CDC-RFA-DD20-2005.pdf

Centers for Disease Control and Prevention

National Center on Birth Defects and Developmental Disabilities

NCBDDD Outcomes and Developmental Data Assistance Center for EHDI (ODDACE)

Programs

CDC-RFA-DD20-2005

Application Due Date: 05/07/2020

NCBDDD Outcomes and Developmental Data Assistance Center for EHDI (ODDACE)

Programs

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Assistance Listings (CFDA) Number F. Dates G. Executive Summary

Part II. Full Text A. Funding Opportunity Description B. Award Information C. Eligibility Information D. Application and Submission Information E. Review and Selection Process F. Award Administration Information G. Agency Contacts H. Other Information I. Glossary

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- DD20-2005. 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) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

NCBDDD Outcomes and Developmental Data Assistance Center for EHDI (ODDACE) Programs C. Announcement Type: New - Type 1 This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DD20-2005

E. Assistance Listings (CFDA) Number:

93.314 F. Dates:

1. Due Date for Letter of Intent (LOI): 03/13/2020

2. Due Date for Applications: 05/07/2020, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

March 5, 2020, 2:00 pm, EST Join Zoom Meeting https://zoom.us/j/159676554 Meeting ID: 159 676 554 One tap mobile +19292056099,,159676554# US (New York) +16699006833,,159676554# US (San Jose) Dial by your location +1 929 205 6099 US (New York) +1 669 900 6833 US (San Jose) Meeting ID: 159 676 554 https://www.grants.gov https://www.grants.gov https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov https://zoom.us/j/159676554

Find your local number: https://zoom.us/u/aGOXDp8Fb

G. Executive Summary:

1. Summary Paragraph:

The Centers for Disease Control and Prevention announces availability of funds for notice of funding opportunity (NOFO), Outcomes and Developmental Data Assistance Center for EHDI (ODDACE) Programs. While using intervention and outcomes data can inform decisions and support positive outcomes among children who are deaf or hard of hearing (D/HH), states often lack the capacity to systemically gather this data. The purpose of this NOFO is to establish and support a new outcomes center to coordinate and assist participating states and strategic partners in determining how best to gather, analyze, and use specific intervention and developmental outcomes data. The NOFO involves five key strategies: 1) Surveillance for the identification, standardization, and collection of intervention and developmental outcomes data; 2) Collaboration to engage and align partners; 3) Capacity to strengthen the ability of participating states to gather standardized intervention and outcomes data; 4) Data analysis to analyze data across participating states to assess the provision of intervention services and developmental outcomes; and 5) Translate and disseminate data analysis and other key findings to inform decisions and practices.

Expected project outcomes include:

Strategic partners have accurate and standardized surveillance data on the outcomes of children who are D/HH.

Increased understanding of factors impacting the outcomes of children who are D/HH at the state and national level.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $2,100,000

e. Average One Year Award Amount: $700,000

f. Total Period of Performance Length: 3

g. Estimated Award Date: 08/02/2020

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 NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text https://zoom.us/u/aGOXDp8Fb

1. Background

a. Overview The CDC EHDI program supports the success of all children who are deaf or hard of hearing (D/HH) in the U.S. by helping ensure they receive newborn hearing screening, early diagnosis, and timely intervention services. Without these services, children who are D/HH lose valuable time in gaining skills that put them on a path to have language on par with their hearing peers in kindergarten and to be ready to succeed in early childhood. Delays in language development are more difficult to remediate when late diagnosis and intervention occur.

Nearly one out of every 500 live born infants in the U.S. is identified as D/HH. While collaborative efforts by CDC, states, and others have led to early identification of tens of thousands of children who are D/HH, their developmental outcomes are often unknown, as these data are not routinely collected by CDC or state EHDI programs. Without timely and effective intervention that meets the needs of children who are D/HH, the benefits of early identification can be offset or reduced. It is also unclear what actions beyond early identification and enrollment in intervention should be taken by public health to reduce the potential adverse consequences of hearing loss and ensure that children who are D/HH are ready for success in early childhood.

