CDC-RFA-OT13-13020502SUPP17 Category A Project Plans.pdf

FOA: CDC-RFA-OT13-13020502SUPP17

Category A FY17 CIO Project Plans (39 Project Plans)

PSU FOA OT13-1302 CIO Project Plans – Year 5: Accreditation Support Initiative Supplement: Capacity Building Assistance to Accelerate Accreditation Readiness

Office for State, Tribal, Local and Territorial Support

Partnership Support Unit

Final

FY 2017 CIO PROJECT PLAN

FOA OT13-1302

Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations

Project Plan Instructions

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

"Submit."

GENERAL INFORMATION

Grantee name Project title*

(20 words maximum)

Word count

CIO* OFFICE FOR STATE, TRIBAL, LOCAL AND TERRITORIAL SUPPORTOFFICE FOR STATE, TRIBAL, LOCAL AND TERRITORIAL SUPPORT Division*

DIVISION OF PUBLIC HEALTH PERFORMANCE IMPROVEMENTDIVISION OF PUBLIC HEALTH PERFORMANCE IMPROVEMENT CIO POC name(s)* Enter up to 3 names

Separate 2 or more entries by a semicolon (e.g., John Doe; Jane Doe;)

CIO POC phone number(s)* Enter up to 3 names

Enter complete phone number(s) and separate 2 or more entries by a semicolon (e.g., (404)555-1212; (404)555-0009)

CIO POC email address(es)* Enter up to 3 names Enter complete email address(es) and separate 2 or more entries by a semicolon (e.g., johndoe@cdc.gov; janedoe@cdc.gov;)

Target population category* Category ACategory A Target population type* Local public health department

State public health department

Territorial public health department

Tribal public health department

Target population description*

(25 words maximum)

Word count

Proposed project funding*

Funded UnfundedUnfunded

PROJECT DETAILS

Project description*

(Narrative including goals, expected outputs, outcomes, and general or sample activities;

maximum of 1,000 words)

Word count

PROJECT DESCRIPTION (NARRATIVE), INCLUDING GOALS, EXPECTED OUTPUTS, OUTCOMES AND GENERAL

OR SAMPLE ACTIVITIES (MAXIMUM OF 500 WORDS): The goal of this project is to increase capacity among the public health workforce leading Public Health Accreditation Board (PHAB) accreditation activities and quality improvement efforts. The awardee will lead an effort to support PHAB readiness activities among the accreditation/performance improvement workforce in selected health departments and support organizations. Activities may include: • Enhancing training, technical assistance, and support resources for accreditation coordinators, focusing on the development of accreditation prerequisites and the implementation of performance/quality improvement activities; • Accelerating the number of PHAB applicants and accredited agencies through Accreditation Support Initiative (ASI) awards; • Leveraging national partnerships and relationships to collaborate and ensure coordination and implementation of strategies that will assist accreditation coordinators; and • Planning and implementing related evaluation activities. As a result of these efforts, participants will advance the readiness of health departments toward achieving or applying for PHAB accreditation. Outcomes and outputs will include: • A series of learning and peer networking opportunities (e.g., webinar series, conference calls, etc.). • Accreditation/quality improvement materials and related resources. • Increased knowledge and skills related to public health accreditation and quality improvement. • Increased capacity among public health workforce to implement accreditation readiness and quality improvement activities. • Increased ability to carry out PHAB standards, measures and prerequisites. • Increased number of accredited health departments.

Program strategies that relate to

FOA*

(Check one or more)

Public Health Systems and Organizational

Improvement

Public Health Workforce Public Health Data and Information Systems Public Health Practice and Services

Accreditation Support Initiative Supplement: Capacity Building Assistance to Accelerate Accreditation Rea...

Charisse Walcott; Meredith Parrado

404-498-0409; 404-498-0878 cwalcott@cdc.gov; ish1@cdc.gov

Public health accreditation/performance improvement workforce across local health departments.

$250,000

Page 1 of 2CIO Project Plans – Year 5 - Accreditation Support Initiative Supplement:...

5/1/2017https://partner.cdc.gov/Sites/OSTLTS/PSU/PSUPP/Lists/PPFY17/Item/editifs.aspx?List=a0...

Public Health Partnerships Public Health Resources, Communication &

Evaluation

Other

Program outcomes that relate to

FOA*

(Check two or more)

Increased adoption of new or proven business improvements leading to management and administrative efficiencies or cost savings Increased availability and accessibility of continuing education and training focused on public health competencies and new skills, including the use of experience-based internships and fellowships Increased incorporation of core public health competencies into employee position descriptions and performance evaluations

Increased integration of state-of-the-art technology into data collection and information systems Increased implementation of evidence-based public health programs, policies, and services Improved capacity to meet nationally established standards, such as those for health department accreditation

Establishment and maintenance of diverse public health partnerships for meaningful cooperation and achievement of evidence-based public health strategies and interventions, such as the CDC Winnable

Battles Improved quality, availability, and accessibility of public health education materials, training, and evaluation tools and resources

Other

Applicant organizational capacity*

(Maximum of 500 words)

Word count

Awardee will need to proactively collaborate with other national partners. They are expected to work with

CDC programmatic staff – through the CDC/OSTLTS/DPHPI Health Department and Systems Development

Branch – on all activities.

