cdc-rfa-dp15-1506 amendment i.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

Sudden Unexpected Infant Death (SUID) Case Registry: Building Capacity (Module A) and Implementation (Module B)

CDC-RFA-DP15-1506

Application Due Date: 06/01/2015

Amendment I Changes are:

1. The due date for the FOAs is May 31st at 11:59 pm; since this is a Sunday, we would like to extend the due date by one day to Monday June 1st.

2. The Project Narrative (page 22) currently states that “the 20 page limit includes the work plan”. This should have been the 20 page limit does not include the Work Plan. We are very concerned that the Module A applicants won’t be able to fit their work plans into a 20 page limit (in additional to all the other required information that must be included).

Sudden Unexpected Infant Death (SUID) Case Registry: Building Capacity (Module A) and Implementation (Module B)

CDC-RFA-DP15-1506

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-DP15-1506. 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:

Sudden Unexpected Infant Death (SUID) Case Registry: Building Capacity (Module A) and Implementation (Module B) 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-DP15-1506

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

93.946 F. Dates:

1. Due Date for Letter of Intent (LOI):

2. Due Date for Applications:

3. Date for Informational Conference Call:

N/A 06/01/2015, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

N/A

G. Executive Summary:

1. Summary Paragraph:

Each year in the US nearly 4,000 infants die suddenly of no immediate obvious cause. All states conduct death reviews for these cases, but inconsistencies in reporting and classification have been barriers to accurate monitoring of trends and program evaluation. The National Center for the Review and Prevention of Child Deaths (NCRPCD) operates a case reporting system that is available to all state Child Death Review (CDR) programs at no cost. However, the quality of information entered into this system has been variable, despite established NCRPCD best practices and quality standards. The Sudden Unexpected Infant Death (SUID) Case Registry contains data from a consortium of states chosen to work in collaboration with the CDC to increase the completeness and timeliness of data they collect and enter into NCRPCD through their own state-based systems. The data in the SUID Case Registry meet the highest NCRPCD quality standards that allows them to be used for a number of purposes, including program planning, modification of public health practice and policy for state maternal and child health programs, injury prevention, public health and medicolegal investigation, and reporting on Title V Maternal Child Health Performance Objectives.

Module A will continue to support work of nine states in the SUID Case Registry that have begun implementing NCRPCD data quality standards via the existing Funding Opportunity Announcement (FOA) ending August 31, 2015.

This continuation funds additional implementation of best practices needed to meet NCRPCD quality standards, which include reporting of timely and complete review and data entry and quality assurance procedures. The continuation also adds at least two SUID reduction or prevention strategies to the workplan. Module B will fund new states to begin implementing best practices for meeting NCRPCD data quality standards so that their data may be included in the SUID Case Registry.

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 11 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

c. Approximate Number of Awards: 11 This cooperative agreement has two modules: Module A and Module B.

Module A. Grantees that are currently funded for the SUID Case Registry are eligible for Module A. We will fund up to nine Module A grantees.

Module B. States and jurisdictions that have never been funded as SUID Case Registry states are eligible for Module B. We will fund up to two Module B grantees.

d. Total Project Period Funding: $2,091,000

e. Average One Year Award Amount: $63,364

f. Number of Years of Award: 3

g. Estimated Award Date: 09/01/2015

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview

Each year in the United States nearly 4,000 infants die suddenly of no immediate obvious cause, accounting for about 16% of infant deaths. We often refer to these deaths as sudden unexpected infant deaths (SUID). Sudden infant death syndrome (SIDS), accidental sleep-related suffocation, and unknown cause are among the most frequently reported types of SUID. However, when SUIDs are investigated, information related to the events leading to the death typically is not collected and reported consistently. By definition, SIDS should be assigned as the cause of death only if a thorough investigation (including a complete autopsy, examination of the death scene, and review of the clinical history) was conducted and no findings were present. Because the term SIDS is nonspecific and prone to inconsistencies in reporting and classification, the ability to accurately monitor national trends or evaluate prevention programs focused on SUIDs, including SIDS, is limited.