Previous CDC-funded projects indicated it is possible to gather, analyze, and use data from states to better understand the outcomes of children who are D/HH. Building capacity in these areas will allow states to respond to key policy questions and facilitate program improvements through data-driven decision-making.

While many states are interested in routinely gathering data to assess the outcomes of children who are D/HH, many lack the capacity to implement the necessary public health practices related to evaluating intervention and outcomes. That makes it challenging to:

Ensure all children who are D/HH are ready for success in early childhood.

Implement surveillance practices to document and assess intervention outcomes to evaluate and address potential adverse consequences of hearing loss.

Assess and document the success and impact of EHDI activities across the U.S.

This NOFO will establish a developmental outcomes center (ODDACE) and support the following focus areas: 1) Improve the capacity of states to collect and document, in a standardized manner, information related to intervention services and outcomes data among children who are D/HH; 2) Assess the relationship between intervention services and developmental outcomes; 3) Promote practices to ensure children who are D/HH are ready to succeed in early childhood; and 4) Assist states in implementing evidenced-based intervention strategies to ameliorate the potential adverse effects of hearing loss in early childhood.

The ODDACE will collaborate with CDC, participating states and county/local programs on the following:

Gather intervention and developmental outcomes data in a standardized manner (including obtaining necessary consents). Participating states may need to link or integrate with relevant intervention and developmental outcomes data systems.

Analyze data across participating states to assess the provision of intervention services and developmental outcomes.

Use data to inform decisions and intervention practices, and support improved developmental outcomes among children.

Note: This funding will not support the recommendation, exclusion or promotion of any type of intervention, communication mode, or intervention/educational setting.

b. Statutory Authorities This program is authorized under Section 399M(b)(1) of the Public Health Service Act, [42U.S.C. 280g-1(b)(1)].

c. Healthy People 2030 This program addresses “Healthy People 2020” focus area(s) of Hearing and other Sensory or Communication Disorders (ENT-VSL 1):

Increase the proportion of newborns who are screened for hearing loss by no later than age 1 month, have audiologic evaluation no later than 3 months of age, and are enrolled in appropriate intervention services no later than 6 months of age.

Note: This objective is scheduled to be included in HP 2030. HP 2030 is expected to be launched in the spring of 2020.

d. Other National Public Health Priorities and Strategies This NOFO aligns with CDC priorities to strengthen tracking and surveillance capacity and CDC public health priorities of early identification and receipt of recommended services, www .cdc.gov/ncbddd/hearingloss/about.html. In addition, this NOFO aligns with the latest Joint Committee on Infant Hearing (JCIH) Position Statement, http://jcih.org/posstatemts.htm and with the mission of the Office of Special Education Programs (OSEP), https://www2.ed.gov /about/offices/list/osers/osep/index.html.

e. Relevant Work Previous CDC funded activities, under DD17-001 have shown that one entity can assist states in implementing assessment tools to measure child outcomes; obtain parental consent to share child-level intervention, health, and education data; document intervention services and strategies that support age-appropriate language outcomes; and serve as a repository for intervention and developmental outcomes data from multiple states.

Additionally, jurisdictions with the support of CDC have demonstrated that using patient level diagnostic and intervention data strengthens EHDI tracking and surveillance. This work will inform and support efforts to gather, analyze, and use intervention and outcomes data.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

http://www.cdc.gov/ncbddd/hearingloss/about.html http://www.cdc.gov/ncbddd/hearingloss/about.html http://jcih.org/posstatemts.htm https://www2.ed.gov/about/offices/list/osers/osep/index.html https://www2.ed.gov/about/offices/list/osers/osep/index.html

Logic Model: Outcomes and Developmental Data Assistance Center for EHDI Bold indicates period of performance outcome

Strategies and Activities

Short-Term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Surveillance Identification, standardization and collection of intervention and outcomes data

Collaboration Engaging and aligning partners

Capacity Development Building the capacity to gather standardized intervention and outcomes data

Data Analysis Analyzing intervention and outcomes data across states to assess provision of services and outcomes

Translate and Disseminate

Increased standardization of early intervention and outcomes data sets by the recipient