Applicant program experience*

(Maximum of 500 words)

Word count

The awardee will have an in depth knowledge of the public health accreditation and improvement workforce. They will have experience in administering small, competitive agency support initiatives.

COLLABORATIVE WORK

Expectations for collaboration

(If applicable, maximum of 300 words)

Word count

Awardee will be expected to proactively coordinate and leverage activities among partners with similar interests and activities. They are expected to collaborate with CDC programmatic staff – through the

CDC/OSTLTS/DPHPI Health Department and Systems Development Branch – on all activities.

Expected subcontractual work and recommended criteria for identifying/selecting subcontractors

(If applicable, maximum of 300 words)

Word count

Applicants should propose sub-contract work consistent with the goals of this project.

BUDGET INSTRUCTIONS

General instructions for use of funds – as applicable

(Maximum of 300 words)

Word count

Funds may be used for allowable direct or indirect costs that advance program objectives. Construction and research are prohibited under this funding.

CIO CERTIFICATION*

By submitting this project plan, I certify that my CIO unit currently does not maintain a comparable FOA related to a Capacity Building

Assistance program.

submit date:

2017-03-23

Page 2 of 2CIO Project Plans – Year 5 - Accreditation Support Initiative Supplement:...

PSU FOA OT13-1302 CIO Project Plans – Year 5: American Indian Clinical Cancer Screening Network

Partnership Support Unit

Final

FY 2017 CIO PROJECT PLAN

FOA OT13-1302

Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations

Project Plan Instructions

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

"Submit."

GENERAL INFORMATION

Grantee name Project title*

(20 words maximum)

Word count

CIO* NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTIONNATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION Division*

DIVISION OF CANCER PREVENTION AND CONTROLDIVISION OF CANCER PREVENTION AND CONTROL CIO POC name(s)* Enter up to 3 names

Separate 2 or more entries by a semicolon (e.g., John Doe; Jane Doe;)

CIO POC phone number(s)* Enter up to 3 names

Enter complete phone number(s) and separate 2 or more entries by a semicolon (e.g., (404)555-1212; (404)555-0009)

CIO POC email address(es)* Enter up to 3 names Enter complete email address(es) and separate 2 or more entries by a semicolon (e.g., johndoe@cdc.gov; janedoe@cdc.gov;)

Target population category* Category ACategory A Target population type* Local public health department

State public health department

Territorial public health department Tribal public health department

Target population description*

(25 words maximum)

Word count

Proposed project funding*

Funded UnfundedUnfunded

PROJECT DETAILS

Project description*

(Narrative including goals, expected outputs, outcomes, and general or sample activities;

maximum of 1,000 words)

Word count

The colorectal cancer incidence rate among American Indians in the Northern Plains exceeds all other regions in the lower 48 states and fewer than 40% of adults in this region are up to date with screening recommendations. The purpose of the American Indian Clinical Cancer Screening Network project is to develop and implement a best practice-based initiative designed to increase colorectal cancer screening rates within Indian Health Service, Tribal, and/or Urban clinics across the Northern Plains. We will embed lessons learned from previous colorectal cancer screening initiatives in the Northern Plains to reinforce the implementation of the American Indian Clinical Cancer Screening Network (AICCSN). To provide a comprehensive approach in improving colorectal cancer screening practices, AICCSN will take into account available screening options, culturally tailored evidence-based strategies and partnerships to further screening efforts. Goal: Expand an existing, interactive, web-based technical assistance program designed to support quality improvement strategies in colorectal cancer screening in American Indian health systems. Expected outcomes: • Engage new and existing clinic teams interested in progressively improving colorectal cancer screening rates. • Provide web-based clinical systems support, CME/CEU webinar trainings, educational materials and tools for patients and clinical teams. • Established and sustained partnerships to share effective strategies and offer supportive feedback in AICCSN. • Established multi-tiered approach in providing culturally tailored resources supported by evidence-based practices.

• Reduced patient barriers within clinical systems to support completion of colorectal cancer screening.

• Enhanced clinical systems to ensure efficient data measuring and tracking.

Program strategies that relate to

FOA*

(Check one or more)

Public Health Systems and Organizational

Improvement

Public Health Workforce

Public Health Data and Information Systems Public Health Practice and Services

American Indian Clinical Cancer Screening Network

Donald Haverkamp

505-235-1163 cyq1@cdc.gov

Clinic Teams (i.e. providers, nurses, leadership, quality improvement) in Tribal and urban health systems across American Indian communities

$150,000

Page 1 of 3CIO Project Plans – Year 5 - American Indian Clinical Cancer Screening...