In all 50 states, infant and child death review (CDR) are conducted at either the local and/or state level, often through state mandate. CDR teams compile existing information in preparation for multidisciplinary review team meetings, during which they discuss a comprehensive picture of the circumstances associated with the infant death, and strategies that may prevent similar deaths. All states have the option to voluntarily enter the compiled information from the CDR into a well-established HRSA-funded Case Reporting System operated by the National Center for the Review and Prevention of Child Deaths (NCRPCD). This system includes a standardized case report tool developed by a work group of over 30 persons, representing 18 states, and includes a set of standardized data elements to be collected as part of best practices. Currently, 43 states are using the NCRPCD Case Reporting System, but all states are eligible to use this system at no cost. The SUID Case Registry currently contains data from a subset of states using the NCRPD Case Reporting System who have worked in collaboration with CDC to improve the quality of SUID data collected by CDR.

NCRPCD data that have been included in the SUID Case Registry have been collected according the best practices established by NCRPCD and therefore include comprehensive information about the circumstances surrounding each SUID death, as well as information about whether a case investigation was conducted and, if so, the components of that investigation; all of which allow deaths to be more accurately characterized and classified. States use this information for the development of targeted SUID reduction and prevention activities. Initial funding for states to participate in the collaborative with CDC to improve the quality of their NCRPCD data for inclusion in the SUID Case Registry began in 2009 with seven states. Currently, nine states, including six of the originally funded states, are funded through August 2015.

b. Statutory Authorities

Public Health Service Act, as amended, Section 301(a) and Section 317K, 42 U.S.C. 241(a); 42 U.S.C. 247b-12

c. Healthy People 2020

The SUID Case Registry addresses these Healthy People 2020 objectives relating to Maternal, Infant, and Child Health and Injury and Violence Prevention:

Maternal, Infant, and Child Health (http://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child -health ):

MICH-1 Reduce the rate of fetal and infant deaths MICH-1.3 Reduce the rate of all infant deaths (within 1 year) MICH-1.4 Reduce the rate of neonatal deaths (within the first 28 days of life) MICH-1.5 Reduce the rate of post-neonatal deaths (between 28 days and 1 year) MICH-1.8 Reduce infant deaths from sudden infant death syndrome (SIDS) MICH-1.9 Reduce infant deaths from sudden unexpected infant deaths (includes SIDS, Unknown Cause, Accidental Suffocation, and Strangulation in Bed)

Injury and Violence Prevention (http://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-preve ntion):

IVP-5 Increase the number of States and the District of Columbia where 90 percent of sudden and unexpected deaths to infants are reviewed by a child fatality review team IVP-24 Reduce unintentional suffocation deaths IVP-24.2 Reduce unintentional suffocation deaths to infants 0-12 months

d. Other National Public Health Priorities and Strategies

N/A

e. Relevant Work

Continues and expands CDC's SUID Case Registry (CDC-RFA-DP09-904 and DP12-1202). For additional information on the project, see http://www.cdc.gov/sids/CaseRegistry.htm.

2. CDC Project Description

a. Approach

CDC-RFA-DP15-1506 Logic Model: SUID Case Registry

Strategies and Activities Outputs Short-Term Outcomes

Long-Term Outcomes

Identify all resident SUID cases in a timely fashion Review all SUID Case Registry cases in a timely fashion Enter 100% of SUID-related NCRPCD data elements within 30 days of review Analyze, disseminate and utilize SUID data to inform data-driven best practices and policies that will reduce or prevent SUID Module A only: 1) develop, implement and evaluate two SUID reduction or prevention strategies to inform one practice improvement and 2) one policy improvement

Improved case ascertainment* Improved case completion and closure* Improved data completeness*

Agencies conducting infant death investiga-tions improve their practices* Agencies serving young families will adopt data-driven practices and policies that will reduce SUID*