Increased collaboration between recipient, state EHDI program, and identified strategic partners (e.g. county/local) that support children who are D/HH and their families

Increased knowledge among strategic partners of barriers to accessing and gathering intervention and outcomes data

Reduced barriers among identified strategic partners to accessing and gathering intervention and outcomes data

Improved documentation of intervention and outcomes data at state and national level

Increased knowledge among strategic partners about the provision of intervention services among children who are

D/HH

Strategic partners have accurate and standardized surveillance data on the outcomes of children who are D/HH

Increased understanding of factors impacting the outcomes of children who are D/HH at the state and national level

Strategic partners use surveillance data to inform evidence-based intervention policies and practices that meet the needs of children who are D/HH

Implementation of evidence-based intervention strategies to help reduce adverse consequences of hearing loss during early childhood

Information Using data to inform decisions and practices

i. Purpose While it is important to understand the developmental outcomes of children who are D/HH, states often lack the capacity to collect, assess, and use this information to improve practices and inform decisions and policy. This award will establish a developmental outcomes data center that will support efforts to: 1) collect and document intervention and developmental outcomes data in a standardized way, 2) assess the relationship between intervention and developmental outcomes, including language, and 3) promote practices to ensure children who are D/ HH are ready to succeed in early childhood.

ii. Outcomes The following key outcomes are expected to be achieved by the end of the three-year period of performance.

Short Term Outcomes

Increased standardization of early intervention and outcomes data sets by the recipient.

Increased collaboration between recipient, state EHDI programs, and identified strategic partners (e.g. county/local) that support children who are D/HH and their families.

Increased knowledge among strategic partners of barriers to accessing and gathering intervention and outcomes data.

Intermediate Outcomes

Reduced barriers among identified strategic partners to accessing and gathering intervention and outcomes data.

Improved documentation of intervention and outcomes data at state and national level.

Increased knowledge among strategic partners about the provision of intervention services among children who are D/HH.

Long Term Outcomes

Strategic partners have accurate and standardized surveillance data on the outcomes of children who are D/HH.

Increased understanding of factors impacting the outcomes of children who are D/HH at the state and national level.

iii. Strategies and Activities Recipient will collaborate extensively with CDC. The CDC staff will assist with the development and coordination of project timelines, work plans, and other related activities. The following are strategies and activities the awarded recipient is expected to implement during the three-year period of performance. The recipient may identify additional activities necessary to achieve the strategies and should thoroughly describe them in the work plan.

Surveillance: This strategy involves the identification, standardization and collection of intervention and developmental outcomes data.

Associated Activities:

Create a list of all strategic partners (grouped by state) and report to CDC the data sharing readiness of each partner, and any obstacles or concerns of the strategic partners. Details will be addressed post-award based on the recipient’s proposed project approach.

Develop a list of standardized data items and a corresponding dictionary that identifies strategic partners that have agreed to share or collect information to document the developmental trajectories of D/HH children and types of intervention services received.

The recipient and CDC will work together to develop and finalize a dissemination plan.

Develop a plan to support and facilitate the timely (e.g., quarterly) sharing and use of data from the approved list of standardized data items, as agreed among identified partners.

Develop a master list of the developmental assessment instruments and common data elements appropriate for documenting and assessing the developmental outcomes of children who are D/HH across different stages of development.

o Indicate which ones are standardized according to a population norm.

Create draft templates for a composite/summary outcomes report of children who are

D/HH that can be customized to meet the data needs of each participating state and strategic partner.

o Details will be addressed post-award based on recipient’s project approach.

o A list of some potentially relevant EHDI data items (see EHDI Tier 1 and EHDI

Tier 2 under “Additional documents”) are available at: https://www.cdc.gov /ncbddd/hearingloss/ehdi-programs.html

Develop draft Data Access and Management plans (including data security and confidentiality protocols).

o Details will be addressed post-award based on the recipient’s proposed approach.

Facilitate and coordinate the gathering, analysis and use of relevant and standardized child-level intervention and developmental outcomes data from participating states and strategic partners.

Collaboration: This strategy involves the engaging and aligning of partners.

Associated Activities:

Meetings o Attend virtual kick-off and routine check-in meetings (Collaborate with CDC to https://www.cdc.gov/ncbddd/hearingloss/ehdi-programs.html https://www.cdc.gov/ncbddd/hearingloss/ehdi-programs.html plan and conduct).

o Attend in-person meetings in Atlanta, GA.

o Attend and participate in webinars.

o Participate with CDC EHDI in regular site visits to assess progress toward achieving the strategies and activities of the cooperative agreement.

o Convene meetings of partners and other stakeholders, including workgroups when appropriate to address collaboration activities.

Strategic Partners o Identify the participating states and related strategic partners with whom ODDACE will engage and support during the period of performance. (Partners can include but are not limited to state EHDI programs, state early intervention programs, intervention service providers, other state, county, and local public health programs that serve infants and children who are D/HH and their families, and family support organizations).

o Develop and implement a plan for engaging participating states and other strategic partners to obtain access to relevant intervention and developmental outcomes data. This should include a description of each strategic partner's needs and how ODDACE will assist participating states and related strategic partners in addressing questions, concerns, and challenges.

ODDACE will be required to coordinate with participating state EHDI programs in their efforts to engage with other strategic partners.

o Collaborate with both participating states and strategic partners to plan and develop customized data sharing and use plans.

o Collaborate with CDC to finalize and approve the Data Access and Management plan.

o Develop and maintain continuous quality improvement and evaluation activities.

o Coordinate with CDC prior to finalizing and executing project plans.

Capacity Development: This strategy involves building the capacity of participating states to gather standardized intervention and outcomes data.

Associated Activities:

Conduct a comprehensive assessment to understand the current capacity and challenges of participating states to gather and exchange intervention and developmental outcomes data.

Develop a Technical Assistance (TA) and Training Plan for participating states and strategic partners, throughout the period of performance, focusing on the advantages of using standardized outcome assessment tools and analysis and use of intervention, developmental outcomes, and other related data. The plan should include details on the format and content of the training resources/activities, such as webinars, web-based materials, and face-to-face training tools and opportunities (i.e. workshops) that cover specific topic- and skill-related needs.

Data Analysis: This strategy involves analyzing intervention and outcomes data across participating states to assess the provision of intervention services and developmental outcomes.

Associated Activities:

Draft a Data Analysis Plan describing the types of developmental outcomes-related analysis that can be performed within and across participating states and strategic partners.

Submit the Data Analysis Plan and requested data reports to CDC quarterly.

o Details will be addressed post-award based on recipient’s project approach.

Translate and Disseminate Information: This strategy involves timely promulgation of findings and the use of data and analysis to inform decisions and practices.

Associated Activities:

Collaborate and coordinate with participating state EHDI programs and strategic partners to translate and operationalize findings, to inform programmatic decisions to ensure all children who are D/HH are ready for success in early childhood.

o The dissemination of findings may include sharing the finalized data items list and other related information.

Draft a Communication and Dissemination Plan.

o Establish a plan for all presentations and ensure co-authorship with CDC staff of journal manuscripts.

Before dissemination, recipient will need to submit to CDC the

Communication and Dissemination Plan for review and approval of all abstracts, presentations, manuscripts, and other public domain materials based on ODDACE related work, activities and data.

Engage with CDC and other federal partners in support of guidance and activities related to data sharing and use of intervention and developmental outcomes data (e.g., sharing best practices and lessons learned).

In furtherance of the underlying purpose of this announcement, Recipient is expected to provide to CDC copies of and/or access to all data, software, tools, training materials, guidelines, and systems developed under this NOFO, consistent with the terms of this award and applicable grants regulations found at 45 CFR Part 75.

1. Collaborations

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

Recipient is expected to collaborate with CDC and other relevant and approved strategic partners to achieve the goals of this NOFO. This will include building partnerships with participating states to facilitate access to relevant diagnostic, intervention, and development outcomes data for children who are D/HH. Participating states may include some of the programs funded under the award CDC-RFA20-2006.

Letters of support and/or any relevant and established MOUs/MOAs must be included for all proposed collaborations. These support documents should clearly describe what will be done by the supporting program in relation to the proposed work plan strategies and activities, and must be included as separate attachments in the application package.

