Foa_Content_of_CDC-RFA-DP-24-0021.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH

PROMOTION

Expanding the National Approach to Chronic Disease Education and Awareness

CDC-RFA-DP-24-0021

05/10/2024

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA-DP- 24-0021. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR)

B. Notice of Funding Opportunity (NOFO) Title:

Expanding the National Approach to Chronic Disease Education and Awareness

C. Announcement Type: New - Type 1:

This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For purposes of this NOFO, research is defined as set forth in 45 CFR 75.2 and, for further clarity, as set forth in 42 CFR 52.2 (see eCFR :: 45 CFR 75.2 -- Definitions and https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR- 2007-title42-vol1-sec52-2.pdf. In addition, for purposes of research involving human subjects and available exceptions for public health activities, please see 45 CFR 46.102(l) (https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section- 46.102#p-46.102(l)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DP-24-0021

https://www.grants.gov/ https://www.grants.gov/ https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-46.102#p-46.102(l) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-46.102#p-46.102(l)

E. Assistance Listings Number:

93.945

F. Dates:

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

04/10/2024

2. Due Date for Applications:

05/10/2024 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

Topic: DP24-0021 Informational Call Zoom Meeting Time: March 25, 2024 02:00 PM Eastern Time (US and Canada)

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Meeting ID: 160 482 3640 Passcode: CDEANOFO2!

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Questions regarding this NOFO should be submitted to: cdawarenessgrant@cdc.gov.

G. Executive Summary:

1. Summary Paragraph https://www.grants.gov/ mailto:cdawarenessgrant@cdc.gov

Expanding Capacity for Chronic Disease Education and Awareness is a competitive 3-year grant program to expand and advance CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) work with partners to focus on education, outreach, and public awareness activities of a chronic disease that are not currently funded by a direct CDC and/or NCCDPHP FY24 appropriations line. This program will address implementation strategies and activities that have the potential to strengthen the science base for prevention, education, and public health awareness that could lead to evidence-based public health interventions to make meaningful improvements in patient outcomes for the proposed chronic disease. Recipients will enhance NCCDPHP’s public health impact by implementing the following strategies related to their proposed chronic disease: 1) Data dissemination activities that support awareness for public health professionals; 2) Develop survey tools to fill data gaps 3) Educational activities supporting public awareness; and 4) Educational activities supporting health professional screening, referral, and treatment and/or management. Collecting and disseminating reliable information on the impacts of chronic diseases is necessary to shape effective, evidence-based clinical and population-level education and awareness approaches for public health impact and health equity.

a. Funding Instrument Type:

G (Grant)

b. Approximate Number of Awards

c. Total Period of Performance Funding:

$5,850,000

d. Average One Year Award Amount:

$325,000

e. Total Period of Performance Length:

_________ year(s)

f. Estimated Award Date:

August 29, 2024

g. Cost Sharing and / or Matching Requirements:

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

Part II. Full Text

A. Funding Opportunity Description

1. Background

a. Overview Chronic diseases are responsible for 7 in 10 deaths each year and treating people with chronic diseases accounts for many of our nation’s health care costs. Six in 10 adults live with a chronic disease. Treatment and management of chronic diseases can result in adverse outcomes for significant portions of the population living with a disease. CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) helps people and communities prevent and manage chronic diseases and promotes health and wellness for all. For example, NCCDPHP funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, and tribes that address the prevention and treatment of chronic diseases.