Reduce the incidence of SUID

* Project period outputs and outcomes http://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health http://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health http://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-prevention http://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-prevention http://www.cdc.gov/sids/CaseRegistry.htm

i. Purpose

CDR teams use infant death information to inform categorization of SUID cases using standard definitions in the NCRPCD data dictionary (http://www.childdeathreview.org/Reports/PrintCaseVersion3.pdf). The objective for this cooperative agreement is to improve the quality, utility, and impact of awardee NCRPCD SUID data by: 1) identifying and reviewing all SUID cases in the awardee state (completeness of population-based surveillance); 2) compiling information to complete all SUID-related data elements included in the NCRPCD standardized case report tool; 3) creating actionable recommendations aimed at improving death investigations, as well as developing SUID reduction and prevention strategies; and 4) reporting and disseminating findings.

ii. Outcomes

Grantees are expected to make progress on two outcomes: 1) agencies conducting infant death investigations will improve their practices related to collection of comprehensive and timely information about unexpected infant death; and

2) agencies serving families will adopt data-driven best practices and policies that will reduce or prevent SUID.

iii. Strategies and Activities

Module A grantees will build upon their work accomplished in previous SUID Case Registry cooperative cgreements. It is expected that they will continue to improve measures of case ascertainment, case completion and closure, and data completeness. Module A grantees will improve or maintain data completeness at zero missing and <10% unknown data for key NCRPCD variables in the case report. In addition, Module A grantees will include at least two SUID reduction or prevention strategies as a part of their workplan. Module B grantees will focus efforts on creating a minimal baseline level of missing and unknown data fields with a goal of attaining zero missing and <20% unknown data for key NCRPCD variables in the case report.

General Activities (applicable to both Module A and Module B) In the process of collecting NCPRCD data, awardees will meet the following quality standards:

1. Identify all resident SUID cases in a timely fashion.

Identify all SUID cases in the state, ideally within 30 days of death. Cases can be identified by regular communication with medical examiner/coroner (ME/C) offices or through death certificate notifications from vital statistics.

2. Review all SUID cases in a timely fashion. Because timely review depends on having access to key data sourcesand technical infrastructure, awardees will:

Maintain authority to access data sources that are central to primary NCRPCD data elements that are SUID related (e.g., death scene information; ME/C records; public health birth certificate data; death certificates;

law enforcement records; social service records; pediatric and obstetric medical records; investigation information from SUID Investigation Reporting Forms or the jurisdictional equivalent, including doll reenactment photos, sleep environment, and infant medical history; social service records that pertain to the case; infant medical records since birth, including newborn screening results; and the mother’s prenatal and obstetric records).

Convene multidisciplinary CDR teams to review and discuss every SUID case and make recommendations aimed at preventing similar deaths and improving local systems of unexpected infant death investigation.

Maintain active membership in the multidisciplinary review team per state policy, to include agencies that represent ME/C, law enforcement, death scene investigators, public health practitioners, pediatricians or other health care providers, child protective services, and emergency services.

Review and discuss all SUID cases, and their corresponding case investigations within 3 months of case identification, including scene photos and scene reenactment information.

Implement written procedures for the multidisciplinary team, as endorsed by the NCRPCD and currently in place for state or local CDR programs. These should include policies on confidentiality, HIPAA compliance, and http://www.childdeathreview.org/Reports/PrintCaseVersion3.pdf member participation.

3. Enter 100% of SUID-related NCRPCD data elements within 30 days of review into the NCRPCD Case Reporting System, a centralized and secure web-based data collection system. SUID-related NCRPCD data elements include:

infant health, maternal health during pregnancy, caregiver history of involvement with social services or law enforcement, official cause of death statement from the infant’s death certificate, death scene investigation findings, and autopsy results, sleep place, sleep position, any obstruction of the infant’s nose and mouth, and shared sleep surface and/or soft bedding in the sleep environment. Implement a quality assurance plan that includes methods to identify and resolve case identification, case review and data entry issues, and data collection problems, including strategies for reducing missing, unknown or inaccurate data. All quality assurance measures should be complete within 90 days (Module A) or 120 days (Module B) of data entry.

