a culture of health in communities...

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to a CBA. I understand my CIO is responsible for overseeing the Data Management Plans, ensuring adherence to the Paperwork Reduction Act (PRA), and obtaining Office of Management and Budget (OMB) Clearance. I will discuss the project with my Associate Director for Science (ADS) and initiate the appropriate clearance prior to funding.

Final

Submission Date: You will be directed to a confirmation screen upon successful save or submission.03/15/2019

Page 5 of 5FY19 Project Plan - Building a culture of health in communities...

FY 2019 CIO Project Plan Final

CDC-RFA-OT18-1802

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

Project Plan Instructions

You can edit and save a draft of your plan by clicking the "Save and Close" button below. You can edit your plan at any time before submitting it. You must submit a final version to be considered for the NOFO. Submit the final version by clicking the "Submit" button below. You cannot make edits after you click "Submit."

GENERAL INFORMATION

1 Project Title (Please do not use all caps):* 9/15 words maximum

2 CIO:*

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

3 Division, office, or unit:* Division Of Unintentional Injury Prevention

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

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

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

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

PROJECT FUNDING

OT18-1802 Period of Performance Length: August 1, 2018 – July 31, 2023 Budget Period Length: September 1, 2019 – July 31, 2020

Proposed Project Funding Amount:* (11-month budget period)

(Whole numbers only) 8 Expected Length of Project:*

The CIO will award new funding each budget period for the remainder of the period of performance.

The CIO will award new funding each budget period for at least two consecutive years.

The CIO will fund the project for one year.

CBA PROGRAM APPROACH – NOFO LOGIC MODEL

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

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

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

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

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

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

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

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

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

10 CBA Program Outcomes (Check one or more):*

Short-Term

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

Improved leadership capacity to identify and prioritize public health needs

Building Epidemiologic and Surveillance Capacity for Overdose Data to Action

This project seeks to build capacity of epidemiologists in state, territorial, and local health departments designing, conducting, or analyzing epidemiologic and surveillance investigations related to drug overdoses.

$500,000

Page 1 of 4FY19 Project Plan - Building Epidemiologic and Surveillance Capacity...

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

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

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

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

Increased capacity to evaluate laws and policies to affect health

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

Intermediate

Increased capability of public health systems to achieve nationally established standards

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

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

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

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

Strengthened capability to respond to public health priorities collaboratively and strategically

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

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

PROJECT DETAILS

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

1. For the selected program strategies, describe proposed activities and provide sample process measures to track progress implementing the activities.

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

2. Complete the activities, process measures, outputs, budget period outcomes, and outcome measures column for each program strategy selected.

Project Purpose : * 46/150 words maximum

11 Program Strategies Activities Process Measures Outputs Budget Period Outcomes Outcome Measures

The purpose of this project is to increase the capacity of state, territorial, and local health departments to investigate interpret and disseminate epidemiologic and surveillance data related to overdoses in their particular jurisdiction, in support of CDC's Overdose Data to Action (OD2A) cooperative agreement (CDC-RFA-CE19-1904).

Data and Information Systems

1. At least 50% states and territories self-report use of definitions

2. At least 50% state, territory, and local jurisdictions self-report data linkage systems linking at least 2 types of of data to inform prevention and response activities

3. At least 25% state, territory, and local jurisdictions self-report adoption of innovative surveillance projects

4. At least 50% of state, territory, and local jurisdiction self-report communities and leaders that use data products to inform prevention and response activities.

Page 2 of 4FY19 Project Plan - Building Epidemiologic and Surveillance Capacity...

12 Applicant Organizational Capacity:* 111/200 words maximum

13 Applicant Program Experience:* 84/200 words maximum

1. Develop case definitions specifically for Emergency Medical Services (EMS) data.

2. Create and convene an OD2A Data Linkage Workgroup to assist state, and territory, and local jurisdictions with new and innovative data linkage strategies.

3. Create and convene an OD2A Innovative Surveillance Projects Workgroup to support state, territorial, and local jurisdictions implementing innovative surveillance projects.

4. Develop analytic tools and resources to support data dissemination and data to action activities

1. Meeting notes from development meetings; definition and guidance drafted; pilot sites selected; pilot assessments conducted and reviewed;

dissemination plan finalized.

2. Workgroup meeting notes; charter documents drafted;

Data linkage project proposal drafted;

final report completed.

3. Workgroup meeting notes; charter document drafted;

innovative surveillance database completed; final report completed

4. Proposals for analytic tools drafted and approved;

design, completion, and approval of analytic tools initiated and completed.

1. EMS Case Definition:

Summary report from convening experts/ stakeholders; drafts for approval and final draft definition and guidance documents; pilot project with up to 10 states and revised definition and guidance based on pilots;

final definition and guidance ; dissemination plan for final definition to include white paper or journal article

2. Data linkage Workgroup:

charter document for workgroup purpose, goals, roles and responsibilities;

Data linkage project proposal for CDC approval – TBD; final project report

3. Innovative Surveillance Projects Workgroup:

charter document for workgroup purpose, goals, roles and responsibilities;

detailed database of innovative surveillance projects and progress; final project report on innovative surveillance projects

4. Analytic toolkits: Up to 4 toolkits/resources that could readily populate fact sheets and dashboards with overdose surveillance data geared towards different stakeholders

1. State, territory and local jurisdictions collect and use EMS data to improve overdose prevention and response efforts.

2.State, territory, and local jurisdictions link overdose related data sources (eg., data on opioid prescribing, insurance claims, drug use surveys, morbidity, and mortality) ) to improve overdose prevention and response efforts

3. State, territory, and local jurisdictions implement and share findings from innovative surveillance projects

4. State, territory, and local juridisdcitions disseminate overdose data tailored for key stakeholders and report as success stories examples of data utilization efforts to improve overdose prevention and response efforts

Communication and Informati on Technology

1. Create online resources that support new epidemiology staff or state, territory, and local health departments new to CDC overdose surveillance methods

1. Proposals for online resources; design, completion, and approval of resources

1. Up to 3 online resources specific to methods on either collecting or utilizing drug overdose-related

1. New epidemiology staff working on OD2A and new state and local jurisdictions not previously funded for CDC opioid surveillance projects have improved capacity to collect fatal and nonfatal overdose data using CDC surveillance methods.

1. At least 60% of new state, territory or local epidemiology staff receiving the resources and/or their supervisors self-report improved capacity to collect fatal and nonfatal overdose data using CDC surveillance methods.

Program and Services

1. Develop alert guidance, templates,and/or protocols for potential clusters or spikes in drug overdoses

1. Proposal for alert guidance/template and/or protocol;

design, completion and approval of guidance/template or protocol

1. Guidance, templates or protocols based on state examples that provide information on appropriate alert methodologies and communication strategies for communities experiencing clusters or spikes in drug overdoses.

1. Guidance, templates or protocols based on state examples that provide information on appropriate alert methodologies and communication strategies for communities experiencingclusters or spikes in drug overdoses.

1.Up to 50% of communities that received alerts self-report use and/or satisfaction with alert products

The applicant should have demonstrated capacity, expertise, and infrastructure to identify and meet technical assistance needs of epidemiology programs in state, territorial, and local health departments associated with the proposed activities of the project plan. The applicant should have the capacity to solicit, direct, and coordinate a variety of subject matter experts, national public health partners and other resources in provision of comprehensive tailored technical assistance. The applicant's organization should also include strong leadership that can connect with state and territory health department leadership and surveillance department leadership to better understand state needs, issues, and successes. Similarly, the applicant should demonstrate capacity to reach into networks of highly skilled epidemiologists.

Page 3 of 4FY19 Project Plan - Building Epidemiologic and Surveillance Capacity...

COLLABORATIVE WORK

14 Expectations for Collaboration, as applicable: 174/200 words maximum

15 Expected Subcontractual Work and Recommended Criteria for Selecting Subcontractors, as applicable: 40/200 words maximum

16 Will the proposed CBA benefit governmental public health agencies?* Yes No

Briefly describe how. : * 55/200 words maximum

BUDGET INSTRUCTIONS

17 General Instructions for Use of Funds, as applicable: 39/100 words maximum

CIO CERTIFICATION

By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to a CBA. I understand my CIO is responsible for overseeing the Data Management Plans, ensuring adherence to the Paperwork Reduction Act (PRA), and obtaining Office of Management and Budget (OMB) Clearance. I will discuss the project with my Associate Director for Science (ADS) and initiate the appropriate clearance prior to funding.

Final

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

The applicant should have demonstrated knowledge and experience to address technical assistance needs of epidemiology programs in state, territorial, and…