Public Health Partnerships Public Health Resources, Communication &

Evaluation

Other

Program outcomes that relate to

FOA*

(Check two or more)

Increased adoption of new or proven business improvements leading to management and administrative efficiencies or cost savings

Increased availability and accessibility of continuing education and training focused on public health competencies and new skills, including the use of experience-based internships and fellowships

Increased incorporation of core public health competencies into employee position descriptions and performance evaluations

Increased integration of state-of-the-art technology into data collection and information systems Increased implementation of evidence-based public health programs, policies, and services

Improved capacity to meet nationally established standards, such as those for health department accreditation

Establishment and maintenance of diverse public health partnerships for meaningful cooperation and achievement of evidence-based public health strategies and interventions, such as the CDC Winnable

Battles Improved quality, availability, and accessibility of public health education materials, training, and evaluation tools and resources

Other

Applicant organizational capacity*

(Maximum of 500 words)

Word count

Colorectal cancer is a significant issue for American Indians across the Northern Plains. Colorectal cancer incidence is 53% higher for Northern Plains American Indians compared to non-Hispanic Whites. Screening has a tremendous impact on both incidence and mortality. Unfortunately, colorectal cancer screening rates remain remarkably low at health facilities across the Northern Plains serving American Indians, ranging from 34% to 47%. To address this disparity, we seek to find an organization with the capacity to conduct programs and evaluation that can help improve American Indian cancer prevention and control.

The organization selected to carry out this project needs to have experience working with tribal nations in development of policy, systems and environmental change strategies to promote health equity, and to provide culturally relevant training and resources for cancer prevention, screening, and survivorship. This organization should consist of an array of American Indian professionals with extensive public health, communications and evaluation experience working within the American Indian communities to provide strategies and resources for American Indian health programs that assist community members to overcome barriers and complete cancer screening. The organization should have established relationships with tribal and urban partners who will be able to help increase cancer awareness and screening within American

Indian communities.

Applicant program experience*

(Maximum of 500 words)

Word count

The organization that leads this project should have experience in working with Indian Health Service, Tribal and Urban (ITU) clinics, and facilitating the implementation of evidence based practices through training, technical assistance, and development of culturally relevant resources in the area of cancer screening. A previous project, “Improving Northern Plains American Indian Colorectal Cancer Screening

(INPACS)” identified gaps and opportunities to improve colorectal cancer screening among patients ITU clinics. The INPACS project findings indicated that Northern Plains health systems would benefit from and be interested in a comprehensive customized systems approach to improving colorectal cancer screening among their patients. Based on the barriers and possible solutions identified in the INPACS project, a small clinic network was selected to pilot strategies to support quality improvement systems changes directed at colorectal cancer screening. This became the Clinical Cancer Screening Network. Clinic teams were engaged to develop a tailored approach to improve colorectal cancer screening rates by providing clinical systems support, educational materials and tools for patients and clinical teams. Clinic participation consisted of identification of a clinic team, an introductory site visit, a 4-hour on-site workshop, a two-day workshop in

Minneapolis and conference calls. Clinic teams within the initial network each had diverse clinic settings with varying levels of readiness to support quality improvement changes throughout their clinic systems. In order to best utilize the momentum to improve screening efforts while recognizing constrained schedules of clinics, it was emphasized by clinic teams to deliver web-based communication methods (webinars, video conferencing) to effectively maintain the clinic partnerships. The organization selected to implement the current project must have expertise in supporting clinical systems improvements and evidence based practices for colorectal cancer screening, as well as experience developing and providing training using online communication methods. Using web-based communication methods to highlight toolkit strategies will allow a comprehensive approach in providing technical assistance across clinic teams as well as individualized support to encourage customized strategies.

COLLABORATIVE WORK

Expectations for collaboration

(If applicable, maximum of 300 words)

Word count

The organization selected to implement this project will seek existing and new clinical partnerships to support quality improvement practices within American Indian health systems and communities. Being cognizant of time constraints experienced by staff of the health systems, the organization will establish initial in-person site visits to share available resources and strategies to guide processes to increase colorectal cancer screening rates and will collaborate with American Indian health systems to: • Establish clinic teams that have direct access to AICAF clinical innovations program team that support technical assistance and resources. • Provide facilitation at least two clinic site visits from AICAF team to determine clinic team priorities and colorectal cancer screening opportunities in their communities. • Design a technical assistance plan aligned with health system readiness delivered in a tiered approach to increase screening rates. • Establish the ideal communication plan (web-based; in-person) based on the level of readiness to pursue quality improvement activities within American Indian health systems and communities. • Sustain ongoing interactive web-based technical assistance support by responsive resources such as website, webinar, and/or video calls.