4. Analyze, disseminate and utilize SUID data to inform data-driven best practices and policies that will reduce or prevent SUID.

Communicate information on project activities and results to CDC, partners, and other state programs, including wide distribution of descriptive reports with state aggregate data.

Share information learned from the project through presentations, reports, and media events.

In addition to the above activities, awardees will be expected to participate in the following activities:

Participate in collaborative awardee meetings, recommended trainings, site visits by CDC staff at awardee institution, and yearly “reverse site visits” at CDC in Atlanta.

Participate in the evaluation of collaborative surveillance methods and adjust to any new methodology to improve the quality of data, increase timeliness, and/or respond to changing case registry methodologies.

Collaborate with CDC and NCRPCD to implement data sharing policies. For CDC’s policies on releasing and sharing data see http://www.cdc.gov/od/foia/policies/sharing.htm.

Module A Activities:

Awardees will continue their state-based SUID surveillance and:

Continue to improve data completeness, data timeliness and case ascertainment over levels monitored in previous years.

Maintain quality assurance measures so that there are no missing variables and unknown responses are kept below 10% for all SUID-specific variables in the case report. Quality improvement measures will include documented discussion and evaluation of:

Primary SUID-related NCRPCD data elements (infant health, maternal health during pregnancy, caregiver history of involvement with social services or law enforcement, official cause of death statement from the infant’s death certificate, information from the death scene investigation, autopsy result, incident sleep place, sleep position, obstruction of the infant’s nose and mouth, shared sleep surface and/or soft bedding in the sleep environment use of doll reenactment photos of the position the infant was found).

Factors judged to have directly contributed to each death, which factors were modifiable, and recommendations to prevent similar deaths.

Areas for improvements to the death investigation and autopsy procedures for each case, which will demonstrate a local need for increased resources to support these activities.

Develop, implement, and evaluate two SUID reduction or prevention strategies: 1) one practice improvement and

2) one policy improvement.

Module B Activities:

Successful awardees will do the following:

Participate in SUID Case Registry training and train CDR teams in the awardee state by January 2016.

Begin data quality improvement efforts beginning with new SUID cases in January 2016.

Secure authority to access death scene information, ME/C records, birth certificates (the long form for public health purposes), death certificates, law enforcement records, social service records, and pediatric and obstetric medical records.

http://www.cdc.gov/od/foia/policies/sharing.htm

Implement a quality assurance plan that includes methods to identify and resolve case identification, case review and data entry issues, and data collection problems, including strategies for reducing missing, unknown, or inaccurate data. All quality assurance measures should be complete within 120 days of data entry.

Maintain quality assurance measures so that there are no missing variables and unknown responses are kept below 20% for all SUID-specific variables in the case report.

The strategies and activities outlined about will result in these outputs: 1) improved case ascertainment, 2) improved case completion and closure (i.e., improve timeliness of data), and 3) improved data completeness which are outlined in the logic model.

1.Collaborations

See below.

a. With CDC-funded programs:

Grantees will collaborate with other CDC-funded projects within their states to achieve the outcomes shown in the logic model. For example, grantees may collaborate with other CDC-funded surveillance programs to improve surveillance strategies or with CDC-funded public health programs to address reduction and prevention of SUID. These collaborations are optional but can greatly increase the impact of the SUID Case Registry.

b. With organizations external to CDC:

Grantees will collaborate with the following organizations in order to accomplish the tasks and outcomes outlined in this funding announcement:

Medical Examiners/Coroners (ME/Cs) and Forensic Pathologists

Collaborate with ME/Cs and forensic pathologists to ensure consistent use of and access to the SUID Investigation Reporting Form or jurisdictional equivalent and autopsy reports. ME/Cs should also assist with identifying SUID cases in a thorough and timely manner.