Chronic Disease Education and Awareness program allows for the expansion of chronic disease activities beyond currently appropriated activities to allow CDC to further address diseases that are painful, costly, reduce quality of life, and impact patient and population health. Engaging partners is a foundational public health activity that can result in meaningful patient and population level outcomes. In 2020, Congress recognized CDC’s work with partners to expand public health education and awareness activities that help improve surveillance, diagnosis, and proper treatment for chronic diseases. Congress charged CDC with establishing a new competitive grant program which was expanded in FY 2023: PL 117-328/HR 2617, Consolidated Appropriations Act, 2023, Explanatory Statement, Division H, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, and continued in S 2624 (Report 118-84), Explanatory Materials for the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Bill, 2024 and HR 5894 (Report 118-13), Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024. The purpose of this program is to expand and advance CDC's work with partners on education, outreach, and public awareness activities for a variety of chronic diseases for which there is a clear disparity in public and professional awareness and that are not currently funded by a direct CDC and/or NCCDPHP FY24 appropriations line. In order to fund a variety of chronic health conditions under this NOFO and based on omnibus appropriations, S 2624 (Report 118-84), Explanatory Materials for the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Bill, 2024: “to support existing and additional grants for chronic health conditions that do not have line item in CDC’s budget.” no more than one (1) award will be made per proposed chronic disease. This approach would strengthen the science base for prevention, education, and public health awareness for a variety of chronic diseases that are often unrecognized or poorly understood and do not currently have dedicated resources that would lead to meaningful patient outcomes. For more information see the Joint Explanatory Statement.

b. Statutory Authorities Section 301(a) of the Public Health Service Act, 42 U.S.C. 241(a).

FY 2024 Omnibus Language:

S 2624 (Report 118-84), Explanatory Materials for the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Bill, 2024: “to support existing and additional grants for chronic health conditions that do not have line item in CDC’s budget.”

HR 5894 (Report 118-13), Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024.

https://www.cdc.gov/chronicdisease/index.htm https://www.congress.gov/117/crec/2022/12/20/168/198/CREC-2022-12-20-pt2-PgS8553-2.pdf

c. Healthy People 2030 This NOFO supports the following Healthy People 2030 topic areas:

Health Communication

Health Information Technology

Older Adults

People With Disabilities

Health Care

Public Health Infrastructure

Mental Health and Mental Disorders

Respiratory Disease

Sleep

d. Other National Public Health Priorities and Strategies COPD National Action Plan

Healthy Sleep Awareness Project

Developing and Addressing the Public Health Agenda for Psoriasis and Psoriatic Arthritis

National Lymphedema Network Position Papers and Standardized Frameworks for Clinical Education and Practice

e. Relevant Work This Notice of Funding Opportunity (NOFO) builds upon CDC-RFA-DP21-2112, Expanding the National Approach to Chronic Disease Education and Awareness, which currently funds 6 recipients and CDC-RFA-DP23-0067, Building Capacity for Chronic Disease Education and Awareness, which currently funds 4 recipients. More information on funded recipients can be found on CDC's Chronic Disease Education and Awareness webpage. The intent of this NOFO is to fund chronic diseases not currently funded and complement or fills gap in CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) current work.

CDC’s Chronic Disease Center Operating Budget currently funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, tribes, non-governmental organizations, and national partners. In addition, CDC leads or co-leads several national initiatives, such as Million Hearts, National Diabetes Prevention Program, and Active People, Healthy Nation.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-DP24-0021 Logic Model: Expanding Capacity for Chronic Disease Education and Awareness https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-communication https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-it https://health.gov/healthypeople/objectives-and-data/browse-objectives/older-adults https://health.gov/healthypeople/objectives-and-data/browse-objectives/people-disabilities https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care https://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructure https://health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders https://health.gov/healthypeople/objectives-and-data/browse-objectives/respiratory-disease https://health.gov/healthypeople/objectives-and-data/browse-objectives/sleep https://www.nhlbi.nih.gov/health-topics/education-and-awareness/COPD-national-action-plan http://sleepeducation.org/healthysleep https://archive.cdc.gov/#/details?q=Developing%20and%20Addressing%20the%20Public%20Health%20Agenda%20for%20Psoriasis%20and%20Psoriatic%20Arthritis%20(Agenda)%20|%20CDC%20Archive&start=0&rows=10&url=https://www.cdc.gov/psoriasis/pdf/Public-Health-Agenda-for-Psoriasis.pdf https://lymphnet.org/position-papers/ https://lymphnet.org/position-papers/ https://www.cdc.gov/populationhealth/chronicdiseaseawareness/funding-opportunities/expanding-education-approach-NOFO.html https://www.cdc.gov/populationhealth/chronicdiseaseawareness/funding-opportunities/building-capacity-NOFO.html https://www.cdc.gov/populationhealth/chronicdiseaseawareness/index.htm https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/programs-impact/budget/index.htm https://millionhearts.hhs.gov/index.html https://www.cdc.gov/diabetes/prevention/index.html https://www.cdc.gov/physicalactivity/activepeoplehealthynation/pdf/Active-People-Healthy-Nation-At-a-Glance-508.pdf https://www.cdc.gov/physicalactivity/activepeoplehealthynation/pdf/Active-People-Healthy-Nation-At-a-Glance-508.pdf