Page 2 of 3CIO Project Plans – Year 5 - American Indian Clinical Cancer Screening...

Expected subcontractual work and recommended criteria for identifying/selecting subcontractors

(If applicable, maximum of 300 words)

Word count

The organization selected to implement this project may subcontract with other organizations that have experience working with Tribes and Tribal health systems in the Northern Plains region of the country.

BUDGET INSTRUCTIONS

General instructions for use of funds – as applicable

(Maximum of 300 words)

Word count

CIO CERTIFICATION*

By submitting this project plan, I certify that my CIO unit currently does not maintain a comparable FOA related to a Capacity Building

Assistance program.

submit date:

2017-03-23

Page 3 of 3CIO Project Plans – Year 5 - American Indian Clinical Cancer Screening...

PSU FOA OT13-1302 CIO Project Plans – Year 5: Building capacity for comprehensive Syringe Services Programs in a rural community

Partnership Support Unit

Final

FY 2017 CIO PROJECT PLAN

FOA OT13-1302

Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations

Project Plan Instructions

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

"Submit."

GENERAL INFORMATION

Grantee name Project title*

(20 words maximum)

Word count

CIO* NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTIONNATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION Division*

OFFICE OF POLICY, PLANNING AND EVALUATIONOFFICE OF POLICY, PLANNING AND EVALUATION CIO POC name(s)* Enter up to 3 names

Separate 2 or more entries by a semicolon (e.g., John Doe; Jane Doe;)

CIO POC phone number(s)* Enter up to 3 names

Enter complete phone number(s) and separate 2 or more entries by a semicolon (e.g., (404)555-1212; (404)555-0009)

CIO POC email address(es)* Enter up to 3 names Enter complete email address(es) and separate 2 or more entries by a semicolon (e.g., johndoe@cdc.gov; janedoe@cdc.gov;)

Target population category* Category ACategory A Target population type* Local public health department

State public health department

Territorial public health department

Tribal public health department

Target population description*

(25 words maximum)

Word count

Proposed project funding*

Funded UnfundedUnfunded

PROJECT DETAILS

Project description*

(Narrative including goals, expected outputs, outcomes, and general or sample activities;

maximum of 1,000 words)

Word count

Goals The goals of this project are to provide resources to build capacity in rural syringe services programs

(SSP)and to broaden the effectiveness of the infectious disease impacts of syringe services programs (SSP) in rural areas. In this proposal, capacity building refers to activities that increase the skills, infrastructure, and resources of individuals, organizations and communities. Innovative collaborations, integrations, and efficiencies are encouraged. Awards will be commensurate with the scope of activities as funding allows.

Building Capacity in a Rural SSP Through Targeted Expansions Applications should address each activity below— • Provide support for the expansion of an established SSP to expand staffing, expand operating hours, extend geographic area, and improve linkage to services for persons who inject drugs (PWID) in a rural community. The SSP should be in a jurisdiction that experiences higher acute hepatitis C incidence and has sought or intends to seek if awarded funding a Determination of Need. An evaluation component should be included. See below for more detail. • Convene one virtual or in-person meeting of health officials and relevant partners from at least 5 rural communities who are operating an SSP or are seeking to establish a program with the goal of sharing lessons learned and best practices. Applicants are encouraged to plan a publically-available report-out as an output of the meeting. • Working in collaboration with CDC, identify gaps in training and communication tools and create at least 3 tools to aid SSPs as they form and grow. These tools should synthesize existing information, contribute new knowledge gained from the experience of expanding this SSP, and produce new insights and recommendations from the aforementioned meeting of rural health leaders. Additional Considerations Determination of Need The

SSP should be in a jurisdiction that experiences higher acute hepatitis C incidence and has sought or intends to seek if awarded funding a Determination of Need. In consultation with CDC, state or local health departments must demonstrate that the jurisdiction or area they are serving is either at risk for, or experiencing, a significant increase in hepatitis infections or an HIV outbreak due to injection drug use.

Building capacity for comprehensive Syringe Services Programs in a rural community

Amanda McWhorter

(404)606-6944 frh6@cdc.gov

Local health departments in rural communities focusing syringe services program

$175,000

Page 1 of 3CIO Project Plans – Year 5 - Building capacity for comprehensive Syringe...

