HRSA-25-026 Final.pdf

Maternal and Child Health Bureau

Notice of Funding Opportunity

Application due February 18, 2025

Pediatric Pulmonary Centers Program Opportunity number: HRSA-25-026

Contents Before you begin 4

Step 1: Review the Opportunity 5

Basic information 6

Eligibility 7

Program description 9

Step 2: Get Ready to Apply 16

Get registered 17

Find the application package 17

Application writing help 17

Step 3: Prepare Your Application 19

Application contents and format 20

Step 4: Learn About Review and Award 32

Application review 33

Award notices 38

Step 5: Submit Your Application 39

Application submission and deadlines 40

Submission method 40

Other submissions 41

Application checklist 42

Step 6: Learn What Happens After Award 44

Post-award requirements and administration 45

Termination 47

Contents 2

Contacts and Support 48

Appendix A: Standards for Using MCHB Grant Funds to Support Trainees 51

Appendix B: PPC Trainee Disciplines and Qualifications 57

Endnotes 59

Contents 3

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM.gov registration (this can take several weeks) You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days) You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by the application due date Applications are due by 11:59 p.m. Eastern Time on February 18, 2025.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard.

Before you begin 4 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 6

Eligibility 7

Program description 9

Basic information Health Resources and Services Administration

Maternal and Child Health Bureau

Division of Maternal and Child Health Workforce Development

Providing interdisciplinary training to improve the health of infants, children, and adolescents with chronic respiratory conditions, sleep issues, and other related special health care needs.

Have questions?

Go to Contacts and Support.

Key facts

Opportunity name:

Pediatric Pulmonary Centers Program

Opportunity number:

HRSA-25-026

Announcement version:

New

Federal assistance listing:

93.110

Statutory authority: 42 U.S.C. §701(a)(2) (Title V, § 501(a)(2) of the Social Security Act)

Key dates

NOFO issue date:

November 20,2024

Informational webinar:

December 10, 2024

Application deadline:

February 18, 2025

Expected award date is by:

June 1, 2025

Expected start date: July 1, Summary The purpose of the Pediatric Pulmonary Centers (PPC) program is to provide interdisciplinary training to improve the health of infants, children, and adolescents with chronic respiratory conditions, sleep issues, and other related special health care needs.

The PPCs strive to improve systems of care and increase access to pediatric pulmonary care for children with complex health care needs.

Funding details Application type: Competing continuation, New

Expected total available funding in FY 2025: $2,065,000

Expected number and type of awards: 6 grants

Funding range per award: Up to $340,000 per year

We plan to fund awards for five 12-month budget periods for a total five-year period of performance of July 1, 2025, to June 30, 2030.

Pending the availability of funds, during each year of the period of performance one designated PPC recipient will apply for an administrative supplement of up to $25,000 post-award to cover the costs of the annual meeting. This annual meeting requirement may be waived during Year 5 of the period of performance.

The program and awards depend on the appropriation of funds and are subject to change based on the availability and amount of appropriations.

Step 1: Review the Opportunity 6

Eligibility Who can apply You may apply if you are an institution of higher learning, meaning:

• Any college or university accredited by a regionalized body or bodies approved for such purpose by the Secretary of Education.

• Any teaching hospital which has higher learning among its purposes and functions and which has a formal affiliation with an accredited school of medicine and a full-time academic medical staff holding faculty status in such school of medicine.

Types of eligible organizations These types of domestic* organizations may apply.

• Public institutions of higher education.

• Non-profit private institutions of higher education.

• Native American tribal governments and organizations that are institutions of higher learning (education).

See 42 CFR § 51a.3(b).

Individuals are not eligible applicants under this NOFO.

*“Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Other requirements You must be an institution of higher education accredited by the Accreditation Council for Graduate Medical Education (ACGME). You must provide documentation of your institution’s accreditation status as Attachment 1. Please do not provide the web link to the accreditation body’s website. Recipients must maintain accreditation status throughout the period of performance and notify us of any change in status.

Trainee support To receive support under this program, a trainee must be one of the following:

• A U.S. citizen or noncitizen national.

• An individual lawfully admitted for permanent residence to the United States.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 7 https://www.ecfr.gov/current/title-42/chapter-I/subchapter-D/part-51a#51a.3

• Any other individual who meets the requirements under section 431(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Pub. L 104-193, as amended.

Please review other trainee support information in Appendix A.

Qualifications for project director HRSA recognizes only one project director. The project director must be a faculty member employed by the applicant organization at the time you submit the application. The project director should dedicate at least 20% of their time to grant activities. The dedicated time can be supported through in-kind contributions or by grant funds. We do not allow co-project directors. See Program requirements and expectations section for more information about qualifications for the project director.

Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition. We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

Application limits You may not submit more than one application. If you submit more than one application, we will only accept the last on-time submission.

Cost sharing This program has no cost-sharing requirement. If you choose to share in the costs of the project, we will not consider it during merit review. We will hold you accountable for any funds you add, including through reporting.

Step 1: Review the Opportunity 8

Program description Purpose The purpose of the PPC program is to provide interdisciplinary training to improve the health of infants, children, and adolescents with chronic respiratory conditions, sleep issues, and other related special health care needs.

Program goals and objectives

The PPC program’s goals are to:

• Assemble interdisciplinary cohorts comprised of graduate or post-graduate trainees.[1]

• Recruit and retain diverse PPC trainees and faculty, emphasizing groups underrepresented in the maternal and child health (MCH) workforce.

• Engage people who have lived experience with chronic respiratory conditions, and/or their family members.

• Strengthen academic-practice partnerships with Title V Maternal and Child Health Services Block Grant (Title V) agencies[2] and community partners.

The program objectives to be accomplished during the period of performance are to:

• Develop and implement an interdisciplinary PPC curriculum.

• Recruit at least one trainee in each of these fields annually:

◦ Pediatric pulmonary medicine.

◦ Nursing.

◦ Nutrition.

◦ Social work.

◦ A needs-based discipline based on workforce shortages in your area or region.

• Recruit and retain trainees from backgrounds that are underrepresented in the MCH workforce, including but not limited to trainees from economically disadvantaged and racially/ethnically underrepresented backgrounds.

• Engage at least one person or family member of a person with lived experience with chronic respiratory conditions annually as a trainee, staff, or partner.

• Develop and enhance partnerships with at least one state Title V agency and at least one other MCH organization.

Step 1: Review the Opportunity 9

About MCHB and Strategic Plan The HRSA Maternal and Child Health Bureau (MCHB) administers programs with focus areas in maternal and women’s health, adolescent and young adult health, perinatal and infant health, child health, and children with special health care needs.

To learn more about MCHB and the bureau’s strategic plan, visit Mission, Vision, and Work | MCHB.

Background Health care providers with interdisciplinary training in pediatric pulmonary care are essential to addressing the complex health care needs of children with respiratory conditions. These children often have comorbidities, including sleep problems.[3]

Pediatric pulmonary workforce shortages, coupled with an increase in the prevalence of respiratory viruses like influenza and rhinovirus and the emergence of new viruses like MERS and COVID-19[4] demonstrate the need for training in pediatric pulmonary care.

Significant portions of the United States do not have fellowship‐trained pulmonologists, which creates health care disparities in access to pediatric pulmonary care for children with acute and chronic respiratory diseases.[5] Most pulmonologists are located in urban settings at academic medical centers, with very few pulmonologists in rural areas.[5] The geographic distribution of providers needs to be improved by training a pediatric pulmonary workforce that serves rural and underserved communities. Current pediatric pulmonary workforce shortages are expected to worsen with 32% of pediatric pulmonology fellowships going unfilled in 2023.[6]

Additionally, the pediatric pulmonary workforce lacks racial and ethnic diversity, which can hinder the delivery of family-centered, culturally responsive care.[7] For example, from 2018 to 2020, only 2.3% of pediatric pulmonologists self-identified as Black or African American.[5]

The PPC program uniquely provides interdisciplinary training to diverse graduate and post-graduate trainees in pediatric pulmonary care and supports effective health care coordination across disciplines. From 2020 to 2022, the PPC program provided interdisciplinary training to over 1,350 trainees. 30% were from racial groups underrepresented in the MCH workforce, and 16% identified as Hispanic or Latino. Five years after training, over 93% of former PPC trainees were working in an interdisciplinary manner to serve MCH populations, and over 75% were working with underserved populations. Since 2020, PPC programs have collaborated with state Title V agencies and MCH community partners on over 2,000 activities, including training on school-based mental health and provider resilience.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 10 https://mchb.hrsa.gov/about-us/mission-vision-work https://mchb.hrsa.gov/about-us/mission-vision-work

Program requirements and expectations Funding under this program is expected to provide interdisciplinary training to improve the health of infants, children, and adolescents with chronic respiratory conditions, sleep issues, and other related special health care needs.

Training and education You are expected to:

• Deliver an interdisciplinary curriculum that provides training in addition to trainees’ graduate or postgraduate discipline-related training. Training should:

◦ Include clinical and experiential training in both institutional (inpatient and outpatient) and community-based settings.

◦ Involve hands-on, supervised clinical work.