Strategy/Activity Short-term Outcome

Intermediate Outcomes

Long-Term Outcomes (Required)

Strategy 1: Data dissemination for the proposed chronic disease

Strategy 2:

Develop survey tools to fill data gaps

Strategy 3:

Develop and disseminate educational activities that support public awareness

Strategy 4:

Develop and disseminate educational activities that support health care professionals

Increased number of updated national/state indicators reports

Increased number of survey questions and/or modules for assessing the proposed chronic disease

Increased number of materials and tools available to increase public awareness of the proposed chronic disease

Increased number of media messages about the proposed chronic disease by priority audience

Increased number of materials or tools presenting best practices for screening, referral, and treatment and/or management, including self-management, for health care professionals

Increased number of national and/or state indicator reports disseminated to public health

Increased number of informational materials and messages disseminated by media outlet and priority audience

Increased number of best practices and referral options for a proposed chronic disease disseminated to health care professionals

Increased number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease

Increased number of people who are aware of information related to prevention, screening, and treatment and/or management of the proposed chronic disease

Increased number of health care professionals who are aware of tools and best practices for screening, referral, and treatment and/or management options for the proposed chronic disease

Increased number of available curriculum/ learning opportunities regarding best practices for screening, referral, and treatment and/or management, of the proposed chronic disease for health care

i. Purpose The purpose of this NOFO is to expand and advance CDC’s work on education, outreach, and public awareness activities to strengthen the science base for prevention, education, and public health awareness for a variety of chronic diseases that do not currently have dedicated resources that would lead to meaningful patient outcomes. Recipients will focus on data collection and dissemination, education, and public awareness activities that will support effective, evidence-based clinical and population-level approaches to improve health and health equity.

ii. Outcomes All recipients are expected to achieve the following outcomes by the end of the period of performance. These outcomes are bolded in the logic model.

Intermediate outcomes

• Increased number of national and/or state indicator reports disseminated to public health professionals

• Increased number of informational materials and messages disseminated by media outlet and priority audience

• Increased number of best practices and referral options for a proposed chronic disease disseminated to health care professionals

Long-term outcomes

• Increased number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease

• Increased number of people who are aware of information related to prevention, screening, and treatment and/or management of the proposed chronic disease

• Increased number of health care professionals who are aware of tools and best practices for screening, referral, and treatment and/or management options for the proposed chronic disease

iii. Strategies and Activities Proposed Chronic Disease

The applicant must propose a single chronic disease to focus on during the NOFO period of performance. The proposed chronic disease must meet the definition of a chronic disease. A chronic disease is defined broadly as a condition that lasts 1 year or more and requires ongoing medical attention or limits activities of daily living or both. The proposed chronic disease cannot currently be funded in CDC's Chronic Disease Center Operating Budget; it cannot have a dedicated funding line as described on CDC's Chronic Disease Center Operating Budget.