More information can be found at https://www.aids.gov/pdf/hhs-ssp-guidance.pdf. Targeted Expansions

The SSP, in consultation with the target community, the local health department, the funded partner, and

CDC, will work to assess staffing needs, hire appropriate positions, expand of hours of operation, and/or expand the geographic area of the SSP. These efforts should focus on improving access to services and increasing the service reach for the PWID population. Additional activities to build capacity should be proposed and may include but are not limited to: staff training for overdose prevention, peer navigation, and infrastructure improvements like a mobile unit to conduct outreach and mobile services. The program should provide documentation of need for such expansions to assist decision making, and the program should provide documentation of utilization and scope after the expansion. Applicants should explain the rationale for allocation of funds, and discuss the consideration of strategies that could be sustainable over time. Enhancements A well-developed proposal may include use of an emerging or established informatics system to track SSP performance; secondary exchange and peer-driven outreach to reach PWID who cannot attend SSP with services; and a component to evaluate changes in program attendance, utilization and linkage to care in light of the expansion. Evaluation CDC will provide technical assistance to establish a monitoring and evaluation plan to assess the effects of the expansion and grow the body of evidence demonstrating the impact of SSPs in communities. Results of the evaluation should be shared with the SSP.

The specific services to be added will drive the development of evaluation indicators. Potential indicators include— • Number of total contacts or clients served • Number of syringes distributed • Estimated number of syringes returned for disposal • Number of diagnostic tests performed (or referrals to, if service not provided directly) for infection with HIV, Hepatitis B virus, and /or Hepatitis C virus • Number of

Naloxone doses distributed • Number of referral to or onsite vaccination provided against hepatitis A and

B • Number of referrals to medication-assisted treatment (MAT) services • Number of referrals for substance use disorder treatment other than MAT • For other services: services provided, number of persons served, number of contacts or encounters

Program strategies that relate to

FOA*

(Check one or more)

Public Health Systems and Organizational

Improvement

Public Health Workforce

Public Health Data and Information Systems Public Health Practice and Services

Public Health Partnerships Public Health Resources, Communication &

Evaluation

Other

Program outcomes that relate to

FOA*

(Check two or more)

Increased adoption of new or proven business improvements leading to management and administrative efficiencies or cost savings

Increased availability and accessibility of continuing education and training focused on public health competencies and new skills, including the use of experience-based internships and fellowships

Increased incorporation of core public health competencies into employee position descriptions and performance evaluations Increased integration of state-of-the-art technology into data collection and information systems Increased implementation of evidence-based public health programs, policies, and services

Improved capacity to meet nationally established standards, such as those for health department accreditation

Establishment and maintenance of diverse public health partnerships for meaningful cooperation and achievement of evidence-based public health strategies and interventions, such as the CDC Winnable

Battles

Improved quality, availability, and accessibility of public health education materials, training, and evaluation tools and resources

Other

Applicant organizational capacity*

(Maximum of 500 words)

Word count

An effective applicant will have skills in partnership-building, administration of budgets, project management, as well as adequate staffing, and the ability to learn and integrate data collection systems into project tasks.

Applicant program experience*

(Maximum of 500 words)

Word count

An effective applicant will have knowledge of the epidemiology and social determinants of the opioid epidemic, experience working with syringe services programs, expertise in partnering with local health departments, comfort adopting new technologies, and experience administering CDC funding.

COLLABORATIVE WORK

Expectations for collaboration

(If applicable, maximum of 300 words)

Word count

The applicant must be able to provide data from situational analysis or otherwise demonstrate need for proposed work, and to effectively facilitate the decision-making process to determine the service(s) to be added to the SSP, to collaborate to implement the service(s), and to jointly evaluate the program and report findings to CDC.

Not applicable

Page 2 of 3CIO Project Plans – Year 5 - Building capacity for comprehensive Syringe...

identifying/selecting subcontractors

(If applicable, maximum of 300 words)

Word count

BUDGET INSTRUCTIONS

General instructions for use of funds – as applicable

(Maximum of 300 words)

Word count

Current law requires that only jurisdictions that have received concurrence from CDC that they have a need for a SSP may use federal funds for this purpose. CDC federal funds cannot be used to purchase needles and syringes for injection of illegal drugs, nor devices used solely for preparation of illegal drugs for injection (e.g., cookers).

CIO CERTIFICATION*

By submitting this project plan, I certify that my CIO unit currently does not maintain a comparable FOA related to a Capacity Building

Assistance program.

submit date:

2017-03-23

Page 3 of 3CIO Project Plans – Year 5 - Building capacity for comprehensive Syringe...

PSU FOA OT13-1302 CIO Project Plans – Year 5: Building capacity for comprehensive Syringe Services Programs in a tribal community

Partnership Support Unit

Final

FY 2017 CIO PROJECT PLAN

FOA OT13-1302

Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations

Project Plan Instructions

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

"Submit."