Applicants must file the MOU, MOA or letters of support as appropriate, name the file “MOUs/MOAs/LetterOfSupport”, and upload it as a PDF file at www.grants.gov.

b. With organizations not funded by CDC:

Recipient will be required to assist participating state EHDI programs (including those not funded by CDC EHDI) to collaborate with other related strategic partners to leverage resources to accomplish the proposed strategies and activities throughout the 3-year period of performance. These proposed strategic partners should be involved in providing intervention services and assessing developmental outcomes. This may include providing technical assistance (TA) on how to develop collaborative relationships and build partnerships and should involve ODDACE in providing foundational support (e.g., information dissemination, training, TA, capacity building, and other resources).

These collaborative partnerships may include but are not limited to the following:

Local or county school district or state department of education Audiologists and Audiology clinics. Includes audiologists practicing in schools or other educational or intervention settings at the local, county or state level Parent/family advocacy groups Families Developmental pediatricians. Includes specialized pediatricians that perform developmental assessment in their medical office State Part C programs/providers Non-Part C early intervention providers Part B stakeholders who deal with Part C transition to B issues: local educational agency

(LEA), state educational agency (SEA). www.asha.org/Advocacy/federal/idea/IDEA- Part-C--Issue-Brief-Transitions ;

National Association of State Directors of Special Education. www.nidcd.nih.gov/direc tory/national-association-state-directors-special-education-inc-nasdse

Letters of support and/or MOUs/MOAs must be included for all proposed collaborations. These support documents should clearly describe what will be done by the supporting program in relation to the proposed work plan strategies and activities, and must be included as separate attachments in the application package.

Applicants must file the MOU, MOA or letters of support as appropriate, name the file “MOUs/MOAs/LetterOfSupport”, and upload it as a PDF file at www.grants.gov.

2. Target Populations The target population(s) for the proposed project are newborns and children who are identified through state EHDI programs as being D/HH and referred for intervention.

a. Health Disparities Improving public health surveillance systems and linkages across states, and increasing access to developmental outcomes data for participating states and strategic partners in EHDI, can help improve health outcomes and health equity. This requires support and collaborative efforts http://www.grants.gov http://www.asha.org/Advocacy/federal/idea/IDEA-Part-C--Issue-Brief-Transitions http://www.asha.org/Advocacy/federal/idea/IDEA-Part-C--Issue-Brief-Transitions https://foa.grantsolutions.gov/%E2%80%A2www.nidcd.nih.gov/directory/national-association-state-directors-special-education-inc-nasdse https://foa.grantsolutions.gov/%E2%80%A2www.nidcd.nih.gov/directory/national-association-state-directors-special-education-inc-nasdse http://www.grants.gov from several strategic partners, including national, state, and local governments, intervention providers, family advocacy groups, families, and clinical providers. The public health surveillance resulting from this NOFO can be used to inform and improve policies and practices that benefit children who are born D/HH. ODDACE will build capacity in participating states to collect, report, and determine how to best analyze and use their data to establish and meet high expectations for each child who is D/HH, and will customize its technical assistance to meet each participating state’s needs.

Specifically, ODDACE can help with the following:

Improve access for strategic partners to have accurate and standardized surveillance data on the outcomes of children who are D/HH (Required).

Increase understanding of factors impacting the outcomes of children who are D/HH at the state and national level (Required).

Strategic partners use surveillance data to inform evidence-based intervention policies and practices that meet the needs of children who are D/HH (Optional).

Implementation of evidence-based intervention strategies to help reduce adverse consequences of hearing loss during early childhood (Optional).

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and Performance Measurement Strategy Evaluation and performance measurements help demonstrate achievement of project outcomes;

build a stronger practice base for specific project strategies; clarify applicability of the evidence-based interventions to different populations, settings, and contexts; and support continuous program improvement. Clarification and details on evaluation strategies can be found in the following resource: “Updated Guidelines for Evaluating Public Health Surveillance Systems” July 27, 2001/50(RR13); 1-35 available at: https://www.cdc.gov/mmwr/preview/mmwrhtml /rr5013a1.htm Over the course of this cooperative agreement, CDC will monitor and assess the outcomes of the project using performance measures.