◦ Build leadership skills that align with the MCH Leadership Competencies.[8]

◦ Incorporate people with lived experience with chronic respiratory conditions and/or their family members in the delivery of the PPC curriculum.

◦ Engage trainees in one or more research projects and disseminate their findings.

• Cover the following topics in the curriculum:

◦ Chronic respiratory disorders and emerging issues in respiratory health, such as sleep health or environmental health.

◦ Systems of care for children and youth with special health care needs, including elements from the Blueprint for Change.[9]

◦ Cultural and linguistic responsiveness and life course approach.[10]

◦ Title V and related MCH legislation, including policy-making processes and their impact on MCH populations.

• Identify the expected competencies of PPC graduates in your training program.

Trainee recruitment and retention You are expected to:

• Recruit and retain graduate or postgraduate trainees from backgrounds that are underrepresented in the MCH workforce, including but not limited to trainees from economically disadvantaged and racially or ethnically underrepresented backgrounds.

• Recruit and train at least one graduate or post-graduate student as a Long-Term Trainee (LTT)[11] each year in the five-year period of performance from the following five core disciplines: pediatric pulmonary medicine, nursing, social

Step 1: Review the Opportunity 11 work, and at least one needs-based discipline. Please see Appendix B for additional information.

◦ You should have one new pediatric pulmonary medicine fellow (trainee) per year for a minimum of five trainees during the period of performance.

◦ Identify the needs-based discipline for your program based on local, state, or regional shortages in the pediatric pulmonary workforce.

• Recruit and train Medium-term trainees (MTTs)[12] and Short-term trainees (STTs)[13] to strengthen their ability to assess and address respiratory needs of children and their families.

• Engage people with lived experience with chronic respiratory conditions and/or their family members as LTTs or MTTs.

Partnerships You are expected to:

• Partner with and engage people with lived experience with chronic respiratory conditions and/or their family members when designing, implementing, and evaluating the PPC program.

• Establish or strengthen at least two academic-practice partnerships in your state or region.

◦ One of these partnerships must be with a state Title V agency.[14]

◦ One of these partnerships must be with another relevant local, state, or regional MCH partner.

• Partner with other MCHB programs, such as other MCHB-funded training programs,[15] Family-to-Family Health Information Centers,[16] or the National Center for a System of Services for Children and Youth with Special Health Care Needs.[17]

• Collaborate with other PPC program recipients funded under this announcement (HRSA-25-026). You are expected to:

◦ Participate in all-recipient calls, which will take place at least bimonthly.

◦ Support the project director (PD) to attend the annual PPC recipient meeting.

You may choose to support additional faculty and/or staff to attend the meeting with grant funds.

◦ Plan, develop, convene, and manage the annual PPC recipient meeting one year during the period of performance.

Faculty You are expected to:

Step 1: Review the Opportunity 12

• Identify faculty and staff with interest and expertise in each of the five core disciplines who will help develop, maintain, and implement the PPC curriculum and mentor trainees.

◦ See the chart in Appendix B about required faculty.

◦ People with lived experience with chronic respiratory conditions and/or their family members may serve as faculty, staff, or consultants to provide interdisciplinary teams with their perspective on receiving care and services.

• Identify a project director (PD) who will have direct, day-to-day responsibility for grant activities. The PD should:

◦ Be a board-certified pediatrician with subspecialty certification in pediatric pulmonology.[18]

◦ Have three or more years of experience in pediatric pulmonary health care and related emerging issues, and systems of care for children and youth with special health care needs (CYSHCN).

◦ Commit a minimum of 20% of their time to the PPC program grant, which may be a combination of grant and in-kind support. The 20% effort cannot be shared by two faculty members.

Subject matter expertise and continuing education You are expected to:

• Provide consultation, subject matter expertise, and continuing education in pediatric pulmonary care topics, including emerging issues. These activities should reach a variety of MCH partners, including but not limited to:

◦ Title V partners.

◦ Practicing professionals.

◦ Families.

◦ Community partners.

Performance measurement and continuous quality improvement (CQI) We expect you to measure your performance and conduct continuous quality improvement (CQI) activities. This includes:

• Measuring performance on key activities and program objectives.

◦ Collect data and report annually on Discretionary Grants Information System (DGIS) measures noted in the Reporting section, such as:

▪ Number and demographics of interdisciplinary graduate and postgraduate trainees.

Step 1: Review the Opportunity 13

▪ Number of families engaged in PPC training activities.

▪ Number of partnerships developed with Title V and MCH organizations.

▪ Former trainee outcomes. You are expected to track trainees for five years after they complete the PPC program and report on trainee outcomes as outlined in the DGIS former long-term trainee survey.