CDC will not consider any application that proposes: 1) More than a single chronic disease to focus on during the life of the grant; 2) A proposed chronic disease that does not meet the definition of a chronic disease. A chronic disease is defined broadly as a condition that lasts 1 year or more and requires ongoing medical attention or limits activities of daily living or both; or

3) Arthritis, Heart Disease, Cancer, Stroke, Alzheimer’s Disease and Related Dementias, Diabetes, Epilepsy, Lupus, and Chronic Kidney Disease, or any other chronic disease with a dedicated funding line as described on CDC's Chronic Disease Center Operating Budget. Any application proposing a chronic disease that meets any of these three (3) criteria will be deemed non-responsive, and it will receive no further review. Applicants must upload a statement that identifies their proposed chronic disease as a PDF file, under miscellaneous attachments, and name the file “Proposed Chronic Disease.” The PDF file should be uploaded to www.grants.gov.

Recipients currently funded through CDC-RFA-DP23-0067 are not eligible to apply.

For the proposed chronic disease, the applicant must describe the following:

• A public health need for dedicated resources (e.g., percent of population impacted, disproportionate percentages of specific populations impacted, disease outcomes, or quality of life).

• The need to assess the chronic disease in the general adult population to improve surveillance, diagnosis, and/or proper treatment.

• How strengthening the science base about the proposed chronic disease, including social, behavioral, environmental, and quality of life aspects, will improve awareness, diagnosis, and proper treatment, and improve patient outcomes.

• How a focus on the proposed chronic disease will shape or promote evidence-based practices for prevention, education, and public health awareness.

• Ability to track the proposed chronic disease in the general adult population to improve surveillance, diagnosis, and proper treatment.

• How funding this proposed chronic disease project will achieve the following outcomes:

o Population-level impact (e.g., percent of population impacted, disproportionate percentages of specific populations impacted, disease outcomes, or quality of life);

https://www.cdc.gov/chronicdisease/about/index.htm https://www.cdc.gov/chronicdisease/about/index.htm https://www.cdc.gov/populationhealth/chronicdiseaseawareness/index.htm o Increasing awareness and shaping evidence-based practice to improve patient outcomes;

o Strengthening the science base for prevention, education, and public health awareness;

Finally, the applicant must describe that a focus on the proposed chronic disease has a high potential to complement or fill gaps in CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) current work. CDC's Chronic Disease Center Operating Budget currently funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, tribes, non-governmental organizations, and national partners.

Proposed Strategies and Activities

Recipients are expected to implement the strategies and activities listed during the period of performance. The strategies and activities build upon each other to strengthen the science base for prevention, education, and public health awareness where there is a clear disparity between public and professional awareness. Recipients will focus on data collection and dissemination, education, and public awareness activities that will support effective, evidence-based clinical and population-level approaches to improve patient outcomes, health, and health equity. Recipients are required to implement all activities listed below and may implement additional activities.

Strategy 1: Data dissemination activities for the proposed chronic disease that support awareness for public health professionals

· Review and compile existing national and state-level measures related to the proposed chronic disease, including prevalence, mortality, related health indicators, risk factors, care-delivery measurements, contextual factors (social, behavioral, environmental), and quality of life (e.g., Chronic Disease Indicators).

· Review and synthesize information related to evidence-based strategies for addressing the proposed chronic disease, including community programs, practices, and policies.

· Draft or update a national/state indicator report that includes the presentation of measures and evidence-based strategies about the proposed chronic disease.

· Disseminate the National and/or State Indicator Report for the proposed chronic disease to public health professionals.

Strategy 2: Develop survey tools to fill data gaps

· Identify questions from previous health survey or surveillance projects that relate to the proposed chronic disease (such as health care, treatment, management, quality of life, or other topics reflecting experience living with the disease) and review their strengths and weaknesses.

· Where information gaps exist, develop questions appropriate for assessment and/or surveillance of the proposed chronic disease, including contextual factors (social, behavioral, environmental) and quality of life.

· Partner with other organizations and representatives to further develop questions and/or modules.

Strategy 3: Develop and disseminate educational activities that support public awareness https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/cdi/index.html

· Review and synthesize available informational messages and materials to increase public awareness of the proposed chronic disease.

· Create additional messages and materials where gaps exist, including gaps in content or tailoring for priority audiences.

· Use earned and paid media, online social networks, and other engaging methods to disseminate messages and materials about the proposed chronic disease.