ME/Cs and forensic pathologists should participate in CDR meetings to review SUID Case Registry cases.

Letters of support from ME/Cs and forensic pathologists must be included in the application.

Vital Statistics Birth and death certificates are crucial to the data collection for SUID Case Registry cases. Live-time electronic access to vital records allows awardees to identify cases for CDR and serve as a quality check for case ascertainment.

A letter of support from the state’s vital records office should be included in the application. This letter should outline the level of access to vital records (i.e., live-time electronic access; weekly data sets, etc.).

Data Sources for Child Death Review (CDR) Successful grantees will develop and maintain relationships with organizations that hold critical data for SUID Case Registry case review. These include: public health records, medical records, hospital records, EMS run reports, pathology and autopsy reports, social service records, law enforcement, and death scene information.

Letters of support from these data source organizations should be included in the application.

CDR

Active membership in the multidisciplinary CDR team should include, but not be limited to representation from:

ME/C, law enforcement, death scene investigators, public health, pediatrics or other health care providers, child protective services, and emergency medical services.

Members of the CDR team may write letters of support. These should specify partner contributions including the nature of past and proposed involvement with CDR team meetings and granting access to primary data sources.

If the applicant is not a CDR program, they must include a letter of support from their state CDR team (and local teams, if appropriate). This letter(s) should outline the collaboration between the applicant and the CDR team(s).

2. Target Populations

For the purposes of the SUID Case Registry, SUID cases are those where the death certificate indicates that the cause was unknown, undetermined, SIDS, SUID, unintentional sleep-related asphyxia/suffocation/strangulation, unspecified suffocation, cardiac or respiratory arrest without other well-defined causes, or unspecified causes with potentially contributing unsafe sleep factors. Cases must have been a resident in the state reporting the death. Cases where manner of death is reported as homicide are excluded.

a. Inclusion

N/A

iv. Funding Strategy (for multi-component FOAs only)

Module A grantees will receive funding to continue to improve their current SUID surveillance and to expand to include at least two SUID reduction or prevention strategies. Module B grantees will receive funding to improve their state’s SUID data and surveillance.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

CDC strategy for evaluating program and grantee performance and outcomes will primarily include monitoring outputs and outcomes (as outlined in the logic model) including but not limited to the following:

Data Quality Summaries – Based on meta-data from the NCRPCD related to the timeliness and completeness of data review and entry and implementation of quality assurance procedures, CDC will produce a quarterly Data Quality Summary for each grantee. CDC will use the summary to measure progress on the following logic model outputs: 1) case ascertainment, 2) case completion and closure (i.e., timeliness of data), and 3) data completeness.

Work Plan - Each grantee is required to develop a work plan that outlines how and by when they will achieve the six strategies of the registry (the activities outlined throughout this FOA including the logic model). CDC will use this work plan to evaluate grantee progress on these logic model strategies and activities:

Identify all resident SUID cases in a timely fashion.1.

Review all SUID Case Registry cases using primary data sources in a timely fashion.2.

Enter 100% of SUID Case Registry case information in a timely fashion.3.

Conduct quality assurance measures on 100% of SUID Case Registry cases in a timely fashion.4.

Analyze, disseminate and utilize SUID Case Registry data to inform data-driven practices and policies that will prevent SUID.

5.

Module A only: Develop, implement and evaluate two SUID prevention strategies: 1) one practice improvement and 2) one policy improvement.

6.

Quarterly Report - Every quarter, each grantee will report to CDC the total number of cases identified, reviewed, entered, and cleaned. Numbers for the current quarter and year to-date are requested. CDC will use this information on the timeliness of case flow to track progress towards meeting process standards as outlined in the logic model strategies and activities section and anticipate future grantee needs.

Factsheet and Data Presentation - Annually, at the Reverse Site Visit, grantees will be asked to work with CDC’s technical assistance staff to draft and present a one-page factsheet and data presentation. CDC staff will use this factsheet and data presentation as a metric for continuous quality improvement. Grantees can use this factsheet and presentation to disseminate information on SUID cases in their state.