Recipient will be required to:

1. Develop project-specific Process Measures based on the proposed Work Plan. These measures will be used to help monitor progress on the recipient’s proposed activities.

a. Required process measures for Year 1 include: list of potential strategic partners and their primary contacts, number of orientation/outreach sessions for prospective strategic partners, number of attendees for each orientation/outreach session for prospective strategic partners, and the percentage of planned staff hired within three months of award.

https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm

b. Additional proposed process measures should be included in the Work Plan.

CDC will approve these proposed process measures within 60 days of award.

2. Use the Outcome Measures defined below to assess the degree to which short-term, mid-term, and long-term outcomes for the logic model have been achieved.

3. Collect and report process and outcomes measurements to CDC at the end of each budget period using the Annual Performance Measurement Report. The format will be specified in post-award guidance.

4. Conduct an assessment during year three period of performance about the future potential to continue and maintain the capacity to routinely gather, analyze, and use intervention and outcomes-related data. Recipient will utilize established evaluation methods to identify the strategies and activities with sustainability potential and to assess the extent to which strategic partners will be able to continue the collaborative activities beyond the period of performance (e.g., data sharing and analysis).

This section presents how CDC and the recipient will monitor the degree to which short-term, intermediate and long-term outcomes for the logic model have been achieved.

SHORT TERM OUTCOMES OUTCOME MEASURES

Increased standardization of early intervention and outcomes data sets by the recipient.

Number of strategic partners (listed by area of expertise) who have agreed to provide developmental outcomes assessment data/information to ODDACE.

A master list of standardized intervention and developmental outcomes data items.

Increased collaboration between recipient, state EHDI program, and identified strategic partners (e.g., county/local) that support children who are D/HH and their families.

Number of strategic partners (listed by area of expertise) who have entered into data use/sharing agreements or other relevant agreements (e.g., MOU/MOA) to share data with ODDACE.

Number of strategic partners (listed by area of expertise) who have declined the invitation to enter into data use/sharing agreements or other relevant agreements (e.g., MOU/MOA) to share data with

ODDACE.

Increased knowledge among strategic partners of barriers to accessing and gathering intervention and outcomes data.

Annual presentation/report to strategic partners that describes barriers to accessing, gathering, and using intervention and outcomes data and proposed solutions to address the identified barriers.

INTERMEDIATE OUTCOMES OUTCOME MEASURES

Reduced barriers among identified strategic partners to accessing and gathering intervention and outcomes data.

Number of strategic partners in each participating state with a data agreement (DUA/MOA/MOU/etc.) who are routinely sharing intervention and developmental outcomes data with the state EHDI program.

Number of strategic partners in each participating state with a data agreement (DUA/MOA/MOU/etc.) who are routinely sharing intervention and developmental outcomes data with ODDACE.

Improved documentation of intervention and outcomes data at state and national level.

Number of strategic partners in each participating state with data agreements (DAU/MOA/MOU/etc.) who are routinely providing all data items from the master list of standardized intervention and developmental outcomes data to the state EHDI program.

Number of strategic partners in each participating state with data agreements (DAU/MOA/MOU/etc.) who are routinely providing all data items from the master list of standardized intervention and developmental outcomes data to

ODDACE.

Increased knowledge among strategic partners about the provision of intervention services among children who are D/HH.

Dissemination of a preliminary report on overall (i.e., aggregate) findings related to provision and/or receipt of intervention services of children who are D/HH across the participating states.

Development and presentation of a preliminary summary (e.g., report, manuscript, white paper, etc.) describing factors and barriers that affect provision of

LONG TERM OUTCOMES OUTCOME MEASURES

Strategic partners have accurate and standardized surveillance data on the outcomes of children who are D/HH.

Number of strategic partners across the participating states that are routinely gathering and sharing all data items from the master list of standardized intervention and developmental outcomes data items.

Number of partners who are using a standardized developmental assessment instrument as part of their routine battery of outcomes assessments.