Strategy 4: Develop and disseminate educational activities that support health care professionals in screening, referral, and treatment and/or disease management

· Review, compile, and synthesize the evidence related to best practices for prompt screening, referral, and treatment and/or management options, including self-management, for persons with the proposed chronic disease.

· Identify best practices for prompt screening, referral, and treatment and/or management options, including self-management, related to the proposed chronic disease.

· Identify tools available to promote best practices to health care professionals for use with patients with the proposed chronic disease and their caregivers.

· Create additional education and referral materials or tools for health care providers where gaps exist or where there are limitations in tools' capacity to address barriers or specific audiences.

· Disseminate these materials and/or tools to health care professionals through multiple engaging methods.

1. Collaborations

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

Collaborations with CDC chronic disease programs or other organizations funded by CDC for chronic diseases is required of recipients. As part of the project narrative, applicants should describe prior experience with successful collaborations with CDC NCCDPHP’s programs and/or CDC-funded or other partner organizations on national initiatives, objectives, and goals.

If applicants have not already worked with CDC, applicants should include a statement of their willingness to collaborate with CDC, and outline how. Applicants should also describe past and current collaborations related to the proposed chronic disease. Applicants should describe collaborations with other CDC programs, or CDC-funded organizations that are not chronic disease focused but are implementing similar strategies that demonstrate measurable improvements in patient outcomes and/or population health. Recipients are encouraged to work with recipients currently funded through CDC-RFA-DP23-0067. Information on CDEA funded projects can be found at Chronic Disease Awareness | Funding (cdc.gov).

b. With organizations not funded by CDC:

Collaborations with a variety of public and private partners are required to leverage resources and maximize reach and impact. To achieve the expected outcomes, the recipient will be required to build and sustain strategic partnerships and collaborations with organizations that have a role in implementing these strategies and activities for the proposed chronic disease https://www.cdc.gov/populationhealth/chronicdiseaseawareness/funding-opportunities/building-capacity-NOFO.html https://www.cdc.gov/populationhealth/chronicdiseaseawareness/funding-opportunities/expanding-education-approach-NOFO.html across the target audiences (public, health care professionals, and public health professionals).

Key collaborations may include the business community, hospitals, non-governmental organizations, non-profit agencies, other federal, state, or local government agencies, public health community, tribes or tribal organizations, professional organizations, quality improvement organizations, or federally qualified health centers. Applicants must include (a minimum 3) letters of commitment from key collaborators that must include specific details on the role they will assume on the project (limit 10 letters). General letters of support are not recommended. The applicant must explain how each collaboration they propose would assist in implementing activities and achieving outcomes. The applicant must describe past and current experience in successful collaborations that support national initiatives, objectives, and goals (e.g., national agendas, Healthy People objectives, state or local health objectives, national guidelines and recommendations) related to the proposed chronic disease. Applicants must upload the letters of commitment as a single PDF file, under miscellaneous attachments, and name the file “Collaboration Letters.” The PDF file should be uploaded to www.grants.gov.

2. Population(s) of Focus Populations of focus for this NOFO include:

Public health professionals The general public, including people with the proposed chronic disease and their caregivers Health care professionals

Applicants may rely on data evidencing demographic, cultural, linguistic, social, policy, historical, people who are medically underserved, people who are uninsured/people who are underinsured/people who do not have health insurance, people who are at increased/higher risk for [proposed chronic disease] or other contexts that unpack root causes or drivers of disparities for population(s) considered at highest risk for disparities.

This NOFO, including funding and eligibility, is not limited based on, and does not discriminate on the basis of race, color, national origin, disability, age, sex (including gender identity, sexual orientation, and pregnancy) or other constitutionally protected statuses.

a. Health Disparities The goal of health equity is for everyone to have a fair and just opportunity to attain their highest level of health. Achieving this requires focused and ongoing societal efforts to address historical and contemporary injustices; overcome economic, social, and other obstacles to health and healthcare; and eliminate preventable health disparities.