Capacity Building Report - Twice a year, a capacity building report will be completed by each grantee staff member working on the project activities. It will be important that staff members give specific examples of activities performed over the last six months as evidence to how they score their state program. After the individual assessment is complete, the staff will come together as a team and discuss each competency to come to a consensus and draft a comprehensive list of evidentiary activities. A key focus of CDC technical assistance to grantes is the development of capacity and infrastructure of the state’s CDR program. This assessment is designed to monitor and track the results of CDC’s effort within each grantee program.

Each year a capacity evaluation will also be completed by CDC for each grantee based on information gleaned from monthly calls and worksheets, any site visit, the reverse site visit, and additional technical assistance and communication. Whereas the capacity building report completed by the grantee team constitutes an outcome measure, capacity evaluation is used as a process measure for continuous program quality improvement. The CDC’s capacity evaluation will be compared to the capacity building assessment done by the grantee. Differences will be identified and discussed with each team to determine if there was a gap in communication between CDC and the grantee.

The evaluation and performance measurements outlined above will result in improved data quality which will inform prevention strategies to reduce unexpected infant deaths.

ii. Applicant Evaluation and Performance Measurement Plan

Grantees will use the following tools to measure their strategies, activities, and outcomes.

Quarterly Report - Every quarter, each grantee will report to CDC the number of cases identified, reviewed, entered, and cleaned. Numbers for the current quarter and year-to-date are requested. CDC will use this information on the timeliness of case flow to track progress towards meeting process standards as outlined in the logic model strategies and activities section and anticipate future awardee needs.

Data Quality Summaries – Based on meta-data obtained from the NCRPCD, quarterly Data Quality Summary for each grantee will be generated by CDC. The grantee will use the data quality summary to identify areas for continuous data quality improvement following logic model outputs: 1) case ascertainment, 2) case completion and closure (i.e., timeliness of data), and 3) data completeness. Grantes will use their data to frame communications and improve relationships with key program partners.

Work Plan - Each grantee will develop a work plan that outlines how, within their system, and by when they will achieve the six strategies of this funding announcement (the activities outlined throughout this FOA including the Logic Model).

Identify all resident SUID cases in a timely fashion.1.

Review all SUID Case Registry cases using primary data sources in a timely fashion.2.

Enter 100% of SUID Case Registry case information in a timely fashion.3.

Conduct quality assurance measures on 100% of SUID Case Registry cases in a timely fashion.4.

Analyze, disseminate and utilize SUID Case Registry data to inform data-driven practices and policies that will prevent SUID.

5.

Module A only: Develop, implement and evaluate two SUID prevention strategies: 1) one practice improvement and 2) one policy improvement.

6.

Twice a year the grantee will update the work plan to indicate where things have been completed or are currently in process.

Capacity Building Assessment - Twice a year, grantee staff individually assess the capacity of their program, providing evidence for their assessment. They then work collectively to review individual assessments and come to consensus on the final program Capacity Building Assessment, which is submitted to CDC.

Factsheet and Data Presentation - Each year leading up to the Reverse Site Visit, CDC will provide technical assistance as needed for grantees to analyze their data and develop a factsheet and data presentation. The factsheet will focus on the grantees' SUID epidemiology. The data presentation will focus on process measures or descriptive data (for example: the amount of missing and unknown data and its trend over time, the number of cases with complete autopsies and death scene investigations accessible to the CDR panel). This data presentation will be given at a reverse site visit in Atlanta. Awardees are encouraged to share these meta data with local key stakeholders to demonstrate the value and effectiveness of their efforts.

c. Organizational Capacity of Awardees to Execute the Approach

Applicants must demonstrate the ability to execute the activities outlined in this FOA and meet project period outcomes.

Applicants will need to address workforce capacity, competence, expertise, and experience related to the following SUID Case Registry activities:

Child Death Review Data abstraction Data analysis Program and performance management Partnership development Budget management and financial reporting Report submission

d. Work Plan

Applicants will prepare a detailed work plan for the first year of the award.