Increased understanding of factors impacting the outcomes of children who are D/HH at the state and national level.

Dissemination of a report to CDC and strategic partners on overall factors that impact the intervention and developmental outcomes of children who are D/HH.

Development and presentation of an updated summary (e.g., conference presentations, reports to strategic partners, peer-reviewed article, white paper, etc.)

describing methodology and factors impacting the outcomes of children who are D/HH at the state and national level.

Number of other related manuscripts, presentations, abstracts, public-facing documents/websites that describe methodology and summarize relevant findings related to factors impacting the outcomes of children who are D/HH at the state and national level.

intervention services to children who are D/HH and plans to address those challenges.

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this NOFO. 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)

Plans for updating the Data Management Plan (DMP), if applicable, for accuracy throughout the lifecycle of the project. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans.

For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

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).

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

In addition, the plan must describe:

How the applicant will collect the performance measures, including process and outcome measures specified by CDC in the project description and presented by the applicant in their Work Plan.

The mechanisms to be used during year three of the project, to collect evaluation data on sustainability capacity, during Year Three.

CDC EHDI will work with the award recipient during the first sixty days of award to finalize project-specific performance measures and the evaluation plan. The targets are to be achieved by recipients on or before the completion of this award.

c. Organizational Capacity of Recipients to Implement the Approach Applicants must be able to document experience in establishing a technical assistance center(s), and sufficient organizational capacity and readiness to address and implement the strategies and activities needed to successfully achieve the required outcomes. Any expertise and/or support outside of the applicant’s organization that will be necessary for successful completion of the work plan must be clearly described. This is to include a description of any prior experience establishing and maintaining a technical assistance center(s) (including the focus of each center and the number of years involved), a summary of the technical assistance provided, including https://www.cdc.gov/grants/additionalrequirements/ar-25.html the recipients of this assistance, and the outcomes of this assistance. Any other relevant experience related to a technical assistance center and providing technical assistance is also to be included. Anticipated or current MOUs to support this project should also be included with the application.

Applicants must file the MOU/MOA as appropriate, name the file “MOUs/MOAs”, and upload it as a PDF file at www.grants.gov.

Applicant should have experience collaborating with partners, programs, and organizations (i.e., national, state and county/local public health programs and intervention providers) that serve children who are D/HH and their families. Ideally, this should include knowledge and experience with early identification of hearing loss and interventions and outcomes assessments for children who are D/HH.

In addition to a description of the applicant’s organizational capacity, applicants should include an organizational chart and CVs or resumes of key personnel. For vacant positions, the applicant should describe the proposed position, including an explanation of how the position supports the proposed work plan.

Applicants must name this file “CVs/Resumes” or “Organizational Charts” and upload it at www.grants.gov Applicants must demonstrate they have the following capacities to meet the project requirements and successfully complete the activities.

Key staffing and expertise may include, but is not limited to:

Leadership Capacity o Project Director (PD): A PD is the primary individual(s) responsible for the scientific, technical or programmatic aspects of the CDC cooperative agreement.

The PD serves a key role in providing administrative oversight, budget management, and meeting expected project outcomes. This individual should have project management and supervisory experience.

The PD should have knowledge and experience related to EHDI programs, early intervention programs, and child development assessments in order to successfully implement and complete the required strategies and activities.

Surveillance Capacity o Systems Management Expertise in managing protected health information

(PHI), data security, systems development and management.

o Data Quality Coordination Expertise with knowledge and experience in intervention, language/other developmental assessment tools and developmental outcomes. Additionally, experience should be demonstrated in engaging providers and state/local intervention agencies serving children who are D/HH and their families.

o Statistical/Epidemiologic/Informatics Expertise to ensure data are standardized and of high quality, in order to plan and conduct the relevant analysis.

http://www.grants.gov/

Evaluation and Performance Monitoring Capacity o Proven ability to conduct program evaluation and monitor performance, including the ability to collect, interpret, and use findings to demonstrate impact on populations.

d. Work Plan Applicants must submit a detailed work plan for the first year of the project and a high-level work plan for years 2 and 3. The work plan should describe how the applicant plans to implement all the required strategies and activities to achieve NOFO outcomes. Required elements for each strategy must include performance measures (both process and outcome), baseline and targets for the performance measures, activities, responsible program staff, and proposed timeframe for completion.

The work plan for subsequent years will include for each strategy: activities, proposed timeframe, and responsible program staff.

A sample work plan template is available upon request by sending an email to ehdico-op@cdc .gov. While applicants are not required to use the sample template, they are required to submit a work plan with the application that includes all of the elements listed above.

Applicants must name this file “Work Plan” and upload it as a PDF file at www.grants.gov.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient 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 recipient progress in achieving the desired outcomes.

Ensuring the adequacy of recipient 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 deemed necessary to monitor the award:

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

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

Working with recipients 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.

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 recipients.

mailto:ehdico-op@cdc.gov mailto:ehdico-op@cdc.gov

The recipient and CDC staff will work closely to assess milestones and monitor progress on strategies, and make adjustments as needed to ensure overall program objectives are met.

Immediate post-award collaboration and monitoring between CDC and the recipient will include, at a minimum, working to:

Revise the technical assistance/program implementation plan, as needed.

Revise the evaluation plan, as needed.

Review the work plan timeline to ensure it is feasible based on the budget and consistent with the intent of the award.

Monitoring activities will include routine and ongoing communication between CDC and the recipient site via “virtual” and in-person meetings, conference calls, site visits, and recipient reporting (including work plans, process and outcome performance measures, routine/requested summary reports, and financial reporting).

Monitoring may also include the following activities deemed necessary to monitor the award:

Monitoring implementation of Data Access and Management Plans.

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

COOPERATIVE AGREEMENTS)

During the period of performance of this cooperative agreement, CDC staff will provide substantial involvement beyond site visits and regular performance and financial monitoring.

Substantial involvement means that recipient can expect federal programmatic partnership in carrying out the efforts under the award. The CDC program will work in partnership with the recipient to ensure the success of the cooperative agreement by:

Supporting recipient in implementing cooperative agreement requirements and advancing program activities to meet outcomes.

Providing technical assistance on annual work plans and budget revisions.

Collaborating on enhancing and expanding outcomes surveillance activities, including the data collection, management, analysis, and dissemination activities.

Collaborating with recipient to develop and implement strategies and evaluation plans and use evaluation findings.

Providing technical assistance to define and operationalize the performance measures and implementation of the performance measurement plan.

Participating in meetings, committees, conference calls, webinars, and working groups relevant to achieving the goals of the cooperative agreement.

o Meetings (i.e., in-person, site visits, virtual meetings).

Scientific collaboration, co-authorship, and clearance on reports, white papers, manuscripts, book chapters, and other derivative works arising from data collected and analyzed through this cooperative agreement.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement

CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism: U50 U50 - Special Cooperative Investigations/Assessment of Control/Prevention Methods.

3. Fiscal Year: 2020

4. Approximate Total Fiscal Year Funding: $700,000

5. Approximate Period of Performance Funding: $2,100,000

This amount is subject to the availability of funds.

Estimated Total Funding: $2,100,000

6. Approximate Period of Performance Length: 3 year(s)

7. Expected Number of Awards: 1

8. Approximate Average Award: $700,000 Per Budget Period

9. Award Ceiling: $700,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $500,000 Per Budget Period

11. Estimated Award Date: 08/02/2020

12. Budget Period Length: 12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (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 period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category: State governments

County governments City or township governments

Special district governments Independent school districts Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education For profit organizations other than small businesses Small businesses Others (see text field entitled "Additional Information on Eligibility" for clarification) Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"

Additional Eligibility Category:

Government Organizations:

State governments or their bona fide agents (includes the District of Columbia)

Local governments or their bona fide agents

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.

State controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

Non-government Organizations:

American Indian or Alaska native tribally designated organizations

Other:

Ministries of Health

2. Additional Information on Eligibility Not applicable.

3. Justification for Less than Maximum Competition Not applicable.

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 NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

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

D. Application and Submission Information

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 https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do number will be provided at no charge.

If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients 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…