cdc-rfa-dd16-1603 2 18 16.pdf

Centers for Disease Control and Prevention

National Center on Birth Defects and Developmental Disabilities

Improving the Health of People with Mobility Limitations and Intellectual Disabilities through State-based

Public Health Programs

CDC-RFA-DD16-1603

Application Due Date: 04/19/2016

Improving the Health of People with Mobility Limitations and Intellectual Disabilities through State-based Public Health Programs

CDC-RFA-DD16-1603

TABLE OF CONTENTS

Part I. Overview Information Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates F.

Executive Summary G.

Part II. Full Text Funding Opportunity Description A.

Award Information B.

Eligibility Information C.

Required Registrations D.

Review and Selection Process E.

Award Administration Information F.

Agency Contacts G.

Other Information H.

Glossary I.

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Send Me Change Notifications Emails" link to ensure they receive notifications of any changes to CDC-RFA-DD16-1603. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) B. Funding Opportunity Title:

Improving the Health of People with Mobility Limitations and Intellectual Disabilities through State-based Public Health Programs C. Announcement Type: New - Type 1 This announcement is only for non-research domestic activities supported by CDC. If research is proposed, the application will not be considered Research for this purpose is defined at http://www.cdc. gov/od/ science / integrity/ docs/cdc- policy- distinguishing- public- health- research- nonresearch. pdf.

D. Agency Funding Opportunity Number:

CDC-RFA-DD16-1603

E. Catalog of Federal Domestic Assistance (CFDA) Number:

93.184 F. Dates:

1. Due Date for Letter of Intent (LOI): 03/22/2016

2. Due Date for Applications: 04/19/2016, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 03/03/2016 An informational conference call will take place on March 3rd, 2016 from 3:00 pm to 4:00 pm EST. The conference call can be accessed by calling the following toll-free number 1-877-988-0576 and entering the participant pass code #27284619.

G. Executive Summary:

1. Summary Paragraph:

The purpose of this Funding Opportunity Announcement (FOA) will be to support a new 5-year initiative to improve the health and quality of life among people with mobility limitations and/or intellectual disabilities (ID) through adaptation and implementation of evidence-based strategies in states, U.S.

territories, and tribal governments. This FOA will provide funding to develop and strengthen internal capacity and health-related disability programs to: (1) improve knowledge and awareness about the usefulness and effectiveness of programmatic, policy, systems and environmental changes for people with select functional disability types (i.e., mobility limitations and/or ID), and (2) support applicants to plan, implement, evaluate, and disseminate non-research activities aimed at promoting inclusion and accessibility and reducing health disparities between people with and without disabilities.

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 18

d. Total Project Period Funding: $27,000,000 https://foa.grantsolutions.gov/announcementmodule/www.grants.gov https://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov

e. Average One Year Award Amount: $300,000

f. Number of Years of Award: 5

g. Estimated Award Date: 07/01/2016

h. Cost Sharing and / or Matching Requirements: N Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this FOA exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview Disabilities affect over 53 million adults in the United States -- cutting across the boundaries of age, race, sex, and socioeconomic status. Specifically, cardiovascular disease, which is associated with smoking, physical inactivity and obesity/overweight, has been identified as the leading cause of death (32.8%) among adults with disabilities. Moreover, adults with disabilities are more likely to have hypertension when compared to those without disabilities (34.2% vs 26.9%), and working-age adults with disabilities are three times more likely to report heart disease, stroke, and diabetes than those without disabilities. Yet, few health interventions exist that target people with disabilities.

People with disabilities need public health programs and health care services for the same reasons anyone does—to be healthy, active, and part of the community. Public health should strive to be inclusive of people with disabilities. Inclusion of people with disabilities allows everyone to take full advantage of the benefits of health promotion activities if implemented with suitable adaptations or accommodations. It involves identifying and eliminating barriers to participation due to physical, communication, social, and/or attitudinal barriers. Many obstacles can be eliminated through the use of universal design, which involves the creation of environments that are usable by the largest number of people, regardless of their abilities.

This FOA is aimed at promoting inclusion and accessibility in public health programs and reducing health disparities between people with and without disabilities with a focus on cardiovascular disease and diabetes and their related risk factors. Applicants may apply for funds to support either a Capacity Building program or a Core Implementation program. Additional funds may be provided to a subset of Core Implementation states that have the ability to complete advanced work by providing technical assistance (i.e., mentoring activities) and analyze Medicaid data (i.e., identify patterns of health care utilization).

Applicants may apply for either:

Capacity Building Programs

Supports applicants with limited capacity or experience in developing, implementing, evaluating, and disseminating programmatic, policy, systems, and environmental changes for people with disabilities.

Core Implementation Programs

Supports applicants who are "implementation ready" and have the existing infrastructure to implement, evaluate, and disseminate programmatic, policy, systems, and environmental changes for people with disabilities.

Enhanced Implementation Activities - Provides additional funding to a subset of Core Implementation programs that have the knowledge, skills, and ability to accomplish these additional activities: (1) mentoring a Capacity Building state to establish infrastructure and support disability-related activities through peer-to-peer networking, and (2) accessing and utilizing Medicaid data to identify patterns of health and peer-to-peer networking, and (2) accessing and utilizing Medicaid data to identify patterns of health and health care utilization for people with intellectual/developmental disabilities. CDC will assist with matching a Capacity Building state (mentee) with a Core Implementation state receiving additional funds for Enhanced Implementation activities (mentor) post-award.

State applicants should clearly denote, in their abstract, if they are applying for a Core Implementation program with or without Enhanced Implementation activities.

Recipient activities will vary and address the following health topics: Cardiovascular disease, diabetes, physical activity, nutrition, healthy weight, tobacco use and exposure, hypertension, oral health.

Capacity Building programs should address at least one of the health topic areas by the end of Year 3. Core Implementation programs should immediately address at least two health topic areas, one of which must be physical activity.

Public health interventions will achieve greater impact when changing the social and environmental context, thus, utilizing a multi-level approach, including individual, interpersonal, organizational, community, and societal levels, is expected. For this FOA, each health topic addressed should focus on 2 or more levels of influence. Funds should not be used to develop new programs; however, funds can be used to tailor an existing program for people with mobility limitations and/or ID.

b. Statutory Authorities This program is authorized under Sections 317C [42 U.S.C. 247b-4] of the Public Health Service Act.

c. Healthy People 2020 This program addresses the Healthy People 2020 focus areas of Disability and Health (DH) and Physical Activity (PA). This FOA specifically supports the following Healthy People objectives: DH-2 "Increase the number of States and the District of Columbia that have health promotion programs for people with disabilities," DH-4 "Reduce the proportion of people with disabilities who report delays in receiving primary and periodic preventive care due to specific barriers," DH-8 "Reduce the proportion of people with disabilities who report (encountering) physical or program barriers to local health and wellness programs," DH-13 "Increase the proportion of people with disabilities who participate in social, spiritual, recreational, community, and civic activities to the degree they wish," and PA-1, "Reduce the proportion of adults who engage in no leisure-time physical activity." Additional information on Healthy People 2020 is available at http://www.healthypeople.gov.

d. Other National Public Health Priorities and Strategies This FOA supports NCBDDD's strategic goals and priorities which are available at: http://www.cdc.gov /ncbddd/ aboutus/documents /ncbddd_strategicplan_2-10-11.pdf.

e. Relevant Work This Funding Opportunity Announcement (FOA) builds on 15 years of CDC-funded disability programs in http://www.healthypeople.gov/ http://www.cdc.gov/ncbddd/aboutus/documents/ncbddd_strategicplan_2-10-11.pdf http://www.cdc.gov/ncbddd/aboutus/documents/ncbddd_strategicplan_2-10-11.pdf

This Funding Opportunity Announcement (FOA) builds on 15 years of CDC-funded disability programs in chronic disease prevention and health promotion as well as the experience of national disability organizations and state programs nationwide. Specifically, this FOA is an extension of the lessons learned that supports making programmatic, policy, systems, and environmental changes to impact the health and well-being of people with disabilities. As emphasized in the Health Impact Pyramid, public health interventions will achieve greater impact when changing the environmental context so that individuals can easily take healthy actions in the normal course of their lives. In addition, the Socio-Ecological Model denotes the importance of influencing factors within and across levels (i.e., individual, intrapersonal, organizational, community, societal) that affect personal health. Each level provides potential support for the initiation and maintenance of healthy behaviors; however, individual behavior change is best achieved if reinforced and supported by organizational and community level improvements. This FOA supports the implementation of multi-level public health programs that can advance sustainable impact on the health and well-being of people with disabilities as well as the need for evaluation and dissemination of best practices.

2. CDC Project Description

a. Approach

Bold indicates project period outcome.

The following logic model outlines strategies and outcomes for each component addressed in this FOA.

CDC-RFA- DD16-1603 Logic Model: Improving the Health of People with Mobility Limitations and Intellectual Disabilities through State-based Public Health Programs

Strategies and Activities Short-Term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Overarching Strategy

Improve inclusion and accessibility and reduce health disparities for people with disabilities in public health programs

Develop internal capacity Enhance and expand partnerships Assess, develop and disseminate health promotion resources, tools, and inclusion strategies Deploy evidence-based health promotion programs adapted for people with disabilities Promote evidence-based and innovative, programmatic, policy, Increased knowledge and awareness of health risk factors Improved collaboration with partners Improved data collection methods Increased availability and use of health promotion resources, tools, and inclusion strategies

Improved organizational capacity Improved monitoring of health and health care utilization Increased participation in evidence-based and innovative health promotion programs Increased use of programmatic, policy, systems, and environmental changes

Increased healthy behaviors Decreased prevalence of chronic disease risk factors Decreased prevalence of chronic diseases Improved sustainability of programmatic, policy, systems, and environmental improvements http://www.cdc.gov/ncbddd/disabilityandhealth/ http://www.cdc.gov/ncbddd/disabilityandhealth/ http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2009.185652 http://heb.sagepub.com/content/42/1_suppl/8S.full.pdf+html systems, and environmental changes Provide training and education Provide technical assistance Enhance and utilize data to identify patterns of health and health care utilization Evaluate program impact

Improved evidence-base for health promotion programs

Bold indicates outcomes expected to be achieved during the project period.

Recipient activities will vary based on program requirements and address the following health topics:

Cardiovascular disease, diabetes, physical activity, nutrition, healthy weight, tobacco use and exposure, hypertension, oral health.

Capacity building applicants should address at least one of the primary health topic areas by the end of Year

3. Core Implementation applicants should address at least two primary health topic areas, one of which must be physical activity.

Public health interventions will achieve greater impact when changing the social and environmental context, thus, utilizing a multi-level approach, including individual, interpersonal, organizational, community, and societal levels, is expected. For this FOA, each health topic addressed should focus on 2 or more levels of influence.

i. Purpose The overarching strategy is to improve inclusion and accessibility and reduce health disparities for people with mobility limitations and/or ID in public health programs for:

Capacity Building Programs

Supports applicants with limited capacity or experience in developing, implementing, evaluating, and disseminating programmatic, policy, systems, and environmental changes for people with disabilities.

Core Implementation Programs

Supports applicants who are "implementation ready" and have existing infrastructure to implement, evaluate, and disseminate programmatic, policy, systems, and environmental changes for people with disabilities.

Enhanced Implementation Activities - Provides additional funding to a subset of Core Implementation programs that have the competency to complete advanced work.

ii. Outcomes Awardees will be responsible for measuring short-term and intermediate outcomes. Monitoring progress

Awardees will be responsible for measuring short-term and intermediate outcomes. Monitoring progress on short-term and intermediate outcomes provides an opportunity for awardees to make adjustments to strategies to ensure increased long-term health impact. The following key outcomes are expected to be achieved by the end of the 5-year project period:

Short-term Outcomes

Increased knowledge and awareness of health risk factors Improved collaboration with partners Improved data collection methods Increased availability and use of health promotion resources, tools, and inclusion strategies

Intermediate Outcomes

Improved organizational capacity Improved monitoring of health and health care utilization Increased participation in evidence-based and innovative health promotion programs Increased use of programmatic, policy, systems, and environmental changes Improved evidence-base for health promotion programs

As part of a National Evaluation Plan, CDC will be responsible for estimating long-term outcomes including:

Increased healthy behaviors Decreased prevalence of chronic disease risk factors Decreased prevalence of chronic diseases Improved sustainability of programmatic, policy, systems, and environmental improvements

iii. Strategies and Activities Applicants for this award must implement strategies and activities to achieve and measure the outcomes described in the logic model above. Strategies for Capacity Building and Core Implementation programs (with and without Enhanced Implementation Activities) are listed below and include examples of potential activities. For each health topic addressed, applicants are expected to choose public health strategies that address 2 or more levels of influence.

Capacity Building Programs

Develop internal capacity hire and maintain appropriate staff (e.g., identify individuals with demonstrated capacity in administrative and fiscal management, establish and maintain other qualified staff, contractors, and consultants as needed ensure infrastructure to support state-level advisory committee (e.g., communication plan, meeting schedule, decision-making process) that facilitates active participation of all disability partners establish and promote the disability program (e.g., develop and implement strategic and integrated media and communication activities to help advance program efforts) enhance staff competencies (e.g., assess and strengthen core knowledge and skills related to promoting inclusion and accessibility) participate in CDC convened webinars, peer calls, and trainings to facilitate information exchange, training, and technical assistance

Enhance and expand partnerships establish a state-level advisory committee, including representation from people with disabilities (e.g., develop committee charter, define member roles and responsibilities) participate in relevant local and/or state-wide coalitions (e.g., build support for and integrate participate in relevant local and/or state-wide coalitions (e.g., build support for and integrate disability focus into other groups and efforts establish new relationships (e.g., state ID program provider, state chronic disease programs)

Assess, develop and disseminate health promotion resources, tools, and inclusion strategies assess gaps in information, resources and programs/policies by conducting a community health needs assessment (e.g., Community Health Inclusion Index) use the Disability and Health Data System (DHDS) to describe the magnitude of disability related health disparities within a state use data-driven process to identify health disparities to be addressed through the work plan promote access and inclusion through media and innovative messaging (e.g., share program impact and lessons learned through social media, policy briefs, and success stories)

Deploy evidence-based health promotion programs adapted for people with disabilities (to be initiated by the end of year 3) use existing guidelines and recommendations to implement at least one evidence-based program addressing a primary health topic area implement health promotion programs (e.g., adaptive physical activity programs, nutrition policy to restrict the availability of less healthy foods and beverages, tobacco cessation programs, access to hypertension screening programs)

Evaluate program impact utilize tools to document and monitor program performance and track outcomes

Core Implementation Programs

Enhance and expand partnerships strengthen and maintain established advisory committee, including representation from people with disabilities participate in relevant local and/or state-wide coalitions strengthen and maintain a working relationship with the state ID program provider or state chronic disease director participate in a joint project with a National Center on Disability (e.g., inclusive fitness center model implemented in multiple states and/or communities)

Assess, develop and disseminate health promotion resources, tools, and inclusion strategies use Disability and Health Data System (DHDS) to assess and identify health disparities within the state develop health promotion resources tailored for people with disabilities; consider health literacy promote access and inclusion through the development, implementation, evaluation and dissemination of community models (e.g., universal design approaches to make streets safer for pedestrians, bicyclists, and public transit users, inclusive fitness centers) disseminate key findings and lessons learned through multiple communication modes (e.g., conference presentations, manuscripts, social media, success stories, webinars and websites)

Deploy evidence-based health promotion programs adapted for people with disabilities use public health guidelines and/or existing recommendations to customize evidence-based programs for people with disabilities (e.g., adapt Common Community Measures for Obesity Prevention for people with ID) implement health promotion programs (e.g., adaptive physical activity program, nutrition policy to restrict the availability of less healthy foods and beverages, tobacco cessation programs, access to hypertension screening programs)

Promote evidence-based and innovative, programmatic, policy, systems, and environmental changes develop/pilot innovative strategies (e.g., adapt Common Community Measures for Obesity Prevention for people with mobility limitations) implement/disseminate evidence-based strategies (e.g., inclusion policy, universal design approaches that increase access to clinical preventive services) http://dhds.cdc.gov http://dhds.cdc.gov http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm implement and rigorously evaluate a new program (e.g., adapt HealthMatters for people with mobility disabilities)

Provide training and education train select audiences (e.g., state health departments, advocates, public) about health risk factors, health disparities, and policies that affect people with disabilities train health care professionals to provide quality health screenings and assessments (e.g., build professional competencies, identify adaptive equipment)

Provide technical assistance support people with disabilities and their families, health care providers, organizations serving people with disabilities and the general public

Evaluate program impact utilize tools to document and monitor program performance and track outcomes (e.g., develop work plans that relate to short-term and intermediate outcomes, track progress on objectives that address health disparities)

(With) Enhanced Implementation Activities

Provide technical assistance (mentoring) assess and monitor the needs and gaps of one Capacity Building program (e.g., help identify and build staff competencies, share example of advisory committee charter) develop an annual technical assistance plan to outline and track mentoring activities (e.g., coordinate key activities to support the capacity building state, including frequency of conference calls and date(s) of site visits) provide assistance and support through peer-to-peer exchanges (e.g., conduct quarterly calls to discuss successes and/or barriers, conduct a minimum of three site visits to a Capacity Building state across the 5-year project period) Assist Capacity Building state to use data to help identify potential programmatic, policy, systems, and environmental changes that can be implemented by the end of Year 3

Enhance and utilize data to identify patterns of health and health care utilization (Medicaid data) use Medicaid claims data to characterize people with intellectual and developmental disabilities (IDD) at the state level use Medicaid claims data to identify leading causes of hospitalization, emergency department and outpatient utilization and their associated costs collaborate to prioritize identified health issues across Core Implementation programs with Enhanced Implementation activities utilize Medicaid data to tailor a targeted evidence-based intervention across all Core Implementation programs with Enhanced Implementation activities publish and disseminate findings (e.g., presentations at national and state conferences, joint publications with CDC and other Core Implementation programs with Enhanced Implementation activities)

Evaluate program impact utilize tools to document and monitor program performance and track outcomes

To assist applicants in identifying potential activities that may be modified or adapted for people with mobility limitations and/or ID, CDC has developed a list of public health strategies which are available at:

http://www.cdc.gov/ncbddd/disabilityandhealth/funding-opportunity-announcements.html .

Awardees may not use funds for research or clinical care.

1.Collaborations http://www.cdc.gov/ncbddd/disabilityandhealth/funding-opportunity-announcements.html

a. With other CDC programs and CDC-funded organizations:

Applicants are expected to collaborate with other State-based Disability and Health programs supported under this award and with CDC-funded programs, including the National Centers on Health Promotion for People with Disabilities (CDC-RFA-DD16-1602).

b. With organizations not funded by CDC:

Collaborations between consumer groups, states, national or community-based organizations, state chronic disease directors, clinicians, and researchers are encouraged. If collaborations are proposed, it is expected that the nature of these collaborations are clearly described in the proposal and letters of support, and/or MOUs/MOAs are included in the appendix. If contractual agents or agencies will be used, describe potential contractors, how contractors will be selected, and the role of the applicant as compared to those of the contractor.

2. Target Populations The target populations for the proposed projects are: People with mobility limitations and/or intellectual disabilities (ID), their families, health care providers, organizations serving people with these disabling conditions, and the general public.

It is expected that applicants will describe the specific target population, identify applicable health disparities, and develop and evaluate program objectives and related activities to reduce or eliminate these disparities.

a. Inclusion Funded programs must include people with disabilities in all aspects of the program (e.g., advisory boards, planning committees, project staff, consultants, etc.). Where appropriate, applicants are encouraged to also include: tribal organizations; rural populations; non-English speaking populations; lesbian, gay, bisexual, and transgender (LGBT) populations; and people with limited health literacy. For addional information about disability inclusion, go to http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html .

iv. Funding Strategy (for multi-component FOAs only) The amount and number of awards are contingent on the availability of funds. Funding levels will vary based upon the type of program selected (i.e., Capacity Building or Core Implementation). Annual funds are available as follows:

Capacity Building Programs; up to $150,000 Core Implementation Programs; up to $300,000

Enhanced Implementation Activities; up to an additional $150,000 may be awarded to a subset of Core Implementation Programs for a total annual budget of up to $450,000

Awardees may not use funds for research or clinical care.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and performance measurements help demonstrate achievement of program objectives; build a http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html

Evaluation and performance measurements help demonstrate achievement of program objectives; build a stronger evidence base for specific program interventions; clarify applicability of the evidence base to different populations, settings, and contexts; drive continuous program improvement; and help determine if program strategies are scalable and effective at reaching target populations.

As part of their evaluation plan, awardees will be responsible for measuring short-term and intermediate outcomes. Monitoring progress on short-term and intermediate outcomes provides an opportunity for awardees to make adjustments to strategies to ensure increased long-term health impact. All awardees will be expected to measure and report short-term outcomes (including reach, or number of people impacted by an intervention) that align to objectives included in their work plans.

If selected for funding, CDC staff will work with the grantees to finalize program specific measures. These will include both process and outcome measures, such as:

Process evaluation measure examples:

Develop internal capacity Description of organizational structure, staff roles and responsibilities, organizational chart

Enhance and expand partnerships List of collaborators and their roles and responsibilities, type of interagency agreements

Assess, develop and disseminate health promotion resources, tools, and inclusion strategies Summary of current tools and resources, numbers and types of materials developed, language and literacy of materials, methods of dissemination, audiences reached, numbers of resources requested and distributed, quality assessment of materials, web metrics

Deploy evidence-based health promotion programs adapted for people with disabilities Summary of current literature, list of evidence-based programs, description of adaptations, number of participants engaged

Promote evidence-based and innovative, programmatic, policy, systems, and environmental changes Summary of literature on evidence-based programs, policy, system, or environmental changes, summary of promotional activities and events, documentation of reach

Provide training and education List and types of training provided, number of people who received training

Provide technical assistance Number of technical assistance requests, list of organizations requesting assistance, summary of technical assistance provided

Enhance and utilize data to identify patterns of health and health care utilization List available data sources

Evaluate program impact Documentation of an evaluation plan and logic model, documentation of program reach

Short-term outcome evaluation measure examples:

Increased knowledge and awareness of health risk factors Percentage of change in knowledge and awareness of health risk factors

Improved collaboration with partners Increase in number of partners or joint projects, activities conducted and meetings held

Improved data collection methods Standardized protocols, analyses and documentation of findings

Increased availability and use of health promotion resources, tools, and inclusion strategies Percentage of change in use of resources, tools, and inclusion strategies

Intermediate outcome evaluation measure examples:

Improved organizational capacity Percentage of staff exhibiting key staff competencies

Percentage of staff exhibiting key staff competencies Improved monitoring of health and health care utilization

Percentage of change in health and health care utilization monitoring activities Increased participation in evidence-based and innovative health promotion programs

Percentage of change in number of program participants Increased use of programmatic, policy, systems, and environmental changes

Percentage of change in the number of inclusive policy, systems, and accessible environments, and new policies initiated

Improved evidence-base for health promotion programs Findings published in peer-reviewed journals

CDC emphasis will be supporting awardees to measure process, short-term, and intermediate outcomes, as outlined in the logic model. As part of the National Evaluation Plan, CDC will be responsible for determining overall FOA impact based on performance monitoring and progress achieved by all awardees.

CDC will also have routine calls with grantees to track progress of objectives outlined in the work plans and provide feedback or guidance around issues, such as finalizing logic models and evaluation plans and measuring program impact. CDC will use evaluation findings and performance measures for continuous program quality improvement and to demonstrate the impact of the FOA.

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the awardee will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this FOA. At a minimum, the plan must describe:

How applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement.

How key program partners will participate in the evaluation and performance measurement planning processes.

Available data sources, feasibility of collecting appropriate evaluation and performance data, and other relevant data information (e.g., performance measures proposed by the applicant).

Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should be directed to:

Describe the type of evaluations (i.e., process, outcome, or both).

Describe key evaluation questions to be addressed by these evaluations.

Describe other information (e.g., measures, data sources).

Awardees will be required to submit a more detailed Evaluation and Performance Measurement plan within the first 6 months of award, as described in the Reporting Section of this FOA.

Applicants must provide an evaluation and performance measurement plan that is consistent with the CDC strategy. The plan must:

Include a program logic model that aligns with the FOA logic model Affirm their ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy Describe how key program partners will participate in the evaluation and performance measurement planning process Describe how evaluation findings will be used for continuous program quality improvement Describe the type of evaluation (i.e., process, outcome, or both) and timeline Describe key evaluation questions to be addressed by these evaluations

Identify available data sources and discuss the feasibility of collecting these data Explain how the evaluation and performance measures will contribute to developing an evidence base for programs that employ strategies lacking strong evidence

c. Organizational Capacity of Awardees to Implement the Approach Applicants must demonstrate the ability to execute the CDC strategies and activities and meet project period outcomes.

Applicants should:

Describe the current status of programs conducted by their organization, and describe their understanding of the need for this program as well as their agency's capacity in implementing and evaluating the activities within the proposed plan.

Describe the anticipated level of organizational capacity applicants will need in order to implement the award. Organizational capacity includes skill sets such as: program planning, program evaluation, performance monitoring, financial reporting, budget management and administration, and personnel management.

Applicants should demonstrate relevant experience and capacity (management, administrative, and technical) to implement the activities and achieve the project outcomes, experience and capacity to implement the evaluation plan, and a staffing plan and project management structure sufficient to achieve the project outcomes and clearly define staff roles.

Applicants are encouraged to submit up to three success stories that demonstrate program accomplishments. Each success story should not exceed one page and may be included in the appendix.

Applicants must be capable of managing the required procurement efforts, including the ability to write and award contracts in accordance with applicable grants regulations, and meet reporting requirements related to federal programmatic, financial, and management benchmarks as required in the FOA.

d. Work Plan Applicants must provide a detailed work plan for the first year of the project period and a high-level description that covers the remaining four years of the project period. The work plan must crosswalk to the strategies and activities, short-term and intermediate outcomes, and performance measures presented in the logic model and narrative sections of the FOA. The work plan should include the associated performance measures, program strategies and activities, target dates for completion, and person(s) responsible for the activities. A sample work plan format is presented below to show how a traditional work plan aligns with the logic and narrative. In this format, the table would be completed for each project period outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Project Period Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities Process Measure

[from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

6.

If selected for funding, CDC staff will work with grantees to finalize the proposed work plan post-award.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee reporting (including work plans, performance, and financial reporting). Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking awardee progress in achieving the desired outcomes.

Ensuring the adequacy of awardee systems that underlie and generate data reports.

Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities:

Ensuring that work plans are feasible based on the budget and consistent with the intent of the award.

Ensuring that awardees are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with awardees on adjusting the work plan based on achievement of outcomes, evaluation results and changing budgets.

Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels.

Other activities deemed necessary to monitor the award, if applicable.

These activities may include monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.

Other than those listed above, no additional monitoring activities are required.

f. CDC Program Support to Awardees (THIS SECTION APPLIES ONLY TO COOPERATIVE

AGREEMENTS)

CDC will have substantial involvement throughout the project period. To ensure the success of the cooperative agreement, CDC will provide the following:

Technical Assistance:

CDC staff will provide access to subject matter experts in disability, Medicaid analyses, public health practice and evaluation.

CDC staff will conduct routine conference calls with grantees and will assist, as needed, with program planning, work plan finalization, implementation, performance measurement and evaluation.

CDC staff will work with states around specific health topics to create Communities of Practice (CoPs); specifically, staff will identify states working on similar topic areas/adaptations and convene special conference calls and/or meetings to identify and leverage best practices and share lessons learned.

Where appropriate, CDC staff will collaborate in the development of health promotion materials, presentations, and publications associated with these activities.

Information Dissemination:

CDC staff will share information, best practices, and lessons learned among partners through meetings, conferences, listservs, webinars, and other social media.

CDC staff will also share information between awardees through routine conference calls and facilitate information exchanges between grantees.

Additional Support

CDC staff will provide regular feedback on work plans, evaluation plans (including logic model) and required reports.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the

CDC Program Support to Awardees Section.

2. Award Mechanism: U-27

3. Fiscal Year: 2016 Estimated Total Funding: $27,000,000

4. Approximate Total Fiscal Year Funding: $5,400,000

This amount is subject to the availability of funds.

5. Approximate Project Period Funding: $27,000,000

6. Total Project Period Length: 5 year(s)

7. Expected Number of Awards: 18

8. Approximate Average Award: $300,000 Per Budget Period

This amount is subject to the availability of funds.

9. Award Ceiling: $450,000 Per Budget Period

10. Award Floor: $150,000 Per Budget Period

11. Estimated Award Date: 07/01/2016

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

12. Budget Period Length: 12 month(s)

13. Direct Assistance Direct Assistance (DA) is not available through this FOA.

C. Eligibility Information

1. Eligible Applicants Eligibility Category: State governments

Native American tribal governments (Federally recognized)

Additional Eligibility Category:

Government Organizations:

State (includes the District of Columbia) Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

2. Additional Information on Eligibility

Organizations previously funded under DD07-702, Health Promotion for People with Disabilities, DD12-1204 and DD15-1502, Improving the Health of People with Disabilities through State based Public Health Programs, are not eligible to apply for Capacity Building funds; they are only eligible to apply for Core Implementation programs and Enhanced Implementation activities. CDC will consider any application requesting Capacity Building funds that have been funded under these previous FOA's as non-responsive and it will receive no further review.

The award ceiling for this FOA is $450,000. CDC will consider any application requesting an award higher than this amount as non- responsive and it will receive no further review. If a pre-application is required, then specify here and include it in the special eligibility requirements section. (http:// www.hhs.gov/ asfr/ ogapa/ aboutog/ hhsgps107.pdf)

3. Justification for Less than Maximum Competition This announcement is limited to state governmental agencies or their bona fide agents, U.S. territories, and Native American tribal governments. These agencies are uniquely positioned to improve the health of people with disabilities. Given their established infrastructure, existing state and local health promotion programs and various community-based partnerships, awardees will be expected to improve inclusion and accessibility of people with disabilities in health promotion programs. These government agencies or their bona fide agents have: credibility and influence in their targeted communities (e.g., developed and/or participated in existing community coalitions, events, and activities); experience implementing health promotion programs; direct access to targeted audiences; a variety of existing communication platforms (e.g., websites, newsletters, conferences, special events, etc); and demonstrated ability to leverage additional resources and partnerships.

Applicants that do not demonstrate the appropriate infrastructure and resources necessary to fulfill the requirements of this project as described above will be limited in their ability to achieve the goals and objectives of this project.

4. Cost Sharing or Matching Cost Sharing / Matching Requirement:

No

Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this FOA exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

5. Maintenance of Effort Maintenance of effort is not required for this program.

D. Required Registrations

Additional materials that may be helpful to applicants: http://www.cdc.gov/od/pgo/funding/docs/Financial ReferenceGuide.pdf.

1. Required Registrations An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

a. Data Universal Numbering System: All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http:// fedgov.dnb. com/webform/ displayHomePage.do. The DUNS number will be provided at no charge.

If funds are awarded to an applicant organization that includes sub-awardees, those sub-awardees must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as an awardee. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually.

Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov: The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the “Get Registered” option at www.grants.gov.

All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.

Step System Requirements Duration Follow Up 1 Data Universal

Number System

(DUNS)

1. Click on http:// fedgov.dnb.com/ webform

2. Select Begin DUNS search/request process

3. Select your country or territory and follow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under

DUNS number

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at

(http:// fedgov.dnb.

com/ webform) or call 1-866-705-5711 http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/portal/public/SAM/ http://grants.gov/ http://www.grants.gov/ http://www.grants.gov/ http://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform

2 System for Award Management (SAM) formerly Central Contractor Registration (CRR)

1. Retrieve organizations DUNS number

2. Go to www.sam.gov and designate an

E-Biz POC (note CCR username will not not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

3-5 Business Days but up to 2 weeks and must be renewed once a year

For SAM Customer Service

Contact https://fsd.gov/fsd -gov/home.do

Calls:

866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new

DUNS number to become an authorized organization representative (AOR)

2. Once the account is set up the E-BIZ POC will be notified via email

3. Log into grants.gov using the password the E-BIZ POC received and create new password

4. This authorizes the AOR to submit applications on behalf of the organization

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants

MUST obtain a

DUNS number and SAM account before applying on grants.gov)

Register early!

Log into grants.gov and check AOR status until it shows you have been approved

2. Request Application Package…