The work plan must include activities and timelines to support achievement of the FOA project period outcomes. These activities should be in alignment with the FOA logic model activities and should have appropriate performance measures for each task.

Applicants’ work plans should include specific, measurable, achievable, realistic, and time-based (SMART) objectives and activities. Applicants should include detailed activities for completing each of the following six strategies, a timeline and information about staffing capacity.

Identify all resident SUID cases in a timely fashion.1.

Review all SUID Case Registry cases using primary data sources in a timely fashion.2.

Enter 100% of SUID Case Registry case information in a timely fashion.3.

Conduct quality assurance measures on 100% of SUID Case Registry cases in a timely fashion.4.

Analyze, disseminate and utilize SUID Case Registry data to inform data-driven practices and policies that will prevent SUID.

5.

Module A only: Develop, implement and evaluate two SUID prevention strategies: 1) one practice improvement and 2) one policy improvement.

6.

CDC will provide feedback and technical assistance to awardees to finalize the work plan post-award. Grantees will be required to update the work plan twice annually.

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.

No additional requirements.

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

AGREEMENTS)

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine monitoring. In this cooperative agreement, the CDC will provide:

1. Technical assistance:

a. Reviewing awardee meta-data for completeness, timeliness and providing feedback to awardees to improve data.

b. Working with awardees to systematically resolve problems of missing and unknown data.

c. Reviewing descriptive reports submitted by awardees and providing general assistance to awardees in developing these reports.

2. Information sharing:

a. Conducting a reverse site visit yearly with all awardees and partners to assist awardees in achieving their goals and objectives.

b. Scheduling and conducting site visits and conference calls to assist awardees in solving problems related to data collection, case review, data entry, data analysis, quality assurance and evaluation.

c. Training on data standards and coding, data entry, data editing and other quality assurance functions, quality assurance and evaluation purposes.

3. Additional support:

a. Providing a case definition, variable definitions, and data dictionary.

b. Ensuring that the NCRPCD Case Reporting System is functioning for grantees.

c. Disseminating project findings through presentations, reports, publications and media events.

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:

3. Fiscal Year: 2015 Estimated Total Funding: $697,000

4. Approximate Total Fiscal Year Funding: $697,000

5. Approximate Project Period Funding: $2,091,000

6. Total Project Period Length: 3 year(s)

7. Expected Number of Awards: 11

This cooperative agreement has two modules: Module A and Module B.

Module A. Grantees that are currently funded for the SUID Case Registry are eligible for Module A. We will fund up to nine Module A grantees.

Module B. States and jurisdictions that have never been funded as SUID Case Registry states are eligible for Module B. We will fund up to two Module B grantees.

8. Approximate Average Award: $63,364 Per Budget Period

9. Award Ceiling: $118,000 Per Budget Period

10. Award Floor: $22,000 Per Budget Period

11. Estimated Award Date: 09/01/2015

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

Others (see text field entitled "Additional Information on Eligibility" for clarification)

2. Additional Information on Eligibility

State health offices or their bona fide agents, including the District of Columbia, that currently use the National Center for the Review and Prevention of Child Death web-based Case Reporting System.

The award ceiling for this FOA is $118,000. 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

Only state health offices or their bona fide agents are eligible because they are designated as registration areas for vital statistics and are uniquely qualified to perform the data quality and programmatic activities for the SUID Case Registry. Moreover, they have the ability and authority to obtain population-based information from core data sets (such as birth and death files), which is crucial for the successful implementation of the grantee’s population-based SUID Registry.