Broadly defined, social determinants of health are non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces (e.g., racism, climate) and systems include economic policies and systems, development agendas, social norms, social policies, and political systems. See content below and in other sections (e.g., Approach, Collaborations, Populations of Focus) for information on how this specific NOFO affects social determinants of health.

A health disparity is a preventable difference in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by populations that have been socially, economically, geographically, and environmentally disadvantaged. Health disparities are inextricably linked to a complex blend of social determinants that influence which populations are most disproportionately affected by these diseases and conditions.

This NOFO intends to address health disparities through the collection of detailed data on the proposed chronic disease that identifies differences in burden among population groups including contextual factors (e.g., social, behavioral, environmental), and outcomes (e.g., quality of life) as well as gaps in knowledge necessary to create awareness among the public, public health professionals, and health care providers that can shape evidence-based prevention and treatment approaches that improve patient outcomes and decrease health disparities.

iv. Funding Strategy Applicant organizations may only submit one application. If multiple applications are submitted by the same organization, only the application with the latest time stamp will be accepted. Up to six awards will be made to address the strategies and activities identified in the logic model for this NOFO. No more than one (1) award will be made per proposed chronic disease. If multiple applications are received for the same proposed chronic disease and score high enough to be funded, the award will go to the applicant with the highest score. Current CDC-RFA-DP23-0067 recipients are not eligible to apply under this announcement.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Evaluation and performance measurement help demonstrate achievement of NOFO outcomes and effectiveness of NOFO activities. Performance measurement can help to build a stronger evidence base for these strategies and activities as they relate to the proposed chronic disease.

Performance measurement can also clarify applicability of the evidence base to different populations, settings, and contexts to determine if strategies and activities are scalable and effective at reaching target populations. Performance measures and evaluation findings can drive continuous program quality improvement, as well as provide information needed to improve future NOFOs.

CDC will work with recipients to finalize performance measures within the first 6 months after award.

CDC uses these measures to track implementation of each recipient’s strategies and activities (process evaluation) and determine the recipient's progress on achieving the period of performance outcomes (outcome evaluation). Recipients will be required to report on all the following performance measures for the proposed chronic disease.

Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan (DMP) is not required for this NOFO.

Performance Measures:

Outcome Performance Measure

Intermediate Outcome-Increased number of national and/or state indicator reports disseminated to public health professionals

• Number of national and/or state indicator reports disseminated to public health professionals.

• Number of public health professionals who received or accessed the national/state indicator report for the proposed chronic disease.

Long-Term Outcome-Increased number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease

• Number of survey questions developed for assessing the proposed chronic disease in total.

• Number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease.

Long-Term Outcome-Increased number of people who are aware of information related to prevention, screening, and treatment and/or management of the proposed chronic disease

• Number of people who received or accessed messages or materials providing information related to prevention, screening, and treatment and/or disease management of the proposed chronic disease.

• Number of messages or materials disseminated about the proposed chronic disease.

Intermediate Outcome-Increased number of informational materials and messages disseminated by media outlet and priority audience

• Number of people who received or accessed messages or materials providing information related to prevention, screening, and treatment and/or disease management of the proposed chronic disease by media outlet.

• Number of people who received or accessed messages or materials providing information related to prevention, screening, and treatment and/or disease management of the proposed chronic disease by media outlet by priority audience.

Intermediate Outcomes-Increased number of best practices and referral options for a proposed chronic disease

• Number of health care professionals who received or accessed the best practices materials and/or tools for screening, referral, and treatment and/or disease disseminated to health care management related to the proposed chronic disease.

Long-Term Outcome-Increased number of health care professionals who are aware of tools and best practices for screening, referral, and treatment and/or management options for the proposed chronic disease

• Number of materials or tools disseminated to health care professional that present best practices for screening, referral, and treatment and/or disease management for the proposed chronic disease.

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

• How applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement, including, as applicable to the award, how findings will contribute to reducing or eliminating health disparities and inequities.

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

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

• How evaluation findings will be disseminated to communities and populations of interest in a manner that is suitable to their needs.

• Plans for updating the Data Management Plan (DMP) as new pertinent information becomes available. If applicable, throughout the lifecycle of the project. Updates to DMP should be provided in annual progress reports. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data;

data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additional-requirements/ar-25.html.

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

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

• Describe key evaluation questions to be addressed by these evaluations.

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

https://www.cdc.gov/grants/additional-requirements/ar-25.html

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

Applicants should also:

• Describe how evaluation findings will be used to build the science base for the proposed chronic disease.

• Describe the organizational Capacity of Recipients to Implement the Approach

c. Organizational Capacity of Recipients to Implement the Approach The applicant should describe their role as a recognized leader for the proposed chronic disease.

Applicants must describe experience and expertise working on the national level for the proposed chronic disease. Applicants must adequately describe their organization’s capacity to successfully implement the strategies and activities and achieve the expected outcomes as outlined in this NOFO. Applicants must have adequate infrastructure (physical space, technology), financial management systems (budget management and administration), and qualified and competent staff with appropriate skills (data management, communications, education).

Applicants must include an organizational chart for the organization and where the program will be housed within the organization. Applicants must submit the organizational chart(s) as a pdf attachment, name the file “Organizational Chart”, and upload to www.grants.gov.

Applicants must adequately describe their organization’s capacity and expertise, unless otherwise noted, for the following. Examples and impact of experiences are encouraged.

• Years of experience your organization has related to the proposed chronic disease.

Describe major accomplishments working on the national level for the proposed chronic disease.

• Past and current experience and impact of successful collaborations that support national initiatives, objectives, and goals (e.g., national agendas, Healthy People objectives, state or local health objectives, and national guidelines and recommendations) related to the proposed chronic disease.

• Partnerships with national, state, and/or local groups/organizations relevant to the proposed chronic disease.

• Accessing, compiling, reviewing, synthesizing, and disseminating data related to the proposed chronic disease.

• Developing survey tools to fill data gaps, including any partnerships on these activities.

• Developing and disseminating health information messages, materials, and tools for the public and people living with the condition and their caregivers to increase awareness and improve patient outcomes.

• Describe experience with social media, conducting media buys, creating earned media, and other engaging methods used to increase awareness of the proposed chronic disease.

• Identifying, evaluating, and disseminating best practices to support health care professionals in screening, referral, and treatment and/or management, including self-management, to improve patient outcomes related to the proposed chronic disease.

• Past and current experience with accessing provider education venues and relationships with professional associations to conduct professional educational activities.

• Core project management, including the roles and responsibilities of project staff and their day-to-day responsibility for key tasks, such as project leadership, project monitoring, preparation of reports, and program evaluation. Include resumes for staff assigned to this project as a single file and upload it as a miscellaneous attachment titled “Resumes” to www.grants.gov.

• Ability to fill positions quickly with competent, qualified staff. If staff positions are vacant, explain how and when those positions will be filled. Include job descriptions for positions that are to be filled as a single pdf titled “Job Descriptions” and upload it as a miscellaneous attachment to www.grants.gov.

• Describe any potential contractual or consultant agreements with a significant role in implementing program strategies and achieving project outcomes.

• Describe your organization’s financial management systems and processes for proper funds management (e.g., separation of funds by program, monitoring funds by program and financial staff), issuing and monitoring contracts, and meeting the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS awards: Electronic Code of Federal Regulations (eCFR). The financial systems and processes should allow the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statutes, regulations, and terms and conditions of the federal award.

d. Work Plan The detailed work plan must have all the data elements listed below for the first year of the project and describe in the project narrative a high-level work plan for subsequent years

1. Aligns with the program logic model.

2. Aligns with the period of performance outcomes and outcome measures provided.

3. Lists the Period of Performance Outcome (from Outcomes section and/or logic model).

4. Lists the outcome measure (from the Evaluation and Performance Measurement Section).

5. Lists each strategy from the logic model.

6. Outlines activities from the logic model.

7. Outlines process measures from the evaluation and performance measurement section for each activity.

8. Lists the responsible position/person/collaborator for each activity (be specific).

9. List the Completion date (month/year) for each activity.

The table below is an example of a detailed work plan with data elements.