◦ Collect and report annually in the non-competing continuation progress report on added measures that align with program goals and objectives.

◦ Report on the number and type of emerging issue(s) addressed through PPC activities.

◦ Work with MCHB and other PPC program recipients after award to identify or develop additional measures that will demonstrate the impact of your PPC program on improving systems of care for children with chronic pulmonary conditions and their families. This may include, but is not limited to:

▪ Improving interdisciplinary systems of care that facilitate screening, assessment, or access to services.

▪ System development activities that refer children and their families to other clinical, public health, and educational services.

• Conducting CQI activities that will inform and improve training processes and outcomes. You are encouraged to use ongoing feedback from trainees, faculty, and partners as part of your CQI activities.

Funding policies and limitations Policies

• We will only make awards if this program receives funding.

• Support beyond the first budget year will depend on:

◦ Availability of funds.

◦ Satisfactory progress in meeting the project’s objectives.

◦ A decision that continued funding is in the government’s best interest.

• If we receive more funding for this program, we consider options such as:

◦ Funding more applicants from the rank order list.

◦ Extending the period of performance.

◦ Awarding supplemental funding.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 14 https://mchb.hrsa.gov/sites/default/files/mchb/data-research/dgis-0915-0298-additional-data-elements.pdf

General limitations

• For guidance on some types of costs we do not allow or restrict, see Budget in section 4.1.iv of the R&R Application Guide. You can also see 45 CFR part 75, General Provisions for Selected Items of Cost.

• You cannot earn profit from the federal award. See 45 CFR 75.400(g).

• Congress’s current appropriations act includes a salary limitation, which applies to this program. As of January 2024, the salary rate limitation is $221,900. This limitation may be updated.

Program-specific statutory or regulatory limitations Please refer to Appendix A to review additional information on trainee support costs.

See Manage Your Grant for other information on costs and financial management.

Indirect costs Indirect costs are costs you charge across more than one project and that cannot be easily separated by project. For example, this could include utilities for a building that supports multiple projects. Learn more at 45 CFR 75.414, Indirect costs.

Indirect costs are determined using one of two methods:

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency at time of award.

Method 2 – De minimis rate. Per 45 CFR 75.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. This rate is 10% of modified total direct costs (MTDC). 45 CFR 75.2 defines MTDC. You can use this rate indefinitely. If you use this rate, you must use it for all federal awards unless you negotiate a rate.

Program income Program income is money earned as a result of your award-supported project activities. Program income must be added to the total project costs. Find more about program income at 45 CFR 75.307. You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 45 CFR 75.307.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 15 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75#p-75.216(b) https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-45/part-75#p-75.414(f) https://www.ecfr.gov/current/title-45/part-75#p-75.2(Modified%20Total%20Direct%20Cost) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 17

Find the application package 17

Application writing help 17

Get registered SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist to find out what you’ll need to register.

When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations. You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award.

Grants.gov You must also have an active account with Grants.gov. You can see step-by-step instructions at the Grants.gov Quick Start Guide for Applicants.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-026.

After you select the opportunity, we recommend that you click the Subscribe button to get updates.

Application writing help Visit HHS Tips for Preparing Grant Proposals.

Visit HRSA’s How to Prepare Your Application page for more guidance.

See Apply for a Grant for other help and resources.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 17 https://sam.gov/content/entity-registration https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/web/grants/search-grants.html https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application https://www.hrsa.gov/grants/apply-for-a-grant

Join the webinar For more information about this opportunity, join the webinar on Tuesday, December 10 2024 at 2 pm EST. You can join at this Zoom link: https://hrsa-gov.zoomgov.com/j/ 1610391390?pwd=wbrPuMwVU52AwayTl4uuYZj4KG4H6H.1.

• Passcode: Cdf4H3E1

If you are not able to join through your computer, you can call in:

• Phone number: 833 568 8864

• Meeting ID: 161 039 1390

• Passcode: 92957441

We will record the webinar. If you are not able to join live, you can replay it at Find Grant Funding | HRSA.

Need help? See Contacts and Support.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 18 https://hrsa-gov.zoomgov.com/j/1610391390?pwd=wbrPuMwVU52AwayTl4uuYZj4KG4H6H.1 https://hrsa-gov.zoomgov.com/j/1610391390?pwd=wbrPuMwVU52AwayTl4uuYZj4KG4H6H.1 https://https//www.hrsa.gov/grants/find-funding https://https//www.hrsa.gov/grants/find-funding

Step 3:

Prepare Your Application

In this step

Application contents and format 20

Application contents and format Applications include 5 main components. This section includes guidance on each.

There is a 60-page limit for the overall application. Submit your information in English and express whole number budget figures using U.S. dollars.

Make sure you include each of these:

Components Submission format Included in the page limit?

Project abstract Use the Project Abstract Summary form. No

Project narrative Use the Research and Related Other Project Information form. Yes

Budget narrative Use the Research and Related Budget form. Yes

Attachments Insert each in the Attachments form. Yes, unless otherwise marked.

Other required forms Upload using each required form. No

Required format You must format your narratives and attachments using our required formats for fonts, size, color, format, and margins. See the formatting guidelines in Section 3.2 of the R&R Application Guide.

Project abstract Complete the information in the Project Abstract Summary form. Include a short description of your proposed project. Include the needs you plan to address, the proposed services, and the population groups you plan to serve. For more information, see section 4.1.ix of the R&R Application Guide.

Project narrative Use the Research & Related Other Project Information form to attach the project narrative. In the project narrative, you will describe all aspects of your project. Project activities must comply with the nondiscrimination requirements.

Use the section headers and the order as listed.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 20 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1

Introduction See merit review criterion 1: Need

Briefly describe the purpose of your project.

Need See merit review criterion 1: Need

• Identify and describe the unmet needs and gaps in the national, regional, or local pediatric pulmonary workforce that your project will address.

• Describe the target population(s) your PPC program will reach and their unmet health needs. Include information about gaps in systems of care to address complex health needs of children with respiratory conditions. Use and cite demographic data whenever possible to support the information you provide.

• Describe how you’ll assess the unique needs of the trainees you serve, including any relevant barriers to their education and success in your program. These barriers might include physical health, psychological health, physical environment, social environment, and economic stability.

Approach See merit review criterion 2: Response

Goals and objectives

• List the specific goals and objectives that respond to the purpose of the project.

Provide specific, measurable, achievable, realistic, time-bound, inclusive, and equitable (SMARTIE) objectives for each proposed project goal.

• Tell us how you’ll address your stated needs.

Training and education

• Describe how you’ll provide interdisciplinary graduate or post-graduate training that includes didactic, experiential, leadership, clinical, and research components.

• Provide a detailed outline of the PPC curriculum in Attachment 2.

◦ If you are proposing to support multiple types of trainees (for example, master’s, post-master’s, doctoral, and postdoctoral trainees), include a description of the requirements for each type of trainee.

• Describe how you’ll include the following topics in your PPC curriculum:

◦ Chronic respiratory disorders and emerging issues in respiratory health, such as sleep health or environmental health.

◦ Systems of care for CYSHCN populations, including the Blueprint for Change.9

◦ Cultural and linguistic responsiveness and life course approach.10

Step 3: Prepare Your Application 21

◦ Title V history and related MCH legislation, including policy making processes and the impact on MCH populations.

• Describe the expected competencies of your program graduates and the activities that will support trainees to achieve those competencies. Describe how your identified competencies align with MCH Leadership Competencies.8 Detail how you plan to measure achievement of these competencies.

• Describe how people with lived experience with chronic respiratory conditions and/or their family members will be included in curriculum delivery.

Trainee recruitment and retention

• Describe a plan to recruit and retain LTTs in pediatric pulmonary medicine, nursing, nutrition, social work, and one needs-based discipline. Detail how you will reach LTTs from the required disciplines that are from backgrounds underrepresented in the maternal and child health workforce, including but not limited to trainees from economically disadvantaged and racially/ethnically underrepresented backgrounds. State the anticipated number of trainees you’ll reach each year.

• Describe how you’ll identify the needs-based discipline for your program.

• Describe a plan to recruit and retain STTs and MTTs and how they will be engaged in the program.

Partnerships

• Describe how you’ll include people with lived experience of chronic respiratory conditions and/or their family members when designing, implementing, and evaluating the program.

• Tell us how you’ll strengthen academic-practice partnerships with one or more state Title V14 agencies and one or more other local, state, or regional MCH partner.

• Describe how you’ll partner with other MCHB programs, such as MCHB-funded training programs,15 Family-to-Family Health Information Centers,16 or the National Center for a System of Services for Children and Youth with Special Health Care Needs17.

• Describe how you’ll collaborate with other PPC recipients funded under this announcement, including a plan to participate in recipient calls and attend the annual recipient meeting.

• State your willingness to plan, develop, convene, and manage the annual recipient meeting one year during the period of performance.[19]

Subject matter expertise and continuing education

Step 3: Prepare Your Application 22

• Describe the type of consultation, subject matter expertise, and continuing education opportunities that you’ll offer and evaluate.

• Describe the target audience for these opportunities.

High-level work plan See merit review criteria 2: Response and 4: Impact

• Describe how you’ll achieve each of the objectives during the period of performance.

• Provide a workplan with a timeline in Attachment 3 that describes the activities you’ll use to achieve each proposed objective included in the approach section.

The work plan and timeline should cover the entire five-year period of performance and should align with and be supported by the needs assessment, proposed budget, and organizational capacity.

Resolving challenges See merit review criterion 2: Response

• Discuss challenges that you are likely to encounter in designing and carrying out the activities in the work plan.

• Explain approaches that you’ll use to resolve them.

Performance reporting and evaluation See merit review criteria 3: Performance reporting and evaluation and 5: Resources and capabilities

• Monitoring. Describe how you’ll track progress on project activities over the period of performance. Provide an initial list of measures—such as indicators and metrics—you’ll use to monitor progress on project activities.

• Performance measurement. Provide your plan for measuring and tracking program goals and objectives outlined in the purpose section. The plan should include required and/or proposed measures outlined in the program requirements and expectations section and plans for the timely collection and reporting of all measures.

◦ See Reporting for more information.

◦ Propose a plan to track LTTs for five years after training. Include strategies you’ll use to maintain contact with program graduates and methods you’ll use to survey graduates and limit loss to follow-up.

◦ Describe how you’ll assess the impact of your program on improving systems of care for children with chronic pulmonary conditions and their families.

Step 3: Prepare Your Application 23

▪ Detail how you’ll work with partners across other systems—such as public health and education—to collect information about referrals or other systems measures.

▪ Discuss how systems measures align with the Blueprint for Change and Title V priorities in your state or region.

▪ State your willingness to partner with MCHB post-award to identify or develop additional measures that will demonstrate the impact of your PPC program on improving systems of care.

• Continuous quality improvement. Describe your plans for using and incorporating information from trainees, faculty, or other partners to improve your PPC courses and activities.

• Data systems and capacity.

◦ Describe how you’ll collect and manage data in a way that allows for accurate and timely monitoring, performance measurement, and continuous quality improvement.

◦ Describe your staff’s skills, knowledge, and capacity to collect, manage, and report data in a timely manner.

• Outcomes.

◦ Describe the expected outcomes of funded activities, aligning with your project goals and objectives.

◦ Describe a plan for measuring the outcomes and impact of participating in your program on trainees and faculty, including but not limited to:

▪ Post-graduation outcomes of trainees, including those collected through the DGIS former long-term trainee survey.

▪ Impact on trainees’ career choices and pathways.

Sustainability See merit review criterion 4: Impact

We expect you to sustain key project elements that build workforce capacity and improve systems of care. Propose a plan for project sustainability and describe the actions you’ll take to:

• Explore and obtain future sources of funding, including in-kind support from your institution.

• Sustain key elements of your project beyond the federal funding period.

• Discuss challenges that you’ll likely encounter in sustaining the program. Include how you’ll resolve these challenges.

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Organizational information See merit review criterion 5: Resources and capabilities

• Briefly describe your institution’s mission and structure. Explain how they will help you carry out the program requirements. You’ll include a project organizational chart in your attachments.

• Discuss how you’ll follow the approved project plan, keep track of all federal funds, and record all costs to avoid issues during the project audit.

• Describe the organizations you’ll partner with to fulfill the program goals and meet the training objectives. Include key agreements and letters of support, including at least one letter from a Title V program, in Attachment 5.

• State how much time the PD will commit to the PPC program. Describe how the PD will meet the program requirements and expectations. Describe how the PD will manage leadership and oversight of the PPC program in addition to their other responsibilities (such as teaching, research, or other grant-funded projects).

• Describe your expectations for faculty in mentoring and advising trainees.

• Faculty qualifications:

◦ Describe how you’ll identify and support at least one faculty member from the five core disciplines (pediatric pulmonary medicine, nursing, nutrition, social work, and needs-based discipline) each year.

◦ Describe how you’ll support faculty time to assure dedicated faculty time for meeting the objectives of the training program.

◦ Document faculty and staff experience with designing, developing, implementing, and evaluating MCH training activities, in addition to their experience managing training resources and working with other training entities.

• Include a staffing plan and job descriptions for key faculty and staff in Attachment 6.

• Include biographical sketches for key staff using the Research and Related Senior/ Key Person Profile form. See Other required forms.

Budget and budget narrative See merit review criterion 6: Support Requested

Complete the information in the Research and Related Budget form. Your budget should follow the instructions in section 3.1.4. Project Budget Information of the R&R Application Guide and any specific instructions listed in this section. Your budget should show a well-organized plan.

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Step 3: Prepare Your Application 25

The total project or program costs are all allowable (direct and indirect) costs used for the HRSA activity or project. This includes costs charged to the award and nonfederal funds used to satisfy a matching or cost-sharing requirement (which may include maintenance of effort, if applicable).

Reminder: Indirect costs for training awards cannot exceed 8% of modified total direct costs.

The budget narrative supports the information you provide in the Research and Related Budget Form. See Other required forms. It includes an itemized breakdown and a clear justification of the costs you request. The merit review committee reviews both.

It includes added detail and justifies the costs you ask for. As you develop your budget, consider:

• If the costs are reasonable and consistent with your project’s purpose and activities.

• The restrictions on spending funds. See funding policies and limitations.

To create your budget justification narrative, see detailed instructions in Section 3.1.5 of the Application Guide.

Additional instructions specific to this NOFO follow.

Trainee support costs

• Identify the expected number of trainees.

• Include tuition, fees, health insurance, stipends, travel, subsistence, and other proposed costs that will be provided to trainees from this award.

◦ Separate these costs from others so we can identify them easily.

• Include a subtotal entitled “Total Trainee Support Costs” with the summary of these costs.

• Please refer to Appendix A to review additional information on trainee support costs.

Preceptor costs Preceptors can be your employee, contractor, or consultant. Preceptor costs are different from trainee costs, which are for your students. Allowable preceptor costs may include:

• Stipends, other than to employees or allowance.

◦ Percent of salary (for employees).

• Continuing education, other trainings, and fees.

• Travel.

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Step 3: Prepare Your Application 26 https://www.hrsa.gov/sites/default/files/hrsa/grants/sf-424-rr-app-guide.pdf%22%20/l%20%22page=33

Note: You cannot require students to pay for preceptor costs.

• If the preceptor is an employee, specify those costs under Section B, Other Personnel; Section D, Travel; and Section F, Other Direct Costs.

• If the preceptor is a consultant or contractor, lists those costs under Section F, Other Direct Costs.

• Include the number of preceptors in your budget narrative.

Consultant services Identify each consultant, the services they will perform, the total number of days, travel costs, and the total estimated costs.

Recipient meeting While internal planning for the annual PPC recipient meeting must remain consistent with a budget of $25,000, you should not include these annual meeting costs in your overall budget request. Your proposed PPC budget should not exceed $340,000 per year, as annual meeting supplemental funding will not be finalized until post-award.

Attachments Place your PDF attachments in order in the Attachments form.

Attachment 1: Accreditation and certification status Provide documentation of your Accreditation Council for Graduate Medical Education (ACGME) accreditation status. Please do not provide the web link to the accreditation body’s website.

Provide documentation of your active certification in pediatric pulmonary medicine by the American Board of Pediatrics (ABP).

Attachment 2: PPC curriculum Outline your current or anticipated PPC curriculum that trainees must complete.

Include course descriptions, clinical experiences, community and public health opportunities, leadership, research activities, and any other requirements.

Attachment 3: Work plan Attach the project’s work plan. Make sure it includes everything required in the project narrative section. Your work plan should be in a table format and must:

• Include the timeline for each activity.

Step 3: Prepare Your Application 27

• Identify faculty, staff, and/or other personnel who are responsible for each activity.

• As applicable, identify the key partners that will help you achieve each activity.

Attachment 4: Project organizational chart Provide a one-page diagram that shows the project’s organizational structure.

Attachment 5: Agreements with other entities Provide any documents that describe working relationships between your organization and others you refer to in the proposal. At least one letter must be from a Title V program.

If you include documents that confirm actual or pending contracts or agreements, the documents should clearly describe the roles of subrecipients and contractors and any deliverables.

It is not necessary to include the entire contents of lengthy agreements, as long as the portions you include describe the working relationship between you and the other organization.

Make sure letters of agreement are signed and dated.

Attachment 6: Staffing plan and job descriptions See Section 3.1.7 of the R&R Application Guide.

Include a staffing plan that shows the staff positions that will support the project and key information about each. Justify your staffing choices, including education and experience qualifications and your reasons for the amount of time you request for each staff position.

For key personnel, attach a one-page job description that includes the role, responsibilities, and qualifications.

Attachment 7: Project Director Certification Provide documentation in the form of a signed letter on organizational letterhead, from the Chair of the Department of Pediatrics or the Dean of the School of Medicine providing evidence that the proposed Project Director retains an active certification in pediatric pulmonology medicine by the ABP.

Attachments 8 - 15: Other relevant documents Include any other documents that are relevant to your application.

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Step 3: Prepare Your Application 28

Other required forms You will need to complete some other forms. Upload the following listed forms listed below at Grants.gov. You can find them in the NOFO application package or review them and any available instructions at Grants.gov Forms.

Forms Submission Requirement

Research & Related Other Project Information With application

SF-424 (R&R) With application

R&R Subaward Budget Attachment(s) With application

Research and Related Senior/Key Person Profile (Expanded)

With application

Project/Performance Site Location(s) With application

Disclosure of Lobbying Activities (SF-LLL) If applicable, with the application or before award

Form instructions In addition to the requirements for the project abstract, budget narrative, project narrative, and attachments, following are instructions for each of the other forms required by this NOFO. See the application checklist for a full list of all application requirements.

Research and Related Other Project Information In addition to the requirements in the project narrative section, you will provide some additional information in this form.

• Complete sections 1 through 6.

• Upload a blank document in item 7: Project Summary/Abstract to avoid a cross-form error with your Project Abstract Summary Form.

• Upload your project narrative in item 8.

• Leave items 9, 10, and 11 blank.

SF-424 (R&R)

This is your application for federal assistance. Follow the instructions in Section 3.1.1 of the R&R Application Guide. This is the application for Federal Assistance.

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Step 3: Prepare Your Application 29 https://www.grants.gov/forms

R&R Subaward Budget Attachment(s) You will also complete the R & R Subaward Budget Attachment Form for each subaward you propose. These include subcontracts. You will do this using the R & R Subaward Budget Attachment(s) Form.

To complete the budget forms follow the instructions.

• Once you open this form, you can select “Click here to extract the R&R Subaward Budget Attachment.”

• Save the file and then open it to complete it.

• Once you save the file you can upload it within the form.

• Repeat the steps for each subaward.

If you have more than 10 subawards, you may upload the extra budget forms in the Research and Related Other Project Information form in Block 12 “Other Attachments.”

Research and Related Senior/Key Person Profile (Expanded) Include biographical sketches for people who will hold key positions. Try to use no more than one page per person. These sketches count toward the page limit.

Do not include non-public, personally identifiable information.

If you include someone you have not hired yet, include a letter of commitment from that person with their biographical sketch.

Upload sketches in the Research and Related Senior/Key Person Profile (Expanded) form.

Include:

• Name and title.

• Education and training. For each entry include institution and location, degree and date earned, if any, and field of study.

• Section A, Personal Statement. Briefly describe why the individual’s experience and qualifications make them well-suited for their role.

• Section B, Positions and Honors. List in chronological order previous and current positions and honors. Include present membership on any federal government public advisory committee.

• Section C, Other Support. This section is optional. List selected ongoing and completed projects during the last three years. Begin with any projects relevant to the proposed project. Briefly indicate the overall goals of the projects and responsibilities of the person.

Step 3: Prepare Your Application 30

• Other information, if applicable. This could include language fluency and experience working with populations that are culturally and linguistically different from their own.

Project/Performance Site Locations(s) Follow the form instructions in Grants.gov Forms. Use the “Next Site” option rather than “Additional Location(s)” to add more than one project/performance site location.

Disclosure of Lobbying Activities (SF-LLL) Follow the form instructions in Grants.gov Forms.

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Step 3: Prepare Your Application 31

Step 4:

Learn About Review and Award

In this step

Application review 33

Award notices 38

Application review Initial review We will review your application to make sure that it meets eligibility criteria, including the completeness and responsiveness criteria. If your application does not meet these criteria, it will not be funded.

We will not review any pages that exceed the page limit.

Merit Review A panel reviews all applications that pass the initial review. The members use these criteria.

Criterion Total number of points = 100

1. Need 10 points

2. Response 35 points

3. Performance reporting and evaluation 20 points

4. Impact 10 points

5. Resources and capabilities 15 points

6. Support requested 10 points

Criterion 1: Need 10 points

See project narrative introduction and need sections.

The panel will review your application for how well it:

• Describes the purpose of the project and the need for the PPC training program.

• Describes unmet needs and gaps in the pediatric pulmonary care workforce.

• Describes the target population, their unmet care needs, and how the PPC program will reach them.

• Describes any relevant barriers to trainees’ access to education and success in their program.

Step 4: Learn About Review and Award 33

Criterion 2: Response 35 points

See project narrative approach, high-level work plan, and resolving challenges sections.

The panel will review your application for:

Approach (25 points)

• How well the applicant’s proposed project responds to the program’s purpose.

• The strength of the proposed goals, objectives, and activities, and how well they relate to the project and stated problem.

• The strength and quality of a plan to include persons that have lived experience with chronic respiratory conditions and/or their family members in PPC program planning, implementation, and evaluation,…