GENERAL INFORMATION

Grantee name Project title*

(20 words maximum)

Word count

CIO* NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTIONNATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION Division*

OFFICE OF THE DIRECTOROFFICE OF THE DIRECTOR

CIO POC name(s)* Enter up to 3 names

Separate 2 or more entries by a semicolon (e.g., John Doe; Jane Doe;)

CIO POC phone number(s)* Enter up to 3 names

Enter complete phone number(s) and separate 2 or more entries by a semicolon (e.g., (404)555-1212; (404)555-0009)

CIO POC email address(es)* Enter up to 3 names Enter complete email address(es) and separate 2 or more entries by a semicolon (e.g., johndoe@cdc.gov; janedoe@cdc.gov;)

Target population category* Category ACategory A Target population type* Local public health department

State public health department

Territorial public health department Tribal public health department

Target population description*

(25 words maximum)

Word count

Proposed project funding*

Funded UnfundedUnfunded

PROJECT DETAILS

Project description*

(Narrative including goals, expected outputs, outcomes, and general or sample activities;

maximum of 1,000 words)

Word count

Goals The goals of this project are to broaden the effectiveness of the infectious disease impacts of syringe services programs (SSP) in tribal areas, and to provide resources to build capacity in tribal SSPs. In this proposal, capacity building refers to acitivites that increase the skills, infrastructure, and resources of individuals, organizations and communities. Innovative collaborations, integrations, and efficiencies are encouraged. Awards will be commensurate with the scope of activities as funding allows. Building Capacity in a Tribal SSP Through Targeted Expansions Applications should address each activity below— • Provide support for the expansion of an established SSP to expand staffing, expand operating hours, extend geographic area, and improve linkage to services for persons who inject drugs (PWID) in a tribal community. The SSP should be in a jurisdiction that experiences higher acute hepatitis C incidence and has sought or intends to seek if awarded funding a Determination of Need. An evaluation component should be included. See below for more detail. • Convene one virtual or in-person meeting of health officials and relevant partners from at least 5 tribal communities who are operating an SSP or are seeking to establish a program with the goal of sharing lessons learned and best practices. Applicants are encouraged to plan a publically-available report-out as an output of the meeting. • Working in collaboration with CDC, identify gaps in training and communication tools and create at least 3 tools to aid SSPs as they form and grow.

These tools should synthesize existing information, contribute new knowledge gained from the experience of expanding this SSP, and produce new insights and recommendations from the aforementioned meeting of tribal health leaders. Additional Considerations Determination of Need The SSP should be in a jurisdiction that experiences higher acute hepatitis C incidence and has sought or intends to seek if awarded funding a Determination of Need. In consultation with CDC, state or local health departments must demonstrate that the jurisdiction or area they are serving is either at risk for, or experiencing, a significant increase in hepatitis infections or an HIV outbreak due to injection drug use. More information

Building capacity for comprehensive Syringe Services Programs in a tribal community

Amanda McWhorter

404-606-6944 frh6@cdc.gov

Tribal health departments; syringe services program serving a tribal community

$175,000

Page 1 of 3CIO Project Plans – Year 5 - Building capacity for comprehensive Syringe...

can be found at https://www.aids.gov/pdf/hhs-ssp-guidance.pdf. Targeted Expansions The SSP, in consultation with the target community, the local health department, the funded partner, and CDC, will work to assess staffing needs, hire appropriate positions, expand of hours of operation, and/or expand the geographic area of the SSP. These efforts should focus on improving access to services and increasing the service reach for the PWID population. Additional activities to build capacity should be proposed and may include but are not limited to: staff training for overdose prevention, peer navigation, and infrastructure improvements like a mobile unit to conduct outreach and mobile services. The program should provide documentation of need for such expansions to assist decision making, and the program should provide documentation of utilization and scope after the expansion. Applicants should explain the rationale for allocation of funds, and discuss the consideration of strategies that could be sustainable over time.

Enhancements A well-developed proposal may include use of an emerging or established informatics system to track SSP performance; secondary exchange and peer-driven outreach to reach PWID who cannot attend SSP with services; and a component to evaluate changes in program attendance, utilization and linkage to care in light of the expansion. Evaluation CDC will provide technical assistance to establish a monitoring and evaluation plan to assess the effects of the expansion and grow the body of evidence demonstrating the impact of SSPs in communities. Results of the evaluation should be shared with the SSP.

The specific services to be added will drive the development of evaluation indicators. Potential indicators include— • Number of total contacts or clients served • Number of syringes distributed • Estimated number of syringes returned for disposal • Number of diagnostic tests performed (or referrals to, if service not provided directly) for infection with HIV, Hepatitis B virus, and /or Hepatitis C virus • Number of

Naloxone doses distributed • Number of referral to or onsite vaccination provided against hepatitis A and

B • Number of referrals to medication-assisted treatment (MAT) services • Number of referrals for substance use disorder treatment other than MAT • For other services: services provided, number of persons served, number of contacts or encounters

Program strategies that relate to

FOA*

(Check one or more)

Public Health Systems and Organizational

Improvement

Public Health Workforce

Public Health Data and Information Systems Public Health Practice and Services

Public Health Partnerships Public Health Resources, Communication &

Evaluation

Other

Program outcomes that relate to

FOA*

(Check two or more)

Increased adoption of new or proven business improvements leading to management and administrative efficiencies or cost savings

Increased availability and accessibility of continuing education and training focused on public health competencies and new skills, including the use of experience-based internships and fellowships

Increased incorporation of core public health competencies into employee position descriptions and performance evaluations Increased integration of state-of-the-art technology into data collection and information systems Increased implementation of evidence-based public health programs, policies, and services

Improved capacity to meet nationally established standards, such as those for health department accreditation

Establishment and maintenance of diverse public health partnerships for meaningful cooperation and achievement of evidence-based public health strategies and interventions, such as the CDC Winnable

Battles

Improved quality, availability, and accessibility of public health education materials, training, and evaluation tools and resources

Other

Applicant organizational capacity*

(Maximum of 500 words)

Word count

An effective applicant will have skills in partnership-building, administration of budgets, project management, as well as adequate staffing, and the ability to learn and integrate data collection systems into project tasks.

Applicant program experience*

(Maximum of 500 words)

Word count

An effective applicant will have knowledge of the epidemiology and social determinants of the opioid epidemic, experience working with syringe services programs, expertise in partnering with local health departments, comfort adopting new technologies, and experience administering CDC funding.

COLLABORATIVE WORK

Expectations for collaboration

(If applicable, maximum of 300 words)

Word count

The applicant must be able to provide data from situational analysis or otherwise demonstrate need for proposed work, and to effectively facilitate the decision-making process to determine the expansionneeded, to collaborate to implement the expansion, and to jointly evaluate the program and report findings to CDC.

Not applicable

Page 2 of 3CIO Project Plans – Year 5 - Building capacity for comprehensive Syringe...

identifying/selecting subcontractors

(If applicable, maximum of 300 words)

Word count

BUDGET INSTRUCTIONS

General instructions for use of funds – as applicable

(Maximum of 300 words)

Word count

Current law requires that only jurisdictions that have received concurrence from CDC that they have a need for a SSP may use federal funds for this purpose. CDC federal funds cannot be used to purchase needles and syringes for injection of illegal drugs, nor devices used solely for preparation of illegal drugs for injection (e.g., cookers).

CIO CERTIFICATION*

By submitting this project plan, I certify that my CIO unit currently does not maintain a comparable FOA related to a Capacity Building

Assistance program.

submit date:

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PSU FOA OT13-1302 CIO Project Plans – Year 5: Building Capacity for Improving Oral Health through Maintaining Water Fluoridation in Local Communities

Partnership Support Unit

Final

FY 2017 CIO PROJECT PLAN

FOA OT13-1302

Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations

Project Plan Instructions

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

"Submit."

GENERAL INFORMATION

Grantee name Project title*

(20 words maximum)

Word count

CIO* NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTIONNATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION Division*

OTHEROTHER

Other division

CIO POC name(s)* Enter up to 3 names

Separate 2 or more entries by a semicolon (e.g., John Doe; Jane Doe;)

CIO POC phone number(s)* Enter up to 3 names

Enter complete phone number(s) and separate 2 or more entries by a semicolon (e.g., (404)555-1212; (404)555-0009)

CIO POC email address(es)* Enter up to 3 names Enter complete email address(es) and separate 2 or more entries by a semicolon (e.g., johndoe@cdc.gov; janedoe@cdc.gov;)

Target population category* Category ACategory A Target population type* Local public health department

State public health department

Territorial public health department

Tribal public health department

Target population description*

(25 words maximum)

Word count

Proposed project funding*

Funded UnfundedUnfunded

PROJECT DETAILS

Project description*

(Narrative including goals, expected outputs, outcomes, and general or sample activities;

maximum of 1,000 words)

Word count

Goal: Project goal is to expand understanding of the benefits of water fluoridation through provision of a community-focused communications toolkit for use by local health departments; long-term goal is to use the toolkit to maintain and/or increase the proportion of the U.S. population served by community water systems with optimally fluoridated water. Outputs: Funding is provided for two activities addressing recurrent and specific needs at the community level: 1) assistance to communities in procuring new or replacement equipment for community water systems that want to provide fluoridated water to their constituents; and 2) development of a communications tool kit for use by local public health departments.

Outcome: Community water systems are able to optimally fluoridate water with either new or replaced fluoridation equipment; local public health departments are able to readily and consistently respond to the information needs of their constituencies relating the benefits of community water fluoridation.

Community water fluoridation (CWF) has been shown to save money, both for families and the health care system. The return on investment for CWF increases as the community size increases, but CWF is cost-saving, even for small communities. As of 2014, more than 210 million people, or 75% of the US population, were served by CWF systems that contain enough fluoride to protect their teeth. CDC’s Division of Oral

Health provides national leadership in this evidence-based intervention and monitors progress on Healthy

People 2020 OH-13 “Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water.” There are over 52,000 community water systems operating in the

United States; of those, about 18,500 either add fluoride, purchase water with sufficient fluoride, or have naturally occurring fluoride. Of the 18,500 fluoridated community water system, approximately 6,000 add fluoride to their water. Fluoridation equipment is designed to precisely and reliably deliver fluoride to

Building Capacity for Improving Oral Health through Maintaining Water Fluoridation in Local Communities

Division of Oral Health

Lisa Petersen; Nicole Blair Johnson

770 488-8646 ljp5@cdc.gov; nbg5@cdc.gov

Local, community and regional public health departments and their constituents

Community public water systems that deliver fluoridated water and their constituents

$250,000

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water as part of a normal water treatment process and can operate effectively for many years when properly maintained. Over time, however, equipment replacement becomes necessary due to factors such as (but not limited to): age of equipment, changes in community water distribution needs such as population growth, or a desire to increase the reliability and accuracy of the fluoride concentration in water. Replacing fluoridation equipment can place a fiscal burden on many communities, as the water system may have limited resources for purchasing replacement equipment. The cost of replacing equipment is not usually built into the pricing structure for maintaining water delivery and in many small, rural or low-income communities, raising the price for water delivery is difficult. Lacking funding for the purchase of replacement equipment, some community water systems simply stop fluoridating their water, putting their community at risk for increased tooth decay. Similarly, when a community might want to proactively address tooth decay for their constituents, the cost of procuring equipment can be prohibitive, even though the benefits have a quickly realized return on investment. The first activity would assist public water systems with either the replacement of old or purchase of new fluoridation equipment, allowing these systems to optimally fluoridate their water. Working closely with their state dental director and state drinking water administrator, as well as other local or regional governing bodies (e.g., local boards of health) to define their need, community water systems would apply for funding to replace aging equipment or buy new equipment. Applicants would need to show that they have concurrence from (at a minimum) their state dental director and state drinking water administer in the form of a letter indicating support. Applications would be submitted to the oversight organization, who would perform an objective review of the applications and rank them accordingly. Given the variation in the cost of procuring fluoridation equipment, funding would be provided to as many community water systems as possible, until the funding cap is reached. In addition, local public health departments are at the forefront of communicating with citizens about the benefits of water fluoridation. They have an expressed need for easy to read, informative communications materials in the form of a toolkit that can be used to educate their constituents on water fluoridation and its benefits. While some relevant resources are available across a variety of websites and organizations such as CDC, the American Dental Association, and the American

Academy of Pediatricians, compiling these materials into a toolkit with a well-tested and easily-applied communications framework would provide much needed support to often underfunded and/or understaffed local public health departments. Development of these resources would be the second activity in this project. In order to address the needs of the target audience, CDC’s Division of Oral Health, in partnership with the applicant organization, proposes working closely with a representative contingent of local public health departments to probe and understand their communication needs. Using this information, and continuing to work closely with CDC and these local public health departments, the applicant would develop a toolkit that can be easily accessed by local public health departments to communicate the benefits of water fluoridation. This toolkit would provide a variety of resources and technical assistance to assist the health department in communicating the oral health benefits of water fluoridation and to quickly respond to misinformation easily spread in the age of social media that may threaten local fluoridation efforts. Resources may include talking points, prepared messages, Q&A, a variety of “plug and play” templates, and information to support different communications strategies. In addition to receiving funds for fluoridation equipment, awardees would also be able to use the toolkit materials to carry out a communication campaign within their community discussing the benefits of water fluoridation. This level of communication is important to proactively address the misinformation about water fluoridation often readily available via social media, and bolster continued support for water fluoridation within the community.

Program strategies that relate to

FOA*

(Check one or more)

Public Health Systems and Organizational

Improvement

Public Health Workforce

Public Health Data and Information Systems Public Health Practice and Services Public Health Partnerships Public Health Resources, Communication &

Evaluation

Other

Program outcomes that relate to

FOA*

(Check two or more)

Increased adoption of new or proven business improvements leading to management and administrative efficiencies or cost savings

Increased availability and accessibility of continuing education and training focused on public health competencies and new skills, including the use of experience-based internships and fellowships

Increased incorporation of core public health competencies into employee position descriptions and performance evaluations

Increased integration of state-of-the-art technology into data collection and information systems Increased implementation of evidence-based public health programs, policies, and services Improved capacity to meet nationally established standards, such as those for health department accreditation

Establishment and maintenance of diverse public health partnerships for meaningful cooperation and achievement of evidence-based public health strategies and interventions, such as the CDC Winnable

Battles Improved quality, availability, and accessibility of public health education materials, training, and evaluation tools and resources

Other

Applicant organizational capacity*

(Maximum of 500 words)

Word count

The applicant organization would have to demonstrate existing organizational capacity working with local health departments on program interventions, health education and the development of communication materials.