https://www.ecfr.gov/cgi-bin/text-idx?SID=dfb89e372a4aaf623ce41affce47c0cf&mc=true&tpl=/ecfrbrowse/Title45/45tab_02.tpl

Period of Performance Outcome: (from Outcomes section and/or logic model)

Outcome Measure: (from Evaluation and Performance Measurement section)

Strategy #: Title (from logic model) Activities (from logic model)

Process Measures (from Evaluation and Performance Measurement section)

Responsible Position / Person / Collaborator (be specific)

Completion Date (month/year)

1.

2.

3.

4.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

• Tracking recipient progress in achieving the desired outcomes.

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

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

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

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

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

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

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

Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk recipients.

B. Award Information

1. Funding Instrument Type:

G (Grant)

2. Award Mechanism:

U58

Chronic Disease Control Cooperative Agreement

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$1,950,000

5. Total Period of Performance Funding:

$5,850,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$5,850,000

6. Total Period of Performance Length:

3 year(s) year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$325,000 Per Budget Period

9. Award Ceiling:

$400,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$300,000 Per Budget Period

11. Estimated Award Date:

August 29, 2024

12. Budget Period Length:

12 month(s)

Throughout the period of performance, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government.

The total number of years for which federal support has been approved (period of performance) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

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

If you are successful and receive a Notice of Award, in accepting the award, you agree that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

C. Eligibility Information

1. Eligible Applicants

Eligibility Category:

00 (State governments)

01 (County governments)

02 (City or township governments)

04 (Special district governments)

05 (Independent school districts)

06 (Public and State controlled institutions of higher education)

07 (Native American tribal governments (Federally recognized))

08 (Public housing authorities/Indian housing authorities)

11 (Native American tribal organizations (other than Federally recognized tribal governments))

12 (Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education)

13 (Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education)

20 (Private institutions of higher education)

22 (For profit organizations other than small businesses)

23 (Small businesses)

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

99 (Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility")

Additional Eligibility Category:

Government Organizations:

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

Local governments or their bona fide agents

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

State controlled institutions of higher education

American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

Non-government Organizations

American Indian or Alaska native tribally designated organizations

Other

Ministries of Health

2. Additional Information on Eligibility Bona fide agents are eligible to apply. For more information about bona fide agents, please see the CDC webpage on Expediting the Federal Grant Process with an Administrative Partner.

CDC will not consider any application that proposes:

1) More than a single chronic disease to focus on during the life of the grant;

2) A proposed chronic disease that does not meet the definition of a chronic disease. A chronic disease is defined broadly as a condition that lasts 1 year or more and requires ongoing medical attention or limits activities of daily living or both; or

3) Arthritis, Heart Disease, Cancer, Stroke, Alzheimer’s Disease and Related Dementias, Diabetes, Epilepsy, Lupus, and Chronic Kidney Disease, or any other chronic disease with a dedicated funding line in the FY 2024 Appropriations Act, as described on CDC’s FY 2024 operating budget plan. Any application proposing a chronic disease that meets any of these three

(3) criteria will be deemed non-responsive, and it will receive no further review. Applicants must upload a statement that identifies their proposed chronic disease as a PDF file, under miscellaneous attachments, and name the file “Proposed Chronic Disease.”

Recipients currently funded through CDC-RFA-DP23-0067 are not eligible to apply.

The award ceiling for this NOFO is $400,000. CDC will consider any application requesting an award higher than this amount non-responsive, and it will receive no further review.

The award floor for this NOFO is $300,000. CDC will consider any application requesting an award lower than this amount non-responsive, and it will receive no further review.

3. Justification for Less than Maximum Competition N/A

4. Cost Sharing or Matching

Cost Sharing / Matching Requirement:

https://www.cdc.gov/publichealthgateway/grantsfunding/expediting.html#Q2

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

5. Maintenance of Effort Maintenance…