Module A eligibility is limited to existing Sudden Unexpected Infant Death (SUID) Case Registry awardees funded under CDC-RFA-DP12-1202. Applicants eligible to apply for this module are: Arizona Department of Health Services, Colorado Department of Public Health and Environment, Louisiana Office of Public Health, Michigan Public Health Institute (acting as a bona fide agent for the Michigan Department of Health), Minnesota Department of Health, New Hampshire Department of Health and Human Services, New Jersey Department of Health and Senior Service, New Mexico Department of Health, and Children's Hospital of Wisconsin Inc. (acting as a bona fide agent for the Wisconsin Department of Health). These grantees are uniquely qualified to build upon their years of experience implementing the SUID Case Registry.

Module B funding will be provided only to the state health offices or their bona fide agents that are not currently funded to participate in the SUID Case Registry. These states have no experience implementing a SUID Case Registry and, if awarded, will improve activities and train teams to better compile, review, and enter data on all cases in their state and to perform data quality assurance measures. While Module B states may have no formal experience or resources to conduct population-based surveillance, it should be noted that potential recipients have experience in compiling, reviewing, and entering data in their CDR program. This funding ensures that grantees are identifying areas to improve current functions.

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

No

5. Maintenance of Effort http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

N/A

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 usually requires not more than five 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 through www.grants.gov, the official HHS E-grant website. Registration information is located at the "Get Registered" option at www.grants.gov.

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

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this funding opportunity at www.grants.gov. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIM@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348.

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. PGO personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by PGO.

a. Letter of Intent Deadline (must be emailed or postmarked by) N/A

b. Application Deadline Due Date for Applications: 06/01/2015, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which grants.gov operations resume.

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 http://www.Grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov https://foa.grantsolutions.gov/announcementmodule/PGOTIM@cdc.gov%20

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html.

Complete the applicable assurances and certifications on an annual basis, name the file “Assurances and Certifications” and upload it as a PDF file at www.grants.gov Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc. gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx Assurances and certifications submitted directly to CDC will be kept on file for one year and will apply to all applications submitted to CDC by the applicant within one year of the submission date.

6. Content and Form of Application Submission Applicants are required to include all of the following documents with their application package at www.grants.gov.

7. Letter of Intent

A LOI is not requested or required as part of the application for this FOA.

8. Table of Contents (No page limit and not included in Project Narrative limit): The applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package.

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum 1 page) A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the "Project Abstract Summary" text box at www.grants.gov.

10. Project Narrative (Maximum of 20 pages, single spaced, Calibri 12 point, 1-inch margins, number all pages. Content beyond 20 pages will not be considered. The 20 page limit includes the work plan. For a multi-component FOA, maximum page limit is 25.)

The Project Narrative must include all of the bolded headings shown in this section. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire project period as identified in the CDC Project Description section. Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov.

a. Background Applicants must provide a description of relevant background information that includes the context of the problem (See CDC Background).

b. Approach

i. Purpose Applicants must describe in 2-3 sentences specifically how their application will address the problem as described in the CDC Background section.

ii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period. Outcomes are the results that the program intends to achieve. All outcomes must indicate the intended direction of change (e.g., increase, decrease, maintain). (See the logic model in the Approach section of the CDC Project Description.)

http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html http://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://www.grants.gov http://www.grants.gov http://www.grants.gov

iii. Strategies and Activities Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the project period outcomes. Applicants must select existing evidence-based strategies that meet their needs, or describe in the Applicant Evaluation and Performance Measurement Plan, how these strategies will be evaluated over the course of the project period. (See CDC Project Description: Strategies and Activities section.)

1. Collaborations Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC.

Applicants must file letters of support, as appropriate, name the file “Letters of Support”, and upload it as a PDF file at www.grants.gov.

2. Target Populations Applicants must describe the specific target population(s) in their jurisdiction and explain how such a target will achieve the goals of the award and/or alleviate health disparities. Refer back to the CDC Project Description section – Approach: Target Population.

c. Applicant Evaluation and Performance Measurement Plan Applicants must provide an overall evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy section of the CDC Project Description of this FOA. Data collected must be used for ongoing monitoring of the award to evaluate its effectiveness, and for continuous program improvement.

The plan must:

Affirm